تقدم البحث في علاج سرطان المريء باستخدام الطب الصيني التقليدي بناءً على مسار إشارة PI3K/Akt

  • role: First author第一作者
  • Affiliation:

    The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China

    The First Clinical Medical School of Henan University of Chinese Medicine,Zhengzhou 450046,China

  • Email:507389736@qq.com
  • Introduction:郭伟,在读硕士,从事中西医结合防治恶性肿瘤疾病研究,E-mail:507389736@qq.com
GUO Wei12,  
  • Affiliation:

    The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China

    The First Clinical Medical School of Henan University of Chinese Medicine,Zhengzhou 450046,China

PENG Chen12,  
  • Affiliation:

    The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China

    The First Clinical Medical School of Henan University of Chinese Medicine,Zhengzhou 450046,China

WANG Yikun12,  
  • Affiliation:

    The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China

    The First Clinical Medical School of Henan University of Chinese Medicine,Zhengzhou 450046,China

YU Zixuan12,  
  • Affiliation:

    The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China

    The First Clinical Medical School of Henan University of Chinese Medicine,Zhengzhou 450046,China

LIU Jintao12,  
  • Affiliation:

    The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China

    The First Clinical Medical School of Henan University of Chinese Medicine,Zhengzhou 450046,China

DING Jing12,  
  • Affiliation:

    The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China

    The First Clinical Medical School of Henan University of Chinese Medicine,Zhengzhou 450046,China

LI Yijing12,  
  • role: Corresponding author通信作者
  • Affiliation:

    The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China

  • Email:447334004@qq.com
  • Introduction:孙宏新,博士,主任医师,从事中西医结合防治恶性肿瘤疾病研究,E-mail:447334004@qq.com
SUN Hongxin1*

ملخص

سرطان المريء (EC) هو نوع شائع من الأورام الخبيثة في بلادنا، ومسار الإشارة فسفاتيديلينوسيتول 3-كيناز (PI3K)/بروتين كيناز B (Akt) كأحد المسارات الرئيسية المسببة للسرطان، يمكنه تعزيز تقدم دورة الخلية، التكاثر، الهجرة والاقتحام لخلايا EC، وتحفيز مقاومة الخلايا للعلاج الإشعاعي والكيميائي وقمع موت الخلايا المبرمج والالتهام الذاتي. الطب الصيني التقليدي، بفضل تعدد أهدافه ومكوناته، يمكنه استهداف مسار الإشارة PI3K/Akt لعلاج EC. تستكشف هذه الورقة الميكانيزمات الجزيئية ودور مسار PI3K/Akt في EC، وتوضح بالتفصيل الأهداف الفعالة والعلاجية للأدوية الصينية التي تدخل في علاج EC عبر التدخل في هذا المسار خلال السنوات الخمس الأخيرة. تشمل الأدوية الصينية التي تثبط مسار PI3K/Akt في EC الأعشاب المفردة والمستخلصات مثل الأبسفون الطبيعي، مسحوق أبواغ عشبة الريشي المنزوعة الجدران، مستخلصات ساق الأفعى الجنوبية، مستخلص جذر الهندباء، ومحلول بذور الزيت. المكونات الفعالة تشمل الفلافونويدات، التربين، السابونينات، الفينولات، السكريات، القلويات ومركبات أخرى. التركيبات العشبية تشمل تشي جيه سان، هو تشي سان، شوان فو داي شيه تانغ، تونغ يو تانغ ومشتقاتها، ليو جون زي تانغ وفورمولات السيليكون والجينسنغ، بالإضافة إلى مستحضرات حقن مركبة من الأعشاب مثل مشتقات عشبة القلقاس والمستخلصات الآمنية. تستعرض هذه الورقة الميكانيزمات وتأثيرات التدخل الصيني التقليدي في مسار PI3K/Akt بهدف تقديم مرجع لبحث وتطبيق أدوية جديدة لعلاج EC.

مفهوم

فسفاتيديلينوسيتول 3-كيناز (PI3K)/بروتين كيناز B (Akt);سرطان المريء;الطب الصيني التقليدي;تقدم البحث

References

  1. 1.
    BRAY F,LAVERSANNE M,SUNG H,et al. Global cancer statistics 2022:GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin,2024,74(3):229-263.
  2. 2.
    LIU Y Y,WEI J L,JIANG R,et al.Research progress on the epidemiology and screening of esophageal cancer[J].Chin J Dis Control Prev,2022,26(7):839-844.
  3. 3.
    PENG M F,TIAN S,LI C H,et al.Pathogenesis of esophageal cancer and clinical intervention of traditional Chinese medicine:A review[J].Chin J Exp Tradit Med Form,2022,28(12):267-274.
  4. 4.
    LIU Y,YANG H,XIONG J,et al. Icariin as an emerging candidate drug for anticancer treatment:Current status and perspective[J]. Biomed Pharmacother,2023,157:113991.
  5. 5.
    DUAN X,PAN L,DENG Y,et al. Dandelion root extract affects ESCC progression via regulating multiple signal pathways[J]. Food Funct,2021,12(19):9486-9502.
  6. 6.
    YANG J,NIE J,MA X,et al. Targeting PI3K in cancer:Mechanisms and advances in clinical trials[J]. Mol Cancer,2019,18(1):26.
  7. 7.
    AL-HAWARY S I S,RUZIBAKIEVA M,GUPTA R,et al. Detailed role of microRNA-mediated regulation of PI3K/Akt axis in human tumors[J]. Cell Biochem Funct,2024,42(1):e3904.
  8. 8.
    KHEZRI M R,MOHAMMADIPANAH S,GHASEMNEJAD-BERENJI M. The pharmacological effects of Berberine and its therapeutic potential in different diseases:Role of the phosphatidylinositol 3-kinase/Akt signaling pathway[J]. Phytother Res,2024,38(1):349-367.
  9. 9.
    GLAVIANO A,FOO A S C,LAM H Y,et al. PI3K/Akt/mTOR signaling transduction pathway and targeted therapies in cancer[J]. Mol Cancer,2023,22(1):138.
  10. 10.
    XUE C,LI G,LU J,et al. Crosstalk between circRNAs and the PI3K/Akt signaling pathway in cancer progression[J]. Signal Transduct Target Ther,2021,6(1):400.
  11. 11.
    MA J,ZHANG Y,DENG H,et al. Thymoquinone inhibits the proliferation and invasion of esophageal cancer cells by disrupting the Akt/GSK-3β/Wnt signaling pathway via PTEN upregulation[J]. Phytother Res,2020,34(12):3388-3399.
  12. 12.
    WANG H,YANG X,GUO Y,et al. HERG1 promotes esophageal squamous cell carcinoma growth and metastasis through TXNDC5 by activating the PI3K/Akt pathway[J]. J Exp Clin Cancer Res,2019,38(1):324.
  13. 13.
    WANG L,ZHANG Z,YU X,et al. SOX9/miR-203a axis drives PI3K/Akt signaling to promote esophageal cancer progression[J]. Cancer Lett,2020,468:14-26.
  14. 14.
    FU X,CUI G,LIU S,et al. Linc01014 regulates gefitinib resistance in oesophagus cancer via EGFR-PI3K-Akt-mTOR signalling pathway[J]. J Cell Mol Med,2020,24(2):1670-1675.
  15. 15.
    TEWARI D,PATNI P,BISHAYEE A,et al. Natural products targeting the PI3K-Akt-mTOR signaling pathway in cancer:A novel therapeutic strategy[J]. Semin Cancer Biol,2022,80:1-17.
  16. 16.
    WANG M,GAO M,CHEN Y,et al. PLCD3 promotes malignant cell behaviors in esophageal squamous cell carcinoma via the PI3K/Akt/P21 signaling[J]. BMC Cancer,2023,23(1):921.
  17. 17.
    LIU J,MAYEKAR M K,WU W,et al. Long non-coding RNA ESCCAL-1 promotes esophageal squamous cell carcinoma by down regulating the negative regulator of APOBEC3G[J]. Cancer Lett,2020,493:217-227.
  18. 18.
    HOU G,JIA A,YANG L,et al. OP16 induces deadly autophagy and apoptosis of cells by inhibiting Akt in esophageal squamous cell carcinoma[J]. Mol Cell Biochem,2020,472(1/2):219-230.
  19. 19.
    CHEN X,WANG J,SONG L,et al. Downregulation of fibulin-4 inhibits autophagy and promotes the sensitivity of esophageal squamous cell carcinoma cells to apatinib by activating the Akt-mTOR signaling pathway [J]. Thorac Cancer,2022,13(18):2592-2605.
  20. 20.
    XU J C,CHEN T Y,LIAO L T,et al. NETO2 promotes esophageal cancer progression by inducing proliferation and metastasis via PI3K/Akt and ERK pathway[J]. Int J Biol Sci,2021,17(1):259-270.
  21. 21.
    CHENG X,WEI L,HUANG X,et al. Solute carrier family 39 member 6 gene promotes aggressiveness of esophageal carcinoma cells by increasing intracellular levels of zinc,activating phosphatidylinositol 3-kinase signaling,and up-regulating genes that regulate metastasis[J]. Gastroenterology,2017,152(8):1985-1997.
  22. 22.
    SUN S,PAN Y J,TAN J S,et al.The effect of the m6A reader protein IGF2BP1 on the biological behavior of esophageal squamous cell carcinoma cells and mechanism exploration[J].Genomics Appl Biol,2024,43(6):1078-1092.
  23. 23.
    LIU B,ZHANG B,QI J,et al. Targeting MFGE8 secreted by cancer-associated fibroblasts blocks angiogenesis and metastasis in esophageal squamous cell carcinoma[J]. Proc Natl Acad Sci USA,2023,120(42):e2307914120.
  24. 24.
    WANG C,LI Y,WANG L,et al. SPP1 represents a therapeutic target that promotes the progression of oesophageal squamous cell carcinoma by driving M2 macrophage infiltration[J]. Br J Cancer,2024,130(11):1770-1782.
  25. 25.
    WANG C,LI S,LIU J,et al. Silencing of S-phase kinase-associated protein 2 enhances radiosensitivity of esophageal cancer cells through inhibition of PI3K/Akt signaling pathway[J]. Genomics,2020,112(5):3504-3510.
  26. 26.
    ZHANG Z F,HUANG T J,ZHANG X K,et al. AKR1C2 acts as a targetable oncogene in esophageal squamous cell carcinoma via activating PI3K/Akt signaling pathway[J]. J Cell Mol Med,2020,24(17):9999-10012.
  27. 27.
    MENG X,DONG X,WANG W,et al. Natural borneol enhances paclitaxel-induced apoptosis of escc cells by inactivation of the PI3K/Akt[J]. J Food Sci,2018,83(5):1436-1443.
  28. 28.
    LIU G,ZENG T. Sporoderm-removed ganoderma lucidum spore powder may suppress the proliferation,migration,and invasion of esophageal squamous cell carcinoma cells through PI3K/Akt/mTOR and Erk pathway[J]. Integr Cancer Ther,2021,20:15347354211062157.
  29. 29.
    FU H Y,LI M.Effects of brucea javanica oil emulsion on proliferation,apoptosis and autophagy of esophageal squamous cell carcinoma TE-1 cells and its possible mechanism[J].Chin J Cancer Biother,2023,30(7):560-567.
  30. 30.
    LI B,GUO Z L,ZHOU P,et al.Puerarin affects the growth and metastasis of esophageal squamous cell carcinoma in vitro and in vivo by regulating PI3K/Akt signaling pathway[J].Pharmacol Clin Chin Mater Med,2020,36(1):109-114.
  31. 31.
    HONG P,LIU Q W,XIE Y,et al. Echinatin suppresses esophageal cancer tumor growth and invasion through inducing Akt/mTOR-dependent autophagy and apoptosis[J]. Cell Death Dis,2020,11(7):524.
  32. 32.
    ZHAO J,LI L,WANG Z,et al. Luteolin attenuates cancer cell stemness in PTX-resistant oesophageal cancer cells through mediating SOX2 protein stability[J]. Pharmacol Res,2021,174:105939.
  33. 33.
    YANG Z Z,CHANG C,GAO N,et al.Molecular mechanism of luteolin for inhibiting esophageal squamous cell carcinoma based on network pharmacology and in vitro studies[J].Chin J Pharmacovigil,2023,20(9):992-1001.
  34. 34.
    YANG Z,LIU H,SONG Y,et al. Luteolin enhances drug chemosensitivity by downregulating the FAK/PI3K/Akt pathway in paclitaxel‑resistant esophageal squamous cell carcinoma[J]. Int J Mol Med,2024,54(3):77.
  35. 35.
    TANG F,YANG C H,ZHANG W T,et al.Effects of alpinetin on apoptosis,autophagy and PI3K/Akt/mTOR signaling pathway of esophageal cancer EC9706 cells[J]. J Guangxi Med Univ,2021,38(10):1887-1892.
  36. 36.
    GUO Z,TANG Y P,LI M L,et al.Study on the mechanism of quercetin alleviating 4-nitroquinoline-1-oxide induced esophageal cancer in mice[J].Res Pract Chin Med,2023,37(4):24-29.
  37. 37.
    GU Z F,ZHANG Z T,WANG J Y,et al. Icariin exerts inhibitory effects on the growth and metastasis of KYSE70 human esophageal carcinoma cells via PI3K/Akt and STAT3 pathways[J]. Environ Toxicol Pharmacol,2017,54:7-13.
  38. 38.
    CHEN X,HE L Y,LAI S,et al. Dihydroartemisinin inhibits the migration of esophageal cancer cells by inducing autophagy[J]. Oncol Lett,2020,20(4):94.
  39. 39.
    PENG Y,ZHOU T,WANG S,et al. Dehydrocostus lactone inhibits the proliferation of esophageal cancer cells in vivo and in vitro through ROS-mediated apoptosis and autophagy[J]. Food Chem Toxicol,2022,170:113453.
  40. 40.
    LIANG Y,LI S. β-elemeneuppresses migration of esophageal squamous cell carcinoma by modulating expression of MMP9 through the PI3K/Akt/NF-κB pathway[J]. Comb Chem High Throughput Screen,2023,26(13):2304-2320.
  41. 41.
    ZHANG Q,LI Y J,JIA X L,et al.Effect of tanshinone ⅡA on radiotherapy sensitivity of esophageal cancer cells by regulating PI3K/Akt/mTOR signaling pathway[J].Drugs Clinic,2023,38(11):2645-2654.
  42. 42.
    ALAM S S M,SAMANTA A,UDDIN F,et al. Tanshinone IIA targeting cell signaling pathways:A plausible paradigm for cancer therapy[J]. Pharmacol Rep,2023,75(4):907-922.
  43. 43.
    ZHANG L,LIANG H,XIN Y. Cucurbitacin E inhibits esophageal carcinoma cell proliferation,migration,and invasion by suppressing Rac1 expression through PI3K/Akt/mTOR pathway[J]. Anticancer Drugs,2020,31(8):847-855.
  44. 44.
    GUO J L,LI C,WANG Y,et al.Research progress on development and utilization of minor ginsenosides[J].China J Chin Mater Med,2024,49(2):304-314.
  45. 45.
    ZHANG D,WANG A,FENG J,et al. Ginsenoside Rg5 induces apoptosis in human esophageal cancer cells through the phosphoinositide‑3 kinase/protein kinase B signaling pathway[J]. Mol Med Rep,2019,19(5):4019-4026.
  46. 46.
    LIU H,ZHAO J,FU R,et al. The ginsenoside Rk3 exerts anti-esophageal cancer activity in vitro and in vivo by mediating apoptosis and autophagy through regulation of the PI3K/Akt/mTOR pathway[J]. PLoS One,2019,14(5):e0216759.
  47. 47.
    DENG X,ZHAO J,QU L,et al. Ginsenoside Rh4 suppresses aerobic glycolysis and the expression of PD-L1 via targeting Akt in esophageal cancer[J]. Biochem Pharmacol,2020,178:114038.
  48. 48.
    HU J L,ZHANG C Z,LI Q,et al.Effects of astragaloside Ⅳ on apoptosis,stem cell-like characteristics and PI3K/Akt pathway of esophageal carcinoma cells[J].J Dig Oncol:Electron Ed,2022,14(2):135-140.
  49. 49.
    CHEN J M,LIN Z L,CHEN F S,et al.Effects of PPVI on apoptosis and autophagy of esophageal cancer cells ECA-109 by regulating PI3K/Akt/mTOR pathway[J].Heilongjiang Med J,2024,37(4):767-771.
  50. 50.
    WANG J T,WEI Q R,BI S N,et al.Paeonol suppresses the migration and invasion of esophageal squamous cell carcinoma cells via blocking EGFR signaling pathway[J].J Int Pharm Res,2020,47(7):534-541,548.
  51. 51.
    YIN X F,FENG Y Y,KANG Q W.Effect of salvianolic acid A on the proliferation and apoptosis in esophageal cancer cells and the underlying mechanisms[J].J Cent South Univ:Med Sci,2020,45(11):1269-1275.
  52. 52.
    MA T P,LI X,LIN D,et al.The effects of curcumin on the proliferation,migration,and invasion of esophageal cancer Kyse-150 cells [J].Chin Tradit Patent Med,2021,43(6):1618-1621.
  53. 53.
    GUO Z Q,WANG S K,GUI L L,et al.Inhibitory effect and mechanism of forsythin on malignantly transformed esophageal epithelial cells and esophageal cancer Eca-109 cells[J]Food Sci,2022,43(15):176-184.
  54. 54.
    ZHENG Y L,YAO X R,XIN S B,et al.Determination of p-coumaric acid in Shuang Bailian mixture and its mechanism of inhibiting the growth of esophageal carcinoma cells[J].J Xi'an Jiaotong Univ:Med Sci,2022,43(6):918-925.
  55. 55.
    SUN X H,WANG L,LIU C N,et al.Therapeutic effects and mechanism of ginseng polysaccharide on colon carcinoma and inflammatory factors via p-PKA-PKA-VEGF signaling pathway[J].Guangdong Med J,2020,41(21):2187-2191.
  56. 56.
    CHEN Y H,DOU Y W,ZHOU L Q,et al.Influences of astragalus polysacharide on anti-tumor effect and immune function of Esophageal carcinoma rats through PI3K/Akt signal pathway[J].Prog Mod Biomed,2023,23(16):3032-3036.
  57. 57.
    LIU Y F,YANG H,CAO L,et al.The glycan-rich extract from Kudzu root regulates the miR-99a/PI3K/Akt pathway to influence the proliferation,migration,and invasion of esophageal cancer cells.[J].Chin Tradit Patent Med,2020,42(8):2161-2165.
  58. 58.
    LIU F X,LI G,LI X J,et al.Matrine induces autophagy in Ec109 cells via inhibiting PI3K/Akt/mTOR signaling pathway[J].J Xi'an Jiaotong Univ:Med Sci,2020,41(3):468-472.
  59. 59.
    WANG Y Y,CAI Y G,WANG L,et al.Betaine inhibits the migration and invasion of esophageal cancer cells by blocking PI3K/Akt mediated EMT pathway[J].Mod Intern Diag Treat Gastroenterol,2023,28(10):1233-1237,1244.
  60. 60.
    KWAK A W,LEE M H,YOON G,et al. Deoxypodophyllotoxin,a lignan from anthriscus sylvestris,induces apoptosis and cell cycle arrest by inhibiting the EGFR signaling pathways in esophageal squamous cell carcinoma cells[J]. Int J Mol Sci,2020,21(18).
  61. 61.
    YU J,WANG W,YAO W,et al. Gambogic acid affects ESCC progression through regulation of PI3K/Akt/mTOR signal pathway[J]. J Cancer,2020,11(19):5568-5577.
  62. 62.
    YANG H,BI S N,WEI Q R,et al.Fucoxanthin suppresses the migration and invasion through PI3K/Akt signaling in esophageal squamous cell carcinoma cells[J]. Chin Pharm J,2021,56(1):29-35.
  63. 63.
    WANG Q,ZHONG S,WU H,et al. In vitro anti-cancer effect of marmesin by suppression of PI3K/Akt pathway in esophagus cancer cells[J]. Esophagus,2022,19(1):163-174.
  64. 64.
    ZHAO L,HANG J R,GONG C X,et al.Fucoxanthin suppresses the migration and invasion through PI3K/Akt signaling in esophageal squamous cell carcinoma cells[J].Chin J Cancer Biother,2020,27(8):889-894.
  65. 65.
    YANG S,YU S Q.Effect and mechanism of shikonin on apoptosis and cell cycle arrest of esophageal cancer cells[J].Anhui Med Pharm J,2023,27(1):79-82.
  66. 66.
    YAN W B,ZHAO Q J,HU Y P,et al.Inhibitory effect of erianin from dendrobium officinale on human esophageal cancer KYSE-150 cells[J]. Mod Food Sci Technol,2025,41(1):1-9.
  67. 67.
    GAO X L,LIU L,LI M Y,et al.Effect of Qigesan on proliferation,apoptosis and miR-133a/Akt/mTOR signaling pathway in human esophageal cancer EC9706 cells[J].Chin J Exp Tradit Med Form,2021,27(22):1-6.
  68. 68.
    WANG R,GAO X L,LI D D,et al.Interventional effect of Qigesan on miR-133a/PI3K/Akt signaling pathway methylation in esophageal cancer EC9706 cells[J].Lishizhen Med Mater Med Res,2023,34(3):516-520.
  69. 69.
    MA C Z,LI J L,CHENG M L,et al.Mechanism of Huqi powder inhibiting autophagy through PI3K/Akt/mTOR signaling pathway[J].J Emerg Tradit Chin Med,2020,29(8):1330-1334.
  70. 70.
    MA Y,XU J,WANG B T,et al.Effect of Xuanfu Daizhe decoction on stemness of esophageal cancer cells[J].Chin J Appl Physiol,2022,38(1):62-67.
  71. 71.
    LEI L.Study the mechanism of modified Tongyou decoctionon esophageal cancer based on network pharmacologyand molecular docking technology[D].Tangshan:North China University of Science and Technology,2023.
  72. 72.
    JIA Y S,LU C T,WU F W,et al.Research on Tongyou decoction and its separated formulae on signal pathway mediated by PI3K/Akt in esophageal carcinoma cell line EC9706[J].Liaoning J Tradit Chin Med,2011,38(7):1306-1308.
  73. 73.
    SHANG Y W,WU Y S,MENG D H,et al.Discussion on the mechanism of growth inhibition of Liujunzi decoction on EC9706 based on Akt/mTOR pathway[J].China J Tradit Chin Med Pharm,2024,39(1):180-185.
  74. 74.
    JI K Y,WU S H,YUAN J Y,et al.Exploring mechanism of action and validation of key regulatory pathways of selenshenzhi prescription in treatment of esophageal cancer based on network pharmacology[J].Chin Pharmacol Bull,2024,40(11):2174-2184.
  75. 75.
    ZHANG Y X,LI P,LI B Q,et al.Exploring the protective mechanism of compound kushen injection on esophageal cancer model rats based on the PI3K/Akt pathway[J].J Chin Med Mater,2021,44(1):196-199.
  76. 76.
    LI J L,XU Y C,YANG L L,et al.Network pharmacology study and experimental validation of Kang'ai injection in the treatment of esophageal cancer[J]. Pharmacol Clin Chin Mater Med,2022,38(1):139-145.

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