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江西中医药大学,南昌 330004
Received:05 May 2019,
Published Online:03 September 2019,
Published:20 February 2020
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Gong YU, Qiao HU, Jia-ping LI, et al. Anti-lung Cancer Mechanism of Qingzao Jiufei Tang[J]. Chinese journal of experimental traditional medical formulae, 2020, 26(4): 42-47.
Gong YU, Qiao HU, Jia-ping LI, et al. Anti-lung Cancer Mechanism of Qingzao Jiufei Tang[J]. Chinese journal of experimental traditional medical formulae, 2020, 26(4): 42-47. DOI: 10.13422/j.cnki.syfjx.20192422.
肺癌是目前我国死亡率居首位的恶性肿瘤,严重危害着人民健康。近年来,中医药在肺癌综合治疗模式中占有越来越重要的地位,其在促进患者术后恢复,减轻放化疗副作用、有效延长患者生存期等方面具有独特优势。清燥救肺汤主治燥热伤肺,气阴两伤证,与肺癌燥热病机相符,常用于肺癌临床治疗,疗效确切,实验与临床研究亦证实清燥救肺汤具有良好的抗肺癌效果,具有广阔的应用前景。该文查阅中国知网,维普数据,万方数据,PubMed等数据库近年来相关文献资料,发现目前对清燥救肺汤抗肺癌相关研究报道较少,其抗肺癌的具体作用机制尚缺乏系统、全面地阐述。因此该文系统总结近年来清燥救肺汤抗肺癌临床应用,全面探讨清燥救肺汤抗肺癌的作用机制,总结其对肺癌细胞相关信号通路,肺癌细胞能量代谢的影响等研究成果,明确该方能显著抑制肺癌细胞上皮生长因子受体(epidermal growth factor receptor
EGFR),核转录因子-
κ
B(nuclear transcription factor kappa B,NF-
κ
B)/细胞间黏附分子-1(intercellular cell adhesion molecule-1,ICAM-1)信号通路;Janus蛋白酪氨酸激酶2(Janus kinase 2,JAK2)/信号转导和转录活化蛋白3(signal transducers and activators of transcription 3,STAT3)信号通路;并通过降低肺癌细胞葡萄糖摄取速率,下调糖酵解关键限速酶活性,进而抑制肺癌细胞能量代谢,减少相关代谢产物生成,促进肺癌细胞凋亡,抑制其增殖、侵袭与转移,为该方抗肺癌进一步深入研究与临床应用提供新思路。
Lung cancer is currently the leading malignant tumor in China
which seriously endangers people's health. Nowadays
traditional Chinese medicine (TCM) has played an increasingly important role in the comprehensive treatment of lung cancer. It has unique advantages in promoting postoperative recovery
reducing the side effects of radiotherapy and chemotherapy
and effectively prolonging the lifetime of patients. Qingzao Jiufei Tang is mainly used to treat the syndrome of Qi-Yin deficiency due to dryness-heat injury to the lungs. The experimental and clinical studies have confirmed that Qingzao Jiufei Tang has a good anti-lung cancer effect and broad application prospects. In this paper
we reviewed relevant literatures through China National Knowledge Infrastructure (CNKI)
Weipu Data
Wanfang Data
PubMed and other databases in recent years
and found a few reports on the anti-lung cancer effect of Qingzao Jiufei Tang. There was still a lack of systematic and comprehensive explanation for its specific mechanism of action against lung cancer. This paper systematically summarized the clinical application of Qingzao Jiufei Tang against lung cancer in recent years
as well as its effects through cell-related signaling pathways and energy metabolism against lung cancer cells. It is clear that this decoction can significantly inhibit the signaling pathways of epithelial growth factor receptor (EGFR)
nuclear transcription factor kappa B (NF-
κ
B)/intercellular cell adhesion molecule-1 (ICAM-1)
and Janus kinase 2 (JAK2)/signal transducers and activators of transcription 3 (STAT3) of the lung cells. It could also inhibit energy metabolism of tumor cells
and reduce the production of relevant metabolites. This will provide new ideas for the clinical application of Qingzao Jiufei Tang against lung cancer.
韩宝惠 , 沈胤晨 . 我国肺癌筛查现状与展望 [J]. 诊断学理论与实践 , 2018 , 17 ( 5 ): 487 - 489 .
冯丹丹 , 朱杭溢 , 吕宇克 . 肺癌中医证型分布地区差异文献研究 [J]. 中医药管理杂志 , 2019 , 27 ( 5 ): 5 - 7 .
徐杉智 , 余功 , 谢斌 . 肺癌的病机分析及方剂应用探索 [J]. 辽宁中医杂志 , 2018 , 45 ( 2 ): 270 - 272 .
谢雄 , 谢斌 , 饶斌 , 等 . 肺癌阴虚证型特点及补肺阴选方参考 [J]. 江西中医药大学学报 , 2015 , 27 ( 6 ): 8 - 10 .
张正标 , 赵新爱 , 高巧云 , 等 . 恶性肿瘤中医证形分布调查与研究 [J]. 世界中西医结合杂志 , 2019 , 14 ( 2 ): 261 - 263,267 .
徐彬智 , 谢斌 , 翟莹莹 , 等 . 肺癌干咳病机分析 [J]. 江西中医药大学学报 , 2018 , 30 ( 3 ): 1 - 2 .
陈江涛 , 余功 , 徐彬智 , 等 . 基于《素问·阴阳应象大论篇》探讨清燥救肺汤对肺癌癌性发热的影响 [J]. 辽宁中医杂志 , 2019 , 46 ( 1 ): 52 - 54 .
饶斌 , 余功 , 谢斌 , 等 . 肿瘤的发病特点及其阴虚病机归属初探 [J]. 时珍国医国药 , 2015 , 26 ( 6 ): 1435 - 1437 .
吴振起 , 韩冬阳 , 王贵帮 , 等 . 清燥救肺汤“润燥”作用的分子机制 [J]. 中国实验方剂学杂志 , 2018 , 24 ( 11 ): 92 - 98 .
王贵帮 , 吴振起 . 从“秋燥”探析清燥救肺汤制方特点 [J]. 中华中医药学刊 , 2018 , 36 ( 1 ): 163 - 165 .
谌玉佳 , 徐舒 , 胡凯文 . 肺癌患者终末期治疗模式的选择及现状分析 [J]. 世界中西医结合杂志 , 2019 , 14 ( 3 ): 426 - 428 .
李瑞萍 , 宋伟 , 王一然 . 清燥救肺汤联合泼尼松及钙立得治疗肺癌放射性肺损伤疗效及对动脉血氧分压和血清CRP、TGF- β 1 水平的影响 [J]. 现代中西医结合杂志 , 2019 , 28 ( 3 ): 308 - 310,314 .
熊秋迎 , 朱金华 , 孙昊鑫 , 等 . 清燥救肺汤对乌拉坦诱导肺癌模型鼠TGF- β 1 、Smad2和p38 MAPK的影响 [J]. 中药药理与临床 , 2018 , 34 ( 3 ): 14 - 18 .
徐玥瑾 , 万迎新 . 清燥救肺汤在肺系疾病中的应用 [J]. 世界中医药 , 2014 , 9 ( 11 ): 1509 - 1511 .
王靖思 , 顾恪波 , 孙桂芝 . 孙桂芝分型论治肺癌经验 [J]. 中医杂志 , 2013 , 54 ( 19 ): 1636 - 1638 .
沈伟生 , 夏德洪 , 奚蕾 , 等 . 清燥救肺汤对胸部肿瘤患者放射治疗3年后肺功能影响临床观察 [J]. 新中医 , 2014 , 46 ( 5 ): 176 - 179 .
朱新瑜 , 张天成 , 倪广生 , 等 . 放射性肺损伤的肺癌患者采用清燥救肺汤治疗的临床效果 [J]. 中国地方病防治杂志 , 2017 , 32 ( 3 ): 312 - 313 .
D Hanahan , R A Weinberg . Hallmarks of cancer:the next generation [J]. Cell , 2011 , 144 ( 5 ): 646 - 674 .
王超 , 孙燕 . 迁移侵袭抑制蛋白在肿瘤发生发展中的作用及其临床意义 [J]. 中国肿瘤临床 , 2018 , 45 ( 3 ): 146 - 151 .
邢相帅 . 肺癌分子靶向治疗的进展综述 [D]. 石家庄 : 河北医科大学 , 2018 .
赵俊 , 胡向阳 . EGFR和K-ras在肺癌中的表达及其临床意义 [J]. 安徽医科大学学报 , 2012 , 47 ( 7 ): 824 - 827 .
E Castellanos , E Feld , L Horn . Driven by mutations:the predictive value of mutation subtype in EGFR-mutated non-small cell lung cancer [J]. J Thorac Oncol , 2017 , 12 ( 4 ): 612 - 623 .
谢斌 , 陈谦峰 , 余功 , 等 . 一贯煎对肝癌EGFR信号通路及其下游侵袭转移相关蛋白表达的影响 [J]. 中医学报 , 2017 , 32 ( 10 ): 1824 - 1827 .
S L Southern , T J Collard , B C Urban , et al . BAG-1 interacts with the p50-p50 homodimeric NF- κ B complex: implications for colorectal carcinogenesis [J]. Oncogene , 2012 , 31 ( 22 ): 2761 - 2772 .
L H WANG , J Y YANG , S N YANG , et al . Suppression of NF- κ B signaling and P-glycoprotein function by gambogic acid synergistically potentiates adriamycin-induced apoptosis in lung cancer [J]. Curr Cancer Drug Targets , 2014 , 14 ( 1 ): 91 - 103 .
R LI , Q ZHANG , D YANG , et al . Prevalence of polycystic ovary syndrome in women in China:a large community-based study [J]. Hum Reprod , 2013 , 28 ( 9 ): 2562 - 2569 .
邓小垭 , 罗勤利 , 董飞 , 等 . Tristetraprolin通过NF- κ B通路抑制肺腺癌细胞自噬 [J]. 南方医科大学学报 , 2019 , 39 ( 3 ): 313 - 319 .
T N Ramos . ICAM-1:isoforms and phenotypes [J]. J Immunol , 2014 , 192 ( 10 ): 4469 - 4474 .
C V Carman , P T Sage , T E Sciuto , et al . Transcellular diapedesis is initiated by invasive podosomes [J]. Immunity , 2007 , 26 ( 6 ): 784 - 797 .
X GU , C MA , D YUAN , et al . Circulating soluble intercellular adhesion molecule-1 in lung cancer:a systematic review [J]. Transl Lung Cancer Res , 2012 , 1 ( 1 ): 36 - 44 .
陈秋生 , 田文娴 , 董润 , 等 . NF- κ B、VEGF及ICAM-1在非小细胞肺癌中的表达及意义 [J]. 临床肺科杂志 , 2018 , 23 ( 4 ): 587 - 590 .
曲直 . JAK1在支气管气道肿瘤发生和发展中作用 [J]. 中国现代药物应用 , 2010 , 4 ( 17 ): 46 - 47 .
J LIAO , T XU , J X ZHENG , et al . Nitidine chloride inhibits hepatocellular carcinoma cell growth in vivo through the suppression of the JAK1/STAT3 signaling pathway [J]. Int J Mol Med , 2013 , 32 ( 1 ): 79 - 84 .
M Van der Z , A Sacchetti , M Cansoy , et al . IL6/JAK1/STAT3 signaling Blockade in endometrial cancer affects the ALDHhi/CD126 + stem-like component and reduces tumor burden [J]. Cancer Res , 2015 , 75 ( 17 ): 3608 - 3622 .
谢斌 , 谢雄 , 余功 , 等 . 清燥救肺汤对结肠癌侵袭转移相关蛋白NF- κ B,VEGF,VEGFR-1,MMP-9表达的影响 [J]. 中国实验方剂学杂志 , 2017 , 23 ( 17 ): 110 - 114 .
蒋树龙 , 花宝金 . JAK2/STAT3/SOCS3信号通路与肿瘤转移 [J]. 中国肿瘤生物治疗杂志 , 2014 , 21 ( 6 ): 698 - 702 .
谷蕾 , 张丽军 , 刘立芳 , 等 . JAK/STAT信号通路抑制剂与肺癌 [J]. 现代肿瘤医学 , 2018 , 26 ( 2 ): 314 - 317 .
L N KONG , X LIN , C HUANG , et al . Hesperetin derivative-12(HDND-12) regulates macrophage polarization by modulating JAK2/STAT3 signaling pathway [J]. Chin J Nat Med , 2019 , 17 ( 2 ): 122 - 130 .
T WANG , J F Fahrmann , H Lee , et al . JAK/STAT3-regulated fatty acid β -oxidation is critical for breast cancer stem cell self-renewal and chemoresistance [J]. Cell Metab , 2017 , 27 ( 1 ): 136 - 150 .
W LI , J J LI , G L LI . Expressions of STAT3,VEGF and C-myc in Seminoma and their significance [J]. Nat J Androl , 2009 , 15 ( 1 ): 26 - 30 .
M Y CHUN , L Z YING , Y C HONG , et al . Blockage of PTPRJ promotes cell growth and resistance to 5-FU through activation of JAK1/STAT3 in the cervical carcinoma cell line C33A [J]. Oncol Rep , 2015 , 33 ( 4 ): 1737 - 1744 .
A Basu , K Meyer , K K LAI , et al . Microarray analyses and molecular profiling of Stat3 signaling pathway induced by hepatitis C virus core protein in human hepatocytes [J]. Virology , 2006 , 349 ( 2 ): 347 - 358 .
李雷雷 , 郭彬 , 郭佳培 , 等 . 肿瘤相关巨噬细胞通过JAK2/STAT3途径调控肝癌细胞凋亡的机制研究 [J]. 现代预防医学 , 2017 , 44 ( 13 ): 2406 - 2410 .
李佳萍 , 余功 , 谢斌 . 清燥救肺汤对肺癌JAK2/STAT3信号通路及其下游凋亡相关蛋白表达的影响 [J]. 中国实验方剂学杂志 , 2019 , doi: org/10.13422/j.cnki.syfjx.20191721 http://dx.doi.org/10.13422/j.cnki.syfjx.20191721 .
W H Koppenol , P L Bounds , C V Dang . Otto Warburg's contributions to current concepts of cancer metabolism [J]. Nat Rev Cancer , 2011 , 11 ( 5 ): 325 - 337 .
P L Pedersen , S Mathupala , A Rempel , et al . Mitochondrial bound type Ⅱ hexokinase:a key player in the growth and survival of many cancers and an ideal prospect for therapeutic intervention [J]. Biochimi Biophys Acta , 2002 , 1555 ( 1/3 ): 14 - 20 .
Y H LIU , X L WEI , G Q HU , et al . Quinolone-indolone conjugate induces apoptosis by inhibiting the EGFR-STAT3-HK2 pathway in human cancer cells [J]. Mol Med Rep , 2015 , 12 ( 2 ): 2749 - 2756 .
E Pirinen , S Heikkinen , M Malkki , et al . Analysis of the human hexokinase Ⅱ promoter in vivo :lack of insulin response within 4.0 kb [J]. Biochimi Biophys Acta , 2004 , 1676 ( 2 ): 149 - 154 .
刘佳 , 孔庆鹏 . 能量代谢途径相关基因变异与肿瘤细胞适应性进化 [J]. 动物学研究 , 2012 , 33 ( 6 ): 557 - 565 .
G Sumeng , C MIN , W WEI , et al . Crosstalk of mTOR/PKM2 and STAT3/c-Cyc signaling pathways regulate the energy metabolism and acidic microenvironment of gastric cancer [J]. J Cell Biochem , 2019 , 120 ( 2 ): 1193 - 1202 .
T L Dayton , T Jacks , H M Vander . PKM2,cancer metabolism, and the road ahead [J]. EMBO Rep , 2016 , 17 ( 12 ): 1721 - 1730 .
Y JIANG , X LI , W YANG , et al . PKM2 regulates chromosome segregation and mitosis progression of tumor cells [J]. Mol Cell , 2014 , 53 ( 1 ): 75 - 87 .
X GAO , H WANG , J YANG , et al . Pyruvate kinase M2 regulates gene transcription by acting as a protein kinase [J]. Mol Cell , 2012 , 45 ( 5 ): 598 - 609 .
余功 , 陈江涛 , 胡桥 , 等 . 清燥救肺汤对荷Lewis小鼠肺癌细胞糖酵解关键限速酶HK2,PFK2,PKM2的影响 [J]. 中国实验方剂学杂志 , 2019 , doi: org/10.13422/j.cnki.syfjx.20191325 http://dx.doi.org/10.13422/j.cnki.syfjx.20191325 .
H QIN , Z H RUAN . The role of monoacylglycerol lipase (MAGL) in the cancer progress [J]. Cell Biochem Biophys , 2014 , 70 ( 1 ): 33 - 36 .
R LIN , R TAO , X GAO , et al . Acetylation stabilizes ATP-citrate lyase to promote lipid biosynthesis and tumor growth [J]. Mol Cell , 2013 , 51 ( 4 ): 506 - 518 .
冯永海 , 李宏云 , 苗少一 , 等 . 原癌细胞系A-549表达缺氧诱导因子1 α 和2 α 的影响 [J]. 实用医学杂志 , 2019 , 35 ( 3 ): 381 - 383,387 .
杨先国 , 戈伟 , 王建国 , 等 . 非小细胞肺癌中C-myc表达与其临床特征的相关性分析 [J]. 实用癌症杂志 , 2016 , 31 ( 9 ): 1393 - 1395 .
李欢 , 王梦杰 , 张翔宇 , 等 . 桥接整合因子1通过C-myc途径抑制非小细胞肺癌A549细胞中PD-L1的表达 [J]. 中国肿瘤生物治疗杂志 , 2018 , 25 ( 8 ): 762 - 766 .
P Seth , A Grant , J TANG , et al . On-target inhibition of tumor fermentative glycolysis as visualized by hyperpolarized pyruvate [J]. Neoplasia , 2011 , 13 ( 1 ): 60 - 71 .
陈江涛 , 徐彬智 , 余功 , 等 . 清燥救肺汤对荷Lewis小鼠肺癌细胞增殖相关糖酵解乳酸生成的影响 [J]. 中国实验方剂学杂志 , 2018 , 24 ( 15 ): 120 - 124 .
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