Department of Pharmaceutical Sciences, The University of Tennessee Health Science Center, Memphis, TN 38103, United States.
World J Gastroenterol. 2024 Oct 14;30(38):4249-4253. doi: 10.3748/wjg.v30.i38.4249.
Despite significant advances in our understanding of the molecular pathogenesis of liver cancer and the availability of novel pharmacotherapies, liver cancer remains the fourth leading cause of cancer-related mortality worldwide. Tumor relapse, resistance to current anti-cancer drugs, metastasis, and organ toxicity are the major challenges that prevent considerable improvements in patient survival and quality of life. (CB), an ancient Chinese medicinal drug, has been used to treat various pathologies, including stroke, convulsion, epilepsy, pain, and cancer. In this editorial, we discuss the research findings recently published by Huang on the therapeutic effects of CB in inhibiting the development of liver cancer. Utilizing the comprehensive transcriptomic analyses, experiments, and studies, the authors demonstrated that CB treatment inhibits the tumor-promoting M2 phenotype of tumor-associated macrophages downregulating Wnt pathway. While multiple studies have been performed to explore the molecular mechanisms regulated by CB this study uniquely shows its role in modulating the M2 phenotype of macrophages present within the tumor microenvironment. This study opens new avenues of future investigations aimed at investigating this drug's efficacy in various mouse models including the effects of combination therapy, and against drug-resistant tumors.
尽管我们对肝癌的分子发病机制有了重大的认识进展,并且有了新的药物治疗方法,但肝癌仍然是全球癌症相关死亡的第四大主要原因。肿瘤复发、对现有抗癌药物的耐药性、转移和器官毒性是阻碍患者生存和生活质量显著改善的主要挑战。(CB)是一种古老的中药,已被用于治疗各种疾病,包括中风、惊厥、癫痫、疼痛和癌症。在这篇社论中,我们讨论了 Huang 最近发表的关于 CB 在抑制肝癌发展方面的治疗效果的研究结果。作者利用全面的转录组分析、实验和研究,证明 CB 治疗抑制了肿瘤相关巨噬细胞促进肿瘤的 M2 表型,下调了 Wnt 通路。虽然已经进行了多项研究来探索 CB 调节的分子机制,但这项研究独特地表明了它在调节肿瘤微环境中存在的巨噬细胞 M2 表型中的作用。这项研究为未来的研究开辟了新的途径,旨在研究该药物在各种小鼠模型中的疗效,包括联合治疗的效果和对耐药肿瘤的效果。