基于“正虚伏毒”探索纳米技术在中医药防治肿瘤转移中的应用
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国家自然科学基金面上项目(82174245);第五批全国中医临床优秀人才研修项目(国中医药人教函〔2022〕1号);上海市中医医院未来计划(2021年)传承人才项目(WLJH2021ZY-MZY020)


Application of Nanotechnology in Prevention and Treatment of Tumor Metastasis with Traditional Chinese Medicine Based on Theory of “Deficiency of Vital Qi and Hidden Toxicity”
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    摘要:

    转移是恶性肿瘤预后不良的主要原因,目前肿瘤转移的防治是全世界亟待突破的瓶颈。中医药防治肿瘤转移疗效已获认可,田建辉教授提出的肿瘤转移核心病机“正虚伏毒”理论,为探索临床肿瘤转移的关键问题提供了创新性思路。然而,“正虚伏毒”肿瘤转移相关靶点仍须进一步破解,传统中药剂型落后、活性组分溶解性差、靶向性缺失、不良反应等问题限制了临床应用。近年来,纳米技术飞速发展,新兴交叉领域——纳米医学,为中医药防治肿瘤转移带来了新的希望。纳米材料因其良好的生物相容性、肿瘤靶向、智能响应性控释、抗多药耐药等特性,可用于制备高效的药物递送系统。此外,纳米材料因其特有的光、声、电、热、磁、酶或类酶活性等,可充分发挥药辅合一的优势和特色,在肿瘤转移防治领域显示出巨大的潜力。

    Abstract:

    Metastasis is the main cause of poor prognosis of malignant tumors.The prevention and treatment of tumor metastasis are still challenging and a bottleneck that has yet to be broken for all countries.The efficacy of traditional Chinese medicine(TCM) in the prevention and treatment of tumor metastasis has been recognized.Professor Tian Jianhui's theory of “deficiency of vital Qi and hidden toxicity”,which is the core pathogenesis of tumor metastasis,provides innovative ideas for exploring the key issues of clinical tumor metastasis.However,at present,the target of “deficiency of vital Qi and hidden toxicity” related to tumor metastasis still needs to be further deciphered,and the backwardness of the TCM dosage form,poor solubility of the active components,lack of targeting,and toxic side effects have limited the clinical application.In recent years,the rapid development of nanotechnology and the emerging cross-cutting field of nanomedicine have brought new hope for TCM to prevent and treat tumor metastasis.Nanomaterials can be used to prepare efficient drug delivery systems due to their good biocompatibility,tumor targeting,intelligent responsive controlled release,and anti-multidrug resistance.In addition,nanomaterials show great potential in the field of tumor metastasis prevention and treatment due to their unique optical,acoustic,electrical,thermal,magnetic,enzymatic,or enzyme-like activities,which can give full play to the advantages and features of drug-adjuvant integration.

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许帆,刘瑶,阙祖俊,罗斌,张占霞,田建辉.基于“正虚伏毒”探索纳米技术在中医药防治肿瘤转移中的应用[J].世界中医药,2024,(20).

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  • 收稿日期:2024-01-11
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  • 在线发布日期: 2025-01-16
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