首页|中药单体干预骨肉瘤相关信号通路的研究进展

中药单体干预骨肉瘤相关信号通路的研究进展

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骨肉瘤是一种常见的原发性骨恶性肿瘤,多发生于儿童和青少年中.因其高度的局部侵袭性和转移倾向,所以往往会导致患者出现较高的病死率、致残率和复发率.这不仅给患者的生活质量带来严重的影响,同时也给患者的家庭和社会造成巨大的经济负担.因此,如何快速提高生存率,降低病死率和复发率,改善患者生命质量,是当前国内外研究者关注的焦点之一.放疗和化疗是目前临床上治疗骨肉瘤的最常用方式之一,但长期的放疗和化疗会对患者的身体产生严重的损害,同时伴随着一系列的不良反应,所以这种治疗方式存在一定的局限性.既往国内外大量学者研究发现,中药单体有效成分通过介导Wnt/β-catenin、Notch、NF-κ B、PI3K/Akt/mTOR、JAK/STAT、MAPK等经典信号通路,可以有效通过提高细胞外基质标志物的表达,来调控骨肉瘤细胞的侵袭、迁移、增殖、凋亡和自噬,从而达到抑制骨肉瘤发生和发展的目的.而中药作为祖国传统医学的瑰宝,不仅具有价格低廉、作用靶点多、治疗范围广等独特优势,且毒副作用小不易产生耐药性.因此,该文通过研究中药单体有效成分对上述信号通路的干预达到防治骨肉瘤目的进行综述,以期为临床上应用中医药治疗骨肉瘤提供新的思路和理论依据.
Research Progress on Signal Pathway of Chinese Medicine Monomer Intervention in Osteosarcoma
Osteosarcoma is a common primary bone malignancy,which mostly occurs in children and adolescents.Due to its high local invasiveness and metastatic tendency,it often leads to high mortality,disability and recurrence rates in patients.This not only has a serious impact on the quality of life of patients,but also creates a huge economic burden on the patients'families and society.Therefore,how to quickly improve the survival rate,reduce the mortality and recurrence rates,and improve the quality of life of patients is one of the current focuses of researchers at home and abroad.Radiotherapy and chemotherapy are currently one of the most commonly used methods for the clinical treatment of osteosarcoma,but long-term radiotherapy and chemotherapy will cause serious damage to the patient's body,ac-companied by a series of adverse reactions,so this treatment method has certain limitations.In the past,a large number of scholars at home and abroad have found that the effective components of Chinese medicine monomers can effectively regulate the invasion,migration,proliferation,apoptosis and autophagy of osteosarcoma cells by mediating classical signaling pathways such as Wnt/β-catenin,Notch,NF-κ B,PI3K/Akt/mTOR,JAK/STAT,and MAPK,thereby inhib-iting the occurrence and development of osteosarcoma.As a treasure of traditional Chinese medicine,Chinese medi-cine not only has unique advantages such as low price,multiple targets,and a wide range of treatment,but also has few toxic side effects and is not easy to develop drug resistance.Therefore,this article reviews the purpose of preventing and treating osteosarcoma by studying the intervention of the effective components of Chinese medicine monomers on the above signaling pathways,in order to provide new ideas and theoretical basis for the clinical application of Chinese medicine in the treatment of osteosarcoma.

OsteosarcomaChinese medicine monomerSignaling pathwayResearch progress

张循儒、李红专、刘跃振、张效收、姚亚赛、王丽君、梁家齐

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甘肃中医药大学 甘肃兰州 730000

甘肃省中医院 甘肃兰州 730050

骨肉瘤 中药单体 信号通路 研究进展

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(7)
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