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全球传统癌症治疗知识应如何与草药和蘑菇相结合并融入现代分子药理学?

How Should the Worldwide Knowledge of Traditional Cancer Healing Be Integrated with Herbs and Mushrooms into Modern Molecular Pharmacology?

作者信息

Kirdeeva Yulia, Fedorova Olga, Daks Alexandra, Barlev Nikolai, Shuvalov Oleg

机构信息

Institute of Cytology, Russian Academy of Sciences, 194064 St. Petersburg, Russia.

Orekhovich Institute of Biomedical Chemistry, 119435 Moscow, Russia.

出版信息

Pharmaceuticals (Basel). 2022 Jul 14;15(7):868. doi: 10.3390/ph15070868.

Abstract

Traditional herbal medicine (THM) is a "core" from which modern medicine has evolved over time. Besides this, one third of people worldwide have no access to modern medicine and rely only on traditional medicine. To date, drugs of plant origin, or their derivates (paclitaxel, vinblastine, vincristine, vinorelbine, etoposide, camptothecin, topotecan, irinotecan, and omacetaxine), are very important in the therapy of malignancies and they are included in most chemotherapeutic regimes. To date, 391,000 plant and 14,000 mushroom species exist. Their medical and biochemical capabilities have not been studied in detail. In this review, we systematized the information about plants and mushrooms, as well as their active compounds with antitumor properties. Plants and mushrooms are divided based on the regions where they are used in ethnomedicine to treat malignancies. The majority of their active compounds with antineoplastic properties and mechanisms of action are described. Furthermore, on the basis of the available information, we divided them into two priority groups for research and for their potential of use in antitumor therapy. As there are many prerequisites and some examples how THM helps and strengthens modern medicine, finally, we discuss the positive points of THM and the management required to transform and integrate THM into the modern medicine practice.

摘要

传统草药医学是现代医学长期发展演变而来的“核心”。除此之外,全球三分之一的人口无法获得现代医学治疗,只能依赖传统医学。迄今为止,植物来源的药物或其衍生物(紫杉醇、长春花碱、长春新碱、长春瑞滨、依托泊苷、喜树碱、拓扑替康、伊立替康和奥马西他辛)在恶性肿瘤治疗中非常重要,并且被纳入了大多数化疗方案。目前已知有39.1万种植物和1.4万种蘑菇。它们的医学和生化特性尚未得到详细研究。在本综述中,我们对有关植物和蘑菇及其具有抗肿瘤特性的活性化合物的信息进行了系统化整理。根据它们在民族医学中用于治疗恶性肿瘤的地区对植物和蘑菇进行了分类。描述了它们大多数具有抗肿瘤特性的活性化合物及其作用机制。此外,根据现有信息,我们将它们分为两个优先研究组,以及它们在抗肿瘤治疗中的潜在用途。由于有许多前提条件以及一些传统草药医学如何辅助和强化现代医学的实例,最后,我们讨论了传统草药医学的优点以及将其转化并整合到现代医学实践中所需的管理措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c4/9320176/b3812668be76/pharmaceuticals-15-00868-g001.jpg

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