中药综合治疗类风湿关节炎延缓骨质疏松症

Hongtao Guo, Cancan Shao, Wen Fu, Guang Zheng
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摘要

在抗类风湿性关节炎(RA)的临床治疗中,中国独特的综合医学包括使用阿达木单抗、糖皮质激素和中药的生物制剂,以获得更好的治疗效果,如抗炎(平均住院时间9.4天);降低了72%的c反应蛋白,降低了71%的红细胞沉降率),并且减少了迟发性骨质疏松症等副作用(8.8%的RA患者被诊断为骨质疏松症,而未服用中药的RA患者的发病率约为30%)。为了揭示中药抗RA和骨质疏松的候选机制,我们利用住院信息、血液检查和芯片数据进行生物信息学分析。结果发现,三种核心中药不仅具有重要的抗RA炎症协调调节网络,而且具有生物活性化合物、靶向基因/蛋白以及与RA和骨质疏松相关的基因/蛋白延缓骨质疏松的作用。
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The Chinese Medicines of Integrated Therapies Against Rheumatoid Arthritis Retard Osteoporosis
In clinical fights against rheumatoid arthritis (RA), the unique integrated medicine in China involves using biologics of adalimumab, glucocorticoids, and Chinese medicines for better therapeutic effects e.g. anti-inflammation (9.4 days of average hospital stay: 72% reduced C-reactive protein, 71% decreased erythrocyte sedimentation rate) and less side effects e.g. retarded osteoporosis (8.8% RA patients were diagnosed with osteoporosis compared with about 30% onset ratio without Chinese medicines). To uncover the candidate mechanisms of Chinese medicines against RA and osteoporosis, bioinformatics analysis was carried out with hospitalized information, blood tests and microarray data. As a result, three core Chinese medicines identified not only deliver a significant coordinative regulation network against RA inflammation, but also retard osteoporosis with their bioactive compounds, targeted genes/proteins, and genes/proteins involved with RA and osteoporosis.
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