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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:05 October 2023,
Published Online:19 July 2023,
Received:08 December 2022,
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徐明瑶,黎丽群,刘鑫等.中药通过NF-κB信号通路干预结直肠癌的研究进展[J].中国实验方剂学杂志,2023,29(19):243-256.
XU Mingyao,LI Liqun,LIU Xin,et al.Traditional Chinese Medicine Intervention in Colorectal Cancer Based on NF-κB Signaling Pathway: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(19):243-256.
徐明瑶,黎丽群,刘鑫等.中药通过NF-κB信号通路干预结直肠癌的研究进展[J].中国实验方剂学杂志,2023,29(19):243-256. DOI: 10.13422/j.cnki.syfjx.20231599.
XU Mingyao,LI Liqun,LIU Xin,et al.Traditional Chinese Medicine Intervention in Colorectal Cancer Based on NF-κB Signaling Pathway: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2023,29(19):243-256. DOI: 10.13422/j.cnki.syfjx.20231599.
结直肠癌(CRC)是全世界癌症患者死亡的主要原因之一,其发病率及死亡率呈逐年上升趋势。该病起病隐匿,发病初期缺少特异性症状,多数患者确诊时已处于晚期,现已成为消化系统肿瘤领域的热点研究问题。CRC的发病机制尚不明确,涉及遗传、基因突变、炎症反应、肿瘤相关信号通路的异常激活等因素。核转录因子-
κ
B(NF-
κ
B)是一种重要的转录因子,参与炎症反应、免疫反应、细胞增殖和细胞凋亡等多种生物学过程。有研究表明,作为连接炎症和癌症的分子中枢,NF-
κ
B在CRC中高度表达,并通过调控细胞促炎因子、趋化因子、血管生成因子、转移因子及抗凋亡蛋白等靶基因的活性,促进CRC的发生发展。目前,CRC的常用治疗策略是手术、放疗和5-氟尿嘧啶等化疗药物,但存在不良反应较大、转移率高、易产生耐药性等局限性。因此,需要寻找高效、低不良反应的药物来替代或补充当前的治疗。近年来,中医药在防治CRC上取得了一定的成效,研究发现中医药能够通过调控NF-
κ
B信号通路抑制CRC细胞的生长,从而在CRC的发病及病情的进展过程中发挥积极的作用。故而,基于CRC本虚标实、虚实夹杂的病机特点,该文总结和分析了中药靶向NF-
κ
B信号通路干预CRC的机制和作用,梳理了具有祛邪、扶正解毒功效的10个中药复方及黄酮类、酚类、生物碱类、苷类、萜类等37个不同类型的中药单体成分靶向NF-
κ
B通路防治CRC的研究现状,发现中药通过调控NF-
κ
B信号通路抑制CRC细胞增殖、侵袭、转移、血管生成、炎症反应,并诱导细胞凋亡、恢复药物及放疗敏感性,进而拮抗CRC,以期为CRC机制的深入探索及治疗提供一定的参考和依据。
Colorectal cancer (CRC) is one of the leading causes of cancer-related deaths worldwide, with increasing incidence and mortality rates. The disease often develops covertly and lacks specific symptoms in its early stages, leading to late-stage diagnoses in most patients. It has become a prominent research topic in the field of digestive system tumors. The exact mechanisms underlying CRC are not yet clear and involve factors such as genetics, gene mutations, inflammatory responses, and aberrant activation of tumor-related signaling pathways. Nuclear factor-kappa B (NF-
κ
B) is a crucial transcription factor that participates in various biological processes, including inflammatory responses, immune responses, cell proliferation, and apoptosis. Research suggests that NF-
κ
B, serving as a molecular link between inflammation and cancer, is highly expressed in CRC. It promotes the occurrence and development of CRC by regulating the activity of target genes such as cell pro-inflammatory factors, chemokines, angiogenic factors, metastasis factors, and anti-apoptotic proteins. Currently, common treatments for CRC include surgery, radiation therapy, and chemotherapy drugs like 5-fluorouracil. However, these treatments have limitations such as significant adverse reactions, high metastasis rates, and the development of drug resistance. Therefore, the search for effective, low-adverse-reaction drugs to replace or supplement current treatments is essential. In recent years, traditional Chinese medicine (TCM) has shown some effectiveness in preventing and treating CRC. TCM has been found to inhibit the growth of CRC cells by modulating the NF-
κ
B signaling pathway, playing a positive role in the occurrence and progression of CRC. Based on the asthenia in origin and sthenia in superficiality and deficiency-excess in complexity in CRC, this article summarized and analyzed the mechanisms and effects of TCM interventions targeting the NF-
κ
B signaling pathway in CRC, and reviewed advances of 10 Chinese medicinal compound formulas and 37 Chinese medicinal monomer components of different types, including flavonoids, phenols, alkaloids, glycosides, and terpenoids with the effects of dispelling pathogenic factors, reinforcing healthy qi, and removing toxins in the prevention and treatment of CRC by targeting the NF-
κ
B pathway. It is found that Chinese medicine can inhibit CRC cell proliferation, invasion, metastasis, angiogenesis, and inflammation by modulating the NF-
κ
B signaling pathway, induce cell apoptosis, restore drug and radiation sensitivity, and counteract CRC. This article is expected to provide insights and references for the in-depth exploration and treatment of CRC mechanisms.
结直肠癌核转录因子-κB(NF-κB)信号通路中药研究进展
colorectal cancernuclear factor-kappa B(NF-κB)signaling pathwayChinese medicineresearch progress
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