草药医学在乳腺癌治疗中的作用机制、证据及未来展望

Herbal Medicine in Breast Cancer Therapy: Mechanisms, Evidence, and Future Perspectives.

作者信息

Wu Hsien-Chang, Tsai Chung-Che, Hsu Po-Chih, Kuo Chan-Yen

机构信息

School of Post-baccalaureate Chinese Medicine, Tzu Chi University, Hualien 970, Taiwan.

Department of Chinese Medicine, Taipei Tzu Chi Hospital, The Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd., Xindian Dist, New Taipei City 231, Taiwan.

出版信息

Curr Issues Mol Biol. 2025 May 15;47(5):362. doi: 10.3390/cimb47050362.

Abstract

Breast cancer remains a leading global cause of cancer-related mortality among women, requiring the development of safer and more effective therapeutic strategies. Herbal medicines have gained increasing attention as complementary approaches due to their multi-targeted actions, more limited toxicities, and the potential ability to overcome resistance associated with conventional treatments. This review highlights the antitumor properties and underlying mechanisms of several well-studied herbal compounds, including curcumin, resveratrol, epigallocatechin gallate, withaferin A, thymoquinone, baicalin, berberine, , and . These phytochemicals exert antitumor effects by inducing apoptosis, inhibiting cell proliferation and metastasis, modulating immune responses, and sensitizing tumor cells to chemotherapy and radiotherapy. Furthermore, many of these agents regulate key signaling pathways, such as nuclear factor kappa-light-chain-enhancer of activated B cells, phosphatidylinositol 3-kinase/AKT, p53, signal transducer and activator of transcription 3, and extracellular signal-regulated kinases 1/2, and the tumor microenvironment. Despite promising preclinical and early clinical evidence, challenges remain regarding the bioavailability, standardization, and large-scale clinical validation of these phytochemicals. This review underscores the therapeutic potential of herbal medicines in breast cancer treatment and advocates for further research to facilitate their integration into evidence-based oncology practice.

摘要

乳腺癌仍然是全球女性癌症相关死亡的主要原因,需要开发更安全、更有效的治疗策略。草药作为一种补充疗法越来越受到关注,因为它们具有多靶点作用、毒性更有限,以及克服与传统治疗相关耐药性的潜在能力。本综述重点介绍了几种经过充分研究的草药化合物的抗肿瘤特性和潜在机制,包括姜黄素、白藜芦醇、表没食子儿茶素没食子酸酯、睡茄素A、百里醌、黄芩苷、小檗碱等。这些植物化学物质通过诱导细胞凋亡、抑制细胞增殖和转移、调节免疫反应以及使肿瘤细胞对化疗和放疗敏感来发挥抗肿瘤作用。此外,许多此类药物调节关键信号通路,如核因子κB、磷脂酰肌醇3-激酶/AKT、p53、信号转导和转录激活因子3以及细胞外信号调节激酶1/2,以及肿瘤微环境。尽管有很有前景的临床前和早期临床证据,但这些植物化学物质的生物利用度、标准化和大规模临床验证方面仍然存在挑战。本综述强调了草药在乳腺癌治疗中的治疗潜力,并倡导进一步研究以促进其纳入循证肿瘤学实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22fc/12110424/d88500e8deb0/cimb-47-00362-g001.jpg

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