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接骨木提取物对骨折愈合的作用及机制研究进展
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Abstract:
骨折在日常生活中越来越常见,骨折不愈合、延迟愈合是骨折常见的并发症,也是骨科疾病的难点,促进骨折愈合是减少骨折不愈合、延迟愈合的关键因素,近年来,随着自然药物在促进伤口愈合和组织再生方面潜力的逐渐显现,接骨木因其丰富的化学成分和多方面的药理活性,成为了骨折愈合研究领域的热点。本综述旨在探讨接骨木的有效化学成分以及在促进骨折愈合方面的作用及其潜在机制。基于目前的科学文献,分析其主要有效成分如黄酮类化合物、环烯醚萜类化合物、木脂素类化合物等在抗炎、促进细胞增殖、改善微循环和抗氧化等方面的作用,探讨接骨木提取物通过多种信号通路促进骨折愈合的机制。
Fractures are becoming increasingly common in daily life, and non union and delayed healing are common complications of fractures and difficulties in orthopedic diseases. Promoting fracture healing is a key factor in reducing non union and delayed healing. In recent years, with the gradual emergence of the potential of natural drugs in promoting wound healing and tissue regeneration, elderberry, due to its rich chemical components and multifaceted pharmacological activities, has become a hot topic in the field of fracture healing research. This review aims to explore the effective chemical components of elderberry and its role and potential mechanisms in promoting fracture healing. Based on current scientific literature, it analyzes the effects of its main active ingredients such as flavonoids, iridoid compounds, lignans, etc. on anti-inflammatory, promoting cell proliferation, improving microcirculation, and antioxidant properties, and explores the mechanism of elderberry extract promoting fracture healing through multiple signaling pathways.
[1] | Panteli, M., et al. (2022) Biological and Molecular Profile of Fracture Non-Union Tissue: A Systematic Review and an Update on Current Insights. Journal of Cellular and Molecular Medicine, 26, 601-623. https://doi.org/10.1111/jcmm.17096 |
[2] | Gan, D., Xu, X., Chen, D., Feng, P. and Xu, Z. (2019) Network Pharmacology-Based Pharmacological Mechanism of the Chinese Medicine Rhizoma Drynariae against Osteoporosis. Medical Science Monitor, 25, 5700-5716. https://doi.org/10.12659/MSM.915170 |
[3] | 中国科学院中国植物志编辑委员会. 中国植物志[M]. 北京: 科学出版社, 1990: 5. |
[4] | 师庆媛, 马鹏文, 朱昱澜, 等. 接骨木药材质量标准研究[J]. 西部中医药, 2021, 34(5): 36-38. https://doi.org/10.12174/j.issn.2096-9600.2021.05.09 |
[5] | 李巧月, 李莲慧, 李大山, 等. 接骨木属植物化学成分和药理作用的研究进展[J]. 中国药房, 2021, 32(9): 1118-1130. https://doi.org/10.6039/j.issn.1001-0408.2021.09.16 |
[6] | Kandaswami, C., Lee, L.T., Lee, P.P., Hwang, J.J., Ke, F.C., Huang, Y.T. and Lee, M.T. (2005) The Antitumor Activities of Flavonoids. In Vivo, 19, 895-909. |
[7] | Silva, M.M., Santos, M.R. and Caro?o, G. (2002) Structure-Antioxidant Activity Relationships of Flavonoids: A Re-Examination. Free Radical Research, 36, 1219-1227. https://doi.org/10.1080/198-1071576021000016472 |
[8] | Bhattacharya, S., Christensen, K.B., Olsen, L.C.B., et al. (2013) Bioactive Components from Flowers of Sambucus nigra L. Increase Glucose Uptake in Primary Porcine Myo-Tube Cultures and Reduce Fat Accumulation in Caenorhabditis elegans. Journal of Agricultural and Food Chemistry, 61, 11033-11040. https://doi.org/10.1021/jf402838a |
[9] | Struga?a, P., Loi, S., Ba?anów, B., et al. (2018) A Comprehensive Study on the Biological Activity of Elderberry Extract and Cyanidin 3-O-Glucoside and Their Interactions with Membranes and Human Serum Albumin. Molecules, 23, Article No. 2566. https://doi.org/10.3390/molecules23102566 |
[10] | 马养民, 吴昊. 接骨木属植物的化学成分研究进展[J]. 有机化学, 2012, 32(11): 2063-2072. https://doi.org/10.6023/cjoc201204025 |
[11] | 柳佳莹. 接骨木叶中总黄酮的提取及抗骨质疏松作用研究[D]: [硕士学位论文]. 长春: 吉林农业大学, 2019. |
[12] | Roschek, B., Fink, R.C., Mcmichael, M.D., et al. (2009) Elderberry Flavonoids Bind to and Prevent H1N1 Infection in Vitro. Phytochemistry, 70, 1255-1261. https://doi.org/10.1016/j.phytochem.2009.06.003 |
[13] | 赵薇, 郝谜谜, 孙璠, 等. 白花蛇舌草中环烯醚萜类成分的药理活性及其稳定性研究进展[J]. 天津中医药大学学报, 2021, 40(6): 806-810. |
[14] | Jaafar, A., Zulkipli, M.A., Mohd Hatta, F.H., Jahidin, A.H., Abdul Nasir, N.A. and Hazizul Hasan, M. (2024) Therapeutic Potentials of Iridoids Derived from Rubiaceae against in Vitro and in Vivo Inflammation: A Scoping Review. Saudi Pharmaceutical Journal, 32, Article ID: 101876. https://doi.org/10.1016/j.jsps.2023.101876 |
[15] | 吕芳. 接骨木根皮化学成分的研究[D]: [硕士学位论文]. 哈尔滨: 黑龙江中医药大学, 2002. |
[16] | 韩华, 杨炳友, 夏永刚, 等. 接骨木根皮促进骨折愈合的初步药理机制研究[J]. 中国药师, 2013, 16(4): 482-485. |
[17] | 张紫凝, 左芦根, 胡建国. 莫诺苷药理学作用和机制的研究进展[J]. 蚌埠医学院学报, 2023, 48(1): 135-138. |
[18] | Huang, P.Q., Kang, K.W., Huang, D.Y., Zhao, C.L., Zheng, H., Luo, Y.X., Wen, Y., Zou, M.F., Li, D.L., Wu, R.H., Tian, Y.C., Tian, Y., Zhang, W.H., Jin, J.W., Yin, S. and Gan, L.S. (2024) Lignan Glucosides from Gentiana macrophylla with Potential Anti-Arthritis and Hepatoprotective Activities. Phytochemistry, 217, Article ID: 113920. https://doi.org/10.1016/j.phytochem.2023.113920 |
[19] | Xu, X.Y., Wang, D.Y., Li, Y.P., et al. (2022) Plant-Derived Lignans as Potential Antiviral Agents: A Systematic Review. Phytochemistry Reviews, 21, 239-289. https://doi.org/10.1007/s11101-021-09758-0 |
[20] | Jafernik, K., Motyka, S., Calina, D., Sharifi-Rad, J. and Szopa, A. (2024) Comprehensive Review of Dibenzocyclooctadiene Lignans from the Schisandra genus: Anticancer Potential, Mechanistic Insights and Future Prospects in Oncology. Chinese Medicine, 19, Article No. 17. https://doi.org/10.1186/s13020-024-00879-0 |
[21] | 林晓影, 杨炳友, 何娅雯, 等. 接骨木根皮促进骨折愈合有效部位拆分及抗炎作用的研究[J]. 中医药信息, 2016, 33(3): 29-32. |
[22] | 林晓影, 杨炳友, 何娅雯, 等. 接骨木根皮促进骨折愈合有效部位和有效组分对骨折大鼠血液流变学的影响[J]. 中医药信息, 2017, 34(1): 55-57. |
[23] | Xiao, H.H., Sham, T.T., Chan, C., et al. (2018) A Metabolomics Study on the Bone Protective Effects of a Lignan-Rich Fraction from Sambucus williamsii Ramulus in Aged Rates. Frontiers in Pharmacology, 9, Article No. 932. https://doi.org/10.3389/fphar.2018.00932 |
[24] | Xiao, H.H., Zhu, Y.X., Lu, L., Zhou, L.P., Poon, C.C., Chan, C.O., Wang, L.J., Cao, S., Yu, W.X., Wong, K.Y., Mok, D.K. and Wong, M.S. (2022) The Lignan-Rich Fraction from Sambucus williamsii Hance Exerts Bone Protective Effects via Altering Circulating Serotonin and Gut Microbiota in Rats. Nutrients, 14, Article No. 4718. https://doi.org/10.3390/nu14224718 |
[25] | 申意伟, 李雪, 刘颜, 等. 接骨木提取物对酒精性骨重构大鼠模型氧化应激、炎症反应及肠道菌群的影响[J]. 中华中医药杂志, 2022, 37(2): 1008-1012. |
[26] | Liu, D.L., Wang, W., Chwn, F.L., et al. (2018) Research on Chemical Constituents and Biological Activity of Sambucus adnata Wall. West China Journal of Pharmaceutical Sciences, 33, 542-545. |
[27] | 张庆光, 马丽娟, 朱亮, 等. 红景天苷防治缺血再灌注损伤的药理作用及相关机制研究进展[J]. 上海中医药大学学报, 2021, 35(1): 126-133. |
[28] | 吾兰?赛塔合买提, 艾力江?阿斯拉, 努尔哈那提?沙依兰别克, 等. 新疆西伯利亚接骨木树皮提取物促进骨折愈合[J]. 中国组织工程研究, 2020, 24(20): 3122-3129. |
[29] | 努尔曼?衣西坚, 努尔哈那提?沙依兰别克, 吾兰?赛塔合买提, 等. 西伯利亚接骨木树皮提取物促进大鼠骨折愈合的机制研究[J]. 新疆医科大学学报, 2020, 43(8): 1036-1042. |
[30] | 努尔哈那提?沙依兰别克, 杨毅, 哈力?哈布力汗, 等. 接骨木树皮提取物促进大鼠股骨骨折愈合的成骨效应[J]. 临床骨科杂志, 2023, 26(4): 592-597. |
[31] | Abdallah, B.M. and Ali, E.M. (2019) 5’-Hydroxy Auraptene Stimulates Osteoblast Differentiation of Bone Marrow-Derived Mesenchymal Stem Cells via a BMP-Dependent Mechanism. Journal of Biomedical Science, 26, Article No. 51. https://doi.org/10.1186/s12929-019-0544-7 |
[32] | Kato, R.B., Roy, B., De Oliveira, F.S., et al. (2014) Nanotopography Directs Mesenchymal Stem Cells to Osteoblast Lineage through Regulation of MicroRNA-SMAD-BMP-2 Circuit. Journal of Cellular Physiology, 229, 1690-1696. https://doi.org/10.1002/jcp.24614 |
[33] | Wang, Z. and Bao, H.W. (2019) Cnidium Lactone Stimulates Osteogenic Differentiation of Bone Marrow Mesenchymal Stem Cells via BMP-2/Smad-Signaling Cascades Mediated by Estrogen Receptor. American Journal of Translational Research, 11, 4984-4991. |
[34] | Agarwal, S., Loder, S.J., Breuler, C., et al. (2017) Strategic Targeting of Multiple BMP Receptors Prevents Trauma-Induced Heterotopic Ossification. Molecular Therapy, 25, 1974-1987. https://doi.org/10.1016/j.ymthe.2017.01.008 |
[35] | 努尔哈那提?沙依兰别克, 杨毅, 哈力?哈布力汗, 等. 西伯利亚接骨木树皮提取物对模型大鼠骨折愈合过程Wnt/β-Catenin信号通路和生长因子的影响[J]. 新疆医科大学学报, 2022, 45(9): 940-946. |
[36] | Yang, B., Lin, X., Tan, J., She, X., Liu, Y. and Kuang, H. (2016) Root Bark of Sambucus williamsii Hance Promotes Rat Femoral Fracture Healing by the BMP-2/Runx2 Signaling Pathway. Journal of Ethnopharmacology, 191, 107-114. https://doi.org/10.1016/j.jep.2016.05.017 |