河南中医药大学,郑州 450046
郭琳,在读博士,从事中药学研究,E-mail:guolin555guolin@126.com
苗明三,博士,教授,从事中药学研究,E-mail:miaomingsan@163.com
收稿:2023-02-28,
网络出版:2023-07-28,
纸质出版:2024-04-05
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郭琳,王笑冉,刘思哲等.STAT家族与乳腺癌的关联特点及中药的干预作用[J].中国实验方剂学杂志,2024,30(07):225-233.
GUO Lin,WANG Xiaoran,LIU Sizhe,et al.Characteristics of STAT Family Association with Breast Cancer and Intervention Effect of Traditional Chinese Medicine[J].Chinese Journal of Experimental Traditional Medical Formulae,2024,30(07):225-233.
郭琳,王笑冉,刘思哲等.STAT家族与乳腺癌的关联特点及中药的干预作用[J].中国实验方剂学杂志,2024,30(07):225-233. DOI: 10.13422/j.cnki.syfjx.20231825.
GUO Lin,WANG Xiaoran,LIU Sizhe,et al.Characteristics of STAT Family Association with Breast Cancer and Intervention Effect of Traditional Chinese Medicine[J].Chinese Journal of Experimental Traditional Medical Formulae,2024,30(07):225-233. DOI: 10.13422/j.cnki.syfjx.20231825.
随着社会节奏增快及生活方式的改变,乳腺癌的发病率和死亡率持续上升。目前靶向疗法在乳腺癌的治疗中前景良好,已发现多种蛋白靶点在乳腺癌的发生发展中扮演重要角色,其中信号转导和转录激活蛋白(STAT)是一组信号转导和转录激活蛋白,是传导细胞转录信息的重要靶点,该靶点可通过对下游细胞增殖、凋亡、细胞迁移、侵袭及血管生成因子等进行调节,进而影响乳腺癌的进展。STAT家族与肿瘤炎症反应密切相关,在肿瘤的发生发展及诊断、预后中发挥标志性作用。“炎-癌”转化指非可控性炎症导致的炎性微环境促进正常细胞癌变的过程,中医理论认为“癌毒”中的“热毒”与肿瘤发展密切的炎症相对应,因而炎症是导致肿瘤发生的重要因素。作为与炎症反应相关的主要环节,STAT家族对多种肿瘤的发生发展及治疗有一定的作用且前景良好,但其对乳腺癌的相关研究虽有但并未深入。中医药在乳腺癌的防治中已有较好疗效,当前有研究表明,中药有效成分、复方对乳腺癌相关的STAT蛋白有一定的干预作用,但尚未有系统综述。为更好梳理总结中药基于STAT家族干预乳腺癌的作用研究,该文对近年来作用于STAT家族的中药研究进行综述,旨在为乳腺癌的临床应用提供新的思路,也为基于STAT蛋白的药物研发提供思考。
As the pace of society increases and lifestyles change, the incidence and mortality rates of breast cancer continue to rise. Targeted therapies are now promising in the treatment of breast cancer, and a variety of protein targets have been identified to play an important role in the development of breast cancer. Among them, signal transducer and activator of transcription (STAT) proteins constitute a crucial group that serves as important targets for transducing cellular transcriptional information, which can regulate downstream cell proliferation, apoptosis, cell migration, invasion, angiogenic factors, etc. and then affect the progression of breast cancer. The STAT family is closely associated with the inflammatory response to tumors and plays a landmark role in tumor development as well as in diagnosis and prognosis. The "inflammation-cancer" transformation refers to the process in which the inflammatory microenvironment caused by uncontrolled inflammation promotes normal cells to become cancerous. According to the theory of Chinese medicine, "heat toxicity" in "cancer toxicity" corresponds to inflammation, which is closely related to tumor development. As a major link associated with the inflammatory response, the STAT family has a promising role in the development and treatment of a variety of tumors, but its relevance to breast cancer remains inadequately explored. Chinese medicine has been shown to have good efficacy in the prevention and treatment of breast cancer, and some current studies have shown that the active ingredients and compounds of Chinese medicine have certain intervention effects on breast cancer-related STAT proteins, but there has not been a systematic review. In order to better sort out and summarize the studies on the effects of Chinese herbal medicines based on the STAT family interventions in breast cancer, this paper reviewed the studies on Chinese herbal medicines acting on the STAT family in recent years, aiming to provide new ideas for clinical applications in breast cancer and to provide thoughts for the development of STAT protein-based drugs.
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