1. 昆明医科大学第一附属医院, 科研实验中心, 云南昆明 650032
2. 昆明医科大学第一附属医院, 医学检验科, 云南昆明 650032
3. 昆明医科大学第一附属医院, 生殖遗传科, 云南昆明 650032
| 摘 要: | 在中国乃至全世界,毒品的滥用始终呈泛滥的趋势。甲基苯丙胺(methamphetamine,METH)已成为中国吸食人员最多的一种新型毒品。滥用甲基苯丙胺历史较为久远,其引起兴奋和致幻的特点对吸食者带来较为严重的后果,具体反映在对吸食者的神经、心血管和消化系统等造成严重损伤。神经系统的异常使得吸食者对该药物具有较强的依赖性,因此针对METH滥用的药物干预治疗成为了医疗界和社会需迫切解决的问题。到目前为止,已有多种合成西药以及传统中成药被证实在治疗和改善甲基苯丙胺滥用患者的成瘾依赖、调节神经和消化系统方面具有重要作用,本文将以滥用METH对造成机体危害的相关机制为切入点,针对药物在干预和改善吸食者机体组织器官,调控相关的分子机制中的具体作用,进行简要的综述。 |
| 关 键 词: | 甲基苯丙胺; 滥用危害; 组织损伤; 合成药调节; 中成药改善 |
| DOI: | 10.57237/j.mrf.2023.02.002 |
1. Scientific Research Laboratory Center, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China
2. Department of Clinical Laboratory, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China
3. Department of Genetics and Reproduction, the First Affiliated Hospital of Kunming Medical University, Kunming 650032, China
| Abstract: | The trend of drug abuse is widespread in the world. As a new type of drug, methamphetamine (METH) has been taken by most abusers in China. There was a long methamphetamine abusing history until now, it could cause excitatory and hallucinogenic and bring serious consequences to the abusers. The consequence of methamphetamine abuse reflected in a serious damage to the nervous system, cardiovascular system and digestive system of abusers, the abnormal nervous system made abusers have strong dependence on this drug. Therefore, drug intervention to METH abuse has become an urgent problem to medical community and society. By now, there have been a variety of synthesis researches worked on western medicines and Chinese tradition medicines, which confirmed that they played important role in inhibiting dependence of methamphetamine abuse addiction, regulating or restoring the normal function of nervous and digestive systems. This study will take the relative mechanism of METH abuse causing body harm as the breakthrough point, then give a brief overview to aim at the specific role of drug intervention to the improvement of body's tissues and organs, and the regulation of related molecular mechanisms. |
| Keywords: | Methamphetamine; Harm of Abuse; Tissue Damage; Regulation of Synthesis Medicine; Restoration of Chinese Traditional Medicine |
| 1. | 云南省教育厅科学研究基金项目《参苓白术散对甲基苯丙胺介导小鼠肠损伤治疗及肠道微生物调节机制》 (2022J0224) |
| 2. | 云南省卫生厅项目 (2017NS002和2018NS084) |
| [1] | United Nations Office on Drugs and Crime(UNODC).World drug report 2021[R]. (2021-06-24) [2021-12-29]. https://www.unodc.org/unodc/en/data-and-analysis/wdr2021. html. |
| [2] | 2019年中国毒品形势报告 [R]. 人民公安报: 国家禁毒委员会. 2020: 002. |
| [3] | Gibson A, Randall D, Degenhardt L. The increasing mortality burden of liver disease among opioid-dependent people: cohort study [J]. Addiction, 2011, 106 (12): 2186-2192. |
| [4] | Cho AK, Melega WP, Kuczenski R, et al. Relevance of pharmacokinetic parameters in animal models of methamphetamine abuse [J]. Synapse, 2001, 39 (2): 161-166. |
| [5] | Meredith CW, Jaffe C, Ang-Lee K, et al. Implications of chronic methamphetamine use: a literature review [J]. Harvard review of psychiatry, 2005, 13 (3): 141-154. |
| [6] | McGuinness T. Methamphetamine abuse [J]. The American journal of nursing, 2006, 106 (12): 54-59. |
| [7] | Ricaurte GA, Schuster CR, Seiden LS. Long-term effects of repeated methylamphetamine administration on dopamine and serotonin neurons in the rat brain: a regional study [J]. Brain research, 1980, 193 (1): 153-163. |
| [8] | Battaglia G, Yeh SY, O'Hearn E, et al. 3,4-Methylenedioxymethamphetamine and 3,4-methylenedio xyamphetamine destroy serotonin terminals in rat brain: quantification of neurodegeneration by measurement of [3H] paroxetine-labeled serotonin uptake sites [J]. The Journal of pharmacology and experimental therapeutics, 1987, 242, (3): 911-916. |
| [9] | Schmidt U, Capek C, Birdir C, et al. "Crystal" and Pregnancy - The Preliminary Results of a Retrospective Study on the Course of Pregnancy and Delivery of Women Consuming Methamphetamine [J]. Zeitschrift fur Geburtshilfe und Neonatologie, 2019, 223, (4): 221-229. |
| [10] | Schep LJ, Slaughter RJ, Beasley DM. The clinical toxicology of metamfetamine [J]. Clinical toxicology, 2010, 48 (7): 675-694. |
| [11] | Kevil CG, Goeders NE, Woolard MD, et al. Methamphetamine Use and Cardiovascular Disease [J]. Arteriosclerosis, thrombosis, and vascular biology, 2019, 39 (9): 1739-1746. |
| [12] | Pecha RE, Prindiville T, Pecha BS, et al. Association of cocaine and methamphetamine use with giant gastroduodenal ulcers [J]. The American journal of gastroenterology, 1996, 91 (12): 2523-2527. |
| [13] | Herr RD, Caravati EM. Acute transient ischemic colitis after oral methamphetamine ingestion [J]. The American journal of emergency medicine, 1991, 9 (4): 406-409. |
| [14] | Persons AL, Bradaric BD, Dodiya HB, et al. Colon dysregulation in methamphetamine self-administering HIV-1 transgenic rats [J]. PloS one, 2018, 13 (1): e0190078. |
| [15] | Prakash MD, Tangalakis K, Antonipillai J, et al. Methamphetamine: Effects on the brain, gut and immune system [J]. Pharmacological research, 2017, 120: 60-67. |
| [16] | 邓頔, 赵敏. 肠道微生物与物质依赖关系的研究进展 [J]. 上海交通大学学报(医学版), 2019, 39 (03): 322-326. |
| [17] | Bell J. Pharmacological maintenance treatments of opiate addiction [J]. British journal of clinical pharmacology, 2014, 77 (2): 253-263. |
| [18] | 林莹波, 罗超华, 李婵, 等. 人参皂苷及钩藤碱对甲基苯丙胺依赖大鼠心肌损伤的保护作用 [R].第十四届全国药物依赖性学术会议暨国际精神疾病研讨会. 2016. 中国广东深圳. |
| [19] | 陈逊. 天麻素干预甲基苯丙胺依赖大鼠后相关脑区谷氨酸受体、转运体的表达研究 [D]. 硕士. 昆明医科大学; 2017. |
| [20] | 吕宸, 傅柯荃, 汪洋, 等 甲基苯丙胺成瘾机制及中草药治疗 [J]. 时珍国医国药, 2019, 30, (09): 2226-2228. |
| [21] | 龙承星, 郭艳芳, 刘娅薇, 等. 中药对肠道黏膜免疫保护的影响及其意义 [J]. 世界华人消化杂志, 2017, 25 (35): 3115-3122. |
| [22] | 佘颜, 肖新云, 邓艳玲, 等. 四磨汤口服液对脾虚便秘小鼠肠黏膜结构的影响 [J]. 航天医学与医学工程, 2016, 29 (04): 289-292. |
| [23] | 孙必强, 伍参荣, 周英, 等. 不同剂型七味白术散对肠道菌群失调小鼠小肠黏膜超微结构和sIgA的影响 [J]. 中国微生态学杂志, 2016, 28 (02): 125-128, 137. |
| [24] | 孙必强, 周英, 刘卫东, 等. 不同剂型七味白术散对肠道菌群失调腹泻小鼠小肠黏膜上皮IL-4, IL-10, IFN-α mRNA表达的影响 [J]. 中国实验方剂学杂志, 2016, 22 (06): 84-88. |
| [25] | Brandtzaeg P. Mucosal immunity: integration between mother and the breast-fed infant [J]. Vaccine, 2003, 21 (24): 3382-3388. |
| [26] | 李平兰, 时向东, 吕燕妮, 等. 常见中草药对两种肠道有益菌体外生长的影响 [J]. 中国农业大学学报, 2003, (05): 33-36. |
| [27] | 王广, 马淑霞, 胡新俊, 等. 党参多糖对双歧杆菌和大肠埃希菌体外生长的影响 [J]. 中国微生态学杂志, 2010, 22 (03): 199-201. |
| [28] | 冯兴忠, 张娅南, 姜欣, 等. 加味补中益气汤促进肠道益生菌生长的实验研究 [J]. 中国微生态学杂志, 2008, (02): 159-160. |
| [29] | 张晓利, 王迎春, 徐倩倩, 等. 白头翁复方对腹泻小鼠肠道粘膜乳糖酶活性的影响 [J]. 河北农业大学学报, 2010, 33 (02): 99-102. |