中医杂志2024,Vol.65Issue(23) :2394-2398.DOI:10.13288/j.11-2166/r.2024.23.002

基于中性粒细胞胞外诱捕网论肝癌瘀毒互结病机的科学内涵

Discussion on the Scientific Connotation of Disease Mechanism of Stasis and Toxin Interaction of Liver Cancer based on Neutrophil Extracellular Traps

强睿 李爽 吕文良 杨国旺
中医杂志2024,Vol.65Issue(23) :2394-2398.DOI:10.13288/j.11-2166/r.2024.23.002

基于中性粒细胞胞外诱捕网论肝癌瘀毒互结病机的科学内涵

Discussion on the Scientific Connotation of Disease Mechanism of Stasis and Toxin Interaction of Liver Cancer based on Neutrophil Extracellular Traps

强睿 1李爽 1吕文良 2杨国旺3
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作者信息

  • 1. 北京中医医院顺义医院,北京市顺义区健盛街1号院,101300
  • 2. 中国中医科学院广安门医院
  • 3. 首都医科大学附属北京中医医院
  • 折叠

摘要

阐释肝癌发生发展过程中中性粒细胞胞外诱捕网(NETs)与瘀毒互结病机的联系,为肝癌的防治提供思路.认为NETs致肝癌相关血栓形成的机制与中医学"瘀"形成的过程具有相似性,NETs维持或增强肿瘤微环境的机制亦与中医学"毒"形成的过程具有相似性;NETs的促凝作用促使局部形成肿瘤微环境可视为因瘀致毒状态,而NETs致肿瘤微环境变化可进一步诱导血小板聚集呈现出因毒致瘀状态;NETs导致肝癌发生发展的病理变化可视作肝癌瘀毒互结病机的微观表现.

Abstract

This article is to illustrate the connection between neutrophil extracellular traps(NETs)and stasis-toxin interactions during the development of liver cancer,and to provide ideas for the prevention and treatment of liver cancer.It is believed that the mechanism of tumor-related thrombosis formation caused by NETs is closely related to"stasis"in traditional Chinese medicine(TCM),and the continuous maintenance or enhancement of tumor microenvi-ronment by NETs is closely related to"toxin"in TCM;the strong coagulation-promoting effect of NETs makes the lo-cal microenvironment,which can be regarded as the toxin caused by blood stasis;the changes of tumor microenviron-ment induced by NETs further induced platelet aggregation,which may present a state of stasis caused by toxin;the pathological changes of liver cancer caused by NETs can be regarded as the microscopic manifestation of the mecha-nism of stasis-toxin interaction of liver cancer.

关键词

肝癌/瘀毒互结/中性粒细胞胞外诱捕网/病机

Key words

liver cancer/stasis and toxin interaction/neutrophil extracellular traps/disease mechanism

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出版年

2024
中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCDCSCD北大核心
影响因子:1.464
ISSN:1001-1668
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