世界中医药
文章摘要
引用本文:李亚,李蕊白,王俭,吴朝旭,王玥,栗枭杰,石凤芹,侯丽.中药复方抗胃癌基础研究现状与展望[J].世界中医药,2020,(20):.  
中药复方抗胃癌基础研究现状与展望
Research Development and Prospect of Basic Research on Anti-gastric Cancer of Traditional Chinese Medicine Compound
投稿时间:2019-01-23  
DOI:10.3969/j.issn.1673-7202.2020.20.030
中文关键词:  中药复方  中医药  胃癌  抗胃癌  基础研究  疗效研究  机制研究  多靶点
English Keywords:Traditional Chinese Medicine compound  Traditional Chinese Medicine  Gastric cancer  Anti-gastric cancer  Basic research  Efficacy research  Mechanism research  Multi-target
基金项目:国家自然科学基金面上项目(81573959);首都卫生发展科研专项项目(2016-1-4171)
作者单位
李亚,李蕊白,王俭,吴朝旭,王玥,栗枭杰,石凤芹,侯丽 北京中医药大学东直门医院血液肿瘤科北京100700 
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中文摘要:
      目的:通过梳理部分中药复方抗胃癌效应与机制研究,明确中药复方目前抗胃癌多靶点效应机制研究现状,探讨进一步开展中药复方抗胃癌基础研究的方法与方向。方法:依据胃癌临床辨证分型中的主要证型,整理中药复方体内外研究文献,从多方面梳理各复方抗胃癌效应及机制。结果:中药复方多源于经典医籍或团队临床实践,是在临床疗效上开展的基础研究,从抑制增殖、诱导调亡、调节信号传导、抑制端粒酶活性、逆转多药耐药、抗肿瘤新生血管形成、抑制转移等多方面揭示了中医药治疗胃癌的机制,论证了其临床疗效的机制基础。结论:基于这些研究,提示今后中药现代化研究尚需进一步深入,临床方面应基于真实世界大数据挖掘胃癌主体中医证型及其物质基础,基础研究建议追踪现代医学基因突变、免疫检查点等机制及新靶点、新方法、新技术,并开展组分、组分协同及核心抗肿瘤有效成分研究,籍以推动中西医结合治疗胃癌的新方向、新探索。
English Summary:
      Through combing the research on the anti-gastric cancer effect and mechanism of some Chinese medicine compound prescriptions,the current research status of the anti-gastric cancer multi-target effect mechanism of Chinese medicine compound prescriptions is clarified,and the methods and directions for further basic research on the anti-gastric cancer compound prescriptions of Chinese medicine are discussed.Methods:According to the main syndrome types in the clinical differentiation of gastric cancer,the research literature of Chinese medicine compounds in vivo and in vitro was sorted out,and the anti-gastric cancer effects and mechanisms of each compound were sorted out from various aspects.Results:Chinese medicine compounds mostly originated from classic medical records or team clinical practice.They were basic research on clinical efficacy.From inhibiting proliferation,inducing apoptosis,regulating signal transduction,inhibiting telomerase activity,reversing multidrug resistance,and the formation of anti-tumor cardiovascular vessels and the inhibition of metastasis.We revealed the mechanism of traditional Chinese medicine in the treatment of gastric cancer,and elaborated on the mechanism basis of its clinical efficacy.Conclusion:Based on these studies,it is suggested that the research on modernization of traditional Chinese medicine needs to be further in-depth in the future.In clinical aspect,we should be based on real-world big data to mine the main body of gastric cancer traditional Chinese medicine syndrome types and their material basis.Basic research suggests to track modern medical gene mutations,immune checkpoints and other mechanisms,new targets,new methods,and new technologies,and develop components and groups.It is divided into component and component synergy and core anti-tumor active ingredients to promote new directions and new explorations in the treatment of gastric cancer with integrated Chinese and Western medicine.
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