广州中医药大学针灸康复临床医学院,广东 广州 510006
[ "宋聚先,广州中医药大学杏林学者,研究员,博士生导师,香港浸会大学访问副教授。2011年获得香港大学中药药理学博士学位。2012年至2017年于香港浸会大学中医药学院任职博士后、研究助理教授。主持和参与国家自然科学基金、香港研究资助局(GRF)等数项研究课题,以第一和通讯作者在Autophagy,Aging Cell, Drug Discovery Today等专业期刊发表SCI论文10余篇,获得美国及中国专利6项,担任Frontiers in Pharmacology客座编委。主要研究方向为中医药调节细胞自噬治疗神经退行性疾病的分子机制研究及新药开发,近年来在针刺通过调控自噬治疗阿尔茨海默病的分子机制研究方面取得一定突破性成果。E-mail: juxian.song@gzucm.edu.cn" ]
纸质出版日期:2023-01-20,
收稿日期:2022-08-11,
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卢珂佳,宋聚先.针灸调控自噬溶酶体通路治疗神经系统等疾病的机制研究进展[J].中山大学学报(医学科学版),2023,44(01):10-17.
LU Ke-jia,SONG Ju-xian.Research Progress on Mechanism of Acupuncture for Neurological and Other Diseases by Regulating Autophagy-Lysosomal Pathway[J].Journal of Sun Yat-sen University(Medical Sciences),2023,44(01):10-17.
卢珂佳,宋聚先.针灸调控自噬溶酶体通路治疗神经系统等疾病的机制研究进展[J].中山大学学报(医学科学版),2023,44(01):10-17. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2023.0103.
LU Ke-jia,SONG Ju-xian.Research Progress on Mechanism of Acupuncture for Neurological and Other Diseases by Regulating Autophagy-Lysosomal Pathway[J].Journal of Sun Yat-sen University(Medical Sciences),2023,44(01):10-17. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2023.0103.
作为中国传统医学的重要组成部分,针灸的疗效与现代科学内涵越来越受到人们的关注。近年来严格的随机对照临床试验证实了针灸对某些优势病种的疗效,基础研究初步揭示了针灸治病的作用机理。本文通过分析过往文献,结合本团队的相关研究工作,综述了针灸治疗神经系统等疾病的自噬溶酶体通路(ALP)调控机制的研究进展。我们发现,在不同疾病模型中,针灸通过上调或者下调ALP改善相关病理,且穴位分布与ALP的单向/双向调节存在一定相关性;但是目前的研究在实验设计和方法学方面存在一定的缺陷,针灸调控ALP的分子机制有待进一步阐明。
As an important part of traditional Chinese medicine, the efficacy and scientificity of acupuncture have attracted more and more attention. In recent years, rigorous randomized controlled clinical trials have confirmed the efficacy of acupuncture on certain dominant diseases, and basic researches have partially revealed the mechanism of acupuncture for treating diseases. By analyzing published literatures and referring to relevant studies from our research team, this paper reviews the mechanisms of acupuncture for treating neurological and other diseases via regulating the autophagy-lysosomal pathway (ALP). We found that acupuncture improved related pathologies in different disease models by up-regulating or down-regulating ALP, and there is a certain correlation between the distribution of acupoints and the one-way/two-way regulation of ALP; however, the current studies have some defects in experimental design and methodology, and the molecular mechanisms of acupuncture on ALP regulation remain to be further elucidated.
针刺艾灸自噬溶酶体通路
acupuncturemoxibustionautophagy-lysosomal pathway
Lu L, Zhang Y, Tang X, et al. Evidence on acupuncture therapies is underused in clinical practice and health policy [J]. BMJ, 2022, 376: e067475.
Yu L, Chen Y, Tooze SA. Autophagy pathway: cellular and molecular mechanisms [J]. Autophagy, 2018, 14(2): 207-215.
Xia R, Wang W, Gao B, et al. Moxibustion alleviates chronic heart failure by regulating mitochondrial dynamics and inhibiting autophagy [J]. Exp Ther Med, 2022, 23(5): 359.
李庆羚, 马强, 李悦, 等. 艾灸对慢性心力衰竭大鼠心功能及心肌细胞自噬相关蛋白表达的影响 [J]. 针刺研究, 2020, 45(4): 259-263.
Li QL, Ma Q, Li Y, et al. Effect of moxibustion on cardiac function and expression of autophagy-related proteins of cardiomyocytes in chronic heart failure rats [J]. Acupunct Res, 2020, 45(4): 259-263.
Zheng X, Lin W, Jiang Y, et al. Electroacupuncture ameliorates beta-amyloid pathology and cognitive impairment in Alzheimer disease via a novel mechanism involving activation of TFEB (transcription factor EB) [J]. Autophagy, 2021, 17(11): 3833-3847.
朱才丰, 张利达, 宋小鸽, 等. 艾灸督脉对阿尔茨海默病转基因小鼠自噬水平及学习记忆能力的影响 [J]. 针刺研究, 2019, 44(4): 235-241.
Zhu CF, Zhang LD, Song XG, et al. Moxibustion improves learning-memory ability by promoting cellular autophagy and regulating autophagy-related proteins in hippocampus and cerebral cortex in APP/PS1 transgenic Alzheimer's disease mice [J]. Acupunct Res, 2019, 44(4): 235-241.
Sun X, Liu H, Sun Z, et al. Acupuncture protects against cerebral ischemia-reperfusion injury via suppressing endoplasmic reticulum stress-mediated autophagy and apoptosis [J]. Mol Med, 2020, 26(1): 105.
Zheng L, Li XY, Huang FZ, et al. Effect of electroacupuncture on relieving central post-stroke pain by inhibiting autophagy in the hippocampus [J]. Brain Res, 2020, 1733: 146680.
Zhang Z, Yang X, Song YQ, et al. Autophagy in Alzheimer's disease pathogenesis: therapeutic potential and future perspectives [J]. Ageing Res Rev, 2021, 72: 101464.
Guo HD, Zhu J, Tian JX, et al. Electroacupuncture improves memory and protects neurons by regulation of the autophagy pathway in a rat model of Alzheimer's disease [J]. Acupunct Med, 2016, 34(6): 449-456.
Yu CC, Wang J, Ye SS, et al. Preventive electroacupuncture ameliorates D-galactose-induced Alzheimer's disease-like pathology and memory deficits probably via inhibition of GSK3beta/mTOR signaling pathway [J]. Evid Based Complement Alternat Med, 2020, 2020: 1428752.
Lizama BN, Chu CT. Neuronal autophagy and mitophagy in Parkinson's disease [J]. Mol Aspects Med, 2021, 82: 100972.
Tian T, Sun Y, Wu H, et al. Acupuncture promotes mTOR-independent autophagic clearance of aggregation-prone proteins in mouse brain [J]. Sci Rep, 2016, 6: 19714.
Hsu WT, Chen YH, Yang HB, et al. Electroacupuncture improves motor symptoms of Parkinson's disease and promotes neuronal autophagy activity in mouse brain [J]. Am J Chin Med, 2020, 48(7): 1651-1669.
Wang SJ, Wang Q, Ma J, et al. Effect of moxibustion on mTOR-mediated autophagy in rotenone-induced Parkinson's disease model rats [J]. Neural Regen Res, 2018, 13(1): 112-118.
Zhang Y, Khan S, Liu Y, et al. Modes of brain cell death following intracerebral hemorrhage [J]. Front Cell Neurosci, 2022, 16: 799753.
Liu P, Yu X, Dai X, et al. Scalp Acupuncture attenuates brain damage after intracerebral hemorrhage through enhanced mitophagy and reduced apoptosis in rats [J]. Front Aging Neurosci, 2021, 13: 718631.
Liu H, Zhang B, Li XW, et al. Acupuncture inhibits mammalian target of rapamycin, promotes autophagy and attenuates neurological deficits in a rat model of hemorrhagic stroke [J]. Acupunct Med, 2022, 40(1): 59-67.
Liao HY, Wang ZQ, Ran R, et al. Biological functions and therapeutic potential of autophagy in spinal cord injury [J]. Front Cell Dev Biol, 2021, 9: 761273.
Hongna Y, Hongzhao T, Quan L, et al. Jia-Ji Electro-acupuncture improves locomotor function with spinal cord injury by regulation of autophagy flux and inhibition of necroptosis [J]. Front Neurosci, 2020, 14: 616864.
Li K, Liu J, Song L, et al. Effect of electroacupuncture treatment at Dazhui (GV14) and Mingmen (GV4) modulates the PI3K/AKT/mTOR signaling pathway in rats after spinal cord injury [J]. Neural Plast, 2020, 2020: 5474608.
代攀, 黄思琴, 唐成林, 等. 电针“夹脊”穴调节细胞自噬及内质网应激对脊髓损伤小鼠的修复作用 [J]. 针刺研究, 2021, 46(1): 45-51.
Dai P, Huang SQ, Tang CL, et al. Effects of electroacupuncture at "Jiaji"(EX-B2) on autophagy and endoplasmic reticulum stress in spinal cord injury mice [J]. Acupunct Res, 2021, 46(1): 45-51.
杨云昊, 庞芳, 黄思琴, 等. 电针对快速衰老小鼠肝脏自噬及脂质代谢的影响 [J]. 中国应用生理学杂志, 2021, 37(4): 365-370.
Yang YH, Pang F, Huang SQ, et al. Effects of electroacupuncture on autophagy factors and liver lipid metabolism in rapidly aging mice [J]. Chin J Appl Physiol, 2021, 37(4): 365-370.
Peng Y, Guo L, Gu A, et al. Electroacupuncture alleviates polycystic ovary syndrome-like symptoms through improving insulin resistance, mitochondrial dysfunction, and endoplasmic reticulum stress via enhancing autophagy in rats [J]. Mol Med, 2020, 26(1): 73.
郝锋, 刘磊, 桑佳佳, 等. 艾灸对类风湿性关节炎大鼠滑膜组织自噬相关分子表达的影响 [J]. 针刺研究, 2020, 45(10): 793-798.
Hao F, Liu L, Sang JJ, et al. Effect of moxibustion on expression of autophagy related molecules in synovial tissues of rheumatoid arthritis rats [J]. Acupunct Res, 2020, 45(10): 793-798.
黄海, 陈丽, 武欢, 等. 电针对糖尿病肾病大鼠肾功能及肾脏自噬表达的影响 [J]. 针刺研究, 2022, 47(2): 108-114.
Huang H, Chen L, Wu H, et al. Effect of electroacupuncture on renal function and expression of autophagy-related proteins in kidney of rats with diabetic nephropathy [J]. Acupunct Res, 2022, 47(2): 108-114.
Wei X, Lin Y, Zhao D, et al. Electroacupuncture relieves suppression of autophagy in interstitial cells of cajal of diabetic gastroparesis rats [J]. Can J Gastroenterol Hepatol, 2020, 2020: 7920715.
Zou J, Dong X, Wang K, et al. Electroacupuncture inhibits autophagy of neuron cells in postherpetic neuralgia by increasing the expression of miR-223-3p [J]. Biomed Res Int, 2021, 2021: 6637693.
高静, 赖名殷, 秦玮珣, 等. 针刺对宫内窘迫缺血缺氧脑损伤新生大鼠行为学及海马神经元自噬的影响 [J]. 针刺研究, 2020, 45(4): 275-280.
Gao J, Lai MY, Qin WX, et al. Acupuncture improves locomotor activity and learning-memory ability by improving hippocampal cellular autophagy in rats with fetal intrauterine distress [J]. Acupunct Res, 2020, 45(4): 275-280.
张跃, 纪智, 袁静云, 等. 电针“百会”“太冲”对自发性高血压大鼠心肌肥大和自噬的影响 [J]. 针刺研究, 2019, 44(2): 90-94.
Zhang Y, Ji Z, Yuan JY, et al. Regulating effect of electroacupuncture on left ventricular function and autophagy-specific proteins in spontaneously hypertension rats [J]. Acupunct Res, 2019, 44(2): 90-94.
董佳梓, 张妤, 魏云涛, 等. 电针“足三里”对脾虚大鼠骨骼肌线粒体自噬相关蛋白表达的影响 [J]. 中国针灸, 2018, 38(7): 741-746.
Dong J, Zhang Y, Wei YT, et al. Effects of electroacupuncture at "Zusanli" (ST 36) on expression of mitophagy-related proteins in skeletal muscle in rats with spleen deficiency syndrome [J]. Chin Acupunct Moxi, 2018, 38(7): 741-746.
Su Z, Klein JD, Du J, et al. Chronic kidney disease induces autophagy leading to dysfunction of mitochondria in skeletal muscle [J]. Am J Physiol Renal Physiol, 2017, 312(6): F1128-F1140.
Wang P, Shao BZ, Deng Z, et al. Autophagy in ischemic stroke [J]. Prog Neurobiol, 2018, 163-164: 98-117.
Ajoolabady A, Wang S, Kroemer G, et al. Targeting autophagy in ischemic stroke: from molecular mechanisms to clinical therapeutics [J]. Pharmacol Ther, 2021, 225: 107848.
Wang MM, Zhang M, Feng YS, et al. Electroacupuncture inhibits neuronal autophagy and apoptosis via the PI3K/AKT pathway following ischemic stroke [J]. Front Cell Neurosci, 2020, 14: 134.
Mei ZG, Huang YG, Feng ZT, et al. Electroacupuncture ameliorates cerebral ischemia/reperfusion injury by suppressing autophagy via the SIRT1-FOXO1 signaling pathway [J]. Aging (Albany NY), 2020, 12(13): 13187-13205.
Cao S, Yang Y, Yu Q, et al. Electroacupuncture alleviates ischaemic brain injury by regulating the miRNA-34/Wnt/autophagy axis [J]. Brain Res Bull, 2021, 170: 155-161.
浦延鹏, 王鹏琴. 眼针对脑缺血再灌注损伤大鼠脑组织自噬的影响 [J]. 针刺研究, 2021, 46(2): 100-105.
Pu YP, Wang PQ. Effect of eye acupuncture on autophagy in brain tissue of rats with cerebral ischemia-reperfusion injury [J]. Acupunct Res, 2021, 46(2): 100-105.
Mokhtari B, Badalzadeh R. The potentials of distinct functions of autophagy to be targeted for attenuation of myocardial ischemia/reperfusion injury in preclinical studies: an up-to-date review [J]. J Physiol Biochem, 2021, 77(3): 377-404.
Xiao Y, Chen W, Zhong Z, et al. Electroacupuncture preconditioning attenuates myocardial ischemia-reperfusion injury by inhibiting mitophagy mediated by the mTORC1-ULK1-FUNDC1 pathway [J]. Biomed Pharmacother, 2020, 127: 110148.
Zhu C, Wu S, Wu X, et al. Effect of electroacupuncture at Wushu acupoints of the cardiopulmonary meridian on the autophagy in rats with acute myocardial ischemia [J]. Evid Based Complement Alternat Med, 2022, 2022: 2114517.
吴立斌, 张帆, 余情, 等. 电针心经腧穴对急性心肌缺血大鼠心肌Akt/mTOR通路的影响 [J]. 针刺研究, 2022, 47(2): 121-128.
Wu LB, Zhang F, Yu Q, et al. Electroacupuncture of acupoints of heart meridian ameliorates acute myocardial ischemia via Akt/mTOR pathway [J]. Acupunct Res, 2022, 47(2): 121-128.
Zhao J, Ma Z, Zheng H, et al. Effects of herb-partitioned moxibustion on autophagy and immune activity in the colon tissue of rats with crohn's disease [J]. Evid Based Complement Alternat Med, 2022, 2022: 3534874.
Wang SY, Zhao JM, Zhou CL, et al. Herbal cake-partitioned moxibustion inhibits colonic autophagy in Crohn's disease via signaling involving distinct classes of phosphatidylinositol 3-kinases [J]. World J Gastroenterol, 2020, 26(39): 5997-6014.
Zhao H, Dong F, Li Y, et al. Inhibiting ATG5 mediated autophagy to regulate endoplasmic reticulum stress and CD4(+) T lymphocyte differentiation: mechanisms of acupuncture's effects on asthma [J]. Biomed Pharmacother, 2021, 142: 112045.
程晨, 张新芳, 苏景超, 等. 电针对慢性阻塞性肺疾病大鼠肺组织自噬相关蛋白表达的影响 [J]. 针刺研究, 2021, 46(4): 266-271.
Cheng C, Zhang XF, Su JC, et al. Effect of electroacupuncture on the expression of autophagy related protein in lung tissue of rats with chronic obstructive pulmonary disease [J]. Acupunct Res, 2021, 46(4): 266-271.
李金骁, 刘娜, 周民锋, 等. 电针激活沉默信息调节因子1干预结直肠癌炎癌转化小鼠的机制研究 [J]. 针刺研究, 2021, 46(12): 996-1004.
Li JX, Liu N, Zhou MF, et al. Electroacupuncture postpones growth of tumors by activating SIRT1 expression to reduce inflammatory reaction and facilitate cellular autophagy in mice with transformed colorectal carcinomas [J]. Acupunct Res, 2021, 46(12): 996-1004.
Zhang Z, Cai X, Yao Z, et al. EA Ameliorated depressive behaviors in CUMS rats and was related to its suppressing autophagy in the hippocampus [J]. Neural Plast, 2020, 2020: 8860968.
潘小丽, 周丽, 王丹, 等. 电针“足三里”对功能性消化不良大鼠胃排空及自噬信号通路的影响 [J]. 针刺研究, 2019, 44(7): 486-491.
Pan XL, Zhou L, Wang D, et al. Electroacupuncture at "Zusanli"(ST36) promotes gastrointestinal motility possibly by suppressing excessive autophagy via AMPK/ULK1 signaling in rats with functional dyspepsia [J]. Acupunct Res, 2019, 44(7): 486-491.
Turco E, Fracchiolla D, Martens S. Recruitment and activation of the ULK1/Atg1 kinase complex in selective autophagy [J]. J Mol Biol, 2020, 432(1): 123-134.
Ohashi Y, Tremel S, Williams RL. VPS34 complexes from a structural perspective [J]. J Lipid Res, 2019, 60(2): 229-241.
Zhao YG, Codogno P, Zhang H. Machinery, regulation and pathophysiological implications of autophagosome maturation [J]. Nat Rev Mol Cell Biol, 2021, 22(11): 733-750.
Hu Z, Yang B, Mo X, et al. Mechanism and regulation of autophagy and its role in neuronal diseases [J]. Mol Neurobiol, 2015, 52(3): 1190-1209.
Klionsky DJ, Abdel-Aziz AK, Abdelfatah S, et al. Guidelines for the use and interpretation of assays for monitoring autophagy (4th edition)1 [J]. Autophagy, 2021, 17(1): 1-382.
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