天然产物调控细胞焦亡治疗脊髓损伤  

Natural products modulate pyroptosis for treatment of spinal cord injury

作　　者：张学三 张政[1] 沈乐 耿晴晴 谭树森 娄纯彪 韩康 Zhang Xuesan;Zhang Zheng;Shen Le;Geng Qingqing;Tan Shusen;Lou Chunbiao;Han Kang(The 960 Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army,Jinan 250000,Shandong Province,China)

机构地区：[1]中国人民解放军联勤保障部队第960医院,山东省济南市250000

出　　处：《中国组织工程研究》2025年第30期6520-6528,共9页Chinese Journal of Tissue Engineering Research

基　　金：山东省自然科学基金项目(ZR2023MH206),项目负责人:韩康;山东省医药卫生科技发展计划项目(202204071065),项目负责人:韩康。

摘　　要：背景:神经炎症是脊髓损伤后病情加重的主要原因。近年来,细胞焦亡因显著的促炎特征而受到广泛关注。部分天然产物通过调控脊髓损伤后的细胞焦亡水平,能显著抑制炎症反应,改善受损的神经功能,为脊髓损伤提供了新的治疗思路。目的:总结天然产物调控细胞焦亡治疗脊髓损伤的作用机制,以期为今后脊髓损伤的治疗研究提供借鉴和参考。方法:以“spinal cord injury,pyroptosis,inflammasome,natural products,natural compounds,Traditional Chinese Medicine”“脊髓损伤,细胞焦亡,炎性小体,天然产物,天然化合物,中药”为检索词,在PubMed、Web of Science、万方、中国知网检索自建库以来至2024年9月的有关文献,按照纳入和排除标准,最终得到75篇相关文献。结果与结论:①细胞焦亡是脊髓损伤的重要促炎途径,控制细胞焦亡是改善受损神经功能的有效方式;②部分天然产物可以通过NLRP3/Caspase-1经典焦亡途径、核因子κB相关通路、Nrf2/HO-1等其他上游通路和自噬来调控细胞焦亡,从而影响脊髓损伤后的组织炎症水平,加快神经功能恢复;③这些天然产物的抗细胞焦亡作用多依赖于NLRP3经典焦亡途径,尚缺少关于其他焦亡途径的研究;④该领域仍存在很多问题,如这些天然产物目前没有相应的临床研究证据支持;⑤天然产物在调控细胞焦亡中具有巨大的潜能,有望成为治疗脊髓损伤的有力武器。BACKGROUND:Neuroinflammation is a major cause of exacerbation after spinal cord injury.In recent years,pyroptosis has received much attention due to its remarkable pro-inflammatory features.Some of these natural products can significantly inhibit the inflammatory response and improve the damaged nerve function by regulating the level of pyroptosis after spinal cord injury,which provides a new therapeutic idea for spinal cord injury.OBJECTIVE:To summarize the mechanism of action of natural products in regulating pyroptosis for the treatment of spinal cord injury,with a view to providing lessons and references for future research on the treatment of spinal cord injury.METHODS:The search terms“spinal cord injury,pyroptosis,inflammasome,natural products,natural compounds,traditional Chinese medicine”in Chinese and English were used to search for relevant literature since the establishment of the database up to September 2024 in the databases of PubMed,Web of Science,WanFang,and CNKI.According to the inclusion and exclusion criteria,75 relevant articles were finally obtained.RESULTS AND CONCLUSION:(1)Pyroptosis is an important pro-inflammatory pathway in spinal cord injury,and controlling pyroptosis is an effective way to improve damaged nerve function.(2)Some natural products can regulate pyroptosis via the NLRP3/Caspase-1 classical pyroptosis pathway,the NF-κB-related pathway,other upstream pathways such as Nrf2/HO-1,and autophagy,thereby affecting the level of tissue inflammation and accelerating neurological recovery after spinal cord injury.(3)The anti-pyroptosis effects of these natural products are mostly dependent on the NLRP3 classical pyroptosis pathway,and there is a lack of studies on other pyroptosis pathways.(4)There are still many problems in this field,such as the fact that these natural products are not currently supported by evidence from appropriate clinical studies.(5)The natural product has great potential in regulating pyroptosis and is expected to be a powerful weapon in the treatment of sp

关 键 词：天然产物 细胞焦亡 炎性小体 炎症 脊髓损伤 继发性损伤 神经功能 经典途径 

分 类 号：R459.9[医药卫生—治疗学] R318[医药卫生—临床医学] R651.2