赵靖, 李原华, 张喜利, 刘文龙, 肖小河. 顺铂耐药性机制与中药逆转策略J. 药学学报, 2020,55(9): 2043-2052. doi: 10.16438/j.0513-4870.2020-0175
引用本文: 赵靖, 李原华, 张喜利, 刘文龙, 肖小河. 顺铂耐药性机制与中药逆转策略J. 药学学报, 2020,55(9): 2043-2052. doi: 10.16438/j.0513-4870.2020-0175
ZHAO Jing, LI Yuan-hua, ZHANG Xi-li, LIU Wen-long, XIAO Xiao-he. Mechanisms of cisplatin resistance and reverse strategies with traditional Chinese medicineJ. Acta Pharmaceutica Sinica, 2020,55(9): 2043-2052. doi: 10.16438/j.0513-4870.2020-0175
Citation: ZHAO Jing, LI Yuan-hua, ZHANG Xi-li, LIU Wen-long, XIAO Xiao-he. Mechanisms of cisplatin resistance and reverse strategies with traditional Chinese medicineJ. Acta Pharmaceutica Sinica, 2020,55(9): 2043-2052. doi: 10.16438/j.0513-4870.2020-0175

顺铂耐药性机制与中药逆转策略

Mechanisms of cisplatin resistance and reverse strategies with traditional Chinese medicine

  • 摘要: 顺铂是临床上最常用的化疗药物之一,对多种癌症均有较好的疗效,而耐药性的产生限制了其临床使用。顺铂耐药性的产生归因于多种因素,有胞内顺铂积累降低、硫醇分子灭活顺铂、DNA损伤修复增加、细胞凋亡失调、肿瘤微环境和肿瘤干细胞的作用等。近年来,因中药在逆转顺铂耐药性方面成效显著而备受业内人青睐。本文对近年来顺铂耐药性作用机制和中药联合治疗以逆转顺铂耐药性策略进行了综述,为临床与科研提供参考。

     

    Abstract: Cisplatin is one of the most commonly used chemotherapeutic drugs in clinic and has good therapeutic effect on various cancers, but the development of drug resistance limits its clinical treatment. The development of cisplatin resistance is caused by many factors, including the decrease of intracellular cisplatin accumulation, the inactivation of cisplatin by mercaptan proteins, the increase of DNA damage repair, apoptosis inhibition, tumor microenvironment and cancer stem cells. In recent years, traditional Chinese medicine (TCM) has been favored for its remarkable effect of reversing cisplatin resistance. This review will explore the mechanisms of cisplatin resistance and the combined modality treatment strategy of TCM to reverse cisplatin resistance, hoping to provide reference for clinical and scientific research.

     

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