辽宁中医药大学学报2025,Vol.27Issue(1) :121-125.DOI:10.13194/j.issn.1673-842X.2025.01.021

基于肠道菌群探讨益气健脾法对恶性肿瘤免疫治疗的影响

Exploration of the Effect of Invigorating Qi and Strengthening Spleen Method on Immunotherapy of Malignant Tumors Based on Gut Microbiota

韩梦影 肖海娟
辽宁中医药大学学报2025,Vol.27Issue(1) :121-125.DOI:10.13194/j.issn.1673-842X.2025.01.021

基于肠道菌群探讨益气健脾法对恶性肿瘤免疫治疗的影响

Exploration of the Effect of Invigorating Qi and Strengthening Spleen Method on Immunotherapy of Malignant Tumors Based on Gut Microbiota

韩梦影 1肖海娟2
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作者信息

  • 1. 陕西中医药大学,陕西咸阳 712046
  • 2. 陕西中医药大学附属医院,陕西咸阳 712000
  • 折叠

摘要

随着科学研究逐步深入,肿瘤免疫治疗发展迅速,给晚期恶性肿瘤患者带来了更多的治疗机会,越来越多的患者从中受益.虽然免疫治疗改善了部分肿瘤患者的总生存期,但其单药有效率并不高,免疫药物费用高昂也极大限制了其临床持续性应用.因此,如何使免疫治疗疗效最大化逐渐成为肿瘤研究领域的热点问题.肠道菌群在免疫治疗中的作用逐渐受到关注,现代研究发现肠道菌群中的益生菌如乳酸杆菌、双歧杆菌等有益菌群可提高免疫治疗疗效.脾为后天之本,气血生化之源,肠道菌群与中医脾的生理功能相似,多项研究证实中医益气健脾法可调节肠道菌群,增加益生菌、减少有害菌,改善免疫功能.因此文章汇总了益气健脾法通过调控肠道菌群,改善肠道微环境,提升肿瘤免疫治疗疗效的研究现况,以期为临床应用提供参考.

Abstract

With the gradual deepening of scientific research,the rapid development of tumor immunotherapy brings more treatment opportunities to patients with advanced malignant tumors,and more and more patients benefit from it.Although immunotherapy has improved the overall survival of some tumor patients,its single-drug response rate is not high,and the high cost of immune drugs also greatly limits its clinical sustainable application.Therefore,how to maximize the efficacy of immunotherapy has gradually become a hot issue in the field of cancer research.The role of intestinal flora in immunotherapy has gradually attracted attention.Modern research has found that beneficial probiotics,such as Lactobacillus and Bifidobacterium,can improve the efficacy of immunotherapy.The spleen is the acquired foundation,the source of Qi and blood biochemistry.The physiological function of intestinal flora is similar to that of spleen in traditional Chinese medicine.Many studies have confirmed that TCM invigorating Qi and strengthening spleen method can regulate intestinal flora,increase probiotics,reduce harmful bacteria,and improve immune function.Therefore,this paper summarizes the research status of invigorating Qi and strengthening spleen method by regulating intestinal flora,improving intestinal microenvironment and improving the efficacy of tumor immunotherapy,in order to provide reference for clinical application.

关键词

益气健脾法/免疫治疗/肠道菌群/免疫检查点抑制剂/恶性肿瘤

Key words

invigorating Qi and strengthening spleen method/immunotberapy/gut microbiota/immune checkpoint inhibitor/malignant tumor

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出版年

2025
辽宁中医药大学学报
辽宁中医药大学

辽宁中医药大学学报

CSTPCD
影响因子:0.775
ISSN:1673-842X
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