1.河南中医药大学,郑州 450046
2.河南省中医院,郑州 450002
杨韧,在读硕士,从事中医药防治肝胆脾胃病的研究,E-mail:1350355659@qq.com
党中勤,主任医师,博士生导师,从事中西医结合治疗肝胆脾胃疾病的研究,E-mail:dzhqn@126.com
收稿:2025-02-16,
修回:2025-04-02,
录用:2025-04-07,
网络首发:2025-04-10,
纸质出版:2026-03-20
移动端阅览
杨韧,李梦阁,党志博等.基于NF-κB信号通路探讨中医药治疗肝细胞癌的研究进展[J].中国实验方剂学杂志,2026,32(06):327-335.
YANG Ren,LI Mengge,DANG Zhibo,et al.Traditional Chinese Medicine for Hepatocellular Carcinoma Treatment Based on NF-κB Signaling Pathway: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(06):327-335.
杨韧,李梦阁,党志博等.基于NF-κB信号通路探讨中医药治疗肝细胞癌的研究进展[J].中国实验方剂学杂志,2026,32(06):327-335. DOI: 10.13422/j.cnki.syfjx.20251224.
YANG Ren,LI Mengge,DANG Zhibo,et al.Traditional Chinese Medicine for Hepatocellular Carcinoma Treatment Based on NF-κB Signaling Pathway: A Review[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(06):327-335. DOI: 10.13422/j.cnki.syfjx.20251224.
肝细胞癌(HCC)作为原发性肝癌的主要亚型,在我国恶性肿瘤中发病率与死亡率均位居前列。该疾病早期症状或不明显,临床预后较差,患者生存率低,是严重威胁公众健康的重要疾病。其发病与肝炎病毒感染、饮酒、肥胖、药物损害、免疫紊乱等均有一定相关性,且可多因素结合共同致病。目前,现代医学治疗HCC的常用方法包括手术切除、肝移植、射频消融、放化疗等多种手段,但均存在一定局限性,如不良反应较大、预后较差等,对患者造成极大的心理及经济负担。中医药治疗肝癌历史悠久,具有多靶点、多层次、不良反应小、复发率低等优势,不仅可以增强疗效,还可减轻放化疗及手术后的不良反应,从而受到广泛关注。众多研究表明,中医药治疗确有抗肿瘤、抗炎和抗氧化等作用,其机制可能与调控核转录因子-
κ
B(NF-
κ
B)信号通
路有关,可以影响肝癌发生的多个阶段,如细胞增殖、侵袭、转移和凋亡。NF-
κ
B信号通路在中医药治疗HCC中的作用机制已成为当前肿瘤研究的重要方向之一。基于现有研究基础,采用系统性文献回顾方法,检索并分析近年相关中英文文献。通过整合NF-
κ
B信号通路的分子调控机制及其在HCC发生发展中的关键作用,可深入探讨中医药干预该通路治疗HCC的最新研究进展,有助于为中医药防治HCC提供新的理论依据和临床转化思路。
Hepatocellular carcinoma (HCC), the predominant subtype of primary liver cancer, ranks among the top in both incidence and mortality rates of malignant tumors in China. In its early stages, the disease may present with subtle or nonspecific symptoms, often leading to poor clinical prognosis and low patient survival rates, which makes it a significant public health concern. The pathogenesis is associated with multiple factors, including hepatitis virus infection, alcohol consumption, obesity, drug-induced liver injury, and immune disorders, which may interact synergistically to promote disease development. Currently, mainstream therapeutic approaches for HCC in modern medicine encompass surgical resection, liver transplantation, radiofrequency ablation, radiotherapy, and chemotherapy, but they all have certain limitations, such as large side effects and poor prognosis, imposing substantial psychological distress and financial strain on affected individuals. With a rich historical background in hepatic malignancy management, traditional Chinese medicine offers therapeutic benefits characterized by multi-targeted mechanisms, multi-level regulation, minimal adverse effects, and reduced likelihood of disease recurrence. It can not only enhance the curative effect, but also reduce the side effects of radiotherapy, chemotherapy, and surgery. Thus, it has attracted widespread attention. Extensive research has demonstrated that traditional Chinese medicine exhibits significant antitumor properties, along with notable anti-inflammatory and oxidative stress-reducing capabilities, and its mechanism may be related to the regulation of nuclear factor-kappa B (NF-
κ
B) signaling pathway, which can affect mult
iple stages of hepatocarcinogenesis, such as cell proliferation, invasion, metastasis, and apoptosis. The mechanism of NF-
κ
B signaling pathway in traditional Chinese medicine for HCC treatment has emerged as one of the pivotal research directions in current oncology studies. Based on the existing research foundation, a systematic literature review method was adopted to retrieve and analyze relevant Chinese and English literature in recent years. Integrating the molecular regulatory mechanisms of the NF-
κ
B signaling pathway and its pivotal role in HCC pathogenesis and progression helped further explore the latest research advances in traditional Chinese medicine interventions targeting this pathway for HCC treatment. This approach may provide novel theoretical foundations and translational strategies for the prevention and management of HCC using traditional Chinese medicine.
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