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2. Department of Integrated Traditional Chinese and Western Medicine, First Clinical Medical College, Shaanxi University of Traditional Chinese Medicine, Xianyang 712046, China;
3. Institute of Clinical Basic Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1242141933917777944, articleId=1242141931673822096, tenantId=1146029695717560320, journalId=1146031591421210625, language=CN, title=中西药调控神经递质治疗抽动障碍研究进展, columnId=1242141097774883713, journalTitle=科技导报, columnName=专题:中医临床研究的范式与应用, runingTitle=null, highlight=null, articleAbstract=抽动障碍是一种起病于儿童时期的神经发育障碍性疾病,与多种神经化学和神经递质异常有关。现用于抽动障碍治疗的药物主要在于调节神经递质失衡。总结了近年来针对中西药如何调控神经递质治疗抽动障碍的基础实验和临床研究,综述了治疗抽动障碍的研究进展。结果表明,抽动障碍的治疗总体可能与降低兴奋性神经递质的含量以及增加抑制性神经递质的含量有关。然而,于抽动障碍患儿临床不建议进行常规脑脊液检测分析以及腰椎穿刺,很少获取脑脊液进行神经递质含量的检测,跨血脑屏障的神经递质比例也未明确。建议未来研究能进一步建立中西药影响抽动障碍患儿血浆,尤其脑脊液神经递质水平的暴露-效应关系模型,在模型引导下通过调节神经递质水平实现阿立哌唑精准用药,进一步揭示抽动障碍的发病机制及为临床应用中西药治疗抽动障碍的作用机制提供理论依据。, authors=陈惠敏1, 龚宇2, 钱乔乔1, 刘智胜1, 何丽云3, authorsList=陈惠敏, 龚宇, 钱乔乔, 刘智胜, 何丽云, authorCompany=1. 华中科技大学同济医学院附属武汉儿童医院神经内科, 武汉 430016;
2. 陕西中医药大学第一临床医学院中西医临床医学系, 咸阳 712046;
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中西药调控神经递质治疗抽动障碍研究进展
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科技导报 | 专题:中医临床研究的范式与应用 2024,42(21): 39-46
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科技导报 | 专题:中医临床研究的范式与应用 2024, 42(21): 39-46
中西药调控神经递质治疗抽动障碍研究进展
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陈惠敏1, 龚宇2, 钱乔乔1, 刘智胜1, 何丽云3
作者信息
    1. 华中科技大学同济医学院附属武汉儿童医院神经内科, 武汉 430016;
    2. 陕西中医药大学第一临床医学院中西医临床医学系, 咸阳 712046;
    3. 中国中医科学院中医临床基础医学研究所, 北京 100700
Research progress on regulation of neurotransmitters by traditional Chinese and Western medicines in tic disorder treatment
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出版时间: 2024-11-13 doi: 10.3981/j.issn.1000-7857.2024.05.00462
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抽动障碍是一种起病于儿童时期的神经发育障碍性疾病,与多种神经化学和神经递质异常有关。现用于抽动障碍治疗的药物主要在于调节神经递质失衡。总结了近年来针对中西药如何调控神经递质治疗抽动障碍的基础实验和临床研究,综述了治疗抽动障碍的研究进展。结果表明,抽动障碍的治疗总体可能与降低兴奋性神经递质的含量以及增加抑制性神经递质的含量有关。然而,于抽动障碍患儿临床不建议进行常规脑脊液检测分析以及腰椎穿刺,很少获取脑脊液进行神经递质含量的检测,跨血脑屏障的神经递质比例也未明确。建议未来研究能进一步建立中西药影响抽动障碍患儿血浆,尤其脑脊液神经递质水平的暴露-效应关系模型,在模型引导下通过调节神经递质水平实现阿立哌唑精准用药,进一步揭示抽动障碍的发病机制及为临床应用中西药治疗抽动障碍的作用机制提供理论依据。
中西药  /  抽动障碍  /  神经递质  /  阿立哌唑  /  CSTC环路
Tic disorder is a neurodevelopmental disorder disease that originates in childhood, and more recognized pathogenesis is the dysfunction of the dopaminergic basal ganglion circuit, which is related to a variety of neurochemical and neurotransmitter abnormalities.The drugs currently used for the treatment of tic disorder mainly aim at modulating neurotransmitter imbalances.This article summarizes the recent basic experimental and clinical research on how Chinese and western medicines regulate neurotransmitters in the treatment of tic disorder, and reviews the research status and progress of the treatment, so as to further reveal the pathogenesis of tic disorder and provide a theoretical basis for the clinical application of western medicine in the treatment of tic disorder.The results suggest that the treatment of tic disorder may be related to a decrease in the amount of excitatory neurotransmitters as a whole, as well as an increase in the amount of inhibitory neurotransmitters.However, due to the clinical dispensation of routine cerebrospinal fluid (CSF) and the invasive nature of lumbar puncture, CSF is rarely obtained for neurotransmitter content in children with tic disorder, and the proportion of neurotransmitters across the blood-brain barrier is not clear.It is expected that future studies can further establish a model of the exposure-effect relationship between Chinese and western medicines on plasma, especially cerebrospinal fluid neurotransmitter levels in children with tic disorder, and realize the precise administration of aripiprazole by adjusting the neurotransmitter levels under the guidance of the model.
Chinese and Western medicines  /  tic disorder  /  neurotransmitter  /  aripiprazole  /  cortical-striatum-thalamic-cortical circuit
陈惠敏, 龚宇, 钱乔乔, 刘智胜, 何丽云. 中西药调控神经递质治疗抽动障碍研究进展. 科技导报, 2024 , 42 (21) : 39 -46 . DOI: 10.3981/j.issn.1000-7857.2024.05.00462
CHEN Huimin, GONG Yu, QIAN Qiaoqiao, LIU Zhisheng, HE Liyun. Research progress on regulation of neurotransmitters by traditional Chinese and Western medicines in tic disorder treatment[J]. Science & Technology Review, 2024 , 42 (21) : 39 -46 . DOI: 10.3981/j.issn.1000-7857.2024.05.00462
2024年第42卷第21期
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doi: 10.3981/j.issn.1000-7857.2024.05.00462
  • 接收时间:2024-04-18
  • 首发时间:2024-12-14
  • 出版时间:2024-11-13
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  • 收稿日期:2024-04-18
  • 修回日期:2024-06-12
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2种不同金属材料的力学参数

Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)

Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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