首都医科大学 附属北京世纪坛医院,北京 100038
宋姗姗,硕士,从事中医药防治肿瘤研究,E-mail:15253063568@163.com
姜敏,博士,主任医师,教授,博士生导师,从事中医肿瘤学研究,E-mail:jiangm1965@sina.com
收稿:2025-01-20,
修回:2025-02-26,
录用:2025-03-14,
网络首发:2025-03-20,
纸质出版:2026-03-20
移动端阅览
宋姗姗,姜敏,刘馨心等.中药活性成分及复方对肺癌上皮间质转化干预作用的研究进展[J].中国实验方剂学杂志,2026,32(06):336-346.
SONG Shanshan,JIANG Min,LIU Xinxin,et al.Interventional Effect of Active Ingredients of Chinese Medicine and Compound Formulas on Epithelial-mesenchymal Transition in Lung Cancer: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(06):336-346.
宋姗姗,姜敏,刘馨心等.中药活性成分及复方对肺癌上皮间质转化干预作用的研究进展[J].中国实验方剂学杂志,2026,32(06):336-346. DOI: 10.13422/j.cnki.syfjx.20251028.
SONG Shanshan,JIANG Min,LIU Xinxin,et al.Interventional Effect of Active Ingredients of Chinese Medicine and Compound Formulas on Epithelial-mesenchymal Transition in Lung Cancer: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(06):336-346. DOI: 10.13422/j.cnki.syfjx.20251028.
肺癌是全球癌症相关死亡的最主要原因,而肿瘤转移是导致大多数肺癌患者死亡的关键因素。上皮间质转化(EMT)的异常激活是驱动肺癌细胞进展与转移的强大引擎,其特征为高度分化、极化和有序的上皮细胞失去顶端-基底极性和细胞间黏附性,获得运动能力、迁移潜力和侵袭特性,细胞发生细胞骨架重塑,并转变为间质表型,同时伴有细胞标志物的相关变化。EMT过程非常复杂,受包括多种转录因子、翻译后控制、表观遗传修饰和非编码RNA介导等在内的复杂网络的严格调控。因此,针对肺癌恶性转化机制及其相关靶点的治疗在临床上具有重要意义。近年来,EMT作为癌症治疗的潜在靶点,受到了越来越多的关注。中药具有靶点多、不良反应小、治疗效果好等独特特性,在抗癌领域展现出重要作用。针对中药在抑制肺癌EMT过程中的作用,目前已开展了一系列研究。中药活性成分黄酮类、苷类、酚类、萜类、糖类、生物碱类等及中药复方对EMT具有明显的调控作用,其相关机制主要涉及信号通路、外泌体、微小核糖核酸(miRNA)、肿瘤相关免疫微环境等多途径、多靶点、多环节。文章总结EMT促进恶性肿瘤进展中的机制,对中药活性成分、单体和复方通过抑制EMT进而抑制肺癌细胞迁袭的研究现状进行总结,以期为肺癌的基础和临床转化研究提供较为全面的理论资料。
Lung cancer is the leading cause of cancer-related deaths worldwide, and tumor metastasis is a key factor contributing to the mortality of most lung cancer patients. Aberrant activation of epithelial-mesenchymal transition (EMT) is a major driver of lung cancer progression and metastasis. EMT is characterized by the loss of apical-basal polarity and intercellular adhesion in highly differentiated, polarized, and organized epithelial cells, which acquire motility, migratory potential, and invasive properties. During this process, cells undergo cytoskeletal remodeling and transform into a mesenchymal phenotype, accompanied by associated changes in cellular markers. The EMT process is highly complex and is tightly regulated by intricate networks involving multiple transcription factors, post-translational controls, epigenetic modifications, and non-coding RNAs. Therefore, therapies targeting the mechanisms of malignant transformation and their associated pathways in lung cancer are of significant clinical importance. In recent years, EMT has attracted increasing attention as a potential target for cancer therapy. Chinese medicine, with its characteristics of multi-target action, low side effects, and good therapeutic efficacy, has demonstrated an important role in anticancer treatment. A series of studies have investigated the role of Chinese medicine in inhibiting EMT in lung cancer. Active ingredients of Chinese medicine, including flavonoids, glycosides, phenols, terpenoids, saccharides, and alkaloids, as well as Chinese medicine compound formulas, have shown significant regulatory effects on EMT. Their mechanisms mainly involve multiple pathways, targets, and links, including signaling pathways, exosomes, microRNAs (miRNAs), and the tumor-associated immune microenvironment. This article summarizes the mechanisms by which EMT promotes malignant tumor progression and reviews the current research on how Chinese medicine active ingredients, monomers, and compound formulas inhibit EMT and suppress lung cancer cell migration and invasion. This study is expected to provide comprehensive theoretical information for basic and translational research on lung cancer.
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