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中国药学(英文版) ›› 2016, Vol. 25 ›› Issue (4): 250-265.DOI: 10.5246/jcps.2016.04.029

• 【传统中药和植物药的癌症预防专栏】 • 上一篇    下一篇

中草药对幽门螺旋杆菌导致的胃癌的预防作用

李方园, 张贵育, 欧日兰, 王莹, 戚笑笑, 刘中秋, 卢琳琳*   

  1. 广州中医药大学 国际中医药转化医学研究所, 广东 广州 510006
  • 收稿日期:2015-11-26 修回日期:2015-12-26 出版日期:2016-04-21 发布日期:2015-12-28
  • 通讯作者: Tel.: +86-20-39357902, Fax: +86-20-39358071, E-mail: lllu@gzucm.edu.cn
  • 作者简介:卢琳琳, 2014 年毕业于南方医科大学药学院获得博士学位, 药剂学专业。2014年起在广州中医药大学国际中医药转化医学研究所工作。目前作为第一负责人承担国家自然科学基金、 广东省自然科学基金等项目的研究工作。主要研究方向包括: (1) 药物代谢酶在 HBV诱导的肝癌中的作用及分子机制; (2) 中草药对肺癌的化学预防及分子机制。
  • 基金资助:

    Natural Science Foundation of China (Grant No. 81120108025) and the Science and Technology Department of Guangzhou City (Grant No. 201509010004).

The role of Helicobacter pylori infection in gastric carcinogenesis and its prevention by using Chinese medicinal herbs

Fangyuan Li, Guiyu Zhang, Rilan Ou, Ying Wang, Xiaoxiao Qi, Zhongqiu Liu, Linlin Lu*   

  1. International Institute for Translational Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, 510006, China
  • Received:2015-11-26 Revised:2015-12-26 Online:2016-04-21 Published:2015-12-28
  • Contact: Tel.: +86-20-39357902, Fax: +86-20-39358071, E-mail: lllu@gzucm.edu.cn
  • About author:Linlin Lu graduated from Southern Medical University in 2014 and obtained her Doctorate degree, majoring in pharmacy. After graduation, she was working in the International Institute for Translational Chinese Medicine, Guangzhou University of Chinese Medicine. At present, she is charge of National Science Foundation, Natural Science Foundation of Guangdong Province and other research projects. Her research interests include: (1) The effects and molecular mechanism of metabolic enzymes in HBV-induced HCC; (2) The chemoprevention and molecular mechanism of Chinese herbal medicine on lung cancer.
  • Supported by:

    Natural Science Foundation of China (Grant No. 81120108025) and the Science and Technology Department of Guangzhou City (Grant No. 201509010004).

摘要:

胃癌是全球最常见的恶性肿瘤之一,发病率和死亡率分别居于第和第,不仅危害着人类的健康,也给人类带来了很大的经济负担。幽门螺旋杆菌感染导致胃部炎症的发生,长期的炎症刺激导致胃上皮发生异型增生,最终发展成胃癌。幽门螺旋杆菌的致病因子在炎症到胃癌的发生中起着重要的作用,包括尿素酶、鞭毛、空泡毒素(VacA)、细胞毒素相关抗原(CagA)等。而这些致病因子诱发炎症的机制主要是启动了NF-κB通路, MAPK通路以及氧化应激,三者之间也存在内在的联系。临床上治疗胃部炎症以及胃癌主要以抗生素、化疗药和外科手术为主,然而抗生素耐药、化疗药物的副作用以及术后复发使得治疗结果并不理想。因此,化学预防的提出给肿瘤的治疗提供了新的方向,特别是中草药的化学预防成为了研究的热点。本文主要总结了中草药对幽门螺旋杆菌导致胃癌的预防作用及其相关机制和治疗前景

关键词: 胃癌, 幽门螺旋杆菌, 致病因子, 炎症, 中草药, 化学预防

Abstract:

As the fifth most common cancer and the third most common cause of cancer deaths worldwide, gastric cancer remains a significant public health concern and an economic burden in developed and developing countries. Gastric inflammation induced by Helicobacter pylori may initiate superficial gastritis, which then progresses to atrophic gastritis, gastric epithelial dysplasia, and finally gastric cancer. The pathogenesis of H. pylori infection is related to its virulence factors, including urease, flagella, vacuolating cytotoxin A and cytotoxin-associated gene antigen. The relevant mechanisms of H. pylori-induced inflammation include activation of nuclear factor-κB, mitogen-activated protein kinase pathway, and oxidative stress. To date, therapeutic strategies and results in this infection remain undesirable. Complicated treatment issues include antibiotic resistance, adverse effects of chemical drugs, and recurrence after operation. Therefore, chemoprevention has been regarded as an important measure, and Chinese medicinal herbs have been the research hotspot. This review aimed to summarize the effects of Chinese medicinal herbs on the prevention of gastric cancer, mechanism of action and the treatment prospects, with emphasis H. pylori-induced effects.

Key words: Gastric cancer, H. pylori, Virulence factors, Inflammation, Medicinal plants, Chemoprevention

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