实验动物与比较医学2026，Vol.46Issue(3)：344-356,13.DOI:10.12300/j.issn.1674-5817.2025.107
缺血性脑卒中动物模型的中西医整合转化研究进展
Advances in Integrative Translational Research on Animal Models of Ischemic Stroke in Traditional Chinese and Western Medicine
摘要
Abstract
The pathophysiological process of ischemic stroke(IS)is highly complex.Current clinical treatments are limited by a narrow therapeutic time window and are inadequate for improving residual neurological dysfunction.Therefore,animal models have become essential tools for exploring the pathological mechanisms of this disease from both traditional Chinese medicine(TCM)and Western medicine perspectives,as well as for evaluating innovative therapeutic strategies.This review systematically outlines existing IS modeling methods and cutting-edge advances.It comparatively integrates the multi-layered pathogeneses in Western medicine,including excitotoxicity,oxidative stress,inflammatory responses,blood-brain barrier injury,ferroptosis,and PANoptosis,with the core TCM pathogenesis characterized by disorders of Qi and blood and functional imbalance caused by"wind,fire/heat,phlegm,blood stasis,and deficiency."Furthermore,this paper categorizes and compares the specific modeling techniques,evaluation indicators,and respective advantages and limitations of focal cerebral ischemia models,global cerebral ischemia models,and TCM disease-syndrome combined models,such as the Qi deficiency and blood stasis syndrome.Literature review suggests that,by exploring emerging cell death mechanisms like PANoptosis and introducing environmental stress or dietary interventions on the basis of ischemic modeling,specific TCM syndromes associated with IS can be preliminarily screened out and replicated.It provides a feasible approach for objectively elucidating the biological basis of TCM interventions involving multiple targets and pathways.Given that traditional single-disease models fail to fully capture the complexity and individual heterogeneity of the cerebral network microenvironment in clinical patients,future research on IS animal models should focus on the deep integration of TCM and Western medicine in pathogenesis.By leveraging multidisciplinary technologies,such as gene editing,high-resolution in vivo imaging,artificial intelligence-driven multi-omics analysis,and brain organoids,researchers can construct high-biomimetic,multi-dimensional models that closely mirror clinical scenarios,thereby effectively improving the success rate of translating innovative IS therapies from basic research to clinical application.关键词
缺血性脑卒中/动物模型/泛凋亡/中西医结合/病证结合模型Key words
Ischemic stroke/Animal models/PANoptosis/Integrated traditional Chinese and Western medicine/Model of combined disease and syndrome分类
生物科学引用本文复制引用
潘林琴,邓向亮,罗云霞..缺血性脑卒中动物模型的中西医整合转化研究进展[J].实验动物与比较医学,2026,46(3):344-356,13.基金项目
广东省基础与应用基础研究基金项目"基于TRADD介导的神经元PANoptosis作用探讨当归芍药散治疗缺血性脑中风的机制研究"(2023A1515110725) （2023A1515110725）
广东省医学科学技术研究基金项目"基于TNFα/TNFR1信号通路诱导的神经元泛凋亡探讨缺血性脑中风的发病机制"(A2024480) （A2024480）
广东省中医药局科研项目"基于TNF-α-TNFR-泛凋亡信号通路探讨白芍活性成分山柰酚治疗缺血性脑中风的分子机制"(20251214) （20251214）
国家自然科学基金-包干制项目"基于肝脾二脏理论从TNFα-TNFR1-PANoptosis信号通路探讨当归芍药散择时治疗缺血性脑中风的机制研究"(82505328) （82505328）
