雷公藤活性成分抗结直肠癌作用机制研究OA
Research on the Anti-Colorectal Cancer Mechanism of Active Components of Leigongteng(Tripterygium Wilfordii)
结直肠癌(CRC)是全球最常见的恶性肿瘤之一,发病率和病死率持续上升,已成为严重威胁人类健康的主要疾病之一.尽管现有的治疗手段,如手术、化疗、放疗和靶向治疗,在一定程度上能够控制肿瘤的生长和扩散,但仍存在显著的不良反应、免疫抑制、生活质量下降以及耐药性等问题,难以满足临床治疗的实际需求.随着对肿瘤发生和发展机制研究的深入,越来越多的新型治疗策略正在被探索,其中中医药因其多靶点、多通路、综合调节的特点逐渐受到关注.中医药作为中华文明的重要组成部分,已与现代医学显著融合与发展,展现出新的活力.在抗肿瘤领域,中医药的应用日益广泛,尤其是在CRC 的治疗上,凭借其多层次的作用机制,能够有效补充现代医学的不足.近年来,雷公藤作为一种传统中药被广泛用于免疫调节和抗肿瘤治疗.研究表明,雷公藤及其活性成分具有显著的抗炎、抗肿瘤以及免疫调节作用,能够通过多种机制抑制CRC 的发生和发展.雷公藤的活性成分通过抑制肿瘤细胞的迁移与侵袭、阻断上皮-间质转化、诱导肿瘤细胞的凋亡与自噬等多种途径,有效遏制CRC 的进展.近年来的研究还表明,雷公藤能够调节多条信号通路,如NF-κB、MAPK、PI3K/AKT、AMPK等,从而对肿瘤的生长、转移及耐药性产生抑制作用.该文系统综述了雷公藤活性成分在抗CRC中的作用机制,旨在为其临床应用提供新的思路和策略.
Colorectal cancer(CRC)is one of the most common malignant tumors worldwide,with its incidence and mortality rates continuing to rise.It has become a major disease seriously threatening human health.Although existing treatment methods,such as surgery,chemotherapy,radiotherapy,and targeted therapy can control tumor growth and spread,they still present significant challenges,including notable adverse effects,immunosuppression,reduced quality of life,and drug resistance.These limitations make it difficult to fully meet the actual needs of clinical treatment.With the deepening understanding of the mechanisms underlying tumor development and progression,an increasing number of novel therapeutic strategies are being explored.Among them,traditional Chinese medicine(TCM)has gradually gained attention due to its multi-target,multi-pathway,and holistic regulatory characteristics.As an important component of Chinese civilization,TCM has achieved remarkable integration and development with modern medicine,demonstrating renewed vitality.In the field of oncology,the application of TCM is becoming increasingly widespread,especially in the treatment of colorectal cancer.Leveraging its multi-level mechanisms of action,TCM can effectively complement the shortcomings of modern medical approaches.In recent years,Leigongteng(Tripterygium Wilfordii),a traditional Chinese herb,has been widely used for immunomodulation and anti-tumor therapy.Studies have shown that Leigongteng(Tripterygium Wilfordii)and its active components possess significant anti-inflammatory,anti-tumor,and immunomodulatory effects,capable of inhibiting the initiation and progression of colorectal cancer through various mechanisms.The active ingredients of Leigongteng(Tripterygium Wilfordii)effectively curb the advancement of colorectal cancer by suppressing tumor cell migration and invasion,blocking epithelial-mesenchymal transition(EMT),and inducing tumor cell apoptosis and autophagy,among other pathways.Recent research further indicates that Leigongteng(Tripterygium Wilfordii)can modulate multiple signaling pathways,such as NF-κB,MAPK,PI3K/AKT,and AMPK thereby inhibiting tumor growth,metastasis,and drug resistance.This article systematically reviews the mechanisms of action of the active components of Leigongteng(Tripterygium Wilfordii)against colorectal cancer,aiming to provide new insights and strategies for its clinical application and promotion.
朱盈坤;张龙江;牛明了;逯斐;乔帅博
河南中医药大学,河南 郑州 450018河南省中医院,河南 郑州 450003河南省中医院,河南 郑州 450003河南中医药大学,河南 郑州 450018河南中医药大学,河南 郑州 450018
医药卫生
结直肠癌雷公藤中药活性成分作用机制
colorectal cancerLeigongteng(Tripterygium Wilfordii)active components of traditional Chinese medicinemechanisms of action
《辽宁中医药大学学报》 2026 (8)
44-50,7
国家自然科学基金项目(82104833)河南省中医药科学研究专项课题(2023ZY2083)
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