基于中西医临床病证特点的扩张型心肌病动物模型分析
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1.中国中医科学院广安门医院,北京中医药大学;2.北京中医药大学;3.中国中医科学院广安门医院;4.中日友好医院;5.北京中医药大学深圳医院龙岗

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中央高水平中医医院临床科研业务费(HLCMHPP2023065);国家重点研发计划(2022YFC3500102)。


Analysis of dilated cardiomyopathy animal models based on clinical characteristics of traditional Chinese and western medicine
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Affiliation:

1.Beijing university of Chinese medicine;2.Guang'3.'4.anmen Hospital,China Academy of Chinese Medical Sciences;5.National Medical Center for Integrative Traditional Chinese and Western Medicine,China-Japan Friendship Hospital;6.Shenzhen Hospital of Beijing University of Chinese Medicine,Guangdong,Shenzhen

Fund Project:

Funded by the High Level Chinese Medical Hospital Promotion Project (No. HLCMHPP2023065) and the National Key Research and Development Program of China (No. 2022YFC3500102).

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    摘要:

    扩张型心肌病(dilated cardiomyopathy,DCM)是导致心力衰竭、心律失常和猝死的常见疾病之一。DCM病因复杂多样,机制尚未完全阐明,现有干预措施对患者的预后改善有限,10年存活率不足25%。本研究基于DCM动物模型国内外研究成果,结合西医临床诊断标准与中医辨证分型,总结DCM动物模型构建特征并评价模型中西医临床吻合度。研究发现,DCM造模方法主要涉及基因编辑、药物诱导、免疫诱导、病毒感染、快速起搏诱导等,实验动物主要包括鼠、斑马鱼、果蝇、猪等,以小鼠和大鼠为主。基因编辑是最常用的DCM动物模型,其次是阿霉素诱导造模。目前同一类型DCM动物模型所选实验动物、实验用药及其单次或累积剂量、给药方式、造模周期等均有差异,中西医临床吻合度水平参差不齐,同一模型中医临床吻合度普遍较西医临床吻合度低。此外,DCM动物模型成模标准多以西医理论为基础,证候模型辨证标准及四诊信息采集标准尚未规范统一,未来有待建立稳定、均一、临床吻合度高的病证结合动物模型,为DCM机制研究和新药研发提供依据。

    Abstract:

    Dilated cardiomyopathy (DCM) is one of the common diseases leading to heart failure, arrhythmia and sudden death. The etiology of DCM is complex and diverse, the mechanism has not been fully elucidated, and the intervention has limited improvement in the prognosis of patients, with a 10-year survival rate of less than 25%. This study aimed to summarize the construction characteristics of DCM animal model and evaluated the clinical compatibility of the model with traditional Chinese and western medicine based on domestic and foreign research results of DCM animal model, Western clinical diagnostic criteria and TCM syndrome differentiation. It was found that DCM modeling methods mainly involved gene editing, drug induction, immune induction, viral infection, rapid pacing induction. Experimental animals mainly included muroid, zebrafish, drosophila, pigs, thereinto, mice and rats were most commonly used. Gene editing was the most commonly used animal model of DCM, followed by doxorubicin-induced model. The literature review showed that experimental animals, drugs, single or cumulative doses, administration methods, and modeling period varied in different studies about the same DCM animal model. The level of clinical anastomosis of traditional Chinese and western medicine varied considerably, and the clinical anastomosis of traditional Chinese medicine was generally lower than that of Western medicine in the same model. In addition, the modeling standards of DCM animal models were mostly based on Western medicine theories, and the differentiation standards of syndrome models and the information collection standards of the four diagnoses have not been standardized and unified. In the future, stable and homogeneous animal models with high clinical consistency combining of disease and syndrome need to be established to provide a basis for DCM mechanism research and new drug development.

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  • 收稿日期:2024-01-23
  • 最后修改日期:2024-03-01
  • 录用日期:2024-10-16
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