利水中药功效发挥与水通道蛋白之间的关系Relationship between efficacy exertion of diuretic traditional Chinese medicines and aquaporin
王鹏程;赵珊;王秋红;匡海学;
WANG Peng-cheng;ZHAO Shan;WANG Qiu-hong;KUANG Hai-xue;Key Laboratory of Chinese Materia Medica under Ministry of Education,Heilongjiang University of Chinese Medicine;
摘要(Abstract):
近年来,水通道蛋白的发现及其研究使人们对"水"代谢的生理及病理过程有了更加深入的了解;并且长期以来,对于"利水中药"的研究缺乏分子层面的靶点,难以进行深入的、定量化的研究;而水通道蛋白的发现成为诠释"利水中药"发挥其功效机制的新的靶分子。通过水通道蛋白,可以理解中药"利水"功效的内在涵义,还可以对"利水"这一作用进行量化研究。目前,众多学者已经运用水通道蛋白研究成果在中医药领域开展了一系列的研究,并且取得了一定的进展。该文通过水通道蛋白这一靶分子来探讨"利水"中药功效的发挥做一综述。
In recent years,the discovery and studies on aquaporin have made us have a more in-depth understanding about the physiological and pathological processes of water metabolism. Over years,however,there has been no quantitative study on the target sites of diuretic traditional Chinese medicines at the molecular level. In that case,aquaporin was found to been a new target molecule to explain the efficacy exertion of diuretic traditional Chinese medicines. By studying aquaporin,researchers can understand the implicit meaning of the diuretic effect of traditional Chinese medicines and conduct quantitative studies on the diuretic effect. So far,many scholars have conducted a series of studies in the traditional Chinese medicine field by using the findings on aquaporin and made certain advances. This article provides a summary about the efficacy exertion of diuretic traditional Chinese medicines through target molecule aquaporin.
关键词(KeyWords):
中药;利水;水通道蛋白
traditional Chinese medicine;diuretic;aquaporin
基金项目(Foundation): 国家重点基础研究发展计划(973)项目(2013CB531801)
作者(Authors):
王鹏程;赵珊;王秋红;匡海学;
WANG Peng-cheng;ZHAO Shan;WANG Qiu-hong;KUANG Hai-xue;Key Laboratory of Chinese Materia Medica under Ministry of Education,Heilongjiang University of Chinese Medicine;
参考文献(References):
- [1]刘树民,白宇,董婉茹,等.中医学“水”的概念及水病的治则与治法[J].中国中医药信息杂志,2014,21(11):102.
- [2]衡先培,马丽.金水相生学说浅析[J].河南中医,1998,18(1):16.
- [3]刘志杰.伤寒论师承课堂实录[M].北京:人民军医出版社,2009:12.
- [4]罗葆琴.中药利水药的作用及其意义刍议[J].中医药学报,1989(4):48.
- [5]王好古.汤液本草[M].北京:中国中医药出版社,2008:56.
- [6]伍文兵.慢性肾炎水肿的中医临床思维浅谈[J].时珍国医国药,2007,18(11):2846.
- [7]费芸芸,吴永贵.肾病综合征水肿的发病机制及治疗研究进展[J].安徽医药,2011,2(32):220.
- [8]彭有祥.难治性肝硬化腹水从肾论治探析[J].现代中西医结合杂志,2004,13(8):1110.
- [9]白晓梅,关继华.心衰水肿探讨[J].新疆中医杂志,2001(19):10.
- [10]蔡建郁.利水汤治疗肺心病水肿30例临床观察[J].中医药导报,2011,17(3):43.
- [11]邹大进.减肥手术后营养代谢紊乱及预防[J].中国糖尿病杂志,2012,20(4):311.
- [12]余飞虹,李国芳,陈庆斌.维生素B1缺乏症-关于“水肿1个月”的病案讨论[J].中国临床医生,2004,32(6):51.
- [13]刘完素.素问玄机原病式[M].孙桐校注.苏州:江苏科学技术出版社,1985:15.
- [14]浙江省中医研究所文献组.重订严氏济生方[M].北京:人民卫生出版社,1980:86.
- [15]徐春甫.古今医统大全[M].余瀛鳌,林普编选.北京:科学出版社,1998:253.
- [16]裴正学.血证论评释[M].北京:人民卫生出版社,1980:230.
- [17]李用粹.证治汇补[M].竹剑平,江凌圳,王英等整理.北京:人民卫生出版社,2006:163.
- [18]喻昌.医门法律[M].史欣德整理.北京:人民卫生出版社,2006:343.
- [19]张介宾.景岳全书[M].樊正伦主编.北京:中国中医药出版社,1994:269.
- [20]朱震亨.丹溪心法[M].王英,竹剑平,江凌圳整理.北京:人民卫生出版社,2005:138.
- [21]Li H,Lee S,Jap B K.Molecular design of aquaporin-1 water channel as revealed by electron crystallography[J].Nat Strut Biol,1997,4:263.
- [22]Knepper M A,Verbulif T G,Nielsen S,et al.Role of aquaporin in water balance disorders[J].Curr Orin Nephrol Hyper,1997,6:367.
- [23]陈珊琳.水通道蛋白与肾脏疾病[J].中华儿科杂志,2005,43(9):711.
- [24]石向群,杨金升,张志琳,等.水通道蛋白-4在正常大鼠脑内的分布研究[J].中华神经医学杂志,2004,3(4):257.
- [25]King L S,Agre P.Pathophysiology of the aquaporin water channels[J].Ann Rev Physiol,1996,58:619.
- [26]Cheng A,Hock A N,Yeager M,et al.Three-dimensional organization of a human water channel[J].Nature,1997,387:627.
- [27]郑虎占.中药合理应用[J].中国临床医生,2008,36(11):19.
- [28]张晓丹.白术、茯苓与白术茯苓汤对脾虚泄泻动物模型胃肠形态及水液代谢的影响研究[D].成都:成都中医药大学,2009.
- [29]伍小燕,陈朝,张国伟.泽泻水提物对正常大鼠利尿活性及肾脏髓质AQP2作用研究[J].实用临床医药杂志,2010,14(21):5.
- [30]Wang K S,Ma T,Filiz F,et al.Colon water transgenic mice lacking aquaporin 4 water channels[J].Am J Physiol Gastrointest Liver Physiol,2000,279(2):463.
- [31]汪泳,张方信,令晓玲,等.大鼠结肠中水通道蛋白4的表达与分布[J].第四军医大学学报,2004,25(2):142.
- [32]刘洋,苏凤哲,徐华洲,等.五苓散对腹泻模型小鼠结肠AQP-4 m RNA表达的影响[J].中国中医基础医学杂志,2005,11(3):197.
- [33]刘洋,向丽华,孙刚,等.五苓散对腹泻模型大鼠结肠AQP4及AQP4 m RNA表达的影响[J].中国中医基础医学杂志,2012,19(5):547.
- [34]徐文峰,何泽云,唐群,等.猪苓汤对阿霉素肾病大鼠肾脏AQP2表达的影响[J].中国中西医结合肾病杂志,2013,14(9):759.
- [35]万滢聪,吴泽徐,翁雪荣,等.三仁汤对脾胃湿热证小鼠Aquaporin-3的影响[J].时珍国医国药,2013,24(10):2348.
- [36]文小敏,谭永振.三仁汤对脾胃湿热证、湿偏重证大鼠尿液中AQP2的影响[J].湖南中医杂志,2008,24(2):91.
- [37]马勇.从活血化瘀到活血利水[J].陕西中医,1988,9(12):549.
- [38]胡波,范红伟,鲍军强,等.丹参对糖尿病肾损伤大鼠水液代谢异常与水通道蛋白调节机制探讨[J].时珍国医国药,2011,22(2):356.
- [39]李敏,杨明会,刘毅.丹参及其复方对大鼠肺损伤肺AQP1的调节作用[J].中国中医急症,2009,18(1):90.
- [40]Ma T,Song Y,Gillespie A,et al.Defective secretion of saliva in transgenic mice lacking aquaporin 25 water channels[J].J Biol Chem,1999,274(29):20071.
- [41]林青,张前德.黄芪丹参对干燥综合征模型大鼠颌下腺组织的水通道蛋白-5表达的影响[J].口腔医学,2010,30(8):473.
- [42]王从政,蔡淑芳.丹红注射液对大鼠脑外伤后AQP4表达及神经元凋亡的影响[J].中西医结合心脑血管病杂志,2012,10(10):1229.
- [43]孙皓,郭富强,王多姿,等.中药补阳还五汤对脑出血大鼠脑组织水通道蛋白4表达的影响[J].临床神经病学杂志,2012,25(2):115.
- [44]陈亚峰,奉典旭,陈腾,等.大柴胡汤对急性坏死性胰腺炎大鼠胰腺水通道蛋白1的作用[J].中华中医药杂志,2012,27(5):1438.
- [45]薛晓倩,黄学宽,高宁,等.藿香正气液对湿阻证大鼠结肠黏膜水通道蛋白4表达的影响[J].中国实验方剂学杂志,2012,18(19):165.
- [46]吕妍,金兆祥,李丹,等.藿香正气软胶囊提取物调节D-IBS模型鼠水液代谢的研究[J].中草药,2010,41(8):1332.
- [47]宋丽军,赵文昌,谭晓梅,等.葛根芩连方对Wa株轮状病毒感染乳鼠结肠上皮AQP4表达的影响[J].中药新药与临床药理,2012,23(5):514.
- 王鹏程
- 赵珊
- 王秋红
- 匡海学
WANG Peng-cheng- ZHAO Shan
- WANG Qiu-hong
- KUANG Hai-xue
- Key Laboratory of Chinese Materia Medica under Ministry of Education
- Heilongjiang University of Chinese Medicine
- 王鹏程
- 赵珊
- 王秋红
- 匡海学
WANG Peng-cheng- ZHAO Shan
- WANG Qiu-hong
- KUANG Hai-xue
- Key Laboratory of Chinese Materia Medica under Ministry of Education
- Heilongjiang University of Chinese Medicine