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中药调控铁死亡干预肺癌的研究进展

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该文就近5年来关于肺癌与铁死亡相关机制、铁死亡相关肺癌生物标志物和基因突变靶点及中药靶向调控铁死亡干预肺癌相关研究进展的概括进行系统性综述,为中药防治肺癌及新药研发提供可行性及有效依据。通过检索相关文献发现肺癌中广泛存在铁死亡被抑制现象,但其具体的调节机制尚未完全阐明,主要与脂代谢、铁代谢、胱氨酸/谷氨酸逆向转运蛋白(System Xc-)/谷胱甘肽(GSH)/谷胱甘肽过氧化物酶4(GPX4)、铁死亡抑制蛋白1(FSP1)/辅酶Q10(CoQ10)/还原型辅酶Ⅱ[NAD(P)H]、长链非编码RNA(lncRNA)、核因子E2相关因子2(Nrf2)和p53等途径有关。现代中医药在抗肺癌的综合治疗中应用广泛,由于其抗肿瘤及高效低毒的明显优势,已逐渐成为当前研究的热点。中医药在治疗肺癌中发挥着重要作用,大量研究表明,中药单体、提取物及复方能通过靶向调控铁代谢、脂代谢、p53、Nrf2、lncRNA和GPX4等途径诱导肺癌细胞铁死亡,抑制肺癌的生长增殖,从而发挥抗肿瘤的治疗效果,因此调控铁死亡有望成为防治肺癌的新方向。通过基础研究表明,中药能通过多个靶点、多条途径调节铁死亡治疗肺癌。目前中药调控铁死亡干预肺癌展现出巨大的研究前景,但其要实现其临床转化,仍需面临许多挑战。
Chinese Medicine Regulates Ferroptosis to Treat Lung Cancer:A Review
This article provides a systematic review of the research progress in the mechanisms related to lung cancer and ferroptosis,ferroptosis-related lung cancer biomarkers and gene mutation targets,and ferroptosis-targeted regulation of Chinese medicine in treating lung cancer in the past five years,providing a feasible and effective basis for the prevention and treatment of lung cancer with Chinese medicine and the development of new drugs.According to the available studies,ferroptosis is widely suppressed in lung cancer,while the specific regulatory mechanisms have not been fully elucidated.The suppression is related to lipid metabolism,iron metabolism,cystine/glutamate antiporter system Xc-(System Xc-)/glutathione(GSH)/glutathione peroxidase 4(GPX4),ferroptosis suppressor protein 1(FSP1)/coenzyme Q10(CoQ10)/nicotinamide adenine dinucleotide phosphate[NAD(P)H],long non-coding RNA(lncRNA),nuclear factor E2-related factor 2(Nrf2),and p53.In modern times,traditional Chinese medicine is widely used in the comprehensive treatment of lung cancer,and it has gradually become a hot research topic due to its obvious advantages of anti-tumor activity,high efficacy,and low toxicity.Traditional Chinese medicine plays an important role in the treatment of lung cancer.Studies have shown that the active components,extracts,and prescriptions of Chinese medicine can induce ferroptosis in lung cancer cells through targeted regulation of iron metabolism,lipid metabolism,and p53,Nrf2,LncRNA,and GPX4 pathways to inhibit the growth and proliferation of lung cancer,thus exerting anti-tumor effects.Therefore,regulating ferroptosis is expected to become a new direction for preventing lung cancer.Basic research has shown that Chinese medicine can regulate ferroptosis via multiple targets and pathways in the treatment of lung cancer.At present,Chinese medicine demonstrates great research prospects in regulating ferroptosis to treat lung cancer,which,howeve,still faces challenges to achieve clinical transformation.

ferroptosislung cancerChinese medicinemolecular mechanismresearch progress

罗成、叶远航、宁博、柯佳

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湖北中医药大学中医学院,武汉 430060

陕西中医药大学第一临床医学院,陕西咸阳 712000

湖北省中医院/湖北中医药大学附属医院/湖北省中医药研究院,武汉 430074

铁死亡 肺癌 中药 分子机制 研究进展

2025

中国实验方剂学杂志
中国中医科学院中药研究所 中国中西医结合学会中药专业委员会

中国实验方剂学杂志

北大核心
影响因子:1.62
ISSN:1005-9903
年,卷(期):2025.31(2)