基于动物模型的系统评价大柴胡汤对胆汁淤积的效果及作用机制
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

国家自然科学基金青年科学基金项目(82004229);全国中医药高等教育“十四五”规划2021年度教育科研课题(ZD-20-09);沈阳市中医药专家学术经验继承项目(A10402)


Efficacy and Mechanisms of Dachaihu Decoction against Cholestasis:A Systematic Review Based on Animal Models
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:综合评价大柴胡汤(DCHD)对不同类型胆汁淤积动物模型的效果及作用机制。方法:系统检索Pubmed、Cochrane Library、Embase、国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)等数据库,检索时限为建库至2023年4月30日,纳入已公开发表的DCHD干预胆汁淤积的动物研究文献;由2名研究员独立筛选报告和相关数据提取,并应用动物实验偏倚评估量表(SYRLE)和定性研究证据的质量评价与分级量表(GRADE-CERQual)评估纳入研究的偏倚风险和证据质量。结果:纳入15项动物实验研究。除1项研究报告了DCHD不能缓解肝外胆道结扎(BDL)所致胆汁淤积,其余研究均报告了DCHD作用于不同类型胆汁淤积模型的有效性,且肝外模型的动物基础研究中的证据支持高于肝内模型;在整合DCHD作用机制过程中,“炎症”质量评级为高级,“胆汁酸稳态”和“凋亡”质量评级为中级,“氧化应激”“肠黏膜屏障”“内质网应激”为质量评级为低级。结论:DCHD在不同类型的胆汁淤积动物模型中具有减轻肝损伤和缓解胆汁淤积的作用,在肝外模型的作用证据支撑相对较高;在机制方面,改善炎症的质量等级相对较高,而在调控胆汁酸稳态、凋亡、氧化应激、肠黏膜损伤及内质网应激方面的质量评级相对较低。

    Abstract:

    To comprehensively evaluate the efficacy and mechanisms of Dachaihu Decoction(DCHD) in different types of cholestasis animal models.Methods:A systematic search was conducted in PubMed,Cochrane Library,Embase,China National Knowledge Infrastructure(CNKI),China Science Periodical Database(CSPD),and Chinese Sci-tech Journal Database(CCD) from their inception to April 30,2023,to identify published animal studies on DCHD intervention in cholestasis.Two researchers independently screened reports,extracted relevant data,and assessed the risk of bias using the Systematic Review Center for Laboratory Animal Experimentation(SYRLE) tool and the quality of evidence using the GRADE-CERQual approach.Results:A total of 15 animal studies were included.Except for one study reporting that DCHD failed to alleviate bile duct ligation(BDL)-induced cholestasis,all other studies demonstrated the effectiveness of DCHD in various cholestasis models.The evidence supporting DCHD's efficacy in extrahepatic cholestasis models was stronger than in intrahepatic models.In the analysis of DCHD's mechanisms,the quality of evidence for “inflammation” was rated as high,while “bile acid homeostasis” and “apoptosis” were rated as moderate.Meanwhile,“oxidative stress”“intestinal mucosal barrier”,and “endoplasmic reticulum stress” received low-quality ratings.Conclusion:DCHD has a hepatoprotective effect and alleviates cholestasis in different animal models of cholestasis,with stronger evidence supporting its effects in extrahepatic models.Mechanistically,its anti-inflammatory effect has the highest quality rating,whereas its role in regulating bile acid homeostasis,apoptosis,oxidative stress,intestinal mucosal injury,and endoplasmic reticulum stress has relatively lower evidence quality.

    参考文献
    相似文献
    引证文献
引用本文

姜德龙,张展,王庆谚,许斌.基于动物模型的系统评价大柴胡汤对胆汁淤积的效果及作用机制[J].世界中医药,2025,(02).

复制
相关视频

分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2024-04-23
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2025-04-15
  • 出版日期:
文章二维码