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含甘草草药在减轻癌症治疗中放疗和化疗引起的不良反应方面的最新进展

Recent Advances in (Licorice)-Containing Herbs Alleviating Radiotherapy- and Chemotherapy-Induced Adverse Reactions in Cancer Treatment.

作者信息

Wang Kai-Lee, Yu Ying-Chun, Chen Hsin-Yuan, Chiang Yi-Fen, Ali Mohamed, Shieh Tzong-Ming, Hsia Shih-Min

机构信息

Department of Nursing, Ching Kuo Institute of Management and Health, Keelung 20301, Taiwan.

School of Nutrition and Health Sciences, College of Nutrition, Taipei Medical University, Taipei 11031, Taiwan.

出版信息

Metabolites. 2022 Jun 9;12(6):535. doi: 10.3390/metabo12060535.

Abstract

Cancers represent a significant cause of morbidity and mortality worldwide. They also impose a large economic burden on patients, their families, and health insurance systems. Notably, cancers and the adverse reactions to their therapeutic options, chemotherapy and radiotherapy, dramatically affect the quality of life of afflicted patients. Therefore, developing approaches to manage chemotherapy- and radiotherapy-induced adverse reactions gained greater attention in recent years. (licorice), a perennial plant that is one of the most frequently used herbs in traditional Chinese medicine, has been heavily investigated in relation to cancer therapy. Licorice/licorice-related regimes, used in combination with chemotherapy, may improve the adverse effects of chemotherapy. However, there is little awareness of licorice-containing herbs alleviating reactions to radiotherapy and chemotherapy, or to other induced adverse reactions in cancer treatment. We aimed to provide a descriptive review, and to emphasize the possibility that licorice-related medicines could be used as an adjuvant regimen with chemotherapy to improve quality of life (QoL) and to reduce side effects, thus, improving compliance with chemotherapy. The experimental method involved searching different databases, including PubMed, the Cochrane Library, and Wang Fang database, as of May 2022, to identify any relevant studies. Despite a lack of high-quality and large-scale randomized controlled trials, we still discovered the potential benefits of licorice-containing herbs from published clinical studies. These studies find that licorice-containing herbs, and their active ingredients, reduce the adverse reactions caused by chemotherapy and radiotherapy, and improve the QoL of patients. This comprehensive review will serve as a cornerstone to encourage more scientists to evaluate and develop effective Traditional Chinese medicine prescriptions to improve the side effects of chemotherapy and radiation therapy.

摘要

癌症是全球发病和死亡的重要原因。它们还给患者、其家庭和医疗保险系统带来了巨大的经济负担。值得注意的是,癌症及其治疗选择(化疗和放疗)的不良反应会极大地影响患病患者的生活质量。因此,近年来开发管理化疗和放疗引起的不良反应的方法受到了更多关注。甘草是一种多年生植物,是中药中最常用的草药之一,已在癌症治疗方面进行了大量研究。甘草/与甘草相关的疗法与化疗联合使用,可能会改善化疗的不良反应。然而,人们对含甘草的草药减轻放疗和化疗反应或癌症治疗中其他诱导的不良反应知之甚少。我们旨在提供一篇描述性综述,并强调甘草相关药物可作为化疗辅助方案以提高生活质量(QoL)并减少副作用,从而提高化疗依从性的可能性。实验方法包括截至2022年5月搜索不同的数据库,包括PubMed、Cochrane图书馆和万方数据库,以识别任何相关研究。尽管缺乏高质量和大规模的随机对照试验,但我们仍从已发表的临床研究中发现了含甘草草药的潜在益处。这些研究发现,含甘草的草药及其活性成分可减少化疗和放疗引起的不良反应,并改善患者的生活质量。这篇综合综述将成为鼓励更多科学家评估和开发有效的中药处方以改善化疗和放疗副作用的基石。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4eb8/9227067/6254dde766ce/metabolites-12-00535-g001.jpg

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