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Article(id=1276976107496804524, tenantId=1146029695717560320, journalId=1276577828834349082, issueId=1276976057215488893, articleNumber=null, orderNo=null, doi=10.19540/j.cnki.cjcmm.20251023.301, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1755446400000, receivedDateStr=2025-08-18, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1782384429096, onlineDateStr=2026-06-25, pubDate=1768406400000, pubDateStr=2026-01-15, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1782384429096, onlineIssueDateStr=2026-06-25, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1782384429096, creator=13701087609, updateTime=1782384429096, updator=13701087609, issue=Issue{id=1276976057215488893, tenantId=1146029695717560320, journalId=1276577828834349082, year='2026', volume='51', issue='2', pageStart='301', pageEnd='600', issueExtLink='null', onlineDate='null', pubDate='1768406400000', pubDateStr='2026-01-15', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=1, specialIssue=null, createTime=1782384417107, creator='13701087609', updateTime=1782384524478, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1276976507658563977, tenantId=1146029695717560320, journalId=1276577828834349082, issueId=1276976057215488893, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1276976507658563978, tenantId=1146029695717560320, journalId=1276577828834349082, issueId=1276976057215488893, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=382, endPage=399, ext={EN=ArticleExt(id=1276976107681353902, articleId=1276976107496804524, tenantId=1146029695717560320, journalId=1276577828834349082, language=EN, title=Research progress in pathogenesis and TCM intervention of influenza viral pneumonia based on signaling pathways, columnId=null, journalTitle=Chinese Journal of Traditional Chinese Medicine, columnName=null, runingTitle=null, highlight=null, articleAbstract=

Influenza viral pneumonia (IVP) is an infectious disease caused by influenza virus invading the lungs. With acute onset and rapid progression, it can lead to respiratory failure and even death in severe cases. Moreover, IVP is prone to cause large-scale incidence along with influenza epidemics, posing a serious threat to public health. The pathogenesis of IVP is complex, involving multiple pathological links such as viral replication, cytokine storm, immune imbalance, and oxidative stress. Studies have confirmed that the occurrence and development of IVP are closely related to signaling pathways including Toll-like receptors (TLRs)/nuclear factor-κB (NF-κB), Janus kinase (JAK)/signal transducer and activator of transcription (STAT), NOD-like receptor pyrin domain-containing protein 3 (NLRP3), mitogen-activated protein kinase (MAPK), phosphatidylinositol 3-kinase(PI3K)/protein kinase B (AKT), and nuclear factor erythroid 2-related factor 2 (Nrf2)/heme oxygenase 1 (HO-1). TCM characterized by multi-pathway, multi-component, and multi-target actions shows unique potential in regulating the above pathways and ameliorating pathological damage in the lungs. Accordingly, this article clarifies the IVP pathogenesis mediated by these pathways and systematically reviews the recent research on TCM active ingredients, single herbs, and compound preparations in preventing and treating IVP via regulating these pathways, with focuses on the roles of TCM in inhibiting viral replication, regulating inflammation, restoring immune homeostasis, and alleviating oxidative stress damage. It aims to comprehensively reveal the potential mechanisms of TCM in treating IVP, providing new insights for clinical diagnosis and treatment of IVP.

, authors=null, authorsList=Xin PENG, Kun YANG, Lei LIANG, Zhe-yu LUAN, Jia-qi SHANG, Yi-hao ZHANG, Ji-hong FENG, Yun-hui LI, authorCompany=null, correspAuthors=Ji-hong FENG, Yun-hui LI, 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=1276976107941400752, articleId=1276976107496804524, tenantId=1146029695717560320, journalId=1276577828834349082, language=CN, title=基于信号通路探讨流感病毒性肺炎的发病机制及中药干预研究进展, columnId=1276975957151977760, journalTitle=中国中药杂志, columnName=综述, runingTitle=null, highlight=null, articleAbstract=

流感病毒性肺炎（IVP）是流感病毒侵袭肺部引起的感染性疾病，其起病急骤、进展迅速，严重时可导致呼吸衰竭甚至死亡，且易随流感流行导致大规模发病，对人群健康构成显著威胁。IVP的发病机制复杂，涉及病毒复制、炎症因子风暴、免疫失衡、氧化应激等多个病理环节。大量研究证实，IVP的发生发展与Toll样受体（TLRs）/核转录因子-κB（NF-κB）、Janus激酶（JAK）/信号转导与转录激活因子（STAT）、NOD样受体热蛋白结构域相关蛋白3（NLRP3）、丝裂原活化蛋白激酶（MAPK）、磷脂酰肌醇3-激酶（PI3K）/蛋白激酶B（AKT）及核因子E2相关因子2（Nrf2）/血红素氧合酶1（HO-1）等信号通路密切相关。中医药具有多途径、多成分、多靶点等优势，在调控上述信号通路、改善肺部病理损伤方面展现出独特潜力。基于此，该文在阐明上述通路介导IVP发病过程分子机制的基础上，系统梳理近年来中药活性成分、单味中药及中药复方制剂通过调控上述通路防治IVP的研究成果，重点探究其在抑制病毒复制、调控炎症反应、恢复免疫稳态及减轻氧化应激损伤等方面的作用，以期全面、系统地揭示中医药治疗IVP的潜在作用机制，为IVP的临床诊疗提供新思路。

, authors=

彭鑫，博士研究生，E-mail:

, authorsList=彭鑫, 杨坤, 梁磊, 栾哲宇, 尚佳琪, 张益豪, 封继宏, 李云辉, authorCompany=null, correspAuthors=封继宏, 李云辉, authorNote=null, correspAuthorsNote=

*

封继宏，博士，主任医师，博士生导师，主要从事中医肺病临床与基础研究，E-mail: ；

*

李云辉，博士，主治医师，主要从事中医肺病临床与基础研究，E-mail:
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基于信号通路探讨流感病毒性肺炎的发病机制及中药干预研究进展
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彭鑫 1 , 杨坤 1 , 梁磊 1 , 栾哲宇 2 , 尚佳琪 3, 4 , 张益豪 3, 4 , 封继宏 2, * , 李云辉 2, *
中国中药杂志 | 综述 2026,51(2): 382-399
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中国中药杂志 |综述 2026 , 51 (2) : 382 -399
基于信号通路探讨流感病毒性肺炎的发病机制及中药干预研究进展
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彭鑫1 , 杨坤1, 梁磊1, 栾哲宇2, 尚佳琪3, 4, 张益豪3, 4, 封继宏2, * , 李云辉2, *
作者信息
  • 1．天津中医药大学 研究生院，天津 301617
  • 2．天津中医药大学 第二附属医院，天津 300250
  • 3．天津中医药大学 第一附属医院，天津 300381
  • 4．国家中医针灸临床医学研究中心，天津 300381
通讯作者:

*

封继宏，博士，主任医师，博士生导师，主要从事中医肺病临床与基础研究，E-mail: ；

*

李云辉，博士，主治医师，主要从事中医肺病临床与基础研究，E-mail:
Research progress in pathogenesis and TCM intervention of influenza viral pneumonia based on signaling pathways
Xin PENG1 , Kun YANG1, Lei LIANG1, Zhe-yu LUAN2, Jia-qi SHANG3, 4, Yi-hao ZHANG3, 4, Ji-hong FENG2, * , Yun-hui LI2, *
Affiliations
  • 1.Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
  • 2.the Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China
  • 3.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
  • 4.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China
出版时间: 2026-01-15 doi: 10.19540/j.cnki.cjcmm.20251023.301
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摘要
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流感病毒性肺炎（IVP）是流感病毒侵袭肺部引起的感染性疾病，其起病急骤、进展迅速，严重时可导致呼吸衰竭甚至死亡，且易随流感流行导致大规模发病，对人群健康构成显著威胁。IVP的发病机制复杂，涉及病毒复制、炎症因子风暴、免疫失衡、氧化应激等多个病理环节。大量研究证实，IVP的发生发展与Toll样受体（TLRs）/核转录因子-κB（NF-κB）、Janus激酶（JAK）/信号转导与转录激活因子（STAT）、NOD样受体热蛋白结构域相关蛋白3（NLRP3）、丝裂原活化蛋白激酶（MAPK）、磷脂酰肌醇3-激酶（PI3K）/蛋白激酶B（AKT）及核因子E2相关因子2（Nrf2）/血红素氧合酶1（HO-1）等信号通路密切相关。中医药具有多途径、多成分、多靶点等优势，在调控上述信号通路、改善肺部病理损伤方面展现出独特潜力。基于此，该文在阐明上述通路介导IVP发病过程分子机制的基础上，系统梳理近年来中药活性成分、单味中药及中药复方制剂通过调控上述通路防治IVP的研究成果，重点探究其在抑制病毒复制、调控炎症反应、恢复免疫稳态及减轻氧化应激损伤等方面的作用，以期全面、系统地揭示中医药治疗IVP的潜在作用机制，为IVP的临床诊疗提供新思路。

流感病毒性肺炎  /  信号通路  /  发病机制  /  中药  /  综述

Influenza viral pneumonia (IVP) is an infectious disease caused by influenza virus invading the lungs. With acute onset and rapid progression, it can lead to respiratory failure and even death in severe cases. Moreover, IVP is prone to cause large-scale incidence along with influenza epidemics, posing a serious threat to public health. The pathogenesis of IVP is complex, involving multiple pathological links such as viral replication, cytokine storm, immune imbalance, and oxidative stress. Studies have confirmed that the occurrence and development of IVP are closely related to signaling pathways including Toll-like receptors (TLRs)/nuclear factor-κB (NF-κB), Janus kinase (JAK)/signal transducer and activator of transcription (STAT), NOD-like receptor pyrin domain-containing protein 3 (NLRP3), mitogen-activated protein kinase (MAPK), phosphatidylinositol 3-kinase(PI3K)/protein kinase B (AKT), and nuclear factor erythroid 2-related factor 2 (Nrf2)/heme oxygenase 1 (HO-1). TCM characterized by multi-pathway, multi-component, and multi-target actions shows unique potential in regulating the above pathways and ameliorating pathological damage in the lungs. Accordingly, this article clarifies the IVP pathogenesis mediated by these pathways and systematically reviews the recent research on TCM active ingredients, single herbs, and compound preparations in preventing and treating IVP via regulating these pathways, with focuses on the roles of TCM in inhibiting viral replication, regulating inflammation, restoring immune homeostasis, and alleviating oxidative stress damage. It aims to comprehensively reveal the potential mechanisms of TCM in treating IVP, providing new insights for clinical diagnosis and treatment of IVP.

influenza viral pneumonia  /  signaling pathway  /  pathogenesis  /  TCM  /  review
彭鑫, 杨坤, 梁磊, 栾哲宇, 尚佳琪, 张益豪, 封继宏, 李云辉. 基于信号通路探讨流感病毒性肺炎的发病机制及中药干预研究进展. 中国中药杂志, 2026 , 51 (2) : 382 -399 . DOI: 10.19540/j.cnki.cjcmm.20251023.301
Xin PENG, Kun YANG, Lei LIANG, Zhe-yu LUAN, Jia-qi SHANG, Yi-hao ZHANG, Ji-hong FENG, Yun-hui LI. Research progress in pathogenesis and TCM intervention of influenza viral pneumonia based on signaling pathways[J]. Chinese Journal of Traditional Chinese Medicine, 2026 , 51 (2) : 382 -399 . DOI: 10.19540/j.cnki.cjcmm.20251023.301
基金
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  • 国家重点研发计划项目(2022YFC3500803)
  • 国家中医药管理局青年岐黄学者培养项目(国中医药人教函［2022］256号)
  • 天津中医药大学第二附属医院薪火相传领军人才项目(津中医二附政发［2023］50号)
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2026年第51卷第2期
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doi: 10.19540/j.cnki.cjcmm.20251023.301
  • 接收时间：2025-08-18
  • 首发时间：2026-06-25
  • 出版时间：2026-01-15
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  • 收稿日期：2025-08-18
基金
国家重点研发计划项目(2022YFC3500803)
国家中医药管理局青年岐黄学者培养项目(国中医药人教函［2022］256号)
天津中医药大学第二附属医院薪火相传领军人才项目(津中医二附政发［2023］50号)
作者信息
    1．天津中医药大学 研究生院，天津 301617
    2．天津中医药大学 第二附属医院，天津 300250
    3．天津中医药大学 第一附属医院，天津 300381
    4．国家中医针灸临床医学研究中心，天津 300381

通讯作者:

*

封继宏，博士，主任医师，博士生导师，主要从事中医肺病临床与基础研究，E-mail: ；

*

李云辉，博士，主治医师，主要从事中医肺病临床与基础研究，E-mail:
参考文献
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https://castjournals.cast.org.cn/joweb/zgzyzz/CN/10.19540/j.cnki.cjcmm.20251023.301
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2种不同金属材料的力学参数
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Family		 属数
Number of
genus		 种数
Number of
species		 占总种数比例
Percentage of
total species (%)		 属
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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