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中药治疗肝癌中信号通路的调控机制

Regulatory mechanisms of signaling pathways in liver cancer treatment with traditional Chinese medicine.

作者信息

Zheng Shihao, Xue Tianyu, Xue Chengyuan, Li Size, Zao Xiaobin, Li Xiaoke, Cao Xu, Du Hongbo, Qi Wenying, Seetoh Wei Song, Wang Wei, Zhang Peng, Ye Yongan

机构信息

Department of Spleen and Gastroenterology, Dongzhimen Hospital, Beijing University of Chinese Medicine, 100007, China; Beijing University of Chinese Medicine, 100102, China.

Hebei Provincial Hospital of Traditional Chinese Medicine, 050000, China.

出版信息

J Ethnopharmacol. 2025 Feb 27;342:119386. doi: 10.1016/j.jep.2025.119386. Epub 2025 Jan 21.

Abstract

ETHNOPHARMACOLOGICAL RELEVANCE

Traditional Chinese Medicine (TCM), as a longstanding therapeutic approach, offers unique advantages and potential in the treatment of liver cancer. Recent studies have highlighted its role in preventing liver cancer progression by modulating key signaling pathways. TCM's multi-component, multi-target, and multi-pathway mechanisms of action have garnered significant attention in the medical community for their ability to address complex diseases like liver cancer.

AIM OF THE STUDY

This review examines the current status and challenges in the application of TCM to regulate specific signaling pathways, including PI3K/Akt, NF-κB, TGF-β, Wnt/β-Catenin, and Notch, in liver cancer treatment. The goal is to further elucidate the critical roles of these pathways in liver cancer progression and provide new insights into the modern scientific interpretation of TCM.

MATERIALS AND METHODS

Literature was retrieved from PubMed and Web of Science databases using keywords such as "traditional Chinese medicine," "Chinese medicine," and "signaling pathway." The articles reviewed span from 2004 to 2024.

RESULTS

TCM demonstrates significant therapeutic and preventive effects in liver cancer by modulating signaling pathways involved in tumorigenesis. These pathways influence processes such as cell growth, invasion, proliferation, and inflammatory responses, contributing to the anti-cancer effects of TCM.

CONCLUSION

By modulating key signaling pathways such as PI3K/Akt, NF-κB, TGF-β, Wnt/β-Catenin, and Notch, TCM plays an important role in both the treatment and prevention of liver cancer, offering a promising therapeutic approach grounded in traditional practices and modern scientific understanding.

摘要

民族药理学相关性

传统中医(TCM)作为一种长期的治疗方法,在肝癌治疗中具有独特优势和潜力。最近的研究强调了其通过调节关键信号通路来预防肝癌进展的作用。中医多成分、多靶点和多途径的作用机制因其应对肝癌等复杂疾病的能力而在医学界备受关注。

研究目的

本综述探讨了中医在肝癌治疗中调节特定信号通路(包括PI3K/Akt、NF-κB、TGF-β、Wnt/β-连环蛋白和Notch)的应用现状及挑战。目的是进一步阐明这些通路在肝癌进展中的关键作用,并为中医的现代科学解读提供新见解。

材料与方法

使用“传统中医”“中药”和“信号通路”等关键词从PubMed和Web of Science数据库检索文献。所综述的文章涵盖2004年至2024年。

结果

中医通过调节参与肿瘤发生的信号通路在肝癌治疗中显示出显著的治疗和预防效果。这些通路影响细胞生长、侵袭、增殖和炎症反应等过程,促成了中医的抗癌作用。

结论

通过调节PI3K/Akt、NF-κB、TGF-β、Wnt/β-连环蛋白和Notch等关键信号通路,中医在肝癌治疗和预防中均发挥重要作用,提供了一种基于传统实践和现代科学理解的有前景的治疗方法。

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