[关键词]
[摘要]
证候的客观量化是中医学有待突破的关键科学问题之一,系统生物学及信息分析技术是证本质研究的重要突破口。中医证候与生物网络动态平衡的阐释疾病发生发展的观点具有相通性,网络分析是揭示证候内涵的有效手段,其关键节点可用于证候潜在生物标志物的筛选。方证相应的疗效反馈是验证证候内涵的有效方式,基于药物靶标网络和证候网络“共模块”的比对分析,可以在系统的分子水平上明晰对证方药的作用机制,聚焦证候的潜在标志物,筛选和聚焦所得的证候潜在标志物最终仍需要大量反复的临床实践的验证。目前,中医证候实质的研究发展迅速,但总体尚属起步探索阶段,对证候的生物标志物群多处于初步单一的分析,缺乏对各种组学信息的整合、聚焦和验证。中医证候的研究需要从整体论和转化医学理念出发,立足临床,采用“病-证-方”结合及“整合-聚焦-验证”的体系思路,在严格的临床样本选择与质量控制前提下开展研究工作。
[Key word]
[Abstract]
The needs of objectification and quantification of TCM syndrome is one of the key scientific issues to be addressed.Systematic biology and bio-information analysis technologies are critical breakthrough in this field.In view of the similarities between the syndrome and biological networks,the inference of network analysis method may be an effective way to reveal the connotation of syndrome and screen syndrome markers.The corresponding decoction efficacy feedback is effectient to verify the connotation of syndrome,and the "comodule"-based comparitive analysis between syndrome molecular biology network and drug target network can unfold the mechanism of prescriptions and focus on potential syndrome biomarkers.The potential biomarkers of syndromes will ultimately need verifying through massive clinical practice.At present,studies of TCM syndrome developed rapidly,though they are under preliminary exploration,lacking the integration, focusing and verification of omics.TCM syndrome research rested on holistic view and translational medicine considering the theories of“disease-syndrome-prescription”and“integration-focus-verification”,and it was pressed ahead under the rigorous clinical sample selection and quality control.
[中图分类号]
[基金项目]
科学技术部国家“十一五”重大科技专项(2009ZX10004-601):病毒性肝炎证候生物学基础研究平台的建立,负责人:胡义扬;科学技术部国家“十二五”重大科技专项(2012ZX10005001-004):基于转化医学的慢性乙型病毒性肝炎中医证候生物学研究,负责人:胡义扬;国家自然科学基金委面上项目(81373857):基于代谢组和转录组的慢性乙型肝炎患者不同舌象生物学基础研究,负责人:胡义扬;国家自然科学基金委青年科学基金项目(81403298):基于方证生物网络的慢性乙型肝炎肝胆湿热证潜在标志物研究,负责人:赵瑜;上海市科学技术委员会自然基金项目(14ZR1442000):基于方-证生物网络的慢性乙型肝炎肝胆湿热证客观化研究,负责人:赵瑜。