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传统东方药物作为放疗中抗细胞毒剂的作用。

Effects of traditional oriental medicines as anti-cytotoxic agents in radiotherapy.

作者信息

Kim Wanyeon, Kang Jihoon, Lee Sungmin, Youn Buhyun

机构信息

Department of Biological Sciences, Pusan National University, Busan 46241, Republic of Korea.

Department of Biology Education, Korea National University of Education, Cheongju 28173, Republic of Korea.

出版信息

Oncol Lett. 2017 Jun;13(6):4593-4601. doi: 10.3892/ol.2017.6042. Epub 2017 Apr 18.

Abstract

The primary goal of radiotherapy in oncology is to enhance the efficacy of tumor cell death while decreasing damage to surrounding normal cells. Positive therapeutic outcomes may be accomplished by improved targeting, precisely targeting tumor cells or protecting normal cells against radiation-induced damage. The potential for antioxidants to decrease normal tissue damage induced by radiation has been investigated in animal models for a number of decades. In attempts for radioprotection, certain synthetic chemicals are suggested as antioxidants and normal tissue protectors against radiation-induced damage, but they have exhibited limitations in pharmacological application due to undesirable effects and high toxicities at clinical doses. The present review focuses on the radioprotective efficacy of traditional oriental medicines with the advantage of low toxicity at pharmacological doses and how such treatments may influence various harmful effects induced by radiation and . In addition, medicinal plants and their active constituents with biological activities that may be associated with alleviation of radiation-induced damage through antioxidant, anti-inflammatory, wound healing and immunostimulatory properties are discussed.

摘要

肿瘤放射治疗的主要目标是提高肿瘤细胞死亡的疗效,同时减少对周围正常细胞的损伤。通过改进靶向治疗,精确靶向肿瘤细胞或保护正常细胞免受辐射诱导的损伤,可以实现积极的治疗效果。几十年来,在动物模型中研究了抗氧化剂减少辐射诱导的正常组织损伤的潜力。为了进行辐射防护,某些合成化学物质被建议作为抗氧化剂和正常组织保护剂来对抗辐射诱导的损伤,但由于临床剂量下的不良影响和高毒性,它们在药理学应用中表现出局限性。本综述重点关注具有药理学剂量低毒性优势的传统东方药物的辐射防护效果,以及此类治疗如何影响辐射诱导的各种有害影响。此外,还讨论了具有可能通过抗氧化、抗炎、伤口愈合和免疫刺激特性减轻辐射诱导损伤的生物活性的药用植物及其活性成分。

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本文引用的文献

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Opportunities and challenges of radiotherapy for treating cancer.放射治疗癌症的机遇与挑战。
Nat Rev Clin Oncol. 2015 Sep;12(9):527-40. doi: 10.1038/nrclinonc.2015.120. Epub 2015 Jun 30.
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Radiation induced lung injury: prediction, assessment and management.放射性肺损伤:预测、评估与管理
Asian Pac J Cancer Prev. 2015;16(7):2613-7. doi: 10.7314/apjcp.2015.16.7.2613.
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Phytochemical and pharmacological studies on Radix Angelica sinensis.当归的植物化学及药理学研究。
Chin J Nat Med. 2013 Nov;11(6):577-87. doi: 10.1016/S1875-5364(13)60067-9.

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