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1.江西中医药大学 现代中药制剂教育部重点实验室,南昌 330004
2.江西古香今韵大健康产业有限公司,南昌 330115
Received:31 March 2022,
Published Online:21 June 2022,
Published:05 September 2022
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杜清,刘熠新,叶明方等.中药挥发油在乳腺癌防治方面的研究进展[J].中国实验方剂学杂志,2022,28(17):226-234.
DU Qing,LIU Yixin,YE Mingfang,et al.Volatile Oils from Chinese Medicine in Prevention and Treatment of Breast Cancer: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(17):226-234.
杜清,刘熠新,叶明方等.中药挥发油在乳腺癌防治方面的研究进展[J].中国实验方剂学杂志,2022,28(17):226-234. DOI: 10.13422/j.cnki.syfjx.20221722.
DU Qing,LIU Yixin,YE Mingfang,et al.Volatile Oils from Chinese Medicine in Prevention and Treatment of Breast Cancer: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2022,28(17):226-234. DOI: 10.13422/j.cnki.syfjx.20221722.
乳腺癌是一种多致病因子作用产生的全身性恶性肿瘤,病理发生机制复杂且迄今为止尚未明确,已日渐成为威胁女性生命健康的第一大杀手。现代医学治疗乳腺癌的常用手段以外科手术切除病灶并结合放射及化学疗法、内分泌治疗、靶向治疗等的综合疗法为主,但西医疗法局限性大,实际临床中仍有相当一部分乳腺癌患者的病情控制不佳、肿瘤复发率高,同时这些方法产生的一系列不良反应和并发症也较大程度地影响患者的生活质量。故开发新的药物或寻找安全有效的替代疗法对抗乳腺癌刻不容缓。中药挥发油作为一类独具特色的挥发性中药材组分,在抗炎、抗病毒、抗肿瘤等方面具有显著的药理活性,通过发挥扶正祛邪、行气化瘀、温阳化瘀、疏肝解郁的独特疗效,其在乳腺癌的干预治疗领域得到应用并取得一定的成效。近年来国内外诸多学者证实中药挥发油及其化学成分能通过多途径的作用机制防治乳腺癌,但缺乏系统性梳理归纳,笔者通过查阅近年中外文相关文献,发现其可通过调节体内雌激素水平、抑制癌细胞增殖与诱导其凋亡、增强机体免疫、抗炎和调控情绪等机制途径有效抑制乳腺癌的发生发展。基于此,该文通过综述乳腺癌的发病机制、中药挥发油防治乳腺癌的优势和特色及中药挥发油干预乳腺癌的作用机制3个方面,以期为中药挥发油治疗乳腺癌的相关研究拓展新的思路与方法。
Breast cancer is a systemic malignant tumor caused by multiple pathogenic factors, and its pathological mechanism is complex and has not been clarified so far. It has gradually become the largest killer threatening women's life. The common method for the treatment of breast cancer is lesion resection combined with radiation and chemical therapy, endocrine therapy, or targeted therapy. However, due to the limitations of western medicine therapies, there are still considerable breast cancer patients with poor disease control and high tumor recurrence rate in clinical practice. At the same time, the side effects and complications produced by these therapies affect the quality of life of patients. Therefore, it is urgent to develop new drugs or find safe and effective alternative therapies against breast cancer. Volatile oil (VO), as a unique volatile component of Chinese herbal medicines, has anti-inflammatory, antiviral, and anti-tumor activities. It has been applied in the treatment of breast cancer and has demonstrated good efficacy by exerting the unique effects of strengthening healthy Qi, eliminating pathogenic factors, moving Qi, resolving stasis, warming Yang, soothing liver, and relieving depression. The recent studies have confirmed that VO and its chemical components can prevent and treat breast cancer via multiple mechanisms, while there is a lack of systematic review. The relevant literature published in recent years has demonstrated that VO can inhibit the occurrence and development of breast cancer by regulating the level of estrogen, inhibiting the proliferation and inducing the apoptosis of cancer cells, enhancing immunity, resisting inflammation, and regulating emotions. We introduced the pathogenesis of breast cancer, as well as the mechanisms and advantages of VO in the prevention and treatment of breast cancer, aiming to provide new ideas for the research on VO in the treatment of breast cancer.
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