首页|基于脾虚血瘀理论探讨巨噬细胞糖代谢重编程在胃"炎癌转化"中的作用

基于脾虚血瘀理论探讨巨噬细胞糖代谢重编程在胃"炎癌转化"中的作用

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胃"炎癌转化"病机理论认为脾虚为其致病的内在因素,血瘀于脾虚基础上渐生,二者均为重要病理因素.巨噬细胞被证实为肿瘤微环境中对葡萄糖的摄取和代谢能力最强的细胞群体,可分泌炎性介质、参与炎症反应,在胃炎向胃癌转化过程中,巨噬细胞以糖代谢重编程为主发生代谢改变,重构肿瘤相关巨噬细胞表型及功能,促进"炎癌转化",该过程与脾虚血瘀病机理论相契合.文章基于中医脾虚血瘀理论,结合胃"炎癌转化"病机和巨噬细胞糖代谢重编程与胃"炎癌转化"的相关性进行论述,以期为中医药防治胃"炎癌转化"提供参考.
Dicussion on the role of glucose metabolism reprogramming of macrophages in gastric 'inflammation-cancer transformation' based on the theory of spleen deficiency and blood stasis
The theory of gastric'inflammation-cancer transformation'asserts that spleen deficiency is intrinsic pathogenic factors,with blood stasis stemming from spleen deficiency,which serves as a significant pathological factor in the gastric'inflammation-cancer transformation'.Macrophages have been identified as the cell population within the tumor microenvironment with the highest capacity for glucose uptake and metabolism.They secrete inflammatory mediators and participate in the inflammatory response.During the transition from gastritis to gastric cancer,macrophages undergo metabolic changes primarily characterized by glucose metabolism reprogramming,which alters the phenotype and function of tumor-associated macrophages and promotes the'inflammation-cancer transformation'.This process is consistent with the pathogenesis theory of'spleen deficiency and blood stasis'.Based on the theory of'spleen deficiency and blood stasis'in traditional Chinese medicine,this paper analyzes its correlation with macrophage glucose metabolism reprogramming and the gastric'inflammation-cancer transformation'.This study is intended to provide a reference for the prevention and treatment of gastric'inflammation-cancer transformation'by traditional Chinese medicine.

Spleen deficiency and blood stasisMacrophagesGlucose metabolism reprogrammingGastric 'inflammation-cancer transformation'

李晓方、潘华峰

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广州中医药大学,广州 510006

脾虚血瘀 巨噬细胞 糖代谢重编程 胃"炎癌转化"

广东省重点领域研发计划项目

2020B1111100011

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(9)