Research Progress on Molecular Mechanism of Moxibustion in the Treatment of Ankylosing Spondylitis

Min Yan, Jiang Huali, Linyun Wu, Xiao Zhou, Qing Yang, Qinfeng Wu, Xi Liu, Hong-yuan Wang, Xiao Xu
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Abstract

As an important part of traditional Chinese medicine (TCM) nursing technology, moxibustion plays a unique role in improving the symptoms of ankylosing spondylitis (AS). The research on the mechanism of moxibustion intervention in AS mainly focuses on anti-inflammatory effects, immune regulation, bone metabolism regulation, intestinal flora regulation, and so on. Molecular medicine is of great significance to further clarify the mechanism of moxibustion intervention in AS. However, there are still some problems in the research on the molecular mechanism of moxibustion intervention in AS: the existing biomedical research methods only explore from a specific field and lack the exploration of moxibustion-targeted molecules based on biomedical network. In the future, the molecular network effect of moxibustion on AS can be discussed comprehensively and systematically with the help of omics technology and the construction of biological information interaction network between omics. The effect of moxibustion on upstream osteogenic transcription factors and related signaling pathways such as WNT, β-catenin, and BMP/Smads is not yet clear. Future research can focus on the relevant signal targets of bone reconstruction and clarify the mechanism of moxibustion against the new bone formation. In addition, there is a lack of research on the molecular mechanism of moxibustion in the treatment of AS from the perspective of metabolites. It is necessary to further explore the mechanism of moxibustion in the treatment of AS with the help of metabonomics technology.
艾灸治疗强直性脊柱炎分子机制的研究进展
艾灸作为中医护理技术的重要组成部分,在改善强直性脊柱炎(As)症状方面具有独特的作用。艾灸干预AS的机制研究主要集中在抗炎作用、免疫调节、骨代谢调节、肠道菌群调节等方面。分子医学对进一步阐明艾灸干预AS的机制具有重要意义。然而,艾灸干预AS的分子机制研究还存在一些问题:现有的生物医学研究方法仅从特定领域进行探索,缺乏基于生物医学网络的艾灸靶向分子探索。未来,借助组学技术和组学间生物信息交互网络的构建,可以全面、系统地探讨艾灸对AS的分子网络效应。艾灸对WNT、β-catenin、BMP/Smads等成骨上游转录因子及相关信号通路的影响尚不清楚。未来的研究可以关注骨重建的相关信号靶点,明确艾灸对新骨形成的作用机制。此外,从代谢物的角度对艾灸治疗AS的分子机制研究不足。有必要借助代谢组学技术进一步探讨艾灸治疗AS的机制。
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