State Key Laboratory of Quality Research in Chinese Medicine, Macau Institute For Applied Research in Medicine and Health, Macau University of Science and Technology, Macau, SAR, China.
State Key Laboratory of Quality Research in Chinese Medicine, Macau Institute For Applied Research in Medicine and Health, Macau University of Science and Technology, Macau, SAR, China; Department of Respiratory and Critical Care Medicine, Taihe Hospital, Hubei University of Medicine, Hubei, China; Department of Thoracic Surgery, Guangzhou Institute of Respiratory Health and State Key Laboratory of Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
Pharmacol Ther. 2018 Nov;191:148-161. doi: 10.1016/j.pharmthera.2018.06.010. Epub 2018 Jun 25.
Dysregulation of cell metabolism and redox balance is implicated in the pathogenesis and progression of cancer and autoimmune diseases. Because the cell proliferation and apoptotic regulatory pathways are interconnected with metabolic and redox signalling pathways, the current mono-target treatment is ineffective, and multi-drug resistance remains common. Complex diseases are often implicated in a network-based context of pathology; therefore, a new holistic intervention approach is required to block multi-crosstalk in such complicated circumstances. The use of therapeutic agents isolated from herbs to holistically modulate metabolism and redox state has been shown to relieve carcinoma growth and the inflammatory response in autoimmune disorders. Multiple clinically applied or novel herbal chemicals with metabolic and redox modulatory capacity as well as low toxicity have recently been identified. Moreover, new metabolic targets and mechanisms of drug action have been discovered, leading to the exploration of new pathways for drug repositioning, clinical biomarker spectra, clinical treatment strategies and drug development. Taken together with multiple supporting examples, the modulation of cell metabolism and the redox capacity using herbal chemicals is emerging as a new, alternative strategy for the holistic treatment of cancer and autoimmune disorders. In the future, the development of new diagnostic tools based on the detection of metabolic and redox biomarkers, reformulation of optimized herbal compositions using artificial intelligence, and the combination of herbs with mono-targeting drugs will reveal new potential for clinical application.
细胞代谢和氧化还原平衡的失调与癌症和自身免疫性疾病的发病机制和进展有关。由于细胞增殖和凋亡调节途径与代谢和氧化还原信号途径相互关联,目前的单一靶向治疗效果不佳,多药耐药仍然很常见。复杂疾病通常涉及基于网络的病理学背景;因此,需要一种新的整体干预方法来阻断这种复杂情况下的多信号交叉对话。已经证明,使用从草药中分离出来的治疗剂来全面调节代谢和氧化还原状态,可以缓解癌的生长和自身免疫性疾病中的炎症反应。最近已经确定了多种具有代谢和氧化还原调节能力且毒性低的临床应用或新型草药化学物质。此外,还发现了新的代谢靶标和药物作用机制,从而为药物重新定位、临床生物标志物谱、临床治疗策略和药物开发探索了新途径。结合多个支持性的例子,使用草药化学物质调节细胞代谢和氧化还原能力正成为治疗癌症和自身免疫性疾病的一种新的替代策略。未来,基于代谢和氧化还原生物标志物检测的新诊断工具的开发、使用人工智能对优化的草药成分进行重新配方以及草药与单靶药物的结合,将为临床应用揭示新的潜力。