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中国医药导刊 ›› 2024, Vol. 26 ›› Issue (11): 1121-1125.

• 研究进展 • 上一篇    下一篇

七方胃痛颗粒治疗胃癌的作用机制及信号通路研究进展

熊常州12, 陈鑫源2, 王婷2, 崔引航2, 唐梅文2*   

  1. 1.广西中医药大学第一附属医院,广西 南宁 530023;
    2.广西中医药大学研究生院,广西 南宁 530001
  • 收稿日期:2024-11-04 修回日期:2024-11-27 出版日期:2024-11-28 发布日期:2024-11-28
  • 基金资助:
    国家自然科学基金项目(81760862,82360959);广西壮族自治区自然科学基金重点项目(2024GXNSFDA010021);广西壮族自治区自然科学基金青年科学基金项目(2024GXNSFBA010160);广西高校中青年教师科研基础能力提升项目(2023KY0297)

Research Progress on the Mechanism of Action and Signaling Pathway of Qifangweitong Granules in the Treatment of Gastric Cancer

  1. 1.The First Affiliated Hospital of Guangxi University of Chinese Medicine Guangxi Nanning 530023, China
    2.Graduate School Guangxi University of Chinese Medicine Guangxi Nanning 530001, China
  • Received:2024-11-04 Revised:2024-11-27 Online:2024-11-28 Published:2024-11-28

摘要:

胃癌是我国常见的恶性肿瘤之一,发病率和死亡率居高不下。七方胃痛颗粒是全国名老中医罗伟生教授根据临床经验由7个经典古方化裁而成,目前研究证实其治疗胃癌疗效确切,机制具有多靶点、多环节、多通路等特点,可以通过调控ERK/NF-κB14-3-3ζ/TGF-β/SmadFas/FasLHER/PI3K/AKT等信号通路阻滞胃癌细胞周期,促进胃癌细胞凋亡及抑制胃癌细胞侵袭、迁移、增殖,从而发挥防治胃癌作用。通过研究发现,目前七方胃痛颗粒治疗胃癌的相关研究存在以下几个问题:胃癌受到多靶点、多通路、多方面的影响,目前的研究多集中于对单个信号通路的研究,未涉及信号通路之间的相互作用;其治疗胃癌的有效成分尚不明确;目前的研究多集中于对胃癌的治疗,尚未进行具体的辨证分型。本研究系统总结近年来有关七方胃痛颗粒治疗胃癌的作用机制及信号通路研究进展,明确该方在胃癌治疗中的重要作用,以期为后续相关研究以及进一步药物开发提供理论依据。


关键词:  , 七方胃痛颗粒;胃癌;信号通路;中医药

Abstract:

Gastric cancer is one of the most common malignant tumors in China with high incidence and mortality rates. Qifangweitong granules developed by professor Luo Weisheng a renowned expert in traditional Chinese medicine based on his clinical experience is formulated by seven classic ancient formulas. Recent studies have confirmed the efficacy of Qifangweitong granules in the treatment of gastric cancer. The mechanism of action is characterized by multi-target multi-link and multi-pathway effects. It regulates various signaling pathways such as ERK/NF-κB 14-3-3ζ/TGF-β/Smad Fas/FasL and HER/PI3K/AKT to block the cell cycle promote apoptosis of tumor cells and inhibit cell invasion migration and proliferation thus playing a significant role in both the prevention and treatment of gastric cancer. However several issues still persist in current research ① Gastric cancer is influenced by multiple targets pathways and mechanisms. Most studies focus on individual signaling pathways without addressing the interactions between these pathways ② The active ingredients for its anti-gastric cancer effects remain unclear ③ Existing researches mainly concentrated on the treatment of gastric cancer without considering specific syndromic differentiation. This article systematically reviews the research progres on the mechanisms and signaling pathways of Qifangweitong granules in the treatment of gastric cancer highlighting the important role of this formula in gastric cancer treatment and providing a theoretical basis for future research and drug development.


Key words: Qifangweitong granules , Gastric cancer , Signaling pathway , Chinese medicine

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