三七有效成分调控激素性股骨头坏死的相关信号通路  

Active ingredients of Panax notoginseng regulate signaling pathways related to steroid-induced necrosis of the femoral head

作　　者：韩杰[1] 彭清林 徐志为[1] 吴钰坤 任国武 谢小中 金万清 杨凌 Han Jie;Peng Qinglin;Xu Zhiwei;Wu Yukun;Ren Guowu;Xie Xiaozhong;Jin Wanqing;Yang Ling(Department of Joint and Sports Medicine,Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning 530000,Guangxi Zhuang Autonomous Region,China;Guangxi University of Chinese Medicine,Nanning 530000,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]广西中医药大学附属瑞康医院关节与运动医学科,广西壮族自治区南宁市530000 [2]广西中医药大学,广西壮族自治区南宁市530000

出　　处：《中国组织工程研究》2024年第23期3751-3758,共8页Chinese Journal of Tissue Engineering Research

基　　金：国家自然科学基金项目(82260858),项目负责人:韩杰;广西教育厅青年教师科研能力提升项目(2021KY0290),项目负责人:徐志为;广西中医药大学高层次人才队伍建设三年行动计划项目:“国医大师韦贵康学术思想与临床诊疗传承发展研究中心建设项目”(2022V001);2022年广西青年岐黄学者培养项目(桂中医药科教发[2022]13号),项目负责人:韩杰。

摘　　要：背景:激素性股骨头坏死是骨科领域难治和难愈性疾病,尚无确切研究观点完整解释其病理机制。随着三七有效成分干预多种疾病相关信号通路的研究增加,三七有效成分通过调控激素性股骨头坏死相关信号通路治疗该病逐渐成为时下研究热点。目的:系统总结分析近年来激素性股骨头坏死病理机制研究文献和三七有效成分调控该病相关信号通路的相关文献内容,为后续研究三七有效成分治疗该病提供参考。方法:检索中国知网及万方数据库,中文检索词为“糖皮质激素,激素性股骨头坏死,病理机制,信号通路,三七,有效成分”等;检索PubMed数据库,英文检索词为”Glucocorticoid,steroid associated necrosis of the femoral head,Pathological mechanism,signaling pathway,Panax notoginseng,active ingredient”等,筛选激素性股骨头坏死病理机制相关文献和三七有效成分调控激素性股骨头坏死相关信号通路文献,最终共纳入63篇文献。结果与结论:①三七主要成分包括三七总皂苷、人参皂苷、三七皂苷、槲皮素和山柰酚等。②在调控相关通路方面,三七总皂苷、人参皂苷Rb1和槲皮素作用于转化生长因子β/骨形态发生蛋白通路,能促进骨修复和血管新生;三七总皂苷、人参皂苷CK和山柰酚作用于Wnt/β-catenin通路,可促进成骨分化和脂质代谢;三七总皂苷及三七皂苷R1/R2作用于MAPK通路,抑制破骨和促进骨修复;三七总皂苷、人参皂苷Rb2及槲皮素作用于RANKL/RANK/骨保护蛋白通路,可抑制破骨增殖并促进成骨分化;三七总皂苷、槲皮素及山柰酚作用于缺氧诱导因子1α通路,能修复血管损伤和促进成骨。③三七皂苷R1、槲皮素联合羟基磷灰石纳米颗粒、三七总皂苷联合聚乙烯-L-乳酸等生物材料治疗激素性股骨头坏死具有良好的研究前景。④三七有效成分可通过多种机制调控激素性股骨头坏死相关信号通路,对该病�BACKGROUND:Steroid-induced osteonecrosis of the femoral head is a refractory disease in the field of orthopedics.There is no definitive idea to fully explain its pathogenesis.With the increased research on the active ingredients of Panax notoginseng interfering with the signaling pathways related to various diseases,the active ingredients of Panax notoginseng that treat steroid-induced necrosis of the femoral head via the regulation of relevant signaling pathways have gradually become a hot research topic.OBJECTIVE:To systematically summarize the literature on the pathological mechanism of steroid-induced osteonecrosis of the femoral head and the regulation of signaling pathways by the active ingredients of Panax notoginseng in recent years,thereby providing a reference for the follow-up study on the active ingredients of Panax notoginseng in the treatment of this disease.METHODS:CNKI,WanFang,and PubMed were searched for relevant literature with the key words of“glucocorticoid,steroid-induced osteonecrosis of the femoral head,pathological mechanism,signaling pathway,Panax notoginseng,active ingredient”in Chinese and English.Documents related to the pathological mechanism of steroid-induced osteonecrosis of the femoral head as well as related to the intervention of active ingredients of Panax notoginseng on the signaling pathway of steroid-induced osteonecrosis of the femoral head were retrieved.A total of 63 documents were finally included according to the inclusion and exclusion criteria.RESULTS AND CONCLUSION:The main ingredients of Panax notoginseng include Panax notoginseng saponins,ginsenoside,Panax notoginseng saponins,quercetin,kaempferol,etc.Panax notoginseng saponins,ginsenoside Rb1 and quercetin can promote bone repair and angiogenesis by acting on the transforming growth factor-β/bone morphogenetic protein pathway.Panax notoginseng saponins,ginsenoside CK and kaempferol can promote osteogenic differentiation and lipid metabolism by acting on the Wnt/β-catenin pathway.Panax notoginseng saponins an

关 键 词：三七 有效成分 糖皮质激素 激素性股骨头坏死 病理机制 成骨细胞 破骨细胞 信号通路 综述 

分 类 号：R459.9[医药卫生—治疗学] R363[医药卫生—临床医学] R364