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20(S)-Protopanaxadiol from Panax ginseng Induces Apoptosis and Autophagy in Gastric Cancer Cells by Inhibiting Src. 人参20(S)-原人参二醇通过抑制Src诱导胃癌细胞凋亡和自噬。
IF 5.7 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1142/S0192415X2350012X
Chaoran Song, Ting Shen, Han Gyung Kim, Weicheng Hu, Jae Youl Cho

20(S)-protopanaxadiol (PPD), a metabolite of Panax ginseng, has multiple pharmacological properties. However, the effects of PPD against human gastric cancer have not been elucidated. Our purpose in this study was to investigate if PPD has anticancer effects against human gastric cancer in vitro. Cell viability, migration, clone formation, and invasion were assessed to explore the effects of PPD on cancer cells. PI and annexin V staining as well as immunoblotting were employed to determine if PPD-induced apoptosis and autophagy of MKN1 and MKN45 cells. The target of PPD was identified using immunoblotting, overexpression analysis, and flow cytometric analysis. PPD exhibited significantly suppressed cell viability, migration, colony formation, and invasion. Phosphorylation of Src and its down-stream effectors were inhibited by PPD. PPD-enhanced apoptosis and autophagy in a dose- and time-dependent manner by inhibiting Src. Collectively, our results demonstrate that PPD induces apoptosis and autophagy in gastric cancer cells in vitro by inhibiting Src.

20(S)-原人参二醇(PPD)是人参的代谢物,具有多种药理特性。然而,PPD对人胃癌的作用尚未被阐明。本研究的目的是探讨PPD在体外对人胃癌是否有抗癌作用。评估细胞活力、迁移、克隆形成和侵袭,以探讨PPD对癌细胞的影响。采用PI、膜联蛋白V染色和免疫印迹法检测ppd是否诱导MKN1和MKN45细胞凋亡和自噬。通过免疫印迹、过表达分析和流式细胞术分析确定PPD的靶点。PPD显著抑制细胞活力、迁移、集落形成和侵袭。Src及其下游效应物的磷酸化被PPD抑制。ppd通过抑制Src以剂量和时间依赖的方式增强细胞凋亡和自噬。综上所述,我们的研究结果表明PPD通过抑制Src在体外诱导胃癌细胞凋亡和自噬。
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引用次数: 3
Effects of Rosa roxburghii Tratt on Ulcerative Colitis: An Integrated Analysis of Network Pharmacology and Experimental Validation. 刺梨提取物对溃疡性结肠炎的影响:网络药理学与实验验证的综合分析。
IF 5.7 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1142/S0192415X23500672
Yu-Hong Kang, Ting Zhou, Shou-Xun Wu, Xing-Jie Li, Xiao-Yi Huang, Rui Xia, Yi-Han Ling, He-Ting Zhou, Shu-Wen Zhang, Wen-Ya Yin

Rosa roxburghii Tratt is a traditional Chinese plant that has been used to treat different inflammatory diseases. The purpose of this study was to investigate the mechanism of action of Rosa roxburghii Tratt extract (RRTE) against ulcerative colitis (UC) using network pharmacology and experimental validation. HPLC-Q/Orbitrap MS was used to rapidly identify the substances contained in RRTE after extracting the active components from the fruit. Then, network pharmacology combined with molecular docking was used to explore the critical target and potential mechanism of RRTE against UC using the active ingredients in RRTE as the research object. Data are presented in a visual manner. Finally, the pharmacological effects of RRTE in alleviating UC were further verified using a DSS-induced UC model of NCM460. The results showed that 25 components in RRTE were identified. A total of 250 targets of the active components and 5376 targets associated with UC were collected. Furthermore, a systematic analysis of the Protein-Protein Interaction (PPI) networks suggests that epidermal growth factor receptor (EGFR), phosphoinositide-3-kinase regulatory subunit 1 (PIK3R1), and serine/threonine kinase 1 (AKT1) are critical targets for RRTE in the treatment of UC. A comprehensive regulatory network analysis showed that RRTE alleviated UC through the EGFR-mediated PI3K/Akt pathway, and molecular docking showed that active components could strongly bind to EGFR, PIK3R1, and AKT1. In addition, RRTE alleviated dextran sulfate sodium salt (DSS)-induced cell injury and significantly decreased the protein expression levels of EGFR, PIK3R1, and p-AKT in NCM460 cells in vitro. Furthermore, RRTE significantly regulated the expression of the apoptosis-related proteins Apoptotic protease-activating factor 1 (Apaf1), cleaved caspase-3, B-cell lymphoma-2 (Bcl2), and Bcl2 associated X protein (Bax). In conclusion, the components of RRTE are complex, and RRTE can relieve UC through the EGFR-mediated PI3K/Akt pathway.

刺梨(Rosa roxburghii Tratt)是一种传统的中国植物,被用来治疗各种炎症性疾病。本研究旨在通过网络药理学和实验验证,探讨刺梨提取物(RRTE)抗溃疡性结肠炎(UC)的作用机制。采用HPLC-Q/Orbitrap质谱法,从果实中提取有效成分后,快速鉴定了RRTE中所含物质。然后,采用网络药理学结合分子对接的方法,以RRTE中的有效成分为研究对象,探索RRTE抗UC的关键靶点及潜在机制。数据以可视化的方式呈现。最后,通过dss诱导的NCM460 UC模型进一步验证RRTE减轻UC的药理作用。结果表明,共鉴定出25个成分。总共收集了250个有效成分的目标和5376个与UC相关的目标。此外,对蛋白-蛋白相互作用(PPI)网络的系统分析表明,表皮生长因子受体(EGFR)、磷酸肌醇-3激酶调节亚基1 (PIK3R1)和丝氨酸/苏氨酸激酶1 (AKT1)是RRTE治疗UC的关键靶点。综合调控网络分析显示,RRTE通过EGFR介导的PI3K/Akt通路缓解UC,分子对接显示,活性成分可与EGFR、PIK3R1和AKT1强结合。此外,RRTE还能减轻葡聚糖硫酸盐钠盐(DSS)诱导的细胞损伤,显著降低体外NCM460细胞中EGFR、PIK3R1和p-AKT的蛋白表达水平。此外,RRTE显著调节凋亡相关蛋白凋亡蛋白酶激活因子1 (Apaf1)、cleaved caspase-3、b细胞淋巴瘤-2 (Bcl2)和Bcl2相关X蛋白(Bax)的表达。综上所述,RRTE的成分复杂,RRTE可以通过egfr介导的PI3K/Akt通路缓解UC。
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引用次数: 1
ERRATUM: Quercetin Inhibits Intrahepatic Cholangiocarcinoma by Inducing Ferroptosis and Inhibiting Invasion via the NF-[Formula: see text]B Pathway. 槲皮素通过NF- B通路诱导铁下垂和抑制侵袭抑制肝内胆管癌。
IF 5.7 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1142/S0192415X23920027
Yinghui Song, Zhihua Zhang, Qin Chai, He Zheng, Yuchen Qi, Guoyi Xia, Zhangtao Yu, Ranzhiqiang Yang, Junkai Huang, Yuhang Li, Chuang Peng, Bo Jiang, Sulai Liu
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引用次数: 0
Biometrics Data Visualization of Ginsenosides in Anticancer Investigations. 抗癌研究中人参皂苷的生物识别数据可视化。
IF 5.7 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1142/S0192415X23500039
Ying Chang, Zhongqi Lu, Jinyuan Sui, Tiefeng Jin, Meihua Zhang

Ginsenoside extracts have been shown to have anticancer effects by a growing number of studies and have thus become a hot topic in cancer research. Our study used VOSviewer and CiteSpace softwares to conduct a bibliometric approach to co-citation and co-occurrence analysis of countries, institutions, authors, references, and keywords in the field of cancer research to investigate the current status and trends of ginsenosides research in cancer. The web of science core collection (WoSCC) contained a total of 1102 papers. China made the most contributions in this area, with the most publications (742, 67.3%), and collaborated closely with Korea and the USA. The Journal of Ginseng Research, with the most total citations (1607) and an IF of 6.06, is the leading journal in the field of ginsenoside and cancer research, publishing high quality articles. Saponin and its extracts inhibit oxidative stress, promote apoptosis, and inhibits chemotherapy resistance by ginsenosides, all of which are hot research areas in this field. In the coming years, it is expected that the combination of ginsenosides and nanoparticles, in-depth mechanisms of cancer inhibition, and targeted therapy will receive widespread attention.

越来越多的研究表明人参皂苷提取物具有抗癌作用,已成为癌症研究的热点。本研究利用VOSviewer和CiteSpace软件,采用文献计量学方法对癌症研究领域的国家、机构、作者、参考文献和关键词进行共被引和共现分析,了解人参皂苷在癌症领域的研究现状和趋势。web of science核心馆藏(wscc)共收录论文1102篇。中国在这一领域的贡献最大,发表了最多的论文(742篇,占67.3%),并且与韩国和美国合作密切。《人参研究杂志》(Journal of Ginseng Research)是人参皂苷与癌症研究领域的权威期刊,总被引次数最多(1607次),影响因子(IF)为6.06。皂苷及其提取物抑制氧化应激、促进细胞凋亡、抑制人参皂苷的化疗耐药等都是该领域的研究热点。在未来几年,预计人参皂苷与纳米颗粒的联合、深入的肿瘤抑制机制和靶向治疗将受到广泛关注。
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引用次数: 1
Bergenin Inhibits Tumor Growth and Overcomes Radioresistance by Targeting Aerobic Glycolysis. 卑尔根素通过靶向好氧糖酵解抑制肿瘤生长并克服放射抗性。
IF 5.7 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 Epub Date: 2023-08-30 DOI: 10.1142/S0192415X23500842
Xiaoying Li, Li Xie, Li Zhou, Yu Gan, Shuangze Han, Yuanfeng Zhou, Xiang Qing, Wei Li

Hexokinase 2 (HK2), the first glycolytic rate-limiting enzyme, is closely correlated with the occurrence and progression of tumors. Effective therapeutic agents targeting HK2 are urgently needed. Bergenin has exhibited various pharmacological activities, such as antitumor properties. However, the effects of bergenin on the abnormal glucose metabolism of cancer cells are yet unclear. In this study, HK2 was overexpressed in OSCC tissues, and the depletion of HK2 inhibited the growth of OSCC cells in vitro and in vivo. Moreover, these results showed that the natural compound, bergenin, exerted a robust antitumor effect on OSCC cells. Bergenin inhibited cancer cell proliferation, suppressed glycolysis, and induced intrinsic apoptosis in OSCC cells by downregulating HK2. Notably, bergenin restored the antitumor efficacy of irradiation in the radioresistant OSCC cells. A mechanistic study revealed that bergenin upregulated the protein level of phosphatase and the tensin homolog deleted on chromosome 10 (PTEN) by enhancing the interaction between PTEN and ubiquitin-specific protease 13 (USP13) and stabilizing PTEN; this eventually inhibited AKT phosphorylation and HK2 expression. Bergenin was identified as a novel therapeutic agent against glycolysis to inhibit OSCC and overcome radioresistance. Targeting PTEN/AKT/HK2 signaling could be a promising option for clinical OSCC treatment.

己糖激酶2(HK2)是第一种糖酵解限速酶,与肿瘤的发生和发展密切相关。迫切需要针对HK2的有效治疗剂。卑尔根素具有多种药理活性,如抗肿瘤特性。然而,岩白菜素对癌症细胞葡萄糖代谢异常的影响尚不清楚。在本研究中,HK2在OSCC组织中过表达,并且HK2的缺失在体外和体内抑制了OSCC细胞的生长。此外,这些结果表明天然化合物岩白菜素对OSCC细胞具有强大的抗肿瘤作用。Bergenin通过下调HK2抑制癌症细胞增殖,抑制糖酵解,并诱导OSCC细胞内在凋亡。值得注意的是,岩白菜素在耐辐射OSCC细胞中恢复了辐射的抗肿瘤功效。一项机制研究表明,岩白菜素通过增强PTEN与泛素特异性蛋白酶13(USP13)之间的相互作用和稳定PTEN,上调了10号染色体上缺失的磷酸酶和紧张素同源物(PTEN)的蛋白水平;这最终抑制了AKT磷酸化和HK2的表达。卑尔根素被鉴定为一种新型的糖酵解治疗剂,可抑制OSCC并克服辐射耐药性。靶向PTEN/AKT/HK2信号可能是临床OSCC治疗的一个有前途的选择。
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引用次数: 0
Ginseng as a Key Immune Response Modulator in Chinese Medicine: From Antipandemic History to COVID-19 Management. 人参作为关键的免疫反应调节剂:从抗大流行史到COVID-19管理。
IF 5.7 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1142/S0192415X23500027
Yanyi Liu, Kun Xia, Shixu Liu, Wei Wang, Guangxi Li

The cytokine storm plays an indispensable role in the severe and critical illness and death of the COVID-19 vulnerable population. Thus, suppressing the cytokine storm is of great significance. Ginseng is a traditional Chinese herb originally used for improving physiological conditions and ameliorating disease. Common throughout the history of ancient Chinese medicine is utilizing ginseng as a major ingredient to successfully fight various pandemics, and the most famous decoction is Renshen Baidu powder. In recent years, ginseng has been observed to provide preventive and therapeutic benefits in the treatment of various conditions by suppressing hyper-inflammation, inhibiting virus intrusion, and balancing the host's immunity. This paper summarizes the ancient Chinese medicine books' recordings of, the clinical practice of, and the laboratory exploration of ginseng for the treatment of pandemics and COVID-19. Ginseng and its active ingredients were found to downregulate inflammatory cytokines, upregulate anti-inflammatory cytokines, stimulate the secretion of the antiviral cytokine IFN-[Formula: see text], prevent viral entry and replication, and improve viral clearance. Furthermore, ginseng modulates both natural and acquired immunity during viral infection. Collectively, we propose that ginseng can act as a key immune response modulator against the cytokine storm of COVID-19. This paper may provide a new approach to discover specific medications using ginseng to combat COVID-19.

细胞因子风暴在COVID-19脆弱人群的重症和危重症和死亡中发挥着不可或缺的作用。因此,抑制细胞因子风暴具有重要意义。人参是一种传统的中草药,最初用于改善生理状况和改善疾病。在中国古代医学史上,利用人参作为主要成分成功对抗各种流行病是很常见的,最著名的汤剂是人参百度粉。近年来,人参已被观察到通过抑制高炎症,抑制病毒入侵,平衡宿主免疫,在治疗各种疾病方面提供预防和治疗益处。本文对古籍记载、人参治疗传染病和新冠肺炎的临床实践和实验室探索进行了总结。人参及其有效成分可下调炎症细胞因子,上调抗炎细胞因子,刺激抗病毒细胞因子IFN-的分泌,阻止病毒进入和复制,提高病毒清除能力。此外,人参在病毒感染期间调节天然免疫和获得性免疫。综上所述,我们认为人参可以作为对抗COVID-19细胞因子风暴的关键免疫反应调节剂。这篇论文可能为利用人参发现对抗COVID-19的特异性药物提供新的途径。
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引用次数: 0
Effects and Mechanistic Role of Mulberry Leaves in Treating Diabetes and its Complications. 桑叶治疗糖尿病及其并发症的作用及机制。
IF 5.7 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 Epub Date: 2023-08-30 DOI: 10.1142/S0192415X23500775
Yanjiao Zhang, Runyu Miao, Kaile Ma, Yuxin Zhang, Xinyi Fang, Jiahua Wei, Ruiyang Yin, Jingxue Zhao, Jiaxing Tian

Diabetes mellitus (DM) has become a surge burden worldwide owing to its high prevalence and range of associated complications such as coronary artery disease, blindness, stroke, and renal failure. Accordingly, the treatment and management of DM have become a research hotspot. Mulberry leaves (Morus alba L.) have been used in Traditional Chinese Medicine for a long time, with the first record of its use published in Shennong Bencao Jing (Shennong's Classic of Materia Medica). Mulberry leaves (MLs) are considered highly valuable medicinal food homologs that contain polysaccharides, flavonoids, alkaloids, and other bioactive substances. Modern pharmacological studies have shown that MLs have multiple bioactive effects, including hypolipidemic, hypoglycemic, antioxidation, and anti-inflammatory properties, with the ability to protect islet [Formula: see text]-cells, alleviate insulin resistance, and regulate intestinal flora. However, the pharmacological mechanisms of MLs in DM have not been fully elucidated. In this review, we summarize the botanical characterization, traditional use, chemical constituents, pharmacokinetics, and toxicology of MLs, and highlight the mechanisms involved in treating DM and its complications. This review can provide a valuable reference for the further development and utilization of MLs in the prevention and treatment of DM.

糖尿病(DM)由于其高患病率和一系列相关并发症,如冠状动脉疾病、失明、中风和肾衰竭,已成为全球范围内的负担。因此,糖尿病的治疗和管理已成为研究热点。桑叶(Morus alba L.)在中药中的应用已有很长时间,最早的使用记录发表在《神农本草经》中。桑叶(ML)被认为是极具价值的药用食品同源物,含有多糖、黄酮类化合物、生物碱和其他生物活性物质。现代药理学研究表明,MLs具有多种生物活性,包括降血脂、降血糖、抗氧化和抗炎特性,具有保护胰岛[配方:见正文]细胞、缓解胰岛素抵抗和调节肠道菌群的能力。然而,MLs在糖尿病中的药理学机制尚未完全阐明。在这篇综述中,我们总结了MLs的植物学特征、传统用途、化学成分、药代动力学和毒理学,并强调了治疗DM及其并发症的机制。该综述可为进一步开发和利用MLs预防和治疗DM提供有价值的参考。
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引用次数: 0
Mechanism and Molecular Targets of a Water-Soluble Extract of Artemisia annua on the Treatment of Alzheimer's Disease Based on Network Pharmacology and Experimental Validation. 基于网络药理学和实验验证的青蒿水溶性提取物治疗阿尔茨海默病的机制、分子靶点
IF 5.7 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1142/S0192415X23500295
Wen-Shu Zhou, Marta Silva, Chao Yang, Shuai Li, Yi-Tian Chen, Wen-Hua Zheng

Oxidative stress is an important contributor to the pathogenesis of Alzheimer's disease (AD). The overproduction of reactive oxygen species observed in AD patients results in the loss of mitochondrial function, altered metal ion homeostasis, lipopolysaccharide metabolism disorder, reduced anti-oxidant defense, increased release of inflammatory factors, and the aggravation and accumulation of amyloid-beta and tau hyper-phosphorylation, which directly cause synaptic and neuronal loss and lead to cognitive dysfunction. Thus, oxidative stress proves to be a fundamental part of AD development and progression, suggesting the potential benefits of anti-oxidant-based therapies for AD. In this study, we found that a water-soluble extract of Artemisia annua (WSEAA), a traditional Chinese herbal medicine, has a strong anti-oxidant function. We also found that WSEAA is able to improve the cognitive function of 3xTg AD mice. However, the mechanisms and molecular targets underlying WSEAA action are still not known. In order to uncover the potential molecular mechanisms involved, we used a combination of network pharmacology and different experimental approaches. Obtained results revealed key genes (such as AKT1, BCL2, IL-6, TNF-[Formula: see text] and BAX) and signaling pathways (like PI3K-AKT and BCL2/BAX) are closely associated with the biological processes responding to oxidative stress. Further verification of the survival/anti-oxidant effects of WSEAA in vitro and in vivo showed that the extract has anti-oxidatant/neuronal survival action against H2O2-induced damage, and is thus able to prevent the cognitive decline and pathological changes of 3xTg transgenic (3xTg) mice via the regulation of key target-genes and pathways, such as PI3K-AKT and BCL2/BAX, related to survival/apoptosis. Our findings strongly indicate the potential of WSEAA for the prevention and treatment of AD.

氧化应激是阿尔茨海默病(AD)发病的重要因素。AD患者活性氧过量产生导致线粒体功能丧失、金属离子稳态改变、脂多糖代谢紊乱、抗氧化防御降低、炎症因子释放增加、淀粉样蛋白- β和tau超磷酸化加重和积累,直接导致突触和神经元丢失,导致认知功能障碍。因此,氧化应激被证明是阿尔茨海默病发生和进展的一个基本部分,这表明基于抗氧化的阿尔茨海默病治疗的潜在益处。本研究发现中药黄花蒿(Artemisia annua, WSEAA)水溶性提取物具有较强的抗氧化作用。我们还发现WSEAA能够改善3xTg AD小鼠的认知功能。然而,WSEAA作用的机制和分子靶点尚不清楚。为了揭示潜在的分子机制,我们将网络药理学与不同的实验方法相结合。研究结果显示,关键基因(如AKT1、BCL2、IL-6、TNF-和BAX)和信号通路(如PI3K-AKT和BCL2/BAX)与氧化应激的生物过程密切相关。进一步在体外和体内验证WSEAA的存活/抗氧化作用,发现该提取物对h2o2诱导的损伤具有抗氧化/神经元存活作用,从而通过调控与存活/凋亡相关的PI3K-AKT、BCL2/BAX等关键靶基因和通路,预防3xTg转基因小鼠的认知能力下降和病理改变。我们的研究结果强烈表明WSEAA在预防和治疗AD方面的潜力。
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引用次数: 0
Mechanistic Role of Scutellaria baicalensis Georgi in Breast Cancer Therapy. 黄芩治疗乳腺癌的机制作用。
IF 5.7 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1142/S0192415X23500155
Peng Yu, Jingyang Li, Yanqing Luo, Jiayi Sun, Yingfan Hu, Bo Lin, Xianli Meng, Li Xiang

Breast cancer is one of the most common malignancies in women, and exhibits high metastasis, recurrence and fatality rates. Novel therapies for breast cancer are constantly emerging, such as targeted therapy, oncolytic virotherapy, and immunotherapy. Despite their potential, these new therapies are still in their infancy, and chemotherapy remains the standard treatment for breast cancer. Therefore, it is of great significance to develop safe and efficient treatment drugs or adjuvants for breast cancer treatment. Traditional Chinese medicine (TCM) has a long clinical history in China, in which Scutellaria baicalensis Georgi exhibits favorable antibreast cancer activities. We therefore conducted a systematic review of the available literature to better understand the molecular mechanisms of S. baicalensis in breast cancer treatment. S. baicalensis and its active components (baicalein, baicalin, wogonin, wogonoside, oroxylin A and scutellarin) exhibited promising antibreast cancer activity through proliferation inhibition, apoptosis induction, invasion and metastasis blockading, and drug-resistance and non-coding RNA regulation. Additionally, senescence, autophagy, angiogenesis, and glycolysis mechanisms were observed to play a role in their antibreast cancer activity. Furthermore, multiple signaling pathways contributed to the antitumor effects of S. baicalensi, such as the NF-[Formula: see text]B, Wnt/[Formula: see text]-catenin, SATB1, Bcl2 family proteins, Caspase, PI3K/Akt, mTOR, ERK, p38-MAPK, TGF-[Formula: see text]/Smad, and Hippo/YAP pathways. This review provides valuable insights into the role of S. baicalensis as a breast cancer treatment and acts as a foundation for further investigations in this field.

乳腺癌是女性最常见的恶性肿瘤之一,具有较高的转移率、复发率和致死率。新的乳腺癌治疗方法不断涌现,如靶向治疗、溶瘤病毒治疗、免疫治疗等。尽管有潜力,这些新疗法仍处于起步阶段,化疗仍然是乳腺癌的标准治疗方法。因此,开发安全高效的治疗药物或佐剂对乳腺癌的治疗具有重要意义。中药在中国有着悠久的临床历史,黄芩具有良好的抗乳腺癌活性。因此,我们对现有文献进行了系统的综述,以更好地了解黄芩治疗乳腺癌的分子机制。黄芩及其有效成分(黄芩素、黄芩苷、枸杞苷、枸杞苷、oroxylin A和黄芩苷)通过抑制增殖、诱导细胞凋亡、阻断侵袭转移、耐药和非编码RNA调控,显示出良好的抗乳腺癌活性。此外,衰老、自噬、血管生成和糖酵解机制也被观察到在其抗乳腺癌活性中发挥作用。此外,黄芩具有抗肿瘤作用的信号通路包括NF-[公式:见文]B、Wnt/[公式:见文]-catenin、SATB1、Bcl2家族蛋白、Caspase、PI3K/Akt、mTOR、ERK、p38-MAPK、TGF-[公式:见文]/Smad、Hippo/YAP等多种信号通路。该综述为黄芩苷治疗乳腺癌的作用提供了有价值的见解,并为该领域的进一步研究奠定了基础。
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引用次数: 2
Efficacy and Safety of Glycyrrhizic Acid in Treatment of Autoimmune Hepatitis. 甘草酸治疗自身免疫性肝炎的疗效和安全性。
IF 5.7 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-01-01 DOI: 10.1142/S0192415X23500209
Xiaoyue Bi, Liu Yang, Yanjie Lin, Wen Deng, Tingting Jiang, Lu Zhang, Yao Lu, Wei Yi, Yao Xie, Minghui Li
To compare the long-term efficacy and safety of glycyrrhizic acid preparation and hormone treatment in patients with autoimmune hepatitis, we enrolled 377 patients in a study that lasted from January 2009 to January 2020. After performing propensity score matching, we included 58 patients in the hormone group and 58 in the glycyrrhizic acid preparation group in statistical analysis. We then compared the ratio of sustained biochemical responses at 48 weeks after treatment. Adverse events, including some incidence of decompensated liver cirrhosis and liver cancer, were evaluated. The results showed that a total of 61.8% of treated patients achieved complete biochemical remission. The cumulative biochemical remission rate in the hormone group and glycyrrhizic acid preparation group showed no significant difference (62.3% vs. 60.7%, [Formula: see text], [Formula: see text]). At the end of follow-up, the total bile acid in the hormone group was significantly higher than that in the glycyrrhizic acid preparation group (8.9[Formula: see text][Formula: see text]mol/L vs. 5.6[Formula: see text][Formula: see text]mol/L, [Formula: see text], [Formula: see text]). The incidence of adverse reactions in the hormone group was significantly higher than that in the glycyrrhizic acid preparation group (31.03% vs. 15.52%, [Formula: see text], [Formula: see text]). In conclusion, compared with the hormone treatment, glycyrrhizic acid preparation might be a safe and effective treatment for autoimmune hepatitis.
为了比较甘草酸制剂和激素治疗对自身免疫性肝炎患者的长期疗效和安全性,我们在2009年1月至2020年1月期间招募了377名患者。经倾向评分匹配后,我们将58例患者分为激素组和58例甘草酸制剂组进行统计分析。然后我们比较了治疗后48周持续生化反应的比例。不良事件,包括一些失代偿性肝硬化和肝癌的发生率进行了评估。结果显示,61.8%的治疗患者达到完全生化缓解。激素组和甘草酸制剂组的累积生化缓解率差异无统计学意义(62.3% vs. 60.7%,[公式:见文],[公式:见文])。随访结束时,激素组总胆汁酸显著高于甘草酸制剂组(8.9[公式:见文][公式:见文]mol/L vs. 5.6[公式:见文][公式:见文][公式:见文],[公式:见文],[公式:见文])。激素组不良反应发生率明显高于甘草酸制剂组(31.03% vs. 15.52%,[公式:见文],[公式:见文])。综上所述,与激素治疗相比,甘草酸制剂可能是一种安全有效的自身免疫性肝炎治疗方法。
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引用次数: 1
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American Journal of Chinese Medicine
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