首页|中药治疗脑胶质瘤作用机制研究进展

中药治疗脑胶质瘤作用机制研究进展

扫码查看
中药治疗脑胶质瘤疗效确切,但其作用机制尚未完全明晰.单味中药及其活性成分、中药复方可能通过多条途径发挥抗脑胶质瘤作用,主要涉及6大方面:(1)调节非肿瘤细胞如重塑肿瘤相关巨噬细胞表型,降低其向M2型极化及促进向M1型极化、抑制骨髓源抑制性细胞浸润等,进而改善脑胶质瘤免疫抑制微环境;(2)调控半胱氨酸蛋白酶、B淋巴细胞瘤-2(B-cell lymphoma-2,Bcl-2)、Bcl-2相关X蛋白等凋亡相关蛋白以及基质金属蛋白酶类的表达,抑制脑胶质瘤细胞增殖,诱导其细胞周期阻滞及细胞凋亡,阻断脑胶质瘤细胞发展进程;(3)下调血管内皮生长因子、缺氧诱导因子等关键性因子的表达,改善脑胶质瘤中存在的缺氧微环境,并阻止脑胶质瘤微血管的新生;(4)开发多种不同类型的中药靶向递送系统,提高脑胶质瘤细胞聚集部位的药物有效浓度,调控血脑屏障的通透性;(5)降低端粒酶、逆转录酶的表达,抑制端粒酶的活性;(6)提高活性氧水平,诱导氧化应激的发生,导致脑胶质瘤细胞凋亡.
Research progress on mechanism of action of Chinese medicine in treating brain glioma
Chinese medicine is effective in treating brain glioma,but its mechanism of action is not completely clear.Single Chinese medicinals,their active components,and Chinese medicine compounds may exert anti-glioma effects through multiple channels,which mainly involve six aspects:(1)Regulating non-tumor cells,such as reshaping the phenotype of tumor-associated macrophages,reducing their M2-type polarization and promoting their M1-type polarization,inhibiting the infiltration of bone marrow derived inhibitory cells,and thus improving the brain glioma immunosuppressive microenvironment.(2)Regulating the expression of cysteine protease,Bcl-2-assoicated X protein,B-cell lymphoblastoma-2 and other apoptosis-related proteins and matrix metalloproteinases,inhibit the proliferation of brain glioma cells,induce cell cycle arrest and apoptosis,and block the development process of brain glioma cells.(3)Down-regulating the expression of vascular endothelial growth factor,hypoxia-inducing factor and other key factors,improving the hypoxia microenvironment in glioma,and preventing the neovascularization of cerebral glioma microvessels.(4)Developing a variety of different types of Chinese medicine targeted delivery systems to improve the effective concentration of drugs at the aggregation site of brain glioma cells and regulate the permeability of the blood-brain barrier.(5)Decreasing the expression of telomerase reverse transcriptase and inhibited the activity of telomerase.(6)Increase the level of reactive oxygen species,induce oxidative stress and lead to apoptosis of brain glioma cells.

traditional Chinese medicinegliomamechanism of actionresearch progress

陈紫莹、赵晓平、范小璇、唐笛笛、张梦洁、薄晗

展开 >

712000 咸阳,陕西中医药大学第一临床医学院

陕西中医药大学附属医院脑外科

陕西省康复医院神经内科

西安市中医脑病医院脑病科

展开 >

中药 脑胶质瘤 作用机制 研究进展

陕西省中西医结合临床协作创新项目陕西省省级院士工作站建设项目

2020-ZXY-0072019-30

2024

环球中医药
中华国际医学交流基金会

环球中医药

CSTPCD
影响因子:1.553
ISSN:1674-1749
年,卷(期):2024.17(5)
  • 44