|本期目录/Table of Contents|

[1]刘永衡,郎娜,陈秀,等.中药复方逆转肿瘤多药耐药研究近况及相关PI3K/AKT/NF_(-κ)B分子通路分析[J].环球中医药,2013,6(09):704-0.
 LIU Yong heng,LANG Na,CHEN Xiu..Traditional Chinese medicine compound in reversal of multidrug resistance in tumors and the analysis on PI3K/AKT/NFκB molecular pathway[J].,2013,6(09):704-0.
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中药复方逆转肿瘤多药耐药研究近况及相关PI3K/AKT/NF_(-κ)B分子通路分析()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第6卷
期数:
2013年09期
页码:
704-0
栏目:
综述
出版日期:
2013-09-06

文章信息/Info

Title:
Traditional Chinese medicine compound in reversal of multidrug resistance in tumors and the analysis on PI3K/AKT/NFκB molecular pathway
作者:
刘永衡;郎娜;陈秀;
Author(s):
LIU Yongheng LANG Na CHEN Xiu.
Cardiothoracic Surgery Department of the Second Artillery General Hospital of Chinese Peoples Liberation Army, Beijing 100088, China
关键词:
中药肿瘤多药耐药PI3K/AKT/NF-κB分子通路
Keywords:
Traditional Chinese medicineTumorMulti drug resistancePI3K/AKT/NFκBMolecular pathway
分类号:
R7303
DOI:
-
文献标志码:
A
摘要:
肿瘤的多药耐药(MDR)是导致化疗失败的重要原因之一。目前中医药逆转MDR的研究大多集中在单一药物或单一提纯成分方面,而关于中药复方逆转MDR的研究较少。本文对近年来中药复方逆转MDR的相关研究作一总结,发现研究者分别从抑制P-糖蛋白(P-gp)的酶活性、降低多耐药基因1信使核糖核酸(MDR1mRNA)表达、诱导肿瘤细胞凋亡、下调B细胞淋巴瘤-2(Bcl-2)的表达等方面解释了其的作用机制。但是多数研究仅限于一个或两个靶点蛋白,未能提出具体的分子通路。笔者结合自身研究基础,分析MDR形成机制中一条比较重要的磷脂酰肌醇3-激酶/A蛋白激酶/核因子-κB(PI3K/AKT/NF-κB)分子通路,并借此探讨中药复方逆转肿瘤MDR研究的新思路。
Abstract:
The multi drug resistance (MDR) in tumors is the most common cause of chemotherapy failure. Most of the current researches on the traditional Chinese medicine in reversal of MDR still focus on a single drug or extracted content, and seldom shows interest in Traditional Chinese medicinal compounds. This paper makes a review on the study of the traditional Chinese medicine reversing MDR in recent years. It found that researchers explained the MDR mechanisms from following ways such as inhibition of the Pgp enzyme activity, decreasing the expression of MDR1mRNA, inducing tumor cell apoptosis,and lowering the expression of Bcl2 Considering most researches limitation to no more than 2 target proteins, and failure to put forward specific molecular pathways. The authors, based on our early researches, made analysis on an important molecular pathwaythe PI3K/AKT/NFκB pathway of MDR mechanism, in order to explore new ideas on the research of traditional Chinese medicine compound reversing the MDR of tumor.

参考文献/References:

[1]Xuguang Zhang,Xiangwen Peng,Weiping Yu,et al. Alphatocopheryl succinate enhances doxorubicininduced apoptosis in human gastric cancer cells via promotion of doxorubicin influx and suppression of doxorubicin efflux[J]. Cancer Letters,2011,307(2):174181.
[2]Shengli Yang,Yunxia Wang,Xiaoli Pan,et al. The status of Chinese medicine in reversing multidrug resistance of hepatocellular carcinoma[J]. ChineseGerman Journal of Clinical Oncology,2011,10(9):541546.
[3]许建华,范忠泽,孙珏,等. 肠胃清对KBA1细胞P糖蛋白ATP酶活性及MDR1基因转录水平的影响[J]. 中成药,2007,29(8):11191122.
[4]万光升,孙珏,王炎,等. 肠胃清对多药耐药人结肠癌裸鼠异位移植瘤的抑制作用及其细胞凋亡的影响[J]. 时珍国医国药,2011,22(10):23692370.
[5]李秀军,严鲁萍,姚宇红. 扶正祛邪中药复方含药血清抗白血病细胞HL60及HL60/VCR细胞的体外实验研究[J]. 广东医学,2012,33(7):896897.
[6]陈前军,张蓉,司徒红林,等. 复康灵胶囊对乳腺癌多药耐药基因p170、GSTπ影响的临床研究[J]. 中国药房,2008,19(21):16501652.
[7]马武开,姚血明,李玉莹,等. 解毒化淤药对白血病K562/AO2、HL60/Adr细胞PgP、Bcl2、P53基因表达影响的研究[J]. 时珍国医国药,2011,22(10):23212323.
[8]何咏梅,邱国俊,马武开,等. 解毒化淤药血清对K562/AO2细胞Pgp、Bcl2影响的研究[J]. 时珍国医国药,2012,23(5):11831184.
[9]GA0 Na,ZHANG Yu,MAO JunQing,et al. Effects of Some Traditional Chinese Drugs on Mdrl Gene and Its Expression Product in K562/AO2 Cells[J]. Journal of Experimental Hematology,2008,16(4):785789.
[10]王建华,夏跃胜,吴永忠,等. 圣和散对胃癌SGC7901/VCR耐药细胞P糖蛋白表达的影响[J]. 中国实用医药杂志,2007,2(10):8081.
[11]廖斌,葛仁英,陈霞,等. 中药复方君子汤联合环孢霉素A逆转白血病细胞株K562/VCR耐药性的实验研究[J]. 中国实验血液学杂志,2007,15(4):752755.
[12]廖斌,葛仁英,徐成波,等. 中药复方君子汤对白血病细胞株K562/VCR耐药性的逆转作用[J]. 福建中医药大学学报,2011,21(4):912.
[13]史哲新,杨向东,高宏,等. 益气养阴法对微小残留白血病多药耐药相关因子的影响[J]. 天津中医药,2009,26(6):453454.
[14]孙玺媛,孙建立. 益气养阴方逆转人肺腺癌A549/DDP多药耐药机理[J]. 实用肿瘤学杂志,2009,23(1):2628.
[15]李起,刘作金,张俊,等. 中药复方肝癌1号逆转肝癌多药耐药的实验研究[J]. 消化外科,2006,5(1):7073.
[16]傅洁,刘鲁明,沈瑾,等. 清胰化积方联合健择对SW1990抑瘤及逆转MDE作用观察[J]. 中国中医基础医学杂志,2007,13(4):6267.
[17]石宇雄,黄永明,许少健,等. 参麦注射液对人成骨肉瘤多药耐药细胞株R0S732逆转作用[J]. 广东医药,2006,27(8):12001201.
[18]李先茜,范忠泽,孙燕妮,等. 健脾解毒方逆转大肠癌多药耐药基因的研究[J]. 山东医药,2012,52(1):1921.
[19]林海星,张天禹,谭宁. 中药逆转肿瘤多药耐药作用的研究现状[J]. 医学综述,2010,16(13):19701973.
[20]刘永衡. 从线粒体介导的失巢凋亡途径探讨健脾益肾冲剂防治胃癌复发转移的分子机制[D]. 中国中医科学院,2010.
[21]吴洁. 健脾益肾解毒法防治胃癌复发转移作用及对凋亡信号传导的调控机制[D]. 中国中医科学院,2006.
[22]Franke TF. PI3K/Akt:getting it right matters[J]. Oncogene,2008,27(50):64736488.
[23]Bingjing ZHU,Xiangdong ZHOU. The Study of PI3K/AKT Pathway in Lung Cancer Metastasis and Drug Resistance[J]. Chin J Lung Cancer,2011,14(8):689694.
[24]XIAO Xiuying,YU Baohua. PI3K/Akt signaling pathway and its advances in colorectal cancer[J]. Chinese Clinical Oncology,2011,16(6):558561.
[25]Steffen Heeg,Nina Hirt,Angela Queisser,et al. EGFR overexpression induces activation of telomerase via PI3K/ AKTmediated phosphorylation and transcriptional regulation through Hif1alpha in a cellular model of oral–esophageal carcinogenesis[J]. Cancer Sci,2011,102(2):351360.
[26]Myoung Hee Kang,Sang Cheul Oh,Hyun Joo Lee,et al. Metastatic function of BMP2 in gastric cancer cells: The role of PI3K/AKT,MAPK,the NFκB pathway,and MMP9 expression[J]. EXPERIMENTAL CELL RESEARCH,2011,317(12):17461762.
[27]Libing Song,Huaping Xiong,Jun Li,et al. Sphingosine Kinase1 Enhances Resistance to Apoptosis through Activation of PI3K/Akt/NFκB Pathway in Human Non Small Cell Lung Cancer[J]. Clin Cancer Res,2011,17(7):18391849.
[28]Z.Y. Fu,J.H. Lv,C.Y. Ma,et al. Tissue inhibitor of metalloproteinase1 decreased chemosensitivity of MDA435 breast cancer cells to chemotherapeutic drugs through the PI3K/AKT/NFkB pathway[J]. Biomedicine & Pharmacotherapy,2011,65(3):163167.
[29]Liu P,Xu B,Li J,et al. LY294002 inhibits leukemia cell invasion and migration through early growth response gene 1 induction independent of phosphatidy1inositol 3kinaseAkt pathway[J]. Biochem Biophys Res Commun,2008,377(1):187190.
[30]Nuutinen U,Simelius N,Ropponen A,et al. PDTC enables type I TRAIL signaling in type II follicular lymphoma cells[J]. Leuk Res,2009,33(6):829836.

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备注/Memo

备注/Memo:
基金项目:中国博士后科学基金(2012M521903)
作者单位:100088 北京,中国人民解放军第二炮兵总医院心胸外科(刘永衡、陈秀);中国人民解放军总参总医院肿瘤科(刘永衡);中国中医科学院西苑医院皮肤科(郎娜)
作者简介:刘永衡(1979- ),博士,主治医师。研究方向:中西医结合防治恶性肿瘤的复发和转移。Email:lyhdefamily@sina.com
通讯作者:郎娜(1978- ),女,博士,副主任医师。研究方向:中西医结合临床。Email:langna96@126.com
更新日期/Last Update: 1900-01-01