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小檗碱对泌尿系统癌症的治疗作用:基于细胞机制的生物学潜力。

Therapeutic Effects of Berberine against Urological Cancers: Biological Potentials Based on Cellular Mechanisms.

机构信息

Student Research Committee, Islamic Azad University, Tehran Medical Branch, Tehran, Iran.

Student Research Committee, Islamic Azad University, Mashhad Medical Branch, Mashhad, Iran.

出版信息

Curr Mol Med. 2024;24(10):1282-1290. doi: 10.2174/0115665240263630231009050436.

DOI:10.2174/0115665240263630231009050436
PMID:37933211
Abstract

BACKGROUND

Urological cancers, encompassing prostate, kidney, and bladder cancers, pose significant global health challenges. Current treatment modalities, including chemotherapy, radiotherapy, and surgery, individually or in combination, have limitations in efficacy and are associated with notable morbidity and mortality.

METHODS

This review explores alternative therapeutic avenues, emphasizing the exploration of natural compounds, with a specific focus on berberine. Berberine's potential as a treatment for urological cancers is investigated through an extensive examination of cellular and molecular mechanisms.

RESULTS

The comprehensive analysis reveals promising anticancer properties associated with berberine, substantiated by a wealth of experimental studies. The agent's impact on urological cancers is discussed, highlighting notable findings related to its efficacy and safety profile.

CONCLUSIONS

Given the high mortality rates and potential side effects associated with current standard treatments for urological cancers, the exploration of alternative, effective, and safer options is imperative. This review underscores berberine's therapeutic potential, shedding light on its anticancer effects and encouraging further research in the pursuit of enhanced treatment strategies.

摘要

背景

泌尿系统癌症(包括前列腺癌、肾癌和膀胱癌)是全球性的健康挑战。目前的治疗方法包括化疗、放疗和手术,单独或联合使用,在疗效上存在局限性,且与明显的发病率和死亡率相关。

方法

本综述探讨了其他治疗途径,强调了对天然化合物的探索,特别关注小檗碱。通过广泛研究细胞和分子机制,探讨了小檗碱作为治疗泌尿系统癌症的潜力。

结果

全面分析揭示了小檗碱具有有前途的抗癌特性,这得到了大量实验研究的支持。讨论了该药物对泌尿系统癌症的影响,强调了与其疗效和安全性相关的显著发现。

结论

鉴于目前泌尿系统癌症的标准治疗方法存在高死亡率和潜在的副作用,探索替代的、有效和更安全的选择是必要的。本综述强调了小檗碱的治疗潜力,揭示了其抗癌作用,并鼓励进一步研究以寻求增强的治疗策略。

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本文引用的文献

1
Berberine inhibits the progression of renal cell carcinoma cells by regulating reactive oxygen species generation and inducing DNA damage.小檗碱通过调节活性氧生成和诱导 DNA 损伤抑制肾癌细胞的进展。
Mol Biol Rep. 2023 Jul;50(7):5697-5707. doi: 10.1007/s11033-023-08381-w. Epub 2023 May 22.
2
Berberine Affects the Proliferation, Migration, Invasion, Cell Cycle, and Apoptosis of Bladder Cancer Cells T24 and 5637 by Down-Regulating the HER2/PI3K/AKT Signaling Pathway.小檗碱通过下调 HER2/PI3K/AKT 信号通路影响膀胱癌 T24 和 5637 细胞的增殖、迁移、侵袭、细胞周期和凋亡。
Arch Esp Urol. 2023 Mar;76(2):152-160. doi: 10.56434/j.arch.esp.urol.20237602.17.
3
Identification of berberine as a potential therapeutic strategy for kidney clear cell carcinoma and COVID-19 based on analysis of large-scale datasets.
基于大规模数据集的分析,鉴定小檗碱作为治疗肾透明细胞癌和 COVID-19 的潜在策略。
Front Immunol. 2023 Mar 23;14:1038651. doi: 10.3389/fimmu.2023.1038651. eCollection 2023.
4
Berberine Regulation of Cellular Oxidative Stress, Apoptosis and Autophagy by Modulation of mA mRNA Methylation through Targeting the /ERK Pathway in Zebrafish-Hepatocytes.小檗碱通过靶向斑马鱼肝细胞中的/ERK通路调节mA mRNA甲基化来调控细胞氧化应激、凋亡和自噬。
Antioxidants (Basel). 2022 Nov 30;11(12):2370. doi: 10.3390/antiox11122370.
5
Neoadjuvant immunotherapy, chemotherapy, and combination therapy in muscle-invasive bladder cancer: A multi-center real-world retrospective study.新辅助免疫治疗、化疗和联合治疗在肌层浸润性膀胱癌中的应用:一项多中心真实世界回顾性研究。
Cell Rep Med. 2022 Nov 15;3(11):100785. doi: 10.1016/j.xcrm.2022.100785. Epub 2022 Oct 19.
6
Berberine mediates tumor cell death by skewing tumor-associated immunosuppressive macrophages to inflammatory macrophages.小檗碱通过将肿瘤相关的免疫抑制巨噬细胞转变为炎性巨噬细胞来介导肿瘤细胞死亡。
Phytomedicine. 2022 May;99:153904. doi: 10.1016/j.phymed.2021.153904. Epub 2021 Dec 22.
7
Berberine enhances gemcitabine‑induced cytotoxicity in bladder cancer by downregulating Rad51 expression through inactivating the PI3K/Akt pathway.小檗碱通过抑制 PI3K/Akt 通路使 Rad51 表达下调从而增强吉西他滨诱导的膀胱癌细胞毒性。
Oncol Rep. 2022 Feb;47(2). doi: 10.3892/or.2021.8244. Epub 2021 Dec 22.
8
Berberine increases the expression of cytokines and proteins linked to apoptosis in human melanoma cells.小檗碱可增加人黑色素瘤细胞中与细胞凋亡相关的细胞因子和蛋白质的表达。
Mol Biol Rep. 2022 Mar;49(3):2037-2046. doi: 10.1007/s11033-021-07022-4. Epub 2021 Dec 3.
9
Berberine suppresses bladder cancer cell proliferation by inhibiting JAK1-STAT3 signaling via upregulation of miR-17-5p.小檗碱通过上调 miR-17-5p 抑制 JAK1-STAT3 信号通路抑制膀胱癌细胞增殖。
Biochem Pharmacol. 2021 Jun;188:114575. doi: 10.1016/j.bcp.2021.114575. Epub 2021 Apr 20.
10
A New Therapeutic Candidate for Cardiovascular Diseases: Berberine.心血管疾病的一种新治疗候选药物:黄连素。
Front Pharmacol. 2021 Mar 17;12:631100. doi: 10.3389/fphar.2021.631100. eCollection 2021.