Sun Jiaxin, Wei Ying, Wang Jia, Hou Mingxing, Su Liya
Affiliated Hospital of Inner Mongolia Medical University, Inner Mongolia Key Laboratory of Medical Cell Biology, Hohhot, Inner Mongolia, China.
Department of Gynaecology, Inner Mongolia People's Hospital, Hohhot, Inner Mongolia, China.
Front Pharmacol. 2024 May 9;15:1377592. doi: 10.3389/fphar.2024.1377592. eCollection 2024.
Colorectal cancer (CRC) is a significant global health burden, with high morbidity and mortality rates. It is often diagnosed at middle to advanced stage, affecting approximately 35% of patients at the time of diagnosis. Currently, chemotherapy has been used to improve patient prognosis and increase overall survival. However, chemotherapy can also have cytotoxic effects and lead to adverse reactions, such as inhibiting bone marrow hematopoiesis, causing digestive dysfunction, hand-foot syndrome, and even life-threatening conditions. In response to these adverse effects, researchers have proposed using Traditional Chinese Medicine (TCM) as an option to treat cancer. TCM research focuses on prescriptions, herbs, and components, which form essential components of the current research in Chinese medicine. The study and implementation of TCM prescriptions and herbs demonstrate its distinctive holistic approach to therapy, characterized by applying multi-component and multi-target treatment. TMC components have advantages in developing new drugs as they consist of single ingredients, require smaller medication dosages, have a precise measure of pharmacodynamic effects, and have a clear mechanism of action compared to TCM prescriptions and herbs. However, further research is still needed to determine whether TMC components can fully substitute the therapeutic efficacy of TCM prescriptions. This paper presents a comprehensive analysis of the research advancements made in TCM prescriptions, herbs, and components. The findings of this study can serve as a theoretical basis for researchers who are interested in exploring the potential of TCM for the treatment of colorectal cancer.
结直肠癌(CRC)是一项重大的全球健康负担,发病率和死亡率都很高。它通常在中晚期被诊断出来,约35%的患者在确诊时已处于该阶段。目前,化疗已被用于改善患者预后并提高总生存率。然而,化疗也可能产生细胞毒性作用并导致不良反应,如抑制骨髓造血、引起消化功能障碍、手足综合征,甚至危及生命的情况。针对这些不良反应,研究人员提出使用传统中药(TCM)作为治疗癌症的一种选择。中医研究聚焦于方剂、草药和成分,这些构成了当前中医研究的重要组成部分。对中药方剂和草药的研究与应用体现了其独特的整体治疗方法,其特点是采用多成分、多靶点治疗。与中药方剂和草药相比,中药成分在开发新药方面具有优势,因为它们由单一成分组成,用药剂量较小,药效作用有精确的衡量标准,且作用机制明确。然而,仍需要进一步研究来确定中药成分是否能完全替代中药方剂的治疗效果。本文对中药方剂、草药和成分的研究进展进行了全面分析。本研究结果可为有兴趣探索中医治疗结直肠癌潜力的研究人员提供理论依据。