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新型草药 LA16001 可改善顺铂诱导的厌食症。

Novel herbal medicine LA16001 ameliorates cisplatin-induced anorexia.

机构信息

Department of Cancer Preventive Material Development, Graduate School, Kyung Hee University, Seoul 02447, Republic of Korea.

Department of Science in Korean Medicine, Graduate School, Kyung Hee University, Seoul 02447, Republic of Korea.

出版信息

Mol Med Rep. 2018 Feb;17(2):2665-2672. doi: 10.3892/mmr.2017.8176. Epub 2017 Nov 28.

Abstract

Chemotherapy frequently causes anorexia in cancer patients, which has been associated with poor disease prognosis. Several therapeutic strategies for the treatment of chemotherapy‑induced anorexia are available; however, their adverse effects limit their clinical use. Herbal medicines have a long history of use for the treatment of various diseases, including cancer, and recent research has demonstrated their safety and efficacy. In the present study, combinations of herbal medicines were designed based on traditional Korean medicine, and their effects were investigated on chemotherapy‑induced anorexia. Herbal mixtures were extracted, composed of Atractylodes japonica, Angelica gigas, Astragalus membranaceus, Lonicera japonica Thunb., Taraxacum platycarpum H. Dahlstedt and Prunella vulgaris var. asiatica (Nakai) Hara. The mixtures were termed LCBP‑Anocure‑16001‑3 (LA16001, LA16002, LA16003). A cisplatin‑induced anorexic mouse model was used to evaluate the putative effects of the extracts on chemotherapy‑induced anorexia. Treatment with LA16001 was revealed to prevent body weight loss, and all three extracts were demonstrated to improve food intake. When the molecular mechanisms underlying the orexigenic effects of LA16001 were investigated, altered expression levels of ghrelin, leptin and interleukin‑6 were revealed. Furthermore, LA16001 was reported to induce phosphorylation of Janus kinase 1 and signal transducer and activator of transcription 3. In addition, LA16001 administration increased the number of white blood cells and neutrophils. These results suggested that the herbal formula LA16001 may be able to prevent chemotherapy‑induced anorexia and may have potential as a novel therapeutic strategy for the adjuvant treatment of patients with cancer.

摘要

化疗常导致癌症患者厌食,这与不良预后相关。目前已有多种治疗化疗引起的厌食的策略,但它们的不良反应限制了其临床应用。草药在治疗各种疾病(包括癌症)方面已有悠久的应用历史,最近的研究表明了它们的安全性和有效性。在本研究中,基于传统韩国医学设计了草药组合,并研究了它们对化疗引起的厌食的作用。草药混合物经过提取,由白术、当归、黄芪、金银花、蒲公英和夏枯草组成。这些混合物被命名为 LCBP-Anocure-16001-3(LA16001、LA16002、LA16003)。采用顺铂诱导的厌食症小鼠模型来评估提取物对化疗引起的厌食的潜在作用。结果表明,LA16001 治疗可预防体重减轻,并且所有三种提取物均改善了食物摄入。当研究 LA16001 的促食欲作用的分子机制时,发现其改变了胃饥饿素、瘦素和白细胞介素 6 的表达水平。此外,LA16001 被报道可诱导 Janus 激酶 1 和信号转导和转录激活因子 3 的磷酸化。此外,LA16001 给药增加了白细胞和中性粒细胞的数量。这些结果表明,草药配方 LA16001 可能能够预防化疗引起的厌食症,并且可能作为癌症患者辅助治疗的一种新的治疗策略具有潜力。

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