世界中医药
文章摘要
引用本文:张雨1,王志宇2,王能1.肿瘤炎症微环境的中医属性及治则研究[J].世界中医药,2022,(06):.  
肿瘤炎症微环境的中医属性及治则研究
TCM Attribute and Therapeutic Principles of Tumor Inflammatory Microenvironment
投稿时间:2021-06-22  
DOI:10.3969/j.issn.1673-7202.2022.06.022
中文关键词:  肿瘤  炎症微环境  炎症  癌细胞  中医药  病机  治则  综述
English Keywords:Tumor  Inflammatory microenvironment  Inflammation  Tumor cells  Traditional Chinese medicine  Pathogenesis  Therapeutic principle  Review
基金项目:国家自然科学基金项目(81973526,82074165,81873306);广东教育厅科研基金项目(2018KZDXM022,A1-2606-19-111-009);广东省自然科学基金项目(2016A030306025);广东省科技计划项目(2021A0505030059,2017B030314166);2020广东省科技创新战略专项资金-粤港澳联合实验室项目(2020B1212030006);广东省教育厅基金项目(2018KZDXM022,A1-2606-19-111-009);广州市科技计划项目(202102010316,201904010407);广东省中医院院内专项(YN2018MJ07);广州中医药大学“青年英才培养工程”项目(QNYC20190101);广东省中医药局科研项目(20211114)
作者单位
张雨1,王志宇2,王能1 1 广州中医药大学基础医学院中西医结合基础研究中心广州510006 2 广东省中医院粤港澳中医药与免疫疾病研究联合实验室广州510006 
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中文摘要:
      肿瘤炎症微环境由炎症细胞、肿瘤细胞以及各种基质细胞伴随大量细胞因子、趋化因子浸润等共同构成,对肿瘤细胞增殖、侵袭、血管生成及放化疗抵抗起到作用。具有邪热内蕴、痰饮停滞、瘀血阻滞、正气亏虚等病机特征,是微观层面的中医证候表现。基于炎症微环境异常,中医辨证论治提出清热解毒、化痰散结、活血化瘀、扶正固本的肿瘤治则治法,在缓解患者临床症状、调节机体免疫方面有良好的治疗前景。
English Summary:
      Tumor inflammatory microenvironment is composed of inflammatory cells,tumor cells,and stromal cells accompanied by infiltration of a large number of cytokines and chemokines,and plays a key role in tumor cell proliferation,invasion,angiogenesis,and chemoradiotherapy resistance.Its pathogenesis is characterized by internal accumulation of pathogenic heat,stagnant phlegm and fluid retention,blood stasis,and deficiency of vital qi,which are the embodiment of traditional Chinese medicine(TCM) syndrome at the micro-level.In terms of the abnormal inflammatory microenvironment,treatment based on syndrome differentiation should follow the therapeutic principles of clearing heat,removing toxins,resolving phlegm,dissipating mass,promoting blood circulation,removing blood stasis,reinforcing healthy qi,and consolidating body resistance,displaying a good anti-tumor prospect in relieving the clinical symptoms and regulating the immunity of the body.
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