基于“瘀毒”理论探析铁死亡与冠心病心肌损伤的相关性
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国家自然科学基金项目(82305124,82374203,82305122);江苏省科技计划专项(基础研究计划自然科学基金项目)(BK20230450)


Correlation between Ferroptosis and Myocardial Injury in Coronary Heart Disease Based on the “Stasis and Toxin” Theory
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    摘要:

    冠状动脉粥样硬化性心脏病(简称冠心病)是心血管系统疾病中发病率较高的一种疾病,心肌缺血损伤是其持续发生的病理改变。铁死亡是一种非凋亡性质的程序性细胞死亡方式,参与了冠心病心肌损伤的病理发展。中医学对疾病的病因病机认识独到,铁死亡的发病特点及其加重冠心病心肌损伤的机制符合中医“瘀毒互结”病机。结合现代医学和药理学对铁死亡和冠心病的深入研究,以“瘀毒”理论为着眼点探讨铁死亡与冠心病心肌损伤的相关性,挖掘冠心病心肌铁死亡的中医内涵,阐述活血解毒中药治疗心肌铁死亡损伤的作用机制,为临床冠心病的中医药防治提供理论参考。

    Abstract:

    Coronary heart disease(CHD) is a cardiovascular disease with a relatively high incidence rate,with myocardial ischemia injury as its persistent pathological change.Ferroptosis,a newly emerged non-apoptotic programmed cell death,is a part of the pathological process in CHD myocardial ischemia injury.Traditional Chinese medicine(TCM) has a unique understanding of the etiology and pathogenesis of diseases,while the characteristics of ferroptosis and its mechanism of exacerbating myocardial injury are consistent with the pathogenesis of “stasis and toxin” in TCM.Combining in-depth research on ferroptosis and CHD by modern medicine and pharmacology,this paper explored the correlation between ferroptosis and myocardial injury based on the “stasis and toxin” theory.Then,this paper excavated the TCM connotation of CHD myocardial ferroptosis and explained the mechanism of blood-activating and toxin-removing TCM in treating myocardial ferroptosis injury.It is aimed to provide a theoretical reference for the prevention and treatment of CHD by TCM.

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沈月红,裴可,汪树林,王新东,沈建平.基于“瘀毒”理论探析铁死亡与冠心病心肌损伤的相关性[J].世界中医药,2025,(07).

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  • 收稿日期:2024-03-01
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  • 在线发布日期: 2025-06-11
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