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黑龙江中医药大学 黑龙江省中药及天然药物药效物质基础研究重点实验室,哈尔滨 150000
Published Online:29 June 2020,
Published:05 September 2020
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王晋慧,吕邵娃,李孟等.中药有效成分体外抗乳腺癌作用机制的研究进展[J].中国实验方剂学杂志,2020,26(17):197-203.
WANG Jin-hui,LYU Shao-wa,LI Meng,et al.Anti-breast Cancer Mechanism of Active Ingredients of Traditional Chinese Medicine in Vitro[J].Chinese Journal of Experimental Traditional Medical Formulae,2020,26(17):197-203.
王晋慧,吕邵娃,李孟等.中药有效成分体外抗乳腺癌作用机制的研究进展[J].中国实验方剂学杂志,2020,26(17):197-203. DOI: 10.13422/j.cnki.syfjx.20201725.
WANG Jin-hui,LYU Shao-wa,LI Meng,et al.Anti-breast Cancer Mechanism of Active Ingredients of Traditional Chinese Medicine in Vitro[J].Chinese Journal of Experimental Traditional Medical Formulae,2020,26(17):197-203. DOI: 10.13422/j.cnki.syfjx.20201725.
乳腺癌主要发生于女性乳腺上皮组织,发病机制复杂而尚未明确,病死率高且呈逐年上升趋势,并且越来越年轻化,严重威胁女性健康,因此,寻找能高效低毒抗乳腺癌的药物迫在眉睫。乳房本非维持生命的必需器官,但癌细胞极易脱落转移,随着血液或淋巴液全身扩散是其导致死亡的主要原因,外科手术、放、化疗、分子靶向、内分泌治疗、免疫治疗等,因其毒副作用和较难控制癌细胞侵袭转移,具有一定的局限性。近年来,中药因其多途径、多靶点、毒副作用小等独特优势,得到国内外研究者的广泛研究和重视,并对具有抗乳腺癌活性的中药及其有效成分进行了大量相关的研究。该文通过查阅和筛选整理近10年国内外相关文献,以黄酮类、多酚类、生物碱、萜类等中药成分出发,以其体外抑制乳腺癌细胞增殖、诱导细胞凋亡、抑制细胞侵袭迁移及黏附等作用机制为主要内容,以归纳总结其靶向作用的主要相关通路为辅,综述中药有效成分体外抗乳腺癌的作用机制的研究概况。中药有效成分的深入研究,有望为研制出高效靶向治疗乳腺癌的制剂提供参考,此后的相关研究中建议在深入挖掘中药有效成分的基础上,对作用于相同或相近通路、因子、蛋白质等的中药有效成分进行联合应用,结合中医药配伍理论,达到高效抗乳腺癌的效果。
Breast cancer mainly occurs in woman's mammary epithelial tissues
with a complex and unclear pathogenesis. The mortality rate is high and increasing year by year
and the patients become younger and younger
which seriously threatens woman's health. Therefore
it's urgent to find high-efficiency and low-toxicity medicines against breast cancer. The breast is not an essential organ for life support
but the cancer cells can easily fall off and metastasize throughout the body with blood or lymph fluid. It's a main cause of death. Surgery
radiotherapy
chemotherapy
molecular targeting
endocrine therapy
immunity therapy have certain limitations due to serious toxicity and side effects and the difficulty in controlling the invasion and metastasis of the cancer cell. In recent years
traditional Chinese medicine(TCM)has been widely studied and valued by researchers at home and abroad due to its unique advantages
such as multiple pathways
multiple targets
low toxicity and fewer side effects
and a lot of TCMs and their active ingredients with the anti-breast cancer activity have been studied by the researchers. Based on flavonoids
polyphenols
alkaloids
terpenes and other TCM ingredients
the mechanism in inhibiting breast cancer cell proliferation
inducing it apoptosis
inhibiting it invasion and migration
in vitro
were taken as the main content
which was supplemented by the summary of main relevant signal pathways targeted by the ingredients. This study reviewed the mechanism of ingredients in suppressing breast cancer
in vitro
by viewing and screening relevant literature at home and abroad in the past 10 years. The in-depth study of effective ingredients of TCM is expected to provide a reference for the development of effective targeting preparations for treating breast cancer. On the basis of in-depth excavation of active ingredients of TCM
relevant studies in the future are suggested to apply the ingredients of TCM acting on the same or similar pathways
factors
proteins
and make use of the basic theory of TCM
so as to achieve the effect in against breast cancer.
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