中国中药杂志

2020, v.45(12) 2808-2816

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黄芩对肝病的防治作用及机制研究进展
Progress of research on effect and mechanism of Scutellariae Radix on preventing liver diseases

白庆云;陶思敏;田锦鸿;曹春蓉;
BAI Qing-yun;TAO Si-min;TIAN Jin-hong;CAO Chun-rong;Jiangxi Key Laboratory of Natural Drug Research, College of Chemistry and Bioengineering,Yichun University;

摘要(Abstract):

黄芩是常用的清热类中药,功能清热燥湿、泻火解毒、止血、安胎。现代药理研究表明黄芩具有抗氧化、抗炎、保肝和抗病原微生物等多种作用。笔者通过对近10年文献的检索发现黄芩及其活性成分在保肝方面的作用尤为突出,对不同原因引起的肝损伤均有防治效果,包括各种急慢性肝炎、肝纤维化和肝癌等。其中在多种(化学性、免疫性、酒精性、非酒精性、病毒性、缺血再灌注性等)急慢性肝炎中对CCl_4诱导的化学性肝损伤研究最多,黄芩及其活性成分可显著降低肝炎动物的血清转氨酶水平,减轻肝脏病理损伤程度,其作用机制包括抗氧化应激、抗炎、抗凋亡、抑制免疫、抗病毒和调节脂质代谢等。黄芩及其活性成分可显著抑制肝星状细胞的活化、减少细胞外基质的生成,其抗纤维化机制涉及抗氧化、抗炎、诱导肝星状细胞凋亡等。黄芩及其活性成分在抗肝癌,特别是肝细胞癌方面,不管是体内还是体外都表现出良好的效果,其防治肝癌的作用机制主要包括阻断癌细胞周期、抑制癌细胞转移、促进癌细胞凋亡和诱导机体自噬等。由此可见黄芩在保肝方面具有多重作用和多种机制,具有很好的发展潜力,因此,该文就黄芩对不同肝病的防治作用及机制研究进行综述,以期为黄芩及其有效成分在防治肝病方面的深入研究、开发和临床应用提供参考。
Scutellariae Radix is a kind of traditional Chinese medicine, which has the functions of heat-clearing and damp-drying, purging fire and detoxifying, hemostasis and miscarriage prevention. Modern pharmacological studies show that Scutellariae Radix has various effects, such as anti-oxidation, anti-inflammatory, liver protection and antiviral microorganisms. By searching the documents in the past ten years, the author has found that Scutellariae Radix and its active components play an important role in protecting the liver. It can prevent and cure liver injuries caused by different reasons, including acute or chronic hepatitis, liver fibrosis and liver cancer. Among all kinds(chemical, immunological, alcoholic, nonalcoholic, viral, ischemia-reperfusion, etc.) of acute or chronic hepatitis, most studies are on CCl_4 induced chemical liver injury. Scutellariae Radix and its active components can significantly reduce the serum transaminase level in hepatitis animals, and reduce the degree of liver pathological damage. The mechanisms include antioxidant stress, anti-inflammatory, anti-apoptosis, inhibition of immunity, anti-virus and regulation of lipid metabolism, etc. Scutellariae Radix and its active components can significantly inhibit the activation of hepatic stellate cells and reduce extracellular matrix, and its anti-fibrosis mechanism involves antioxidation, anti-inflammatory, inducing apoptosis of hepatic stellate cells and so on. Whether in vivo or in vitro, Scutellariae Radix and its active components show a good anti-hepatocarcinoma effect, especially on hepatocarcinoma. Its prevention and treatment mechanisms for hepatocarcinoma mainly include blocking cancer cell cycle, inhibiting cancer cell metastasis, promoting cancer cell apoptosis and inducing autophagy. It can be seen that Scutellariae Radix has multiple functions and mechanisms in liver protection, and has a great development potential. Therefore, this paper reviews the prevention and treatment effects and mechanism of Scutellariae Radix and its components on different liver diseases, in order to provide reference for in-depth study, development and clinical application in the prevention and treatment of liver disease.

关键词(KeyWords): 黄芩;黄芩素;黄芩苷;保肝;肝病;研究进展
Scutellariae Radix;baicalein;baicalin;liver protection;liver disease;research progress

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基金项目(Foundation): 国家自然科学基金项目(81960748)

作者(Author): 白庆云;陶思敏;田锦鸿;曹春蓉;
BAI Qing-yun;TAO Si-min;TIAN Jin-hong;CAO Chun-rong;Jiangxi Key Laboratory of Natural Drug Research, College of Chemistry and Bioengineering,Yichun University;

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