首页|"肝主疏泄"与肿瘤转移前微环境

"肝主疏泄"与肿瘤转移前微环境

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免疫抑制是肿瘤转移前微环境得以形成的重要因素,在肿瘤转移中扮演重要角色。通过对"肝主疏泄"调畅气机以调控免疫功能,疏泄胆汁促脾运化以维持肝-肠免疫屏障正常,调畅情志改善压力应激增强免疫的论述,认为"肝主疏泄"为调控免疫功能的核心,基于此探析肝失疏泄、免疫抑制在肿瘤转移前微环境形成中的关联性,提出"肝失疏泄-免疫抑制-肿瘤转移前微环境"病机关联假说。并探讨风药畅达肝木、健脾扶土抑木、养肾滋水涵木、调肺佐金平木在恢复肝主疏泄上的运用,以期切断"肝失疏泄-免疫抑制-肿瘤转移前微环境"的病机关联,为中医药防治肿瘤转移提供新思路。
"Liver Controlling Dispersion"and Pre-metastasis Niches
Immunosuppression is a vital factor in the formation of the micro-environment before tumor metastasis,which plays an important role in tumor metastasis.Through the discussion of"liver controlling dis-persion"which regulating qi to adjust immune function,promoting spleen transportation by excretion of bile to maintain the normalization of the liver-intestinal immune barrier,and enhancing immunity by regulating emo-tions to improve stress,we consider that liver main excretion as the core of regulating immune function.Based on these views,the association between failure of liver to convey and disperse and immunosuppression in the formation of pre-metastasis niches was explored,and the pathogenesis hypothesis of"failure of liver to convey and disperse-immunosuppression-pre-metastasis niches"was proposed.In addition,we try to restore the func-tion of"liver controlling dispersion"through"wind medicine"dispersing stagnated liver,fortifying the spleen to reinforcing the earth and inhibiting the wood,strengthen the kidneys to nourish water to moisten wood,harmo-nizing the lungs to tonify the lung to check the liver,in order to cut off the link of"liver controlling disper-sion-immunosuppression-niches before tumor metastasis",which provide new ideas for the prevention and treatment of tumor metastasis in traditional Chinese medicine.

tumor metastasispre-metastasis nichesliver controlling dispersionimmunosuppressionpathogenesis

徐波、肖冲、吴昊、李芳、林冰

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成都中医药大学附属医院,四川 成都 610075

肿瘤转移 转移前微环境 肝主疏泄 免疫抑制 病机

成都中医药大学"杏林学者"学科人才科研提升计划项目

BSH2021020

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(2)
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