针刺调控程序性细胞死亡治疗帕金森病的研究进展
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1.黑龙江中医药大学;2.黑龙江中医药大学附属第二医院

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国家自然科学(82174477);黑龙江省重点研发计划项目(2022ZX06C24)


Acupuncture modulates programmed cell death in the treatment of Parkinson's disease
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1.Heilongjiang University of Chinese Medicine;2.The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine

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    摘要:

    帕金森病(Parkinson's disease, PD)是以黑质多巴胺能神经元性退变和路易小体为主要病理改变的神经变性疾病,其致病机理尚未完全明确,随着患病人数的上升,给患者及社会带来巨大的负担。针刺作为一种中医特色疗法,已广泛用于PD患者的治疗,可改善运动及非运动症状,其机制可能与调控程序性细胞死亡(programmed cell death, PCD)相关信号通路密切相关。PCD包括细胞凋亡、细胞焦亡、铁死亡、坏死性凋亡等多种形式,在PD神经元损害过程中均发挥关键作用。本文综述了PCD在PD中的作用,结合针刺干预PCD的研究进展,为阐明针灸治疗PD的科学内涵及开发新型治疗策略提供新思路。

    Abstract:

    Parkinson's disease is a common neurodegenerative disease characterized by progressive degeneration of nigrostriatal dopaminergic neurons and Lewy body morphology, the pathogenic mechanism is not yet fully understood, and with the rise in the number of patients, it places a huge burden on patients and society.. Acupuncture, a distinctive therapy in traditional Chinese medicine, has been widely used in the treatment of PD patients to improve motor and non-motor symptoms, and its mechanism may be closely related to the regulation of Programmed cell death-related signaling pathways. This article reviews the role of PCD in PD. PCD including apoptosis, necrotic apoptosis, cellular pyroptosis, iron death, and other forms, plays a key role in the process of neuronal damage in PD. Combined with the research progress of acupuncture intervention for PCD, it provides new ideas for clarifying the scientific connotation of acupuncture treatment for PD and developing new treatment strategies.

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  • 收稿日期:2025-07-23
  • 最后修改日期:2025-10-29
  • 录用日期:2026-01-04
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