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中药黄酮类化合物在胰腺癌治疗中的治疗潜力。

Therapeutic potential of flavonoids from traditional Chinese medicine in pancreatic cancer treatment.

作者信息

Wan Qi, Ren Qing, Qiao Shuangying, Lyu Aiping, He Xingwei, Li Fangfei

机构信息

Acupuncture Department, Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang, China.

Graduate School, Jiangxi University of Chinese Medicine, Nanchang, China.

出版信息

Front Nutr. 2024 Nov 22;11:1477140. doi: 10.3389/fnut.2024.1477140. eCollection 2024.

Abstract

Pancreatic cancer (PC) is a highly aggressive malignancy with rising mortality rates globally. Its diagnosis is often challenging due to its asymptomatic nature in the early stages. Consequently, most patients receive a poor prognosis, with low survival rates within 5 years, as the disease is typically detected at an advanced stage, complicating effective treatment. Flavonoids, especially those derived from traditional Chinese herbal medicines, have attracted considerable attention for their potent anti-PC properties. This review highlights the therapeutic potential of these bioactive compounds, which modulate key biological pathways, making them promising candidates for PC intervention. Their mechanisms of action include the regulation of autophagy, apoptosis, cell growth, epithelial-mesenchymal transition, and oxidative stress, as well as enhancing chemotherapeutic sensitivity, exerting antiangiogenic effects, and potentially boosting immunomodulatory responses. The demonstrated benefits of these natural compounds in cancer management have spurred extensive academic interest. Beyond their role as anti-cancer agents, flavonoids may provide both preventive and therapeutic advantages for PC, resonating with the core principles of traditional Chinese medicine for disease prevention and holistic treatment.

摘要

胰腺癌(PC)是一种侵袭性很强的恶性肿瘤,全球死亡率呈上升趋势。由于其早期无症状的特性,其诊断往往具有挑战性。因此,大多数患者预后较差,5年内生存率较低,因为该疾病通常在晚期才被发现,这使得有效治疗变得复杂。黄酮类化合物,尤其是那些源自传统中草药的黄酮类化合物,因其强大的抗胰腺癌特性而备受关注。这篇综述强调了这些生物活性化合物的治疗潜力,它们可调节关键生物学途径,使其成为胰腺癌干预的有希望的候选物。它们的作用机制包括自噬、凋亡、细胞生长、上皮-间质转化和氧化应激的调节,以及增强化疗敏感性、发挥抗血管生成作用和潜在地增强免疫调节反应。这些天然化合物在癌症治疗中已证明的益处激发了广泛的学术兴趣。除了作为抗癌剂的作用外,黄酮类化合物可能为胰腺癌提供预防和治疗优势,这与中医预防疾病和整体治疗的核心原则相呼应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c503/11620852/445adc37558f/fnut-11-1477140-g001.jpg

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