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肝癌肿瘤免疫微环境中的药物联合应用
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作者 邵莹莹 苏冉冉 +4 位作者 王彧 尹双双 蒲位凌 Sangho Koo 于海洋 《Acupuncture and Herbal Medicine》 2023年第3期189-199,共11页
近年来原发性肝细胞癌(Hepatocellular carcinoma,HCC)发病率持续上升,但其病因和确切的分子机制仍不清楚。尽管全身治疗取得了巨大进展,例如分子靶向药物,但由于耐药性、频繁复发和转移等原因,HCC仍是预后最差的癌症之一。HCC是一种广... 近年来原发性肝细胞癌(Hepatocellular carcinoma,HCC)发病率持续上升,但其病因和确切的分子机制仍不清楚。尽管全身治疗取得了巨大进展,例如分子靶向药物,但由于耐药性、频繁复发和转移等原因,HCC仍是预后最差的癌症之一。HCC是一种广泛存在的癌症,其进展受免疫系统调控,仅半数的HCC患者能够接受系统全身治疗,现在临床上索拉非尼或仑伐替尼被用作一线治疗方式。中医药也已逐渐理论化和系统化,在预防和治疗肝癌方面具有整体调节作用,被广泛用于治疗HCC,同样的免疫检查点抑制剂(ICIs)如PD-L1也出现在大众视野,不断改变了肿瘤的治疗策略。由于化疗时单一用药使人体对特定药物产生耐药性的概率较大,疗效不理想,因此联合用药是一种新的治疗选择,在肿瘤治疗中日渐突出显著优势。本文就联合治疗在HCC肿瘤免疫微环境方面的研究进展进行综述,充分发挥出联合用药协同抗肿瘤的独特优势,以期为肿瘤的临床治疗提供新方案。 展开更多
关键词 联合给药 肝癌 免疫检查点抑制剂 中药 肿瘤微环境
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Anti-tumor pharmacology of natural products targeting mitosis 被引量:1
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作者 Manru Huang Caiyan Liu +5 位作者 yingying Shao Shiyue Zhou Gaoyong Hu shuangshuang yin Weiling Pu Haiyang Yu 《Cancer Biology & Medicine》 SCIE CAS CSCD 2022年第6期774-801,共28页
Cancer has been an insurmountable problem in the history of medical science.The uncontrollable proliferation of cancer cells is one of cancers main characteristics,which is closely associated with abn ormal mitosis.Ta... Cancer has been an insurmountable problem in the history of medical science.The uncontrollable proliferation of cancer cells is one of cancers main characteristics,which is closely associated with abn ormal mitosis.Targeting mitosis is an effective method for cancer treatment.This review summarizes several natural products with anti-tumor effects related to mitosis,focusing on targeting microtubulin,inducing DNA damage,and modulating mitosis-associated kinases.Furthermore,the main disadvantages of several typical compounds,including drug resistance,toxicity to non-tumor tissues,and poor aqueous solubility and pharmacokinetic properties,are also discussed,together with strategies to address them.Improved understanding of cancer cell mitosis and natural products may pave the way to drug development for the treatment of cancer. 展开更多
关键词 TUMOR MITOSIS natural products MECHANISM PHARMACOLOGY
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