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1.广西中医药大学 研究生学院,南宁 530001
2.广西中医药大学 第一附属医院,南宁 530001
Published:20 December 2023,
Published Online:14 December 2022,
Received:20 September 2022,
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王金鑫,黎丽群,黄茂光等.中药多糖类成分诱导胃癌细胞凋亡的研究进展[J].中国实验方剂学杂志,2023,29(24):202-209.
WANG Jinxin,LI Liqun,HUANG Maoguang,et al.Chinese Medicine Polysaccharides Induce Apoptosis of Gastric Cancer Cells: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(24):202-209.
王金鑫,黎丽群,黄茂光等.中药多糖类成分诱导胃癌细胞凋亡的研究进展[J].中国实验方剂学杂志,2023,29(24):202-209. DOI: 10.13422/j.cnki.syfjx.20230326.
WANG Jinxin,LI Liqun,HUANG Maoguang,et al.Chinese Medicine Polysaccharides Induce Apoptosis of Gastric Cancer Cells: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(24):202-209. DOI: 10.13422/j.cnki.syfjx.20230326.
胃癌(GC)是一种发生于胃黏膜上皮组织并严重影响患者生命健康的消化道肿瘤,其死亡率居于恶性肿瘤第3位。虽然近年来医疗技术水平已取得了长足进步,但现今通过手术、化疗及靶向治疗等方法依然无法有效遏制GC进展。GC的发病机制异常复杂,与肿瘤微环境、慢性炎症及免疫逃逸等密切相关,其中肿瘤细胞的凋亡减少是GC发生发展的重要机制之一。凋亡是指在特定的生理或病理状态下,由基因所引起的细胞自行终止生命的过程,对于保持内环境稳定有着重要意义。研究人员发现,在GC状态下,线粒体内源性凋亡、内质网应激及外部死亡受体等凋亡途径,受多条信号通路及基因的调控,共同导致GC细胞凋亡率下降,从而促使GC病情的进展。中药具有多成分、多靶点、协同增效及不良反应少等优势及特色。大量研究表明,作为中药有效成分的多糖类成分,其具有抑癌、控制血糖、抗炎、抗氧化损伤、抗病毒等生物活性,可通过诱导细胞凋亡有效抑制GC的恶化,逐渐成为GC药物研发的热点。然而,目前尚未发现对中药多糖诱导GC细胞凋亡系统的、细致的综述报道,故该文对中药多糖促进细胞凋亡干预GC的研究进行分析、总结,以期为中药多糖干预GC的基础研究、新药研发与临床应用提供理论依据。
Gastric cancer (GC) is a digestive tract tumor that occurs in the epithelial tissues of the gastric mucosa, seriously affecting the life and health of patients, and its mortality rate ranks the third among malignancies. Although medical technology has made great progress in recent years, the progression of GC still cannot be effectively controlled by surgery, chemotherapy, and targeted therapy. The pathogenesis of GC is extremely complex and is closely related to the tumor microenvironment, chronic inflammation, and immune escape, among which the reduction of tumor cell apoptosis is one of the important mechanisms for the occurrence and development of GC. Apoptosis refers to the process of spontaneous termination of cell life caused by genes under specific physiological or pathological conditions, which is of great significance for maintaining the stability of the internal environment. Researchers have found that in the GC state, mitochondrial endogenous apoptosis, endoplasmic reticulum stress, external death receptors, and other apoptosis pathways are regulated by multiple signaling pathways and genes, which together lead to the decline of GC cell apoptosis rate and thus promote the progression of GC. Chinese medicine is advantageous and characterized by multiple components, multiple targets, synergistic effect, and few adverse reactions. A large number of studies have shown that polysaccharide components, as effective components of Chinese medicine, have biological activities such as cancer inhibition, blood sugar control, anti-inflammation, antioxidant damage, and anti-virus, and can effectively inhibit the deterioration of GC by inducing cell apoptosis, gradually becoming a hot spot in GC drug research and development. However, systematic reviews on the apoptosis of GC induced by Chinese medicine polysaccharides are rarely reported. Therefore, this paper analyzed and summarized the studies of Chinese medicine polysaccharides in promoting apoptosis and interfering with GC, in order to provide a theoretical basis for the basic research, new drug development, and clinical application of Chinese medicine polysaccharides in the intervention of GC.
胃癌(GC)中药多糖凋亡研究进展
gastric cancer(GC)Chinese medicine polysaccharidesapoptosisresearch progress
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