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上海中医药大学附属市中医医院,上海市静安区芷江中路274号,200071
Received:23 April 2025,
Revised:2025-07-19,
Published:02 October 2025
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钦扬,唐华燕.系统性红斑狼疮动物模型的中医病证结合动态建模策略[J].中医杂志,2025,66(19):2006-2013.
QIN Yang,TANG Huayan.Dynamic Modeling Optimization for Animal Model of Systemic Lupus Erythematosus based on Disease-Syndrome Integration Theory in Traditional Chinese Medicine[J].Journal of Traditional Chinese Medicine,2025,66(19):2006-2013.
钦扬,唐华燕.系统性红斑狼疮动物模型的中医病证结合动态建模策略[J].中医杂志,2025,66(19):2006-2013. DOI: 10.13288/j.11-2166/r.2025.19.008.
QIN Yang,TANG Huayan.Dynamic Modeling Optimization for Animal Model of Systemic Lupus Erythematosus based on Disease-Syndrome Integration Theory in Traditional Chinese Medicine[J].Journal of Traditional Chinese Medicine,2025,66(19):2006-2013. DOI: 10.13288/j.11-2166/r.2025.19.008.
目前系统性红斑狼疮(SLE)动物模型主要基于西医理论构建,难以体现中医证候动态演变规律。系统梳理现有四种SLE动物模型即自发型、诱导型、人源化、基因修饰模型的优缺点,结合SLE中医证候演变规律,提出实现分阶段、分证型、分时机的动态药物干预的建模设计方法。通过多模态监测获取动物模型的全方位指征,构建疾病-证候关联框架,并通过受试者工作特征(ROC)曲线和K-means聚类分析划分疾病阶段,预测证候转化的临界值,实现模型动态匹配。另外,为优化量化评估,亦可通过熵权法分阶段计算指标权重,以提升模型的中医辨证适配性。基于中医病证结合理念的SLE动物模型的动态建模策略,有助于优化中药复方疗效评价,推动SLE分期精准诊疗及新药开发。
Current systemic lupus erythematosus (SLE) animal models are predominantly constructed based on western medical paradigms and therefore fail to adequately capture the dynamic evolution of traditional Chinese medicine (TCM) syndromes. This article systematically reviewed the strengths and limitations of four existing SLE animal models including the spontaneous, induced, humanized, and genetically-modified ones, in light of the evolution of TCM syndromes in SLE, and proposed a modeling design that enables dynamic pharmacological interventions tailored to disease stage, TCM syndrome pattern, and therapeutic timing. By acquiring comprehensive indices of the animal models via multimodal monitoring, a disease-syndrome association framework has been constructed, and through receiver operating characteristic (ROC) curve analysis and K-means clustering, disease stages are delineated, and critical thresholds for syndrome transitions are predicted, thereby achieving dynamic model matching. In addition, to optimize quantitative evaluation, the entropy weight method can be used to compute stage-specific indicator weights, thereby enhancing the model's adaptability to TCM syndrome differentiation. A dynamic modeling strategy for SLE animal models grounded in the TCM concept of disease-syndrome integration can optimize the efficacy evaluation of Chinese herbal formulae and advance stage-based precision diagnosis, treatment, and new drug development.
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