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1.河南中医药大学第二临床医学院,郑州 450002
2.上海中医药大学附属龙华医院肿瘤科,上海 200032
3.河南省中医院/河南中医药大学第二附属医院肿瘤科,郑州 450002
Received:11 December 2024,
Revised:2025-04-07,
Accepted:21 April 2025,
Published:30 May 2025
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肖俊珂,慕晓艳,郭娇娇,等.中药活性成分靶向线粒体凋亡途径抑制食管癌的研究进展 [J].中国药房,2025,36(10):1283-1288.
XIAO Junke,MU Xiaoyan,GUO Jiaojiao,et al.Research progress on active components of traditional Chinese medicine inhibiting esophageal carcinoma by targeting mitochondrial apoptosis pathway[J].ZHONGGUO YAOFANG,2025,36(10):1283-1288.
肖俊珂,慕晓艳,郭娇娇,等.中药活性成分靶向线粒体凋亡途径抑制食管癌的研究进展 [J].中国药房,2025,36(10):1283-1288. DOI: 10.6039/j.issn.1001-0408.2025.10.23.
XIAO Junke,MU Xiaoyan,GUO Jiaojiao,et al.Research progress on active components of traditional Chinese medicine inhibiting esophageal carcinoma by targeting mitochondrial apoptosis pathway[J].ZHONGGUO YAOFANG,2025,36(10):1283-1288. DOI: 10.6039/j.issn.1001-0408.2025.10.23.
食管癌是一种恶性疾病,其发病率高、预后差。线粒体凋亡途径在调控细胞死亡中起着重要作用,是当前癌症治疗的研究热点。多种中药活性成分可靶向线粒体凋亡抑制食管癌,是食管癌的潜在治疗药物。本文对中药活性成分通过靶向线粒体凋亡途径抑制食管癌的相关研究进行综述,发现黄酮类(如紫花牡荆素、淫羊藿苷、木犀草素、山柰酚、橙皮素、鱼藤素等)、萜类(如冬凌草甲素、Jaridonin、青蒿琥酯、阿魏菇乙酸乙酯相三萜类化合物等)、生物碱类(如苦参碱、苦马豆素等)、酚类(如姜黄素、表没食子儿茶素-3-没食子酸酯、柯里拉京等)、皂苷类(如
α
-常春藤皂苷、重楼皂苷Ⅵ等)、多肽类(如蝎毒多肽优化体CT-K3K7、壁虎多肽等)、挥发油类(如肉桂醛、
α
-细辛醚等)等中药活性成分可以通过调节氧化应激、阻滞细胞周期、调控磷脂酰肌醇3-激酶/蛋白激酶B、丝裂原激活的蛋白激酶等信号通路,靶向内源性线粒体凋亡途径,诱导食管癌细胞发生凋亡,并抑制食管癌细胞的增殖、侵袭及迁移。
Esophageal carcinoma is a malignant disease with a high incidence rate and poor prognosis. The mitochondrial apoptosis pathway plays a pivotal role in the regulation of cell death and has become a focal point in current cancer therapeutics research. Various active components from traditional Chinese medicine (TCM) can target the mitochondrial apoptosis pathway to inhibit esophageal carcinoma, presenting as potential therapeutic agents for this disease. This paper summarizes relevant research on the inhibition of esophageal carcinoma by active components in TCM via targeting the mitochondrial apoptosis pathway. It has been found that flavonoids (casticin, icariin, luteolin, kaempferol, hesperetin, deguelin, etc.), terpenoids (oridonin, Jaridonin, artesunate, ethyl acetate fraction of pleurotus ferulatus triterpenoid, etc.), alkaloids (matrine, swainsonine, etc.), polyphenols (curcumin, epigallocatechin-3-gallate, corilagin, etc.), steroids (α-hederin, polyphyllin Ⅵ, etc.), phenols (optimized scorpion venom peptide CT-K3K7, gecko active polypeptide, etc.), volatile oils (cinnamaldehyde, α-asarone, etc.) and other active components from TCM can target the intrinsic mitochondrial apoptosis pathway, induce apoptosis in esophageal carcinoma cells, and inhibit their proliferation, invasion and migration by regulating oxidative stress, blocking the cell cycle, regulating signaling pathways such as PI3K/Akt and MAPK.
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