肝星状细胞（Hepatic stellate cell，HSC）活化是肝纤维化发生发展过程中的关键环节。活化 HSC 的代谢 重编程已成为当前研究的热点，尤其糖酵解的改变是调控 HSC 活化的重要因素。该文基于 HSC 活化过程中的 代谢重编程，阐述了通过糖酵解调控 HSC 活化及肝纤维化的机制，并对中药及其活性成分调节 HSC 糖酵解防 治肝纤维化的研究进展进行了综述。肝纤维化是涉及多因素、多通路的复杂病理过程，调节活化 HSC 的糖酵 解为抗肝纤维化药物的研发提供了一种新思路。

Hepatic stellate cell （HSC）activation is a key link in the development of liver fibrosis. The metabolic reprogramming of activated HSC has become a hot topic in current research，especially the change of glycolysis is an important factor in regulating HSC activation. Based on the metabolic reprogramming in the process of HSC activation， this paper expounds the mechanism of regulating HSC activation and liver fibrosis through glycolysis， and reviews the research progress of traditional Chinese medicine and its active ingredients in regulating HSC glycolysis to prevent and treat liver fibrosis. Liver fibrosis is a complex pathological process involving multiple factors and pathways. From the perspective of regulating the glycolysis of activated HSC，it can provide a new idea for the development of anti-liver fibrosis drugs.

R285.5

国家自然科学基金面上项目（82274616）；广东省科技计划国际合作项目（2020A0505100052）；广东省基础与应用基础研究基金企业联 合基金项目（2022A1515220121）。