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用于癌症治疗的草药疗法:植物治疗功效综述

Herbal Therapies for Cancer Treatment: A Review of Phytotherapeutic Efficacy.

作者信息

Jenča Andrej, Mills David K, Ghasemi Hadis, Saberian Elham, Jenča Andrej, Karimi Forood Amir Mohammad, Petrášová Adriána, Jenčová Janka, Jabbari Velisdeh Zeinab, Zare-Zardini Hadi, Ebrahimifar Meysam

机构信息

Klinika of Stomatology and Maxillofacial Surgery Akadémia Košice Bacikova, UPJS LF, Kosice, Slovakia.

Molecular Science and Nanotechnology, College of Engineering and Science, Louisiana Tech University, Ruston, LA, 71272, USA.

出版信息

Biologics. 2024 Sep 10;18:229-255. doi: 10.2147/BTT.S484068. eCollection 2024.

Abstract

Natural products have proven to be promising anti-cancer agents due to their diverse chemical structures and bioactivity. This review examines their central role in cancer treatment, focusing on their mechanisms of action and therapeutic benefits. Medicinal plants contain bioactive compounds, such as flavonoids, alkaloids, terpenoids and polyphenols, which exhibit various anticancer properties. These compounds induce apoptosis, inhibit cell proliferation and cell cycle progression, interfere with microtubule formation, act on topoisomerase targets, inhibit angiogenesis, modulate key signaling pathways, improve the tumor microenvironment, reverse drug resistance and activate immune cells. Herbal anti-cancer drugs offer therapeutic advantages, particularly selective toxicity against cancer cells, reducing the adverse side effects associated with conventional chemotherapy. Recent studies and clinical trials highlight the benefits of herbal medicines in alleviating side effects, improving tolerance to chemotherapy and the occurrence of synergistic effects with conventional treatments. For example, the herbal medicine SH003 was found to be safe and potentially effective in the treatment of solid cancers, while Fucoidan showed anti-inflammatory properties that are beneficial for patients with advanced cancer. The current research landscape on herbal anticancer agents is extensive. Numerous studies and clinical trials are investigating their efficacy, safety and mechanisms of action in various cancers such as lung, prostate, breast and hepatocellular carcinoma. Promising developments include the polypharmacological approach, combination therapies, immunomodulation and the improvement of quality of life. However, there are still challenges in the development and use of natural products as anti-cancer drugs, such as the need for further research into their mechanisms of action, possible drug interactions and optimal dosage. Standardizing herbal extracts, improving bioavailability and delivery, and overcoming regulatory and acceptance hurdles are critical issues that need to be addressed. Nonetheless, the promising anticancer effects and therapeutic benefits of natural products warrant further investigation and development. Multidisciplinary collaboration is essential to advance herbal cancer therapy and integrate these agents into mainstream cancer treatment.

摘要

由于天然产物具有多样的化学结构和生物活性,已被证明是很有前景的抗癌药物。本综述探讨了它们在癌症治疗中的核心作用,重点关注其作用机制和治疗益处。药用植物含有生物活性化合物,如黄酮类、生物碱、萜类和多酚类,这些化合物具有多种抗癌特性。这些化合物可诱导细胞凋亡、抑制细胞增殖和细胞周期进程、干扰微管形成、作用于拓扑异构酶靶点、抑制血管生成、调节关键信号通路、改善肿瘤微环境、逆转耐药性并激活免疫细胞。草药抗癌药物具有治疗优势,特别是对癌细胞具有选择性毒性,可减少与传统化疗相关的副作用。最近的研究和临床试验突出了草药在减轻副作用、提高对化疗的耐受性以及与传统治疗产生协同作用方面的益处。例如,草药SH003被发现对实体癌的治疗安全且可能有效,而岩藻多糖显示出抗炎特性,对晚期癌症患者有益。目前关于草药抗癌剂的研究领域很广泛。大量研究和临床试验正在研究它们在肺癌、前列腺癌、乳腺癌和肝细胞癌等各种癌症中的疗效、安全性和作用机制。有前景的发展包括多药理学方法、联合疗法、免疫调节和生活质量的改善。然而,将天然产物开发为抗癌药物仍存在挑战,例如需要进一步研究其作用机制、可能的药物相互作用和最佳剂量。标准化草药提取物、提高生物利用度和给药方式以及克服监管和接受障碍是需要解决的关键问题。尽管如此,天然产物有前景的抗癌作用和治疗益处值得进一步研究和开发。多学科合作对于推进草药癌症治疗并将这些药物纳入主流癌症治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f5f/11401522/6ca8a088a1b0/BTT-18-229-g0001.jpg

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