中医药防治胃黏膜"炎-癌转化"研究进展OACSTPCD
Research Progress on TCM in Prevention and Treatment of Inflammation-Cancer Transition of Gastric Mucosa
胃癌的发生需经过"慢性萎缩性胃炎肠上皮化生-异型增生-胃癌"的"炎-癌转化"过程,因此,学者们一直致力于防治胃黏膜"炎-癌转化"的研究.目前,西药以根除幽门螺杆菌、抑酸、保护胃黏膜等对症治疗为主,不能从根本上阻止胃癌的发生发展;中医治疗该病具有更小的不良反应及不良反应,但其作用机制尚不完全明确.代谢组学作为新兴的组学技术,与中医药多靶点、多途径的作用特点相匹配.运用代谢组学探究中医药防治胃黏膜"炎-癌转化"的作用机制可知,中医药防治胃黏膜"炎-癌转化"过程的主要机制与调节能量代谢、氨基酸代谢和脂质代谢等通路关系紧密,这为从微观角度解读中医药的复杂机理和科学内涵提供了新的方法和理论视角.
The occurrence of gastric cancer goes through the process of"chronic non-atrophic gastritis-chronic atrophic gastritis-in-testinal metaplasia-dysplasia-gastric cancer",namely,the"inflammation-to-cancer transition"in brief.From this prospect,re-searchers have been committed to the study on the prevention and treatment of"inflammation-to-cancer transition"of gastric muco-sa.At present,western medicine is focused on symptomatic treatment such as eradication of Helicobacter pylori,inhibition of acid and protection of gastric mucosa,which cannot fundamentally prevent the occurrence and development of gastric cancer.Traditional Chinese medicine has less adverse reactions and toxic side effects in the treatment of the disease,while the related mechanism is not completely clear.Metabolomics,as an emerging omics technology,matches the multi-target and multi-pathway characteristics of TCM.By using metabolomics to explore the mechanism of TCM in prevention and treatment of gastric mucosal"inflammation-cancer transformation",it is found that the main mechanism of TCM in the prevention and treatment of"inflammation-to-cancer transition"of gastric mucosa is closely related to the regulation of energy metabolism,amino acid metabolism and lipid metabolism,which provides new methods and theoretical perspective for interpreting the complex mechanism and scientific connotation of TCM on a micro level.
刘金凤;梁国英
黑龙江中医药大学,黑龙江 哈尔滨 150040黑龙江中医药大学附属第一医院,黑龙江 哈尔滨 150040
中医学
"炎-癌转化"胃黏膜胃癌代谢组学脾虚证脾胃湿热证胃络瘀血证脾胃虚寒证
inflammation-to-cancer transitiongastric mucosagastric cancermetabolomicsspleen deficiency syndromespleen-stomach damp heat syndromegastric congestion syndromespleen-stomach deficiency cold syndrome
《中医学报》 2024 (008)
1670-1678 / 9
黑龙江省自然科学基金项目(LH2022H072);黑龙江省博士后科研启动基金项目(LBH-Q17169)
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