Xie Xiaoxia, Wei Yan
Department of pharmacy, 970 Hospital of the PLA Joint Logistic Support Force, Yantai, Shandong, China.
Front Pharmacol. 2025 May 19;16:1563229. doi: 10.3389/fphar.2025.1563229. eCollection 2025.
This review paper focuses on the multifaceted roles and therapeutic potential of quercetin in gastric cancer (GC). Quercetin, a natural flavonoid compound abundant in dietary sources such as nuts, teas, vegetables, and herbs, has garnered significant attention due to its anticancer properties. Accumulated evidence demonstrates quercetin's inhibitory effects against GC by targeting key pathways such as cell cycle regulation, fatty acid synthesis, and mitochondrial apoptosis, thereby exerting anti-proliferative and apoptotic strategies. Furthermore, quercetin effectively alleviates GC-related inflammation, optimizing the tumor microenvironment. Mechanistically, quercetin induces various forms of programmed cell death in GC cells, including ferroptosis, pyroptosis, and autophagy, through regulating specific molecular targets. Additionally, quercetin inhibits GC angiogenesis by downregulating vascular endothelial growth factor A (VEGF-A) and its receptor VEGFR-2 expression, and demonstrates anti-metastatic effects by modulating urokinase-type plasminogen activator (uPA) and its receptor (uPAR) function. As research delves deeper into the mechanisms of quercetin's actions and its validation in clinical trials, its prospects as a novel therapeutic agent for GC become increasingly promising. Quercetin's low toxicity and ability to synergize with other anticancer drugs make it a potential key component in comprehensive GC treatment strategies, significantly enhancing patient prognosis and quality of life.
本综述论文聚焦于槲皮素在胃癌(GC)中的多方面作用及治疗潜力。槲皮素是一种天然黄酮类化合物,在坚果、茶、蔬菜和草药等饮食来源中含量丰富,因其抗癌特性而备受关注。累积证据表明,槲皮素通过靶向细胞周期调控、脂肪酸合成和线粒体凋亡等关键途径对胃癌产生抑制作用,从而发挥抗增殖和凋亡作用。此外,槲皮素可有效减轻胃癌相关炎症,优化肿瘤微环境。从机制上讲,槲皮素通过调节特定分子靶点,在胃癌细胞中诱导多种形式的程序性细胞死亡,包括铁死亡、焦亡和自噬。此外,槲皮素通过下调血管内皮生长因子A(VEGF - A)及其受体VEGFR - 2的表达来抑制胃癌血管生成,并通过调节尿激酶型纤溶酶原激活剂(uPA)及其受体(uPAR)的功能发挥抗转移作用。随着对槲皮素作用机制的研究不断深入以及其在临床试验中的验证,其作为胃癌新型治疗药物的前景越来越广阔。槲皮素的低毒性以及与其他抗癌药物协同作用的能力,使其成为胃癌综合治疗策略中潜在的关键组成部分,可显著改善患者预后和生活质量。