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中医药在肺癌治疗中的作用:综述

Role of Traditional Chinese Medicine in Lung Cancer Management: A Review.

作者信息

Rao Zhijing, Wang Zhongqi, Deng Haibin, Su Wan, Huang Xiaowei, Xu Zhenye

机构信息

Oncology Department, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine Shanghai, P. R. China.

出版信息

Am J Chin Med. 2025;53(1):97-117. doi: 10.1142/S0192415X25500053. Epub 2025 Jan 29.

Abstract

With the continuous advancements in modern medicine, significant progress has been made in the treatment of lung cancer. Current standard treatments, such as surgery, chemotherapy, radiotherapy, targeted therapy, and immunotherapy, have notably improved patient survival. However, the adverse effects associated with these therapies limit their use and impact the overall treatment process. Traditional Chinese medicine (TCM) has shown holistic, multi-target, and multi-level therapeutic effects. Numerous studies have highlighted the importance of TCM's role in the comprehensive management of lung cancer, demonstrating its benefits in inhibiting tumor growth, reducing complications, mitigating side effects, and enhancing the efficacy of conventional treatments. Here, we review the main mechanisms of TCM in combating lung cancer, inducing cancer cell cycle arrest and apoptosis. These include inhibiting lung cancer cell growth and proliferation, inhibiting cancer cell invasion and metastasis, suppressing angiogenesis and epithelial-mesenchymal transition (EMT), and modulating antitumor inflammatory responses and immune evasion. This paper aims to summarize recent advancements in the application of TCM for lung cancer, emphasizing its unique advantages and distinctive features. In promoting the benefits of TCM, we seek to provide valuable insights for the integrated treatment of lung cancer.

摘要

随着现代医学的不断进步,肺癌治疗已取得显著进展。当前的标准治疗方法,如手术、化疗、放疗、靶向治疗和免疫治疗,已显著提高了患者的生存率。然而,这些疗法的副作用限制了它们的应用,并影响了整个治疗过程。中医已显示出整体、多靶点和多层次的治疗效果。大量研究强调了中医在肺癌综合管理中的重要作用,证明了其在抑制肿瘤生长、减少并发症、减轻副作用以及提高传统治疗疗效方面的益处。在此,我们综述中医对抗肺癌、诱导癌细胞周期停滞和凋亡的主要机制。这些机制包括抑制肺癌细胞生长和增殖、抑制癌细胞侵袭和转移、抑制血管生成和上皮-间质转化(EMT),以及调节抗肿瘤炎症反应和免疫逃逸。本文旨在总结中医在肺癌应用方面的最新进展,强调其独特优势和鲜明特点。在推广中医的益处时,我们力求为肺癌的综合治疗提供有价值的见解。

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