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[1]谭赛,黄世敬.川芎对血管性抑郁症的脑保护作用[J].环球中医药,2015,8(04):492-495.[doi:10.3969/j.issn.1674-1749.2015.04.035]
 TAN Sai,HUANG Shi-jing..The cerebral protection of Rhizoma Chuanxiong for vascular depression[J].,2015,8(04):492-495.[doi:10.3969/j.issn.1674-1749.2015.04.035]
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川芎对血管性抑郁症的脑保护作用()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第8卷
期数:
2015年04期
页码:
492-495
栏目:
综述
出版日期:
2015-04-06

文章信息/Info

Title:
The cerebral protection of Rhizoma Chuanxiong for vascular depression
作者:
谭赛黄世敬
作者单位:100053 北京,中国中医科学院广安门医院中药研发中心[谭赛( 硕士研究生)、黄世敬]
Author(s):
TAN Sai HUANG Shi-jing.
Traditional Chinese Drug R&D Center, Guang'anmen Hospital, Academy of Chinese Medical Sciences,Beijing 100053, China Corresponding author:HUANG Shi-jing,E-mail:gamhsj@126.com
关键词:
川芎 血管性抑郁 脑保护
Keywords:
Rhizoma Chuanxiong Vascular depression The cerebral protection
分类号:
R285.5
DOI:
10.3969/j.issn.1674-1749.2015.04.035
文献标志码:
A
摘要:
本文旨在探讨川芎对血管性抑郁症(vascular depression, VD)脑保护作用的可能机制。通过对近十几年来相关文献的检索研究发现,脑白质损伤是VD的主要病理学改变。川芎具有活血护脑抗抑郁的作用,其作用机制主要包括改善脑血流、调控凋亡基因的表达、抗自由基损伤、降低免疫炎症反应、降低氨基酸兴奋性毒性、调控核录因子кB(nuclear factor-kappa B,NF-кB)表达以及促进神经细胞修复等。目前川芎及其复方制剂在改善脑缺血引起的脑损伤方面疗效虽比较显著,但对于VD脑保护作用仍有待进一步探索研究。
Abstract:
This paper aims to explore possible mechanisms of the cerebral protection of Rhizoma Chuanxiong for Vascular Depression(VD). By searching and researching literatures in recent ten years, the authors found that white matter damage is the main pathological change. Rhizoma Chuanxiong can activate blood circulation and protect the brain in anti-depression. The possible mechanisms include several aspects such as improving cerebral blood flow, regulating the expression of apoptosis gene, fighting against free radical damage,reducing the immune inflammatory response and the toxicity of excitatory amino acids, regulating the expression of NF-кB and promoting restoration of the nerve cells and so on. Although Rhizoma Chuanxiong and the compound preparations has significant effect on improving cerebral damage caused by brainischemia, the mechanisms of protective effect on VD still need further exploration.

参考文献/References:

[1] 周江.川芎有效成分及其药理作用研究概况[J].浙江中医杂志,2007,42(10):615- 616.
[2] Alexopoulos G S,Meyers B S,Young R C, et al.“vascular Depression” Hypothesis[J].Archives of General Psychiatry,1997,54(10):915- 922.
[3] Wakita HIDEAKI,Tomimoto HIDEKAZU,Akiguchi ICHIRO, et al.Axonal Damage and Demyelination in the White Matter After Chronic Cerebral Hypoperfusion in the Rat[J].Brain Research,2001,924(1):63-70.
[4] Alexopoulos G S,Meyers B S,Young R C, et al.Clinically Defined Vascular Depression[J].The American Journal of Psychiatry,1997,154(4):562-565.
[5] 李焰生,汤剑萍.血管性抑郁[J].继续医学教育,2007,21(16):13-16.
[6] 王永忠,童树洪.川芎的传统用法与现代药理研究[J].中国药业,2012,21(7):95- 96.
[7] 杨光田,李树生,邓普珍,等.实验动物复苏及缺氧时川芎嗪对心脑的作用[J].中国急救医学,1998,18(3):1-2.
[8] 朱晓琴,雷水生.川芎嗪对大鼠脑缺血/再灌注凋亡相关蛋白的影响[J].江汉大学学报(自然科学版),2007,35(3):77-79.
[9] Niizuma KUNIYASU,Endo HIDENORI,Chan Pak H.Oxidative Stress and Mitochondrial Dysfunction as Determinants of Ischemic Neuronal Death and Survival[J].Journal of Neurochemistry,2009,109(l):133-138.
[10] Kirkland Rebecca A,Windelborn James A,Kasprzak Julia M, et al.A Bax-induced Pro-oxidant State Is Critical for Cytochrome C Release During Programmed Neuronal Death[J].The Journal of Neuroscience,2002,22(15):6480- 6490.
[11] 李朝晖,江东波,吴万征.川芎对慢性脑缺血大鼠认知功能的影响[J].中药材,2011,34(7):1116-1117.
[12] Farkas ESZTER,Institóris ADáM,Domoki FERENC, et al.Diazoxide and Dimethyl Sulphoxide Prevent Cerebral Hypoperfusion-related Learning Dysfunction and Brain Damage After Carotid Artery Occlusion[J].Brain Research,2004,1008(2):252-260.
[13] 金涛,吴江,邹昕颖,等.慢性前脑缺血致痴呆大鼠IL-1β、IL- 6及TNF-α的研究[J].中风与神经疾病杂志,2010,27(8):676- 678.
[14] 凌婧,邓文龙,张杰,等.川芎油对大鼠脑缺血再灌注后脑组织ICAM-1、血浆TNF-α及ET的影响[J].中药药理与临床,2008,24(4):32-34.
[15] 杨永飞,黄文东,朱邦豪.丹参素配伍川芎嗪对大鼠局灶性脑缺血的保护作用[J].中南药学,2013,11(7):488- 491.
[16] 邓常青,唐映红,邓奕辉,等.补阳还五汤及其有效部位组方对沙鼠脑缺血再灌注后兴奋性氨基酸和超微结构的影响[J].湖南中医学院学报,2000,20(4):11-14.
[17] 姜炎,牛延良,晁志文.川芎嗪对脑缺血再灌注后NF-κB的影响[J].中国误诊学杂志,2006,6(3):501-502.
[18] Lee H J,Kim S H,Kim K W, et al.Antiapoptotic Role of Nf-kappab in the Auto-oxidized Dopamine-induced Apoptosis of Pc12 Cells[J].Journal of Neurochemistry,2001,76(2):602- 609.
[19] Seegers H,Grillon E,Trioullier Y, et al.Nuclear Factor-kappa B Activation in Permanent Intraluminal Focal Cerebral Ischemia in the Rat[J].Neuroscience Letters,2000,288(3):241-245.
[20] 何俐,张志坚.大川芎丸对大鼠脑缺血的保护作用[J].四川大学学报(医学版),2004,35(6):821- 823.
[21] 蒋麟.越鞠丸对慢性应激大鼠海马脑源性神经营养因子的影响[J].中国临床康复,2005,9(28):138-140.
[22] 尉小慧,徐向东,沈敬山,等.越鞠丸及各单味药醇提物对小鼠的抗抑郁作用研究[J].中国药房,2009,20(3):166-168.
[23] 张先慧,黄世敬.血管性抑郁症中医药研究进展[J].辽宁中医杂志,2011,38(5):1012-1014.
[24] 黄萍,吴清和,荣向路.冰片与川芎配伍对大鼠血浆及脑组织cAMP/cGMP的影响[J].中药药理与临床,2004,20(2):8- 9.
[25] 黄萍,吴清和,荣向路,等.冰片与川芎配伍对脑缺血再灌注损伤的保护作用[J].广州中医药大学学报,2000,17(4):323-326,369.
[26] 刘保芹.丹参川芎注射液对大鼠脑缺血再灌注后自由基损伤的保护作用[J].大家健康(学术版),2013,7(15):42- 43.
[27] 张莉,高志军,赵静.丹参和川芎嗪联合应用对大鼠脑缺血再灌注氧化损伤的保护作用研究[J].中国药房,2011,22(39):3664-3666.
[28] 张焕,王一涛,严灿,等.当归与川芎药理作用研究进展与比较[J].时珍国医国药,2008,19(2):293-295.
[29] 黄安安,高丽.葛根及川芎合用对缺血再灌注大鼠保护作用的研究[J].重庆医学,2012,41(34):3621-3622,3631.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金(81072801); 中央级公益性科研院所基本科研业务费专项资金(ZZ0708076); 北京市中医药科技发展基金(JJ2011- 84) 作者简介:谭赛(1988- ),女,2013级在读硕士研究生。研究方向: 中医内科学。E-mail: zytansai@163.com 通讯作者:黄世敬(1964- ),博士,研究员。研究方向: 中医脑病临床与基础。E-mail: gamhsj@126.com
更新日期/Last Update: 2015-04-20