Chen Jie, Meng Xinyu, Shen Yanyan, Bhandari Adheesh, Hao Rutian
Operating Room, The First Affiliated Hospital of Wenzhou Medical University, Zhejiang, China.
Department of Breast Surgery, The First Affiliated Hospital of Wenzhou Medical University, Zhejiang, China.
Ann Med Surg (Lond). 2025 May 12;87(6):3201-3214. doi: 10.1097/MS9.0000000000003276. eCollection 2025 Jun.
OBJECTIVE: The Xiaoyao pill, a Chinese patent medicine initially designed for treating breast hyperplasia, has emerged as a potential therapy for inhibiting breast cancer. METHOD: Research has delved into its mechanisms, utilizing Disease Oncology, Gene Oncology, and Kyoto Encyclopedia of Genes and Genomes analyses. Correlations between Xiaoyao pill's target genes and lipid metabolism were identified. Comparative gene set enrichment analysis between normal and breast cancer (BRCA) tissues showed down-regulation of lipid metabolism-related genes in BRCA, suggesting their role in cancer development. Weighted gene co-expression analysis revealed a gene module associated with both normal and malignant breast tissue, impacting lipid metabolism significantly. RESULT: Protein-protein interaction network analysis highlighted expression differences in 24 common genes shared between Xiaoyao pill and BRCA. Receiver operating characteristic curve analysis indicated Xiaoyao pill's potential diagnostic utility for BRCA. Target genes were detectable in immune cell types, particularly T cells, suggesting a role in tumor immunity modulation. CONCLUSION: In conclusion, the Xiaoyao pill holds promise in treating BRCA by down-regulating lipid metabolism pathways and potentially influencing tumor immunity, presenting a multifaceted approach to breast cancer management.
目的:逍遥丸是一种最初用于治疗乳腺增生的中成药,现已成为一种潜在的抑制乳腺癌的疗法。 方法:研究利用疾病肿瘤学、基因肿瘤学和京都基因与基因组百科全书分析深入探究其作用机制。确定了逍遥丸靶基因与脂质代谢之间的相关性。正常组织与乳腺癌(BRCA)组织之间的比较基因集富集分析表明,BRCA中脂质代谢相关基因下调,提示其在癌症发展中的作用。加权基因共表达分析揭示了一个与正常和恶性乳腺组织均相关的基因模块,对脂质代谢有显著影响。 结果:蛋白质-蛋白质相互作用网络分析突出了逍遥丸与BRCA共有的24个常见基因的表达差异。受试者工作特征曲线分析表明逍遥丸对BRCA具有潜在的诊断效用。在免疫细胞类型中可检测到靶基因,尤其是T细胞,提示其在肿瘤免疫调节中的作用。 结论:总之,逍遥丸有望通过下调脂质代谢途径并潜在地影响肿瘤免疫来治疗BRCA,为乳腺癌管理提供了一种多方面的方法。
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