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神经药物治疗恶性肿瘤的进展。

Advances in the treatment of malignant tumors with neurological drugs.

作者信息

Li Yongnian, Na Jintong, Zhong Liping, Zhao Yongxiang

机构信息

State Key Laboratory of Targeting Oncology, Guangxi Key Laboratory of Bio-targeting Theranostics, Collaborative Innovation Center for Targeting Tumor Diagnosis and Therapy, Guangxi Talent Highland of Major New Drugs Innovation and Development, National Center for International Research of Bio-targeting Theranostics, Guangxi Medical University, Nanning, 530021, China.

School of Pharmacy, Guangxi Medical University, Nanning, 530021, Guangxi, China.

出版信息

Discov Oncol. 2025 Jul 16;16(1):1346. doi: 10.1007/s12672-025-03013-0.

Abstract

The nervous system governs the body's components and is essential for the physiological functions of all organ systems. The nervous system governs how the body senses, processes, and responds to its environment. Through a complex network of neurons and supporting cells, it connects sensory organs with the brain and spinal cord, and coordinates communication with target organs and tissues throughout the body. This integration of sensory, motor, autonomic, and endocrine functions makes the nervous system essential for maintaining homeostasis and systemic coordination.Consequently, it is anticipated that the nervous system exerts parallel regulatory influences on cancer. Over the past decade, studies have demonstrated a reciprocal relationship between the nervous system and cancer. Taking gliomas, prostate cancer, and breast cancer as examples, where specific nerve types (parasympathetic, sympathetic, or sensory) directly or indirectly control the initiation, progression, and metastasis of cancer. Similarly, cancer can reshape and hijack the structure and function of the nervous system. Chemotherapy has traditionally been the primary and most effective antitumor treatment, while the discovery of neuro-tumor interactions unveils novel strategies for repurposing neuroactive agents as adjuncts to this conventional therapeutic approach. This review elucidates cancer neuroscience through the examples of gliomas, prostate cancer, and breast cancer. Structured around key neuropharmacological receptors, the review systematically explores the potential applications of neuroactive agents and their targets across a broad spectrum of cancer therapies.

摘要

神经系统控制着身体的各个组成部分,对所有器官系统的生理功能至关重要。神经系统控制着身体如何感知、处理和响应其环境。通过由神经元和支持细胞组成的复杂网络,它将感觉器官与脑和脊髓相连,并协调与全身靶器官和组织的通信。感觉、运动、自主和内分泌功能的这种整合使神经系统对于维持体内平衡和全身协调至关重要。因此,可以预期神经系统对癌症施加平行的调节影响。在过去十年中,研究已经证明了神经系统与癌症之间的相互关系。以胶质瘤、前列腺癌和乳腺癌为例,特定的神经类型(副交感神经、交感神经或感觉神经)直接或间接控制癌症的发生、发展和转移。同样,癌症可以重塑并劫持神经系统的结构和功能。传统上,化疗一直是主要且最有效的抗肿瘤治疗方法,而神经-肿瘤相互作用的发现揭示了将神经活性药物重新用作这种传统治疗方法辅助手段的新策略。本综述通过胶质瘤、前列腺癌和乳腺癌的例子阐明癌症神经科学。围绕关键的神经药理学受体构建,本综述系统地探索了神经活性药物及其靶点在广泛的癌症治疗中的潜在应用。

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