基础医学与临床 ›› 2026, Vol. 46 ›› Issue (8): 1130-1134.doi: 10.16352/j.issn.1001-6325.2026.08.1130

• 短篇综述 • 上一篇    下一篇

天然活性成分治疗肺动脉高压的研究进展

杨春艳1, 张佳玮2, 邢岩江2, 李斌1, 刘海涛1*   

  1. 1.中国医学科学院北京协和医学院 药用植物研究所 天然药物活性物质与功能国家重点实验室,北京 100193;
    2.中国医学科学院北京协和医学院 基础医学研究所 呼吸和共病全国重点实验室,北京 100005
  • 收稿日期:2026-04-03 修回日期:2026-05-26 发布日期:2026-07-22
  • 通讯作者: *htliu@implad.ac.cn
  • 基金资助:
    国家自然科学基金(U23A20511);中国医学科学院医学与健康科技创新工程(2024-I2M-TS-019);北京市自然科学基金(Z220019)

Research progress on natural bioactive components in the treatment of pulmonary arterial hypertension

YANG Chunyan1, ZHANG Jiawei2, XING Yanjiang2, LI Bin1, LIU Haitao1*   

  1. 1. State Key Laboratory of Bioactive Substance and Function of Natural Medicines, Institute of Medicinal Plant Development, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100193;
    2. State Key Laboratory of Respiratory Health and Multimorbidity, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing100005, China
  • Received:2026-04-03 Revised:2026-05-26 Published:2026-07-22
  • Contact: *htliu@implad.ac.cn

摘要: 肺动脉高压(PAH)以肺血管重塑为核心特征,现有治疗难以逆转。天然活性成分凭借多靶点优势为PAH干预提供新策略。本文系统梳理了天然活性成分抗PAH的机制特征,涵盖改善血管舒缩、抑制平滑肌增殖、调节炎性反应及代谢重编程等多维网络作用;深度剖析了当前研究在直接分子靶点验证、模型与结构性终点评价及成药性等方面的证据局限;并提出加强靶点确证、升级临床前评价体系及优化递送系统的转化思考,以期为推动天然活性成分在PAH中的实质性临床转化提供参考。

关键词: 肺动脉高压, 天然活性成分, 转化医学

Abstract: Pulmonary arterial hypertension(PAH) is characterized by pulmonary vascular remodeling, which is difficult to reverse with current therapies. Natural bioactive components provide a novel strategy for PAH intervention due to their multi-target advantages. This review systematically summarizes the mechanistic characteristics of natural bioactive components against PAH, encompassing multi-dimensional network effects such as improving vasomotor function, inhibiting smooth muscle cell proliferation, modulating inflammatory responses, and correcting metabolic reprogramming. Furthermore, it profoundly analyzes the evidence limitations in current research regarding direct molecular target validation, experimental models, structural endpoint evaluation, and druggability. Finally, we provide translational perspectives on strengthening target validation, upgrading pre-clinical evaluation systems, and optimizing delivery systems, aiming to provide a reference for promoting the substantive clinical translation of natural bioactive components in PAH.

Key words: pulmonary arterial hypertension, natural bioactive components, translational medicine

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