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陕西理工大学 陕西省资源生物重点实验室,生物科学与工程学院,陕西 汉中 723000
Received:22 May 2018,
Published Online:12 September 2018,
Published:05 February 2019
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Yun-xiang LI, Yin-ku LIANG, Fei-xiong GAO, et al. Research Progress of Traditional Chinese Medicine in Treating Breast Cancer[J]. Chinese journal of experimental traditional medical formulae, 2019, 25(3): 211-219.
Yun-xiang LI, Yin-ku LIANG, Fei-xiong GAO, et al. Research Progress of Traditional Chinese Medicine in Treating Breast Cancer[J]. Chinese journal of experimental traditional medical formulae, 2019, 25(3): 211-219. DOI: 10.13422/j.cnki.syfjx.20182328.
乳腺癌是女性人群中较为多见疾病之一。它是一种具有多种复杂机制的恶性肿瘤,其发病机制尚未研究清楚,物理、化学和手术治疗手段对女性治疗往往带来呕吐、恶心、头晕、头痛等不良表现。与传统治疗相比,中药治疗乳腺癌具有多靶点、毒副作用小、效果好等特点。本文首先统计了能够治疗乳腺癌的中药有85种,其中69种中药材已被2015年版《中国药典》收录,16种中草药未被收录。这些中草药中治疗乳腺癌的主要药用成分为生物碱、苷类、酚类、萜类、糖类、挥发油、香豆素等,并且按照中药对乳腺癌的作用进行了归类。然后,本文结合国内外最近研究,对中药治疗乳腺癌作用效果进行了归纳总结,包括中药对乳腺癌逆转多药耐药作用、抑制乳腺癌转移作用、增殖作用、诱导肿瘤细胞凋亡作用以及阻滞乳腺癌细胞周期作用。文章也从中药干预治疗乳腺癌3个方面途径机制进行了阐述,分别为中药干预肿瘤细胞相关凋亡基因抑制乳腺癌,抑制细胞膜P糖蛋白的表达逆转乳腺癌细胞多药耐药性,调节相关上皮间质转化信号通路阻止乳腺癌细胞的转移和增殖。中药可降低乳腺癌的耐药性和乳腺癌细胞的转移,可阻滞乳腺癌细胞周期作用,也导致凋亡因子的表达从而促使乳腺癌细胞死亡,中药抑制乳腺癌是中药中多种成分共同作用的结果。因此中药治疗乳腺癌具有化学药、手术治疗无可比拟的优势。中药是治疗乳腺癌疾病的重要手段之一。
Breast cancer is one of the common diseases among women. It is a malignant tumor with a variety of complex mechanisms. Its pathogenesis has not been clearly studied. Physical
chemical and surgical treatments often cause vomiting
nausea
dizziness and headache for women. As compared with traditional treatment
Chinese medicine is characterized by multiple targets
small side effect and good effect in treating breast cancer. In this paper
85 kinds of Chinese herbal medicines that can treat breast cancer were included. Among them
69 kinds of Chinese herbal medicines have been included in the 2015 edition of the
Chinese Pharmacopoeia
and 16 kinds of Chinese herbal medicines have not been included. The main medicinal ingredients in these Chinese herbal medicines for treatment of breast cancer were alkaloids
glycosides
phenols
terpenes
carbohydrates
volatile oils
coumarins and so on. In addition
these herbal medicines were classified according to their effects in breast cancer. Then
combined with the recent studies at home and abroad
this paper summarized the effect of traditional Chinese medicine(TCM) on breast cancer
including the reversal of multi-drug resistance
the inhibition of metastasis and proliferation
the induction of tumor cell apoptosis
and the arrest of the cell cycle for breast cancer. This paper also explained three pathways for treating breast cancer by TCM
including intervening the tumor cell related apoptosis gene to inhibit breast cancer
inhibiting the expression of P-glycoprotein in the cell membrane to reverse the multi-drug resistance of breast cancer cells
and regulating the related epithelial mesenchymal transition signal pathway to prevent breast cancer cells metastasis and proliferation. In the end
it was concluded that Chinese medicine can reduce the drug resistance and metastasis of breast cancer cells
block the cell cycle of breast cancer cells
and also intervene the expression of apoptotic factors to promote the death of breast cancer cells. The inhibition of breast cancer by Chinese medicine was the result of the common effect of various ingredients. Therefore
Chinese medicine treatment for breast cancer has the unparalleled advantages as compared with chemical and surgical treatment. Chinese medicine is one of our important means to overcome breast cancer.
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