He Xi-ran, Han Shu-yan, Li Ping-ping
Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Department of Integration of Traditional Chinese and Western Medicine, Peking University School of Oncology, Peking University Cancer Hospital & Institute, Beijing, 100142, China.
Chin J Integr Med. 2015 Oct;21(10):727-32. doi: 10.1007/s11655-015-2318-8. Epub 2015 Nov 3.
To give an overview of contemporary experimental research using Chinese medicine (CM) for the treatment of cancer. As an integral part of mainstream medicine in the People's Republic of China, CM emphasizes improvements in holistic physical condition instead of merely killing tumor cells, which is consistent with the current medical model that advocates patient-oriented treatment. Great progress has been made in experimental research, and the principle aspects include anti-tumor angiogenesis, inducing apoptosis and differentiation, reversing multidrug resistance, and improving immune function. As a current hot topic in cancer research, tumor microenvironment (TME) highlights the mutual and interdependent interaction between tumor cells and their surrounding tissues, and the CM treatment concept bears a striking resemblance to it. To date, primary points of TME include extracellular matrix remodeling, inflammation, hypoxia, and angiogenesis, but trials using CM with a focus on TME are rare. Despite considerable recent development, experimental research on CM for solving cancer issues appears insufficient. Greater efforts in this field are urgently needed.
概述当代使用中医药治疗癌症的实验研究。作为中华人民共和国主流医学的一个组成部分,中医药强调改善整体身体状况,而不仅仅是杀死肿瘤细胞,这与当前倡导以患者为导向的治疗的医学模式相一致。实验研究已取得很大进展,主要方面包括抗肿瘤血管生成、诱导凋亡和分化、逆转多药耐药性以及改善免疫功能。肿瘤微环境(TME)作为癌症研究中的一个当前热点话题,突出了肿瘤细胞与其周围组织之间相互依存的相互作用,而中医药治疗理念与之极为相似。迄今为止,TME的要点包括细胞外基质重塑、炎症、缺氧和血管生成,但专注于TME的中医药试验很少。尽管最近有了相当大的发展,但中医药解决癌症问题的实验研究似乎还不够充分。该领域迫切需要付出更大努力。