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治疗小脑继发性三阴性乳腺癌:药用蘑菇复方的强大助力。

Fighting secondary triple-negative breast cancer in cerebellum: A powerful aid from a medicinal mushrooms blend.

机构信息

Department of Biology and Biotechnology "L. Spallanzani", University of Pavia, 27100 Pavia, Italy.

Laboratory of Clinical & Experimental Toxicology, Pavia Poison Centre, National Toxicology Information Centre, Toxicology Unit, Istituti Clinici Scientifici Maugeri IRCCS, 27100 Pavia, Italy.

出版信息

Biomed Pharmacother. 2023 Mar;159:114262. doi: 10.1016/j.biopha.2023.114262. Epub 2023 Jan 17.

Abstract

Breast cancer (BC) is the second most common cause of brain metastasis onset in patients, with the cerebellum accounting for the 33% of cases. In the current study, using a 4T1 triple-negative mouse BC model, we revealed that an orally administered medicinal mushrooms (MM) blend, rich in β-glucans, played a direct and specific anti-cancer action on cerebellar metastases, also bettering locomotor performances. The neuroprotective effect of the MM blend plays through (i) a direct and specific inhibition of cerebellar metastatization pattern typical of TNBC (with an induced reduction of about 50% of metastases density) and (ii) the regulation of apoptosis and proliferation-related genes, as suggested by expression changes of specific molecular markers, i.e. PCNA, p53, Bcl2, BAX, CASP9, CASP3, Hsp70 and AIF. Therefore, inhibiting the metastatization process, triggering a significant apoptosis increase, and lessening cell proliferation, this MM supplement, employed as adjuvant treatment in association with conventional therapy, could represent a promising approach, in the field of Integrative Oncology, for patients' management in both prevention and treatment of brain metastases from BC.

摘要

乳腺癌(BC)是患者脑转移发病的第二大常见原因,小脑转移占 33%。在本研究中,我们使用 4T1 三阴性乳腺癌小鼠模型,揭示了一种口服药用蘑菇(MM)混合物,富含β-葡聚糖,对小脑转移具有直接和特异性的抗癌作用,同时改善了运动表现。MM 混合物的神经保护作用是通过(i)直接和特异性抑制三阴性乳腺癌(TNBC)特有的小脑转移模式(转移密度降低约 50%)和(ii)调节凋亡和增殖相关基因来实现的,这是由特定分子标志物的表达变化所提示的,即 PCNA、p53、Bcl2、BAX、CASP9、CASP3、Hsp70 和 AIF。因此,抑制转移过程,触发显著的凋亡增加,减少细胞增殖,这种 MM 补充剂,与常规治疗联合作为辅助治疗,可能代表一种有前途的方法,在肿瘤整合医学领域,用于预防和治疗 BC 脑转移患者。

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