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黄蜀葵花及其黄酮类活性成分治疗糖尿病肾病的作用及机制

Effects and molecular mechanisms of Abelmoschi Corolla and its active flavonoids in the treatment of diabetic nephropathy

  • 摘要: 黄蜀葵作为传统中药,其干燥花冠以“利尿通淋、消肿解毒”功效广泛应用于糖尿病肾病(diabetic nephropathy, DN)等肾脏疾病的治疗。近年来的研究表明,黄蜀葵花Abelmoschi Corolla的核心活性成分为黄酮类化合物,主要包括芦丁、金丝桃苷、异槲皮素、棉皮素-8-O-β-D-葡萄糖醛酸苷、杨梅素、槲皮素3-O-β-D-葡糖苷酸和槲皮素等7种特征性成分。这些黄酮成分可通过多靶点协同机制干预DN病理进程,并有效降低尿蛋白水平。本文综述了黄蜀葵花及其黄酮类成分在调控DN关键病理环节及相关机制方面的作用,并简要探讨了其活性成分的代谢规律以及联合用药的研究进展,旨在为深入研究黄蜀葵花治疗DN的分子机制及临床应用提供前瞻性的科学依据。

     

    Abstract: Abelmoschi Corolla is extensively applied in managing diabetic nephropathy (DN) and other renal conditions due to its diuretic and detoxifying properties. The primary bioactive constituents of Abelmoschi Corolla are flavonoids, including notably rutin, hyperoside, isoquercitrin, hibifolin, myricetin, quercetin 3-O-β-D-glucuronide, and quercetin. These flavonoid components can influence the pathological progression of DN via a multi-target synergistic mechanism, effectively reducing proteinuria levels. This review examines the roles of Abelmoschi Corolla and its flavonoid components in modulating the key pathological aspects of DN and their underlying mechanisms, and briefly discusses the metabolic patterns of its bioactive components and the research progress in combined medication, aiming to provide a forward-looking scientific foundation for further investigating the molecular mechanisms and clinical applications of Abelmoschi Corolla in DN treatment.

     

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