首页|基于谷氨酰胺代谢重编程从"阴瘤"论治结直肠癌

基于谷氨酰胺代谢重编程从"阴瘤"论治结直肠癌

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阴阳学说是在整体辨证指导下中医学朴素的辨证思想,阴阳盈亏的动态变化可以反应人体的生命活动。笔者团队在前期的文献调研和临床实践中发现"阳虚阴结"是结直肠癌发生的关键病机,阳气不足,痰、湿、瘀等属阴的代谢产物失于气化而积聚形成"阴瘤",停滞于肠道而形成结直肠癌。阳化气是正常细胞代谢产生能量的过程,阳虚而阴邪之物不化在体内结聚而成瘤。阴阳失衡所产生的盈亏之变可引起体内的能量或物质代谢变化,其中谷氨酰胺是肿瘤细胞中消耗量最大的氨基酸,其代谢过程中不仅为肿瘤细胞生长提供物质基础,同时还可拮抗免疫细胞对谷氨酰胺的利用,并创造一种乏氧的酸性微环境,促进肿瘤细胞的增殖和生长。本文对结直肠癌细胞谷氨酰胺代谢的特点进行了详细的论述,旨在从"阳虚阴结"的病机阐述结直肠癌发生,并阐释中医药重塑肿瘤细胞代谢的科学理论,旨为结直肠癌的综合治疗提供新的思路和方法。
Basing on Glutamine Metabolism in the Treatment of Colorectal Cancer from"Yin Tumor"
The theory of yin and yang is the modest differentiation thought of the traditional Chinese medicine under the guidance of overall dialectics,and the dynamic changes of yin and yang profit and loss can reflect the life activities of the human body.In the early literature research and clinical practice,the author's team found that the"yang deficiency and yin stagnation"is the key pathogen of colorectal cancer,the yang qi is insufficient,and the metabolites of the yin such as phlegm,wetness and stasis are lost in gasification and accumulate to form a"yin tumor",which is stagnant in the intestine and forms colorectal cancer.Yang Qi is the process of normal cell metabolism to produce energy,Yang Qi is insufficient,the"yin knot"of the thing in the body polymerizes into tumors,The imbalance of yin and yang can cause changes in energy or substance metabolism in the body,and glutamine is one of the amino acid which is the largest consumption of tumor cells,and its metabolic process not only provides a material basis for tumor cell growth,but also creates an acidic microenvironment of hypoxia to promote the proliferation and growth of tumor cells.This paper discusses the characteristics of glutamine metabolism of colorectal cancer cells in detail,aiming to explain the occurrence of colorectal cancer from the pathogenesis of"yang deficiency yin knot",and to explain the scientific theory of traditional Chinese medicine in the treatment of coloral cancer with the principle of Wenyang Tongxia,aiming to provide new ideas and methods for the comprehensive treatment of CRC.

Colorectal cancerYin tumorGlutamine metabolismTonifying

王菲叶、郭欣煜、许云、龚璐天、付力、谷珊珊、宋卓、曾钰梅、杨宇飞

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中国中医科学院西苑医院 北京 100091

空军特色医疗中心 北京 100142

结直肠癌 阴瘤 谷氨酰胺代谢 温阳通下

国家自然科学基金面上项目中国中医科学院科技创新工程项目国家中医药局中医药创新团队及人才支持计划

82074414CI2021A01807ZYYCXTD-C-202205

2024

世界科学技术-中医药现代化
中科院科技政策与管理科学研究所,中国高技术产业发展促进会

世界科学技术-中医药现代化

CSTPCD北大核心
影响因子:1.175
ISSN:1674-3849
年,卷(期):2024.26(3)
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