中药调控NF-κB信号通路治疗阿尔茨海默病的研究进展
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河南中医药大学第一附属医院脑病中心

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中医药传承与创新“百千万”人才工程(岐黄工程)——国家中医药领军人才支持计划(国中医药人教发〔2018〕284号);河南省“双一流”创建学科中医学科学研究专项课题(HSRP-DFCTCM-2023-5-07);河南省中医药科学院院属研究所2025年首批“揭榜挂帅”项目——河南省中医药科研专项课题(2025ZKY004)


Research Progress of Traditional Chinese Medicine in Treating Alzheimer"s Disease by Regulating NF-κB Signaling Pathway
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Encephalopathy Center of The First Affiliated Hospital of Henan University of Chinese Medicine

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    摘要:

    阿尔茨海默病(Alzheimer"s disease,AD)是一种严重损害认知功能的神经退行性疾病,当前临床治疗手段仅能部分改善症状,无法有效延缓病程。AD发病机制复杂,涉及β-淀粉样蛋白(amyloid β protein, Aβ)沉积、微管相关蛋白Tau(microtubule-associated protein Tau, Tau蛋白)过度磷酸化、神经炎症等多重病理过程,其中神经炎症是疾病演进的关键环节。核转录因子-κB(Nuclear Factor-kappa B,NF-κB)作为炎症反应的核心调控因子,在上述病理进程中发挥关键枢纽作用,已成为干预AD进程的重要靶点。研究表明,中药凭借其多靶点、多途径的整体调节优势,在调控NF-κB信号通路干预AD方面展现出独特潜力。本文系统阐述了NF-κB信号通路的组成与激活机制,深入探讨了该通路在AD相关神经炎症、氧化应激、细胞凋亡及线粒体功能障碍中的作用,并从中药单体及复方层面综述了中药调控NF-κB通路防治AD的研究进展,以期为AD的机制研究及临床新药开发提供理论依据与研究思路。

    Abstract:

    Alzheimer"s disease (AD) is a neurodegenerative disease that severely impairs cognitive function. Current clinical treatments can only partially improve symptoms and cannot effectively delay the disease progression. The pathogenesis of AD is complex, involving multiple pathological processes such as Aβ deposition, hyperphosphorylation of Tau protein, and neuroinflammation, among which neuroinflammation is a key link in disease progression. Nuclear Factor-kappa B (NF-κB), as a core regulatory factor of inflammatory responses, plays a key hub role in the above pathological processes and has become an important target for intervening in AD progression. Studies have shown that traditional Chinese medicine, with its advantages of multi-target and multi-pathway overall regulation, shows unique potential in regulating the NF-κB signaling pathway to intervene in AD. This paper systematically expounds the composition and activation mechanism of the NF-κB signaling pathway, deeply discusses the role of this pathway in AD-related neuroinflammation, oxidative stress, cell apoptosis and mitochondrial dysfunction, and reviewed the research progress of traditional Chinese medicine in preventing and treating AD via regulating the NF-κB signaling pathway at both the monomer and compound prescription levels., in order to provide theoretical basis and research ideas for the mechanism research and clinical new drug development of AD.

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  • 收稿日期:2026-04-12
  • 最后修改日期:2026-04-30
  • 录用日期:2026-09-17
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