糖脂代谢紊乱的中医表型组学研究概况

Traditional Chinese medicine phenomics research on glycolipid metabolism disorder: a review

  • 摘要: 中医药在防治糖脂代谢紊乱等慢性病中展现出独特优势,但受限于中医证候本质及疗效机制的不明确,推广应用受阻。表型组学作为新兴交叉学科,通过整合基因组、转录组、蛋白质组、代谢组及微生物组等多维度数据,与中医学整体观结合,形成中医表型组学,为揭示中医证候生物学内涵及中医药作用机制提供了新路径。本文以糖脂代谢紊乱为例,探讨中医表型组学在糖脂代谢紊乱中的应用。中医表型组学通过分析糖脂代谢紊乱相关证候的分子特征,筛选差异表达基因、代谢物及肠道菌群标志物,阐明证候动态演变规律;同时解析中药复方的多靶点调控网络,证实其通过调节胰岛素信号通路、改善肠道菌群失衡、抑制炎症反应等机制改善糖脂代谢。然而,当前研究仍面临证候诊断主观性强、动物模型标准化不足、多组学联合分析缺乏等挑战。未来需结合机器学习、多模态数据整合及跨组学纵向研究,构建证候量化诊断体系,推动中西医精准诊疗融合,加速中医药现代化进程。

     

    Abstract: Traditional Chinese medicine (TCM) has demonstrated unique advantages in the prevention and treatment of chronic diseases such as glycolipid metabolism disorder. However, its widespread application has been hindered by the unclear biological essence of TCM syndromes and therapeutic mechanisms. As an emerging interdisciplinary field, phenomics integrates multi-dimensional data including genome, transcriptome, proteome, metabolome, and microbiome. When combined with TCM's holistic philosophy, it forms TCM phenomics, providing novel approaches to reveal the biological connotation of TCM syndromes and the mechanisms of herbal medicine. Taking glycolipid metabolism disorder as an example, this paper explores the application of TCM phenomics in glycolipid metabolism disorder. By analyzing molecular characteristics of related syndromes, TCM phenomics identifies differentially expressed genes, metabolites, and gut microbiota biomarkers to elucidate the dynamic evolution patterns of syndromes. Simultaneously, it deciphers the multi-target regulatory networks of herbal formulas, demonstrating their therapeutic effects through mechanisms including modulation of insulin signaling pathways, improvement of gut microbiota imbalance, and suppression of inflammatory responses. Current challenges include the subjective nature of syndrome diagnosis, insufficient standardization of animal models, and lack of integrated multi-omics analysis. Future research should employ machine learning, multimodal data integration, and cross-omics longitudinal studies to establish quantitative diagnostic systems for syndromes, promote the integration of precision medicine in TCM and western medicine, and accelerate the modernization of TCM.

     

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