留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

“肝开窍于目”中医理论启示下的“肝-眼生物轴”的提出及其现代医学生物学证据

朱悦 曹程 王颖异 郑慧丽 陈晨凯 郭建明 张芳 宿树兰 郭盛 王育良 段金廒

朱悦, 曹程, 王颖异, 郑慧丽, 陈晨凯, 郭建明, 张芳, 宿树兰, 郭盛, 王育良, 段金廒. “肝开窍于目”中医理论启示下的“肝-眼生物轴”的提出及其现代医学生物学证据[J]. 南京中医药大学学报, 2021, 37(2): 161-170. doi: 10.14148/j.issn.1672-0482.2021.0161
引用本文: 朱悦, 曹程, 王颖异, 郑慧丽, 陈晨凯, 郭建明, 张芳, 宿树兰, 郭盛, 王育良, 段金廒. “肝开窍于目”中医理论启示下的“肝-眼生物轴”的提出及其现代医学生物学证据[J]. 南京中医药大学学报, 2021, 37(2): 161-170. doi: 10.14148/j.issn.1672-0482.2021.0161
ZHU Yue, CAO Cheng, WANG Ying-yi, ZHENG Hui-li, CHEN Chen-kai, GUO Jian-ming, ZHANG Fang, SU Shu-lan, GUO Sheng, WANG Yu-liang, DUAN Jin-ao. The Proposal of the Biological Axis of 'Liver-Eye' Inspired by the TCM Theory of 'Liver Opens at the Eyes' and Its Modern Medical Biological Evidences[J]. Journal of Nanjing University of traditional Chinese Medicine, 2021, 37(2): 161-170. doi: 10.14148/j.issn.1672-0482.2021.0161
Citation: ZHU Yue, CAO Cheng, WANG Ying-yi, ZHENG Hui-li, CHEN Chen-kai, GUO Jian-ming, ZHANG Fang, SU Shu-lan, GUO Sheng, WANG Yu-liang, DUAN Jin-ao. The Proposal of the Biological Axis of "Liver-Eye" Inspired by the TCM Theory of "Liver Opens at the Eyes" and Its Modern Medical Biological Evidences[J]. Journal of Nanjing University of traditional Chinese Medicine, 2021, 37(2): 161-170. doi: 10.14148/j.issn.1672-0482.2021.0161

“肝开窍于目”中医理论启示下的“肝-眼生物轴”的提出及其现代医学生物学证据

doi: 10.14148/j.issn.1672-0482.2021.0161
基金项目: 

江苏省中药资源产业化过程协同创新中心开放课题重点项目 ZDXM-2020-03

国家自然科学基金 81973591

国家自然科学基金 81773837

详细信息
    作者简介:

    朱悦,男,副研究员,E-mail:zhuyue@njucm.edu.cn

    通讯作者:

    段金廒,男,教授,博士生导师,主要从事中药资源化学与功效物质研究,E-mail:dja@njucm.edu.cn

  • 中图分类号: R2-03

The Proposal of the Biological Axis of "Liver-Eye" Inspired by the TCM Theory of "Liver Opens at the Eyes" and Its Modern Medical Biological Evidences

  • 摘要: “肝开窍于目”是中医脏腑理论的重要认知,认为“眼乃五脏六腑之精华, 上注于目而为明”,并在临床实践中不断完善形成了“肝病及眼”“眼病及肝”的中医辨证与辨病理论基础和诊疗体系。随着现代医学生物学的发展,越来越多的证据表明肝脏和眼两大脏器之间在生理、病理诸方面存在着十分复杂而密切的联系, 这些生物学联系印证了“肝开窍于目”理论。因此,“肝-眼生物轴”的提出,既得益于“肝开窍于目”中医脏腑理论的启示,具有深厚的传统中医理论基础,又是人体脏器与眼部疾病之间存在共同的通路与靶点和复杂而紧密的生物学关系的客观判断。“肝-眼生物轴”的提出和不断丰富完善,必将为提升眼科学基础研究及临床诊疗水平做出应有的贡献。

     

  • 图  1  中医学对于脏腑与眼的整体观认识

    图  2  “肝病及眼”的现代医学生物学认知

    图  3  “肝-眼生物轴”现代医学生物学认知

  • [1] BEAUMONT W. Experiments and observations on the gastric juice and the physiology of digestion[J]. Nutr Rev, 2009, 35(6): 144-145. doi: 10.1111/j.1753-4887.1977.tb06570.x
    [2] YOO BB, MAZMANIAN SK. The enteric network: Interactions between the immune and nervous systems of the gut[J]. Immunity, 2017, 46(6): 910-926. doi: 10.1016/j.immuni.2017.05.011
    [3] CRYAN JF, O'RIORDAN KJ, COWAN CSM, et al. The microbiota-gut-brain axis[J]. Physiol Rev, 2019, 99(4): 1877-2013. doi: 10.1152/physrev.00018.2018
    [4] TAN HE, SISTI AC, JIN H, et al. The gut-brain axis mediates sugar preference[J]. Nature, 2020, 580(7804): 511-516. doi: 10.1038/s41586-020-2199-7
    [5] MULLER PA, SCHNEEBERGER M, MATHEIS F, et al. Microbiota modulate sympathetic neurons via a gut-brain circuit[J]. Nature, 2020, 583(7816): 441-446. doi: 10.1038/s41586-020-2474-7
    [6] SZABO G. Gut-liver axis in alcoholic liver disease[J]. Gastroenterology, 2015, 148(1): 30-36. doi: 10.1053/j.gastro.2014.10.042
    [7] ALBILLOS A, DE GOTTARDI A, RESCIGNO M. The gut-liver axis in liver disease: Pathophysiological basis for therapy[J]. J Hepatol, 2020, 72(3): 558-577. doi: 10.1016/j.jhep.2019.10.003
    [8] RINNINELLA E, MELE MC, MERENDINO N, et al. The role of diet, micronutrients and the gut microbiota in age-related macular degeneration: New perspectives from the Gut-Retina axis[J]. Nutrients, 2018, 10(11): E1677. doi: 10.3390/nu10111677
    [9] FLOYD JL, GRANT MB. The gut-eye axis: Lessons learned from murine models[J]. Ophthalmol Ther, 2020, 9(3): 499-513. doi: 10.1007/s40123-020-00278-2
    [10] MJOSBERG J, RAO AN. Lung inflammation originating in the gut[J]. Science, 2018, 359(6371): 36-37. doi: 10.1126/science.aar4301
    [11] BUDDEN KF, GELLATLY SL, WOOD DL, et al. Emerging pathogenic links between microbiota and the gut-lung axis[J]. Nat Rev Microbiol, 2017, 15(1): 55-63. doi: 10.1038/nrmicro.2016.142
    [12] 王键, 郜峦, 邓勇, 等. "肺与大肠相表里"理论历史源流和发展[J]. 中国中医基础医学杂志, 2012, 18(9): 932-935. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJC201209005.htm
    [13] 田甜, 马师雷, 高思华. 从"全息界面"角度诠释"肺与大肠相表里"[J]. 中华中医药杂志, 2012, 27(8): 2006-2008. https://www.cnki.com.cn/Article/CJFDTOTAL-BXYY201208007.htm
    [14] 郭宗耀, 刘芸, 高玉萍, 等. "心与小肠相表里"理论的源流与发展[J]. 中医杂志, 2017, 58(2): 96-99. doi: 10.3969/j.issn.0411-8421.2017.02.010
    [15] 傅仁宇. 审视瑶函[M]. 北京: 人民卫生出版社, 2006: 41, 27, 23, 15.
    [16] 丁光迪. 诸病源候论校注(下)[M]. 北京: 人民卫生出版社, 1992: 777, 459, 88.
    [17] 孙思邈. 备急千金要方[M]. 北京: 华夏出版社, 2008: 120.
    [18] 王怀隐. 太平圣惠方: 下[M]. 北京: 人民卫生出版社, 2016: 611.
    [19] 李时珍. 本草纲目: 上[M]. 北京: 华夏出版社, 1998: 196.
    [20] 孟景春, 王新华. 黄帝内经素问译释[M]. 4版. 上海: 上海科学技术出版社, 2009: 28, 84, 187.
    [21] 孟景春, 王新华. 黄帝内经灵枢译释[M]. 2版. 上海: 上海科学技术出版社, 2006: 351, 513, 96, 157, 335.
    [22] 仁斋直指方[M]. 孙玉信, 朱平生, 校. 上海: 第二军医大学出版社, 2006: 465.
    [23] 徐文弼. 寿世传真[M]. 北京: 中国医药科技出版社, 2017: 70.
    [24] 王肯堂. 证治准绳: 眼科[M]. 北京: 中国中医药出版社, 2018: 18.
    [25] 袁晨, 谢学军. 《中医眼科六经法要》的创新与临床应用[J]. 光明中医, 2020, 35(2): 185-187. doi: 10.3969/j.issn.1003-8914.2020.02.014
    [26] 李凯, 王育良, 黄晶晶, 等. 中药润目灵治疗水样液缺乏性干眼症的临床研究[J]. 中国中医眼科杂志, 2009, 19(6): 333-335. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKZ200906011.htm
    [27] 李凯, 王育良, 高卫萍, 等. 中药润目灵治疗水样液缺乏性干眼症的临床疗效[J]. 国际眼科杂志, 2009, 9(11): 2116-2117. https://www.cnki.com.cn/Article/CJFDTOTAL-GJYK200911024.htm
    [28] 霍剑, 段俊国, 朱柯宇, 等. 芪明颗粒对非增生期糖尿病视网膜病变患者视网膜微循环状态影响的临床研究[J]. 中华眼科医学杂志(电子版), 2020, 10(6): 333-338. doi: 10.3877/cma.j.issn.2095-2007.2020.06.003
    [29] 彭俊, 周亚莎, 陈柯竹, 等. 彭清华教授运用逍遥散治疗眼科疾病举隅[J]. 湖南中医药大学学报, 2017, 37(1): 45-47. doi: 10.3969/j.issn.1674-070X.2017.01.011
    [30] 毕宏生, 杨振宁, 张庆祥, 等. 葡萄膜炎中医辨证理论及治法探讨[J]. 山东中医药大学学报, 2015, 39(1): 34-36. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYX201501015.htm
    [31] 冯俊, 邵霖霖, 于静, 等. 唐由之治疗原发性开角型青光眼用药规律研究[J]. 北京中医药, 2020, 39(5): 475-479. https://www.cnki.com.cn/Article/CJFDTOTAL-BJZO202005022.htm
    [32] 赵新, 张林旭, 路雪婧. 基于数据挖掘初探国医大师廖品正辨治视神经萎缩用药规律[J]. 中草药, 2020, 51(14): 3747-3752. doi: 10.7501/j.issn.0253-2670.2020.14.019
    [33] 秦程遥. 基于中医传承辅助平台的治疗年龄相关性黄斑变性的组方规律分析[D]. 南京: 南京中医药大学, 2017.
    [34] 李翔, 蒋鹏飞, 艾慧, 等. 基于聚类分析和因子分析探讨中医治疗视网膜色素变性的用药规律[J]. 湖南中医药大学学报, 2020, 40(7): 792-796. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZX202007005.htm
    [35] 陈柯竹, 周亚莎, 刘家琪, 等. 基于频数分析的眼科中成药用药规律探讨[J]. 湖南中医杂志, 2017, 33(11): 133-135. https://www.cnki.com.cn/Article/CJFDTOTAL-HNZO201711055.htm
    [36] 黄秀榕, 祁明信, 王勇, 等. 十一种归肝经明目中药对Fenton反应所致晶状体氧化损伤防护作用的研究[J]. 中医药学刊, 2003, 21(10): 1650-1652, 1659. doi: 10.3969/j.issn.1673-7717.2003.10.029
    [37] MANTHEY AL, CHIU K, SO KF. Effects of Lycium barbarum on the visual system[J]. Int Rev Neurobiol, 2017, 135: 1-27. http://www.ncbi.nlm.nih.gov/pubmed/28807155
    [38] XING XW, LIU FY, XIAO J, et al. Neuro-protective mechanisms of Lycium barbarum[J]. Neuromolecular Med, 2016, 18(3): 253-263. doi: 10.1007/s12017-016-8393-y
    [39] 林幼红, 刘晋锋, 苏国辉, 等. 枸杞多糖的神经保护作用——"以眼为鉴"[J]. 中国中医眼科杂志, 2019, 29(5): 403-406. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKZ201905020.htm
    [40] XIAO J, XING F, HUO J, et al. Lycium barbarum polysaccharides therapeutically improve hepatic functions in non-alcoholic steatohepatitis rats and cellular steatosis model[J]. Sci Rep, 2014, 4: 5587. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4083265/pdf/srep05587.pdf
    [41] ZHANG YZ, YANG Y, YU HT, et al. Apigenin protects mouse Retina against oxidative damage by regulating the Nrf2 pathway and autophagy[J]. Oxidat Med Cell Longev, 2020, 2020: 9420704. http://www.researchgate.net/publication/341406543_Apigenin_Protects_Mouse_Retina_against_Oxidative_Damage_by_Regulating_the_Nrf2_Pathway_and_Autophagy
    [42] SHAO Y, YU HT, YANG Y, et al. A solid dispersion of quercetin shows enhanced Nrf2 activation and protective effects against oxidative injury in a mouse model of dry age-related macular degeneration[J]. Oxid Med Cell Longev, 2019, 2019: 1479571. http://www.ncbi.nlm.nih.gov/pubmed/31781321
    [43] SUGAWARA T, IGARASHI K. Identification of major flavonoids in petals of edible Chrysanthemum flowers and their suppressive effect on carbon tetrachloride-induced liver injury in mice[J]. Food Sci Technol Res, 2009, 15(5): 499-506. doi: 10.3136/fstr.15.499
    [44] AMMAR T, AUZINGER G, MICHAELIDES M. Cortical blindness and hepatic encephalopathy[J]. Acta Ophthalmol Scand, 2003, 81(4): 402-404. doi: 10.1034/j.1600-0420.2003.00093.x
    [45] VAN LEEUWEN EM, EMRI E, MERLE BMJ, et al. A new perspective on lipid research in age-related macular degeneration[J]. Prog Retin Eye Res, 2018, 67: 56-86. doi: 10.1016/j.preteyeres.2018.04.006
    [46] KIM BJ, MASTELLOS DC, LI Y, et al. Targeting complement components C3 and C5 for the retina: Key concepts and lingering questions[J]. Prog Retin Eye Res, 2020, 2020: 100936. http://www.sciencedirect.com/science/article/pii/S1350946220301087
    [47] NEHA K, HAIDER MR, PATHAK A, et al. Medicinal prospects of antioxidants: A review[J]. Eur J Med Chem, 2019, 178: 687-704. doi: 10.1016/j.ejmech.2019.06.010
    [48] ZARROUK A, VEJUX A, MACKRILL J, et al. Involvement of oxysterols in age-related diseases and ageing processes[J]. Ageing Res Rev, 2014, 18: 148-162. doi: 10.1016/j.arr.2014.09.006
    [49] HARRISON EH. Mechanisms of transport and delivery of vitamin A and carotenoids to the retinal pigment epithelium[J]. Mol Nutr Food Res, 2019, 63(15): e1801046. doi: 10.1002/mnfr.201801046
    [50] BRIDGES CD, ALVAREZ RA. The visual cycle operates via an isomerase acting on all-trans retinol in the pigment epithelium[J]. Science, 1987, 236(4809): 1678-1680. doi: 10.1126/science.3603006
    [51] FERANCHAK AP, GRALLA J, KING R, et al. Comparison of indices of vitamin A status in children with chronic liver disease[J]. Hepatology, 2005, 42(4): 782-792. doi: 10.1002/hep.20864
    [52] 郭传恒, 莫亚. 调补肝肾法联合维生素A、D治疗干眼病的可行性分析[J]. 中医眼耳鼻喉杂志, 2020, 10(3): 165-168. doi: 10.3969/j.issn.1674-9006.2020.03.015
    [53] MAESTRO-DE-LAS-CASAS C, PEREZ-MIGUELSANZ J, LOPEZ-GORDILLO Y, et al. Maternal folic acid-deficient diet causes congenital malformations in the mouse eye[J]. Birth Defects Res A Clin Mol Teratol, 2013, 97(9): 587-596. doi: 10.1002/bdra.23176
    [54] GRIERSON I, HEATHCOTE L, HISCOTT P, et al. Hepatocyte growth factor/scatter factor in the eye[J]. Prog Retin Eye Res, 2000, 19(6): 779-802. doi: 10.1016/S1350-9462(00)00015-X
    [55] XIE H, ZHANG C, LIU D, et al. Erythropoietin protects the inner blood-retinal barrier by inhibiting microglia phagocytosis via Src/Akt/cofilin signalling in experimental diabetic retinopathy[J]. Diabetologia, 2021, 64(1): 211-225. doi: 10.1007/s00125-020-05299-x
    [56] BAUMANN BH, SHU W, SONG Y, et al. Liver-specific, but not Retina-specific, hepcidin knockout causes retinal iron accumulation and degeneration[J]. Am J Pathol, 2019, 189(9): 1814-1830. doi: 10.1016/j.ajpath.2019.05.022
    [57] MONTAGNESE S, GORDON HM, JACKSON C, et al. Disruption of smooth pursuit eye movements in cirrhosis: Relationship to hepatic encephalopathy and its treatment[J]. Hepatology, 2005, 42(4): 772-781. doi: 10.1002/hep.20855
    [58] REICHENBACH A, FUCHS U, KASPER M, et al. Hepatic retinopathy: Morphological features of retinal glial (Muller) cells accompanying hepatic failure[J]. Acta Neuropathol, 1995, 90(3): 273-281. doi: 10.1007/BF00296511
    [59] ROSENBLUM JL, KEATING JP, PRENSKY AL, et al. A progressive neurologic syndrome in children with chronic liver disease[J]. N Engl J Med, 1981, 304(9): 503-508. doi: 10.1056/NEJM198102263040902
    [60] 胡媛, 史源. 新生儿胆红素脑损伤的研究进展[J]. 发育医学电子杂志, 2020, 8(4): 365-369 doi: 10.3969/j.issn.2095-5340.2020.04.016
    [61] VITIELLO L, DE BERNARDO M, GUERCIO NUZIO S, et al. Pediatric liver diseases and ocular changes: What hepatologists and ophthalmologists should know and share with each other[J]. Dig Liver Dis, 2020, 52(1): 1-8. doi: 10.1016/j.dld.2019.11.009
    [62] RIVERA-MANCÍA S, RÍOS C, MONTES S. Manganese accumulation in the CNS and associated pathologies[J]. Biometals, 2011, 24(5): 811-825. doi: 10.1007/s10534-011-9454-1
    [63] STÄTTERMAYER AF, TRAUSSNIGG S, DIENES HP, et al. Hepatic steatosis in Wilson disease: Role of copper and PNPLA3 mutations[J]. J Hepatol, 2015, 63(1): 156-163. doi: 10.1016/j.jhep.2015.01.034
    [64] SUN XM, LYU Y, HUANG L, et al. Pro-inflammatory cytokines serve as communicating molecules between the liver and brain for hepatic encephalopathy pathogenesis and Lycium barbarum polysaccharides protection[J]. J Ethnopharmacol, 2020, 248: 112357. doi: 10.1016/j.jep.2019.112357
    [65] BUTTERWORTH RF. Neuroinflammation in acute liver failure: Mechanisms and novel therapeutic targets[J]. Neurochem Int, 2011, 59(6): 830-836. doi: 10.1016/j.neuint.2011.07.014
    [66] JAYAKUMAR AR, TONG XY, OSPEL J, et al. Role of cerebral endothelial cells in the astrocyte swelling and brain edema associated with acute hepatic encephalopathy[J]. Neuroscience, 2012, 218: 305-316. doi: 10.1016/j.neuroscience.2012.05.006
    [67] FEHER J, PINTER E, KOVÁCS I, et al. Irritable eye syndrome: Neuroimmune mechanisms and benefits of selected nutrients[J]. Ocul Surf, 2014, 12(2): 134-145. doi: 10.1016/j.jtos.2013.09.002
    [68] CIPRIANI V, LORES MOTTA L, HE F, et al. Increased circulating levels of factor H-related protein 4 are strongly associated with age-related macular degeneration[J]. Nat Commun, 2020, 11(1): 778. doi: 10.1038/s41467-020-14499-3
    [69] WANG B, TONTONOZ P. Liver X receptors in lipid signalling and membrane homeostasis[J]. Nat Rev Endocrinol, 2018, 14(8): 452-463. doi: 10.1038/s41574-018-0037-x
    [70] GLASS CK, SAIJO K. Nuclear receptor transrepression pathways that regulate inflammation in macrophages and T cells[J]. Nat Rev Immunol, 2010, 10(5): 365-376. doi: 10.1038/nri2748
    [71] HAZRA S, RASHEED A, BHATWADEKAR A, et al. Liver X receptor modulates diabetic retinopathy outcome in a mouse model of streptozotocin-induced diabetes[J]. Diabetes, 2012, 61(12): 3270-3279. doi: 10.2337/db11-1596
    [72] LEYVRAZ S, SPATARO V, BAUER J, et al. Treatment of ocular melanoma metastatic to the liver by hepatic arterial chemotherapy[J]. J Clin Oncol, 1997, 15(7): 2589-2595. doi: 10.1200/JCO.1997.15.7.2589
    [73] DONG L, YOU S, ZHANG Q, et al. Arylsulfonamide 64B inhibits hypoxia/HIF-induced expression of c-met and CXCR4 and reduces primary tumor growth and metastasis of uveal melanoma[J]. Clin Cancer Res, 2019, 25(7): 2206-2218. doi: 10.1158/1078-0432.CCR-18-1368
    [74] DERRIEN AC, RODRIGUES M, EECKHOUTTE A, et al. Germline MBD4 mutations and predisposition to uveal melanoma[J]. J Natl Cancer Inst, 2021, 113(1): 80-87. doi: 10.1093/jnci/djaa047
    [75] TAN SS, YANG H, XUE SH, et al. Chemokine receptor 4 targeted protein MRI contrast agent for early detection of liver metastases[J]. Sci Adv, 2020, 6(6): eaav7504. doi: 10.1126/sciadv.aav7504
    [76] PEH HY, TAN WS, LIAO W, et al. Vitamin E therapy beyond cancer: Tocopherol versus tocotrienol[J]. Pharmacol Ther, 2016, 162: 152-169. doi: 10.1016/j.pharmthera.2015.12.003
    [77] LASKOWSKI J, RENNER B, PICKERING MC, et al. Complement factor H-deficient mice develop spontaneous hepatic tumors[J]. J Clin Invest, 2020, 130(8): 4039-4054.
    [78] MEJIAS M, COCH L, BERZIGOTTI A, et al. Antiangiogenic and antifibrogenic activity of pigment epithelium-derived factor (PEDF) in bile duct-ligated portal hypertensive rats[J]. Gut, 2015, 64(4): 657-666. doi: 10.1136/gutjnl-2014-307138
    [79] MATSUMOTO K, ISHIKAWA H, NISHIMURA D, et al. Antiangiogenic property of pigment epithelium-derived factor in hepatocellular carcinoma[J]. Hepatology, 2004, 40(1): 252-259. doi: 10.1002/hep.20259
    [80] 郑慧丽, 曹程, 王颖异, 等. 基于"成分-靶点-通路"的枸杞子调控年龄相关性黄斑变性作用机制研究[J]. 中草药, 2021, 52(4): 1039-1048. https://www.cnki.com.cn/Article/CJFDTOTAL-ZCYO202104017.htm
    [81] ZHANG F, ZHANG X, GUO S, et al. An acidic heteropolysaccharide from Lycii fructus: Purification, characterization, neurotrophic and neuroprotective activities in vitro[J]. Carbohydr Polym, 2020, 249: 116894. doi: 10.1016/j.carbpol.2020.116894
    [82] ZHANG F, ZHANG X, GU YT, et al. Hepatoprotection of lycii fructus polysaccharide against oxidative stress in hepatocytes and larval zebrafish[J]. Oxidat Med Cell Longev, 2021, 2021: 1-14. http://www.researchgate.net/publication/349436044_Hepatoprotection_of_Lycii_Fructus_Polysaccharide_against_Oxidative_Stress_in_Hepatocytes_and_Larval_Zebrafish
    [83] 孙斌, 程娟, 闫春芳. 甲状腺相关性眼病的中西医结合诊疗思路[J]. 中国中医眼科杂志, 2020, 30(11): 761-766. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKZ202011001.htm
    [84] MOON J, CHOI SH, YOON CH, et al. Gut dysbiosis is prevailing in Sjögren's syndrome and is related to dry eye severity[J]. PLoS ONE, 2020, 15(2): e0229029. doi: 10.1371/journal.pone.0229029
    [85] GONG HJ, ZHANG SM, LI QG, et al. Gut microbiota compositional profile and serum metabolic phenotype in patients with primary open-angle Glaucoma[J]. Exp Eye Res, 2020, 191: 107921. doi: 10.1016/j.exer.2020.107921
    [86] ZYSSET-BURRI DC, KELLER I, BERGER LE, et al. Associations of the intestinal microbiome with the complement system in neovascular age-related macular degeneration[J]. NPJ Genom Med, 2020, 5: 34. doi: 10.1038/s41525-020-00141-0
    [87] BELI E, YAN YQ, MOLDOVAN L, et al. Restructuring of the gut microbiome by intermittent fasting prevents retinopathy and prolongs survival in db/db mice[J]. Diabetes, 2018, 67(9): 1867-1879. doi: 10.2337/db18-0158
    [88] DUAN YQ, PRASAD R, FENG DN, et al. Bone marrow-derived cells restore functional integrity of the gut epithelial and vascular barriers in a model of diabetes and ACE2 deficiency[J]. Circ Res, 2019, 125(11): 969-988. doi: 10.1161/CIRCRESAHA.119.315743
  • 加载中
图(3)
计量
  • 文章访问数:  982
  • HTML全文浏览量:  192
  • PDF下载量:  899
  • 被引次数: 0
出版历程
  • 收稿日期:  2021-02-18
  • 网络出版日期:  2021-12-21
  • 刊出日期:  2021-03-10
  • 发布日期:  2021-03-15

目录

    /

    返回文章
    返回