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Regulation of Signaling Pathways Related to Chronic Obstructive Pulmonary Disease by Chinese Medicine. 中药对慢性阻塞性肺疾病相关信号通路的调控。
IF 2.5 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2026-02-07 DOI: 10.1007/s11655-026-3955-9
Shuang Wang, Shou-Yao Zhang, Bo Xia, Bill Kalionis, Huan Li, Ying Feng, Xing-He Zhang, Shi-Jin Xia
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引用次数: 0
Anti-tumor Effects of Pollen Pini on Hepatocarcinoma SMMC-7721 Cells via Modulation of PI3K-Akt Signaling Pathway. 花粉Pini通过调节PI3K-Akt信号通路对肝癌SMMC-7721细胞的抗肿瘤作用
IF 2.5 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-08-15 DOI: 10.1007/s11655-025-4132-2
Yuan-Hong Chen, Wei-Xin Xu, Wen-Jun Yu, Chun-Fang Wang, Chun Guo, Yan-Hong Luo

Objectives: To explore the effect of Pollen Pini (PP) on SMMC-7721 hepatoma cells.

Methods: The anti-proliferative effects of PP on SMMC-7721 cells were evaluated using cell counting kit-8 assay following 48 h treatment with concentrations ranging from 1.25 to 37.50 µg/µL Flow cytometry analysis at the half maximal inhibitory concentration (IC50) revealed significant apoptosis induction and cell cycle alterations. For in vivo evaluation, SMMC-7721 xenograft-bearing nude mice were administered either vehicle (0.9% NaCl) or PP (500 mg/kg) via intraperitoneal injection every other day for 3 weeks. Subsequent tumor analysis included mass spectrometry-based proteomics and examination of phosphoinositide-3 kinase (PI3K)/protein kinase B (Akt)/Myc pathway proteins by immunohistochemistry and Western blot. Combination therapy with 25 µmol/L PI3K inhibitor and PP (IC50) showed optimal efficacy, with Western blot revealing maximal protein modulation at 24 h.

Results: PP had an anti-tumor effect on SMMC-7721 cells in vitro, with the IC50 concentration of 18.94 mg/mL. PP could promote the death of SMMC-7721 cells (P<0.01) and regulate the cell cycle more in G0/G1 phase cells (P<0.01). After the treatment effect of PP, the protein content of SMMC-7721 cells changed and the contents of cancer-promoting proteins PI3K, Akt and Myc decreased (P<0.01). PI3K inhibitor could reduce the proliferation of SMMC-7721 cells, and PI3K inhibitor combined with PP significantly reduced the expression of PI3K in SMMC-7721 cells (P<0.01).

Conclusion: PP has an anti-tumor effect on SMMC-7721 cells through the PI3K-Akt signaling pathway.

目的:探讨花粉Pini (PP)对肝癌细胞SMMC-7721的影响。方法:采用细胞计数试剂盒-8 (cell counting kit-8)检测浓度为1.25 ~ 37.50µg/µL的PP对SMMC-7721细胞作用48 h后的抗增殖作用,以最大抑制浓度(IC50)的一半进行流式细胞术分析,结果显示显著的凋亡诱导和细胞周期改变。为了进行体内评估,SMMC-7721移植裸鼠每隔一天腹腔注射一次载药(0.9% NaCl)或PP (500 mg/kg),持续3周。随后的肿瘤分析包括基于质谱的蛋白质组学,并通过免疫组织化学和Western blot检测磷酸肌醇-3激酶(PI3K)/蛋白激酶B (Akt)/Myc通路蛋白。25µmol/L PI3K抑制剂与PP (IC50)联合治疗效果最佳,Western blot结果显示,PP对SMMC-7721细胞有体外抗肿瘤作用,IC50浓度为18.94 mg/mL。PP可促进SMMC-7721细胞(P0/G1期细胞)的死亡。结论:PP通过PI3K-Akt信号通路对SMMC-7721细胞具有抗肿瘤作用。
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引用次数: 0
Anti-cancer Mechanisms and Applications of Cinnamon Extract: A Comprehensive Review. 肉桂提取物的抗癌机制及应用综述
IF 2.5 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-10-07 DOI: 10.1007/s11655-025-4136-y
Xin-Yi Chen, Ying Cai, Zhi-Jun Xie
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引用次数: 0
Research Progress on Signal Transduction Pathways Related to Breast Cancer and Chinese Medicine Intervention. 乳腺癌相关信号转导通路及中药干预研究进展。
IF 2.5 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-09-23 DOI: 10.1007/s11655-025-4145-x
Zeng-de Tan, Hao-Yang Wang, Jun-Ying Pan, Yu-Zhe Jin, Ming-Ming Zhang
{"title":"Research Progress on Signal Transduction Pathways Related to Breast Cancer and Chinese Medicine Intervention.","authors":"Zeng-de Tan, Hao-Yang Wang, Jun-Ying Pan, Yu-Zhe Jin, Ming-Ming Zhang","doi":"10.1007/s11655-025-4145-x","DOIUrl":"10.1007/s11655-025-4145-x","url":null,"abstract":"","PeriodicalId":10005,"journal":{"name":"Chinese Journal of Integrative Medicine","volume":" ","pages":"184-192"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Curzerene Induces Apoptosis in Colorectal Cancer Cells Through Inhibition of MEK/ERK Signaling Pathway. Curzerene通过抑制MEK/ERK信号通路诱导结直肠癌细胞凋亡
IF 2.5 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-03-07 DOI: 10.1007/s11655-025-4123-3
Jian Peng, Ju Lu, Guo-Hua Li, Meng-Meng Ma, Yi-Ping Mou, Qi-Cong Zhu

Objective: To investigate the anticancer activity of curzerene in colorectal cancer (CRC) in vitro and in vivo models.

Methods: HT29 and HCT8 cells were treated with different concentrations of curzerene (0, 20, 40, and 60 µg/mL) for 24 h. Cell viability was assessed using cell counting kit 8 assay, and cell proliferation was detected by colony-formation, then apoptosis rate was assessed by flow cytometry analysis. Mitochondrial membrane potential was measured using JC-1 assay kit. Intracellular calcium levels were examined using Fluo-3AM and Mag-fluo-3AM staining. Different inhibitors of cell death, including 3-methyladenine (3-MA), cloroquine (CQ), Nec-1, and carbobenzoxy-valyl-alanylaspartyl-[O-methyl]-fluoromethylketone (Z-VAD-FMK), were also utilised to validate the death mechanisms. The binding ability of curzerene to mitogen-activated extracellular signal-regulated kinase (MEK) proteins was investigated by molecular docking. In addition, the expression of key proteins such as phosphated MEK (p-MEK), phosphated extracellular regulated protein kinase (p-ERK), B-cell lymphoma-2 (Bcl-2), Bcl associated X (Bax), poly ADP-ribose polymerase (PARP) and cleaved PARP were analysed by Western blot. Finally the viable HT29 cells were injected subcutaneously into the right dorsolateral abdomen of male BALB/c nude mice for in vivo potency assessment.

Results: Curzerene inhibited proliferation and induced apoptosis in HT29 and HCT8 cells in a time- and dose-dependent manner (all P<0.05). Subsequently, we demonstrated that the apoptosis inhibitor Z-VAD-FMK (P<0.05) but not 3-MA, CQ or necrostatin-1 rescued curzerene-induced cell death. Compared with the control group, 60 µg/mL curzerene increased the expression of cleaved PARP by affecting intracellular calcium distribution, reactive oxygen species (all P<0.01), decreasing mitochondrial membrane potential and the expressions of p-MEK, p-ERK, Bcl-2, and PARP (all P<0.05), and additionally increased the expression of cleaved PARP with a molecular binding energy of -7.1 kcal/mol. The results showed that curzerene treatment inhibited the activation of MEK/ERK signaling pathway, and pretreatment with the MEK activator C16-PAF significantly alleviated curzerene-induced cell death (all P<0.05). The results of in vivo experiments showed that curzerene significantly inhibited the growth of subcutaneous transplantation tumours in hormonal nude mice.

Conclusion: Curzerene induces apoptosis in CRC cells through inhibition of the MEK/ERK signaling pathway, which will hopefully be a potential chemotherapeutic agent for treating CRC patients.

目的:探讨莪术烯对结直肠癌(CRC)体外和体内模型的抗癌作用。方法:采用不同浓度莪术烯(0、20、40、60µg/mL)处理HT29和HCT8细胞24 h,采用细胞计数试剂盒8检测细胞活力,采用集落形成法检测细胞增殖,采用流式细胞术检测细胞凋亡率。采用JC-1检测试剂盒检测线粒体膜电位。采用Fluo-3AM和Mag-fluo-3AM染色检测细胞内钙水平。不同的细胞死亡抑制剂,包括3-甲基腺嘌呤(3-MA)、氯喹(CQ)、Nec-1和carbobenzoxy-valyl-alanylaspartyl-[o -甲基]-氟甲基酮(Z-VAD-FMK),也被用来验证死亡机制。通过分子对接研究了curzerene与丝裂原激活的细胞外信号调节激酶(MEK)蛋白的结合能力。Western blot检测关键蛋白如磷酸MEK (p-MEK)、磷酸胞外调节蛋白激酶(p-ERK)、b细胞淋巴瘤-2 (Bcl-2)、Bcl相关X (Bax)、聚adp核糖聚合酶(PARP)和cleaved PARP的表达。最后将HT29活细胞皮下注射到雄性BALB/c裸鼠右背外侧腹部进行体内效价评估。结果:Curzerene抑制HT29和HCT8细胞的增殖并诱导细胞凋亡呈时间和剂量依赖性(均p)结论:Curzerene通过抑制MEK/ERK信号通路诱导结直肠癌细胞凋亡,有望成为治疗结直肠癌患者的潜在化疗药物。
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引用次数: 0
Cardioprotective Effect and Mechanism of Panaxadiol Saponin Component in Radiation-Induced Heart Disease in Mice. Panaxadiol皂苷成分对小鼠辐射性心脏病的保护作用及机制。
IF 2.5 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-10-27 DOI: 10.1007/s11655-025-4144-y
Jin-Jian Lan, Jin-Yu Gai, Wen-Jing Song, Ying Liu, Yan-Na Zhao, Bo-Lin Wang, Ke-Ren Lyu, Rui-Lan Gao, Xiao-Ling Yu

Objective: To investigate the effect and mechanism of panaxadiol saponin component (PDS-C) in radiation-induced cardiac injury (RIHD).

Methods: BALB/c mice were radiated by X-ray to establish RIHD mouse models, and randomly divided into 3 groups by using a random number table method (n=10 in each group): the mice in the normal control and RIHD model groups received normal saline, and the PDS-C group was treated with PDS-C (80 mg/kg) for 12 weeks. Cardiac function was observed by ultrasound imaging; serum myocardial enzymes were tested; and pathological examination of cardiac tissue was performed. Differentially transcribed genes of cardiac tissue were analyzed between normal and RIHD mice. The expression levels of inflammatory factors and fibrotic proteins were detected by immunohistochemistry, immunohistofluorescence and Western blot, respectively. Irradiation H9c2 cells were incubated by PDS-C (20, 40, 80 mg/L) for detecting inflammatory factors and fibrotic proteins. Irradiation H9c2 cells were incubated by both phorbol 12-myristate 13-acetate (PMA) as nuclear factor κB (NF-κB) activator and BAY11-7082 as inhibitor to verify the effects of PDS-C on NF-κB transcription factor.

Results: Differentially expressed genes between normal and RIHD mice were involved mainly in the NF-κB transcription factor, which is related to cardiac inflammation. PDS-C effectively increased the cardiac ejection fraction and fractional shortening (P<0.05), but decreased the levels of the myocardial enzymes aspartate aminotransferase, creatine kinase, creatine kinase isoenzyme and lactate dehydrogenase in RIHD mice (P<0.05). Pathological examination of cardiac tissue revealed obvious edema, severe necrosis, and nuclear pyknosis in RIHD mice; however, PDS-C clearly alleviated the extent of cardiac damage. Furthermore, PDS-C downregulated interleukin (IL)-1, IL-6, Smad2, connective tissue growth factor, collagen II and NF-κB (P<0.05). Cytological experiments revealed that PDS-C decreased reactive oxygen species levels in irradiated H9C2 cells (P<0.05), and the expressions of the above inflammatory factors and fibrosis-related proteins were consistent with the results in mouse models.

Conclusion: PDS-C showed cardioprotective effect in alleviating inflammation and fibrosis through inhibition of the NF-κB signaling pathway.

目的:探讨panaxadiol皂苷成分(PDS-C)在辐射性心脏损伤(RIHD)中的作用及其机制。方法:采用x射线照射BALB/c小鼠建立RIHD小鼠模型,采用随机数字表法随机分为3组(每组n=10):正常对照组和RIHD模型组小鼠给予生理盐水,PDS-C组小鼠给予PDS-C (80 mg/kg)治疗12周。超声显像观察心功能;检测血清心肌酶;并行心脏组织病理检查。分析正常小鼠和RIHD小鼠心脏组织的差异转录基因。分别用免疫组织化学、免疫组织荧光和Western blot检测炎症因子和纤维化蛋白的表达水平。用PDS-C(20、40、80 mg/L)孵育辐照H9c2细胞,检测炎症因子和纤维化蛋白。以12-肉豆蔻酸13-乙酸phorbol 12-肉豆蔻酸13-乙酸酯(PMA)作为核因子κB (NF-κB)激活剂和BAY11-7082作为抑制剂孵育辐照H9c2细胞,验证PDS-C对NF-κB转录因子的影响。结果:正常小鼠与RIHD小鼠的差异表达基因主要涉及与心脏炎症相关的NF-κB转录因子。结论:PDS-C通过抑制NF-κB信号通路,具有减轻炎症和纤维化的心脏保护作用。
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引用次数: 0
Efficacy and Safety of Different Types of Traditional Chinese Medicine Preparations Combined with EGFR-TKIs for Patients with Non-Small Cell Lung Cancer: A Network Meta-analysis. 不同类型中药制剂联合EGFR-TKIs治疗非小细胞肺癌的疗效和安全性:一项网络荟萃分析
IF 2.5 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-12-15 DOI: 10.1007/s11655-025-4150-0
Chu-Chu Zhang, Jun-Yue Zhang, Ying Liu, Xiao-Xi Wang, De-Qiang Gao, Ze-Hui Chen, Yi Liu, Hong-Sheng Lin, Hai-Yan Li, Jia-Bin Zheng
<p><strong>Background: </strong>Lung cancer remains one of the most malignant cancers worldwide, with non-small cell lung cancer (NSCLC) accounting for approximately 85% of all cases. Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) are recommended as first-line treatments for advanced EGFR-mutated NSCLC. Classical Chinese herb formulas have shown potential clinical benefits in NSCLC management. However, few studies have systematically compared the efficacy and safety of EGFR-TKIs monotherapy versus EGFR-TKIs combined with classical Chinese herb formulas.</p><p><strong>Objective: </strong>To evaluate the efficacy and safety of EGFR-TKIs monotherapy versus EGFR-TKIs combined with classical Chinese herb formulas in the treatment of NSCLC.</p><p><strong>Methods: </strong>A systematic search was conducted to identify randomized controlled trials (RCTs) in which patients with NSCLC were randomly assigned to receive either EGFR-TKIs monotherapy or EGFR-TKIs combined with classical Chinese herbal formulas. The combined regimens include EGFR-TKIs plus Chinese herbal compounds (CHCT), EGFR-TKIs plus Chinese traditional medicine injections (CTMIT), and EGFR-TKIs plus Chinese patent medicines (CPMT). Electronic databases search included PubMed, Embase, Web of Science, the Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, Wanfang Data, VIP Database, the International Clinical Trial Registry Platform, and the Chinese Clinical Trial Registry, from inception updated to February 26, 2025. Given that all outcomes were binary, odds ratios (ORs) along with 95% confidence intervals (CIs) were computed. Pairwise comparisons and Bayesian network meta-analyses were used for the same outcome assessment, including progressive disease (PD), disease control rate (DCR), objective response rate (ORR), rash, diarrhea, and drug-induced liver injury (DILI) with the former reporting ORs and 95% CIs while the latter ORs and 95% credible intervals (CrIs).</p><p><strong>Resuts: </strong>A total of 155 RCTs involving 12,441 patients with NSCLC were included. For efficacy outcomes, EGFR-TKIs monotherapy was associated with a higher risk of PD compared with CHCT (OR: 2.43, 95% CrI: 2.11-2.76), CTMIT (OR: 2.98, 95% CrI: 2.47-3.58), and CPMT (OR: 1.94, 95% CrI: 1.44-2.64) combination therapies, while CPMT was associated with a lower risk of PD than CTMIT (OR: 0.65, 95% CrI: 0.46-0.94). In terms of ORR, CHCT (OR: 0.53, 95% CrI: 0.47-0.59), CTMIT (OR: 0.43, 95% CrI: 0.36-0.50), and CPMT (OR: 0.52, 95% CrI: 0.40-0.68) combination therapies all demonstrated significantly higher ORR than EGFR-TKIs monotherapy, with CTMIT also showing a higher ORR compared with CHCT (OR: 0.81, 95% CrI: 0.67-0.99). For DCR, combination therapy with CHCT (OR: 0.39, 95% CrI: 0.34-0.46), CTMIT (OR: 0.33, 95% CrI: 0.26-0.42), and CPMT (OR: 0.57, 95% CrI: 0.41-0.77) combination therapies were superior to EGFR-TKIs
背景:肺癌仍然是世界范围内最恶性的癌症之一,非小细胞肺癌(NSCLC)约占所有病例的85%。表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKIs)被推荐作为晚期egfr突变的非小细胞肺癌的一线治疗。经中药方剂在非小细胞肺癌治疗中显示出潜在的临床益处。然而,很少有研究系统地比较EGFR-TKIs单药与EGFR-TKIs联合中药方剂的疗效和安全性。目的:评价EGFR-TKIs单药治疗与EGFR-TKIs联合中药方剂治疗非小细胞肺癌的疗效和安全性。方法:通过系统检索,确定随机对照试验(RCTs),其中NSCLC患者被随机分配接受EGFR-TKIs单药治疗或EGFR-TKIs联合中草药方剂治疗。联合方案包括EGFR-TKIs加中草药(CHCT)、EGFR-TKIs加中药注射剂(CTMIT)和EGFR-TKIs加中成药(CPMT)。检索的电子数据库包括PubMed、Embase、Web of Science、Cochrane中央对照试验注册库、中国国家知识基础设施、中国生物医学文献数据库、万方数据、VIP数据库、国际临床试验注册平台和中国临床试验注册库,从成立到2025年2月26日更新。鉴于所有结果均为二元,计算优势比(ORs)和95%置信区间(ci)。两两比较和贝叶斯网络荟萃分析用于相同的结果评估,包括进展性疾病(PD)、疾病控制率(DCR)、客观缓解率(ORR)、皮疹、腹泻和药物性肝损伤(DILI),前者报告or和95% ci,后者报告or和95%可信区间(CrIs)。结果:共纳入155项随机对照试验,涉及12,441例NSCLC患者。对于疗效结果,EGFR-TKIs单药治疗与CHCT (OR: 2.43, 95% CrI: 2.11-2.76)、CTMIT (OR: 2.98, 95% CrI: 2.47-3.58)和CPMT (OR: 1.94, 95% CrI: 1.44-2.64)联合治疗相比,PD的风险更高,而CPMT的PD风险低于CTMIT (OR: 0.65, 95% CrI: 0.46-0.94)。在ORR方面,CHCT (OR: 0.53, 95% CrI: 0.47-0.59)、CTMIT (OR: 0.43, 95% CrI: 0.36-0.50)和CPMT (OR: 0.52, 95% CrI: 0.40-0.68)联合治疗的ORR均显著高于EGFR-TKIs单药治疗,CTMIT的ORR也高于CHCT (OR: 0.81, 95% CrI: 0.67-0.99)。对于DCR, CHCT (OR: 0.39, 95% CrI: 0.34-0.46)、CTMIT (OR: 0.33, 95% CrI: 0.26-0.42)和CPMT (OR: 0.57, 95% CrI: 0.41-0.77)联合治疗优于EGFR-TKIs单药治疗,CHCT (OR: 1.44, 95% CrI: 1.01-2.05)和CTMIT (OR: 1.70, 95% CrI: 1.16-2.50)的DCR均优于CPMT。在安全性方面,EGFR-TKIs单药治疗与CHCT (OR: 1.82, 95% CrI: 1.46-2.30)和CTMIT (OR: 1.55, 95% CrI: 1.01-2.41)联合治疗相比,皮疹发生率更高,腹泻发生率高于CHCT (OR: 2.52, 95% CrI: 1.99-3.21)和CPMT (OR: 2.56, 95% CrI: 1.43-4.58), DILI发生率高于CHCT (OR: 2.02, 95% CrI: 1.33-3.13)。结论:本研究提供证据支持中药方剂联合EGFR-TKIs治疗NSCLC的潜在价值,符合现行临床指南。研究结果表明,与EGFR-TKIs单药治疗相比,EGFR-TKIs联合中药方剂(CHCT, CTMIT, CPMT)具有更高的ORR和DCR,以及更低的PD风险。此外,CHCT可能降低EGFR-TKIs治疗患者皮疹的发生率。需要进一步设计良好的随机对照试验来比较不同联合治疗策略对非小细胞肺癌患者的疗效和安全性。(登记号CRD42024521654)。
{"title":"Efficacy and Safety of Different Types of Traditional Chinese Medicine Preparations Combined with EGFR-TKIs for Patients with Non-Small Cell Lung Cancer: A Network Meta-analysis.","authors":"Chu-Chu Zhang, Jun-Yue Zhang, Ying Liu, Xiao-Xi Wang, De-Qiang Gao, Ze-Hui Chen, Yi Liu, Hong-Sheng Lin, Hai-Yan Li, Jia-Bin Zheng","doi":"10.1007/s11655-025-4150-0","DOIUrl":"10.1007/s11655-025-4150-0","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Lung cancer remains one of the most malignant cancers worldwide, with non-small cell lung cancer (NSCLC) accounting for approximately 85% of all cases. Epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs) are recommended as first-line treatments for advanced EGFR-mutated NSCLC. Classical Chinese herb formulas have shown potential clinical benefits in NSCLC management. However, few studies have systematically compared the efficacy and safety of EGFR-TKIs monotherapy versus EGFR-TKIs combined with classical Chinese herb formulas.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To evaluate the efficacy and safety of EGFR-TKIs monotherapy versus EGFR-TKIs combined with classical Chinese herb formulas in the treatment of NSCLC.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A systematic search was conducted to identify randomized controlled trials (RCTs) in which patients with NSCLC were randomly assigned to receive either EGFR-TKIs monotherapy or EGFR-TKIs combined with classical Chinese herbal formulas. The combined regimens include EGFR-TKIs plus Chinese herbal compounds (CHCT), EGFR-TKIs plus Chinese traditional medicine injections (CTMIT), and EGFR-TKIs plus Chinese patent medicines (CPMT). Electronic databases search included PubMed, Embase, Web of Science, the Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, Chinese Biomedical Literature Database, Wanfang Data, VIP Database, the International Clinical Trial Registry Platform, and the Chinese Clinical Trial Registry, from inception updated to February 26, 2025. Given that all outcomes were binary, odds ratios (ORs) along with 95% confidence intervals (CIs) were computed. Pairwise comparisons and Bayesian network meta-analyses were used for the same outcome assessment, including progressive disease (PD), disease control rate (DCR), objective response rate (ORR), rash, diarrhea, and drug-induced liver injury (DILI) with the former reporting ORs and 95% CIs while the latter ORs and 95% credible intervals (CrIs).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Resuts: &lt;/strong&gt;A total of 155 RCTs involving 12,441 patients with NSCLC were included. For efficacy outcomes, EGFR-TKIs monotherapy was associated with a higher risk of PD compared with CHCT (OR: 2.43, 95% CrI: 2.11-2.76), CTMIT (OR: 2.98, 95% CrI: 2.47-3.58), and CPMT (OR: 1.94, 95% CrI: 1.44-2.64) combination therapies, while CPMT was associated with a lower risk of PD than CTMIT (OR: 0.65, 95% CrI: 0.46-0.94). In terms of ORR, CHCT (OR: 0.53, 95% CrI: 0.47-0.59), CTMIT (OR: 0.43, 95% CrI: 0.36-0.50), and CPMT (OR: 0.52, 95% CrI: 0.40-0.68) combination therapies all demonstrated significantly higher ORR than EGFR-TKIs monotherapy, with CTMIT also showing a higher ORR compared with CHCT (OR: 0.81, 95% CrI: 0.67-0.99). For DCR, combination therapy with CHCT (OR: 0.39, 95% CrI: 0.34-0.46), CTMIT (OR: 0.33, 95% CrI: 0.26-0.42), and CPMT (OR: 0.57, 95% CrI: 0.41-0.77) combination therapies were superior to EGFR-TKIs ","PeriodicalId":10005,"journal":{"name":"Chinese Journal of Integrative Medicine","volume":" ","pages":"157-164"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145755473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hydroxychavicol in Combination with 5-Fluorouracil Induced Apoptosis by Inhibiting Purine Metabolism in HT-29 and DLD-1 Cell Lines. 羟基chavicol联合5-氟尿嘧啶抑制HT-29和DLD-1细胞株嘌呤代谢诱导凋亡。
IF 2.5 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-05-13 DOI: 10.1007/s11655-025-4133-1
Noor Azleen Mohamad, Amirah Abdul Rahman, Siti Hamimah Sheikh Abdul Kadir, Safaa M Naes, Musalmah Mazlan, Suzana Makpol

Objective: To elucidate the effect of hydroxychavicol (HC) in combination with 5-fluorouracil (5-FU) on purine metabolism and apoptosis in colorectal cancer cell lines HT-29 and DLD-1.

Methods: The viability of HT-29 and DLD-1 cells when treated with HC, (0-1,000 µmol/L) 5-FU (0-100 µmol/L) alone, and HC+5-FU for 24 and 48 h was determined. Hypoxanthine (HPX) and xanthine oxidoreductase (XOR) were evaluated, as well as reactive oxygen species (ROS) levels and mitochondrial membrane potential (MMP). The expression levels of genes including nucleoside transporters equilibrative nucleotide transport 1 and 2 (ENT1 and ENT2), the proapoptotic gene Caspase-3 (CASP3), and the anti-apoptotic gene BCL2 were analysed by quantitative polymerase chain reaction.

Results: Both HPX and XOR levels in cells treated with HC+5-FU were significantly decreased (P<0.05) after 24 and 48 h compared to control cells. ROS levels in HT-29 and DLD-1 treated with HC+5-FU for 24 and 48 h were 26.2% and 21.4%, and 9.1% and 20.5%, respectively, significantly lower than control cells. MMP assays indicated mitochondrial depolarisation. In HT-29 cells, ENT1 and BCL2 were downregulated at 24 h, and CASP3 was upregulated at 48 h. In DLD-1 cells, ENT1 and ENT2 were downregulated, while CASP3 showed a transient decrease at 24 h.

Conclusions: The combination of HC + 5-FU demonstrated synergistic effects in HT-29 and DLD-1 cells, disrupting oxidative balance and purine metabolism, as reflected in reduced hypoxanthine levels, XOR activity, and ROS production. This treatment also induced mitochondrial membrane depolarisation and altered apoptosis-related gene expression, supporting its role in apoptosis induction.

目的:探讨羟基chavicol (HC)联合5-氟尿嘧啶(5-FU)对大肠癌HT-29和DLD-1细胞株嘌呤代谢和凋亡的影响。方法:测定HC、(0 ~ 1000µmol/L) 5-FU(0 ~ 100µmol/L)单独作用HT-29和DLD-1细胞24、48 h后的细胞活力。测定次黄嘌呤(HPX)和黄嘌呤氧化还原酶(XOR),以及活性氧(ROS)水平和线粒体膜电位(MMP)。定量聚合酶链反应分析核苷转运蛋白平衡核苷酸转运蛋白1和2 (ENT1和ENT2)、促凋亡基因Caspase-3 (CASP3)和抗凋亡基因BCL2的表达水平。结果:HC+5-FU处理的细胞中HPX和XOR水平均显著降低(p结论:HC+5-FU联合使用在HT-29和DLD-1细胞中表现出协同作用,破坏氧化平衡和嘌呤代谢,反映在次黄嘌呤水平、XOR活性和ROS生成的降低。该处理还诱导线粒体膜去极化和改变凋亡相关基因表达,支持其在诱导凋亡中的作用。
{"title":"Hydroxychavicol in Combination with 5-Fluorouracil Induced Apoptosis by Inhibiting Purine Metabolism in HT-29 and DLD-1 Cell Lines.","authors":"Noor Azleen Mohamad, Amirah Abdul Rahman, Siti Hamimah Sheikh Abdul Kadir, Safaa M Naes, Musalmah Mazlan, Suzana Makpol","doi":"10.1007/s11655-025-4133-1","DOIUrl":"10.1007/s11655-025-4133-1","url":null,"abstract":"<p><strong>Objective: </strong>To elucidate the effect of hydroxychavicol (HC) in combination with 5-fluorouracil (5-FU) on purine metabolism and apoptosis in colorectal cancer cell lines HT-29 and DLD-1.</p><p><strong>Methods: </strong>The viability of HT-29 and DLD-1 cells when treated with HC, (0-1,000 µmol/L) 5-FU (0-100 µmol/L) alone, and HC+5-FU for 24 and 48 h was determined. Hypoxanthine (HPX) and xanthine oxidoreductase (XOR) were evaluated, as well as reactive oxygen species (ROS) levels and mitochondrial membrane potential (MMP). The expression levels of genes including nucleoside transporters equilibrative nucleotide transport 1 and 2 (ENT1 and ENT2), the proapoptotic gene Caspase-3 (CASP3), and the anti-apoptotic gene BCL2 were analysed by quantitative polymerase chain reaction.</p><p><strong>Results: </strong>Both HPX and XOR levels in cells treated with HC+5-FU were significantly decreased (P<0.05) after 24 and 48 h compared to control cells. ROS levels in HT-29 and DLD-1 treated with HC+5-FU for 24 and 48 h were 26.2% and 21.4%, and 9.1% and 20.5%, respectively, significantly lower than control cells. MMP assays indicated mitochondrial depolarisation. In HT-29 cells, ENT1 and BCL2 were downregulated at 24 h, and CASP3 was upregulated at 48 h. In DLD-1 cells, ENT1 and ENT2 were downregulated, while CASP3 showed a transient decrease at 24 h.</p><p><strong>Conclusions: </strong>The combination of HC + 5-FU demonstrated synergistic effects in HT-29 and DLD-1 cells, disrupting oxidative balance and purine metabolism, as reflected in reduced hypoxanthine levels, XOR activity, and ROS production. This treatment also induced mitochondrial membrane depolarisation and altered apoptosis-related gene expression, supporting its role in apoptosis induction.</p>","PeriodicalId":10005,"journal":{"name":"Chinese Journal of Integrative Medicine","volume":" ","pages":"138-146"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Syzygium aromaticum L. (Clove): A Comprehensive Reveiw of Its Ethnopharmacological Uses and Pharmacological Activities. 丁香:民族药理学用途和药理活性的综合综述。
IF 2.5 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-08-15 DOI: 10.1007/s11655-025-4141-1
Tae-Young Gil, Sung-Jin Kim, Hyo-Jin An
{"title":"Syzygium aromaticum L. (Clove): A Comprehensive Reveiw of Its Ethnopharmacological Uses and Pharmacological Activities.","authors":"Tae-Young Gil, Sung-Jin Kim, Hyo-Jin An","doi":"10.1007/s11655-025-4141-1","DOIUrl":"10.1007/s11655-025-4141-1","url":null,"abstract":"","PeriodicalId":10005,"journal":{"name":"Chinese Journal of Integrative Medicine","volume":" ","pages":"165-173"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144854741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Molecular Compatibility in Chinese Medicine for Cancer Treatment and Drug Development: From Traditional Wisdom to Innovative Therapeutics. 中药分子相容性在癌症治疗和药物开发中的应用:从传统智慧到创新疗法。
IF 2.5 3区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2026-02-01 Epub Date: 2025-12-09 DOI: 10.1007/s11655-025-4152-y
Ruo-Nan Zhang, Yu You, Quan Gao, Xue-Ni Sun, Chuan Zheng, Tian Xie
{"title":"Molecular Compatibility in Chinese Medicine for Cancer Treatment and Drug Development: From Traditional Wisdom to Innovative Therapeutics.","authors":"Ruo-Nan Zhang, Yu You, Quan Gao, Xue-Ni Sun, Chuan Zheng, Tian Xie","doi":"10.1007/s11655-025-4152-y","DOIUrl":"10.1007/s11655-025-4152-y","url":null,"abstract":"","PeriodicalId":10005,"journal":{"name":"Chinese Journal of Integrative Medicine","volume":" ","pages":"99-110"},"PeriodicalIF":2.5,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145707304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Chinese Journal of Integrative Medicine
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