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吡非尼酮在肿瘤治疗中的研究进展OA

Research Progress of Pirfenidone in Cancer Treatment

中文摘要英文摘要

吡非尼酮是经FDA批准用于治疗特发性肺纤维化的药物,其抗纤维化、抗氧化应激和抗炎作用,使其在肿瘤治疗领域的潜力日益凸显.吡非尼酮通过抑制TGF-β/SMAD等关键信号通路、调控细胞周期、诱导凋亡、抑制上皮-间质转化等多重机制,直接抑制肿瘤细胞增殖与转移.同时,吡非尼酮通过重塑肿瘤微环境(包括抑制细胞外基质沉积、调节肿瘤相关成纤维细胞功能、促进免疫细胞浸润与极化),间接增强抗肿瘤免疫应答的作用.值得注意的是,吡非尼酮与化疗、靶向治疗及免疫检查点抑制剂的联合应用显示出协同增效潜力,为克服肿瘤耐药性与免疫抑制提供了新思路.因此,未来有望通过更深入的研究和临床试验来明确吡非尼酮在肿瘤治疗中的广泛应用价值,为肿瘤患者提供更多治疗选择.

Pirfenidone,an FDA-approved drug for idiopathic pulmonary fibrosis,has demonstrated potential in cancer therapy due to its anti-fibrotic,antioxidant,and anti-inflammatory properties.Research has shown that pirfenidone directly inhibits tumor cell proliferation and metastasis through multiple mechanisms,including the suppression of key signaling path-ways(e.g.,TGF-β/SMAD),cell cycle regulation,apoptosis induction,and the inhibition of epithelial-mesenchymal tran-sition.In addition,pirfenidone enhances anti-tumor immune responses indirectly by remodeling the tumor microenvironment,primarily by inhibiting extracellular matrix deposition;modulating cance-associated fibroblast function;and promoting im-mune cell infiltration and polarization.Furthermore,combining pirfenidone with chemotherapy,targeted therapy,or immune checkpoint inhibitors exhibits synergistic effects,presenting a promising strategy to overcome tumor drug resistance and im-mune suppression.Therefore,further in-depth research and clinical trials are expected to clarify the broad application value of pirfenidone in cancer treatment,providing more therapeutic options for cancer patients.

孙培旺;郭园园

233040 安徽 蚌埠,蚌埠医科大学第一附属医院 泌尿外科233040 安徽 蚌埠,蚌埠医科大学第一附属医院 泌尿外科

医药卫生

吡非尼酮肿瘤免疫治疗肿瘤微环境TGF-β信号通路

PirfenidoneTumorImmunotherapyTumor microenvironmentTGF-β signaling pathway

《肿瘤预防与治疗》 2026 (2)

147-152,6

This study was supported by grants from Health Commission of Anhui Province(No.AHWJ2023A10096)and Education Department of Anhui Province(No.2024AH040191). 安徽省卫健委科研项目重点项目(编号:AHWJ2023A10096)安徽省高校科研项目重大项目(编号:2024AH040191)

10.3969/j.issn.1674-0904.2026.02.009

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