肝癌电子杂志 ›› 2022, Vol. 9 ›› Issue (1): 61-64.

• 综述 • 上一篇    下一篇

中医药调节肠道菌群及其代谢产物在肝癌发生发展中的免疫机制研究进展

李存雅1, 付淑娟2, 李芸2, 钟治贤3, 王治英4, 钟薏2,*   

  1. 1.上海中医药大学,上海 201203;
    2.上海中医药大学附属上海市中西医结合医院肿瘤科,上海 200082;
    3.昆明医科大学附属第二临床医学院,云南昆明 650500;
    4.天津中医药大学中医学院,天津 301617
  • 收稿日期:2021-10-24 出版日期:2022-03-31 发布日期:2022-10-28
  • 通讯作者: *钟薏, E-mail:zhongzixian2000@163.com
  • 作者简介:李存雅, 硕士研究生, 上海中医药大学附属上海市中西, 医结合医院, 肿瘤科
  • 基金资助:
    2019年上海市科委科技支撑项目临床医学领域专项(19401971600); 上海市虹口区医学科研课题青年项目(虹卫1903-01); 上海市抗癌协会青年医生“雏鹰”计划(SACA-CY19C18); 上海市中西医结合医院科研课题(中西医18-01-01)

Progress on immune mechanism of traditional Chinese medicine regulating gut microbiota and its metabolites in the occurrence and development of liver cancer

Li Cunya1, Fu Shujuan2, Li Yun2, Zhong Zhixian3, Wang Zhiying4, Zhong Yi2,*   

  1. 1. Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China;
    2. Department of Oncology, Shanghai Integrated Traditional Chinese and Western Medicine Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200082, China;
    3. Second Clinical Medical College Affiliated to Kunming Medical University, Kunming 650500, Yunnan, China;
    4. College of Traditional Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
  • Received:2021-10-24 Online:2022-03-31 Published:2022-10-28

摘要: 中医药在肿瘤临床治疗中发挥着不可或缺的作用,尤其在综合辅助治疗时,可以显著减轻放射治疗、化学药物治疗、靶向治疗、免疫治疗等产生的不良反应,集治、养于一体,扶正祛邪;同时调控肠道菌群及其代谢产物,增加有益菌,减少有害菌,修复肠道微环境,以及调节胆汁酸代谢和免疫因子表达,发挥免疫应答,进而改善肝再生微环境以抑制肝癌的发生发展进程。本文将对中医药调节肠道菌群及其代谢产物在肝癌发生发展中的免疫机制的研究进展进行综述。

关键词: 肝癌, 中医药, 肠道菌群, 胆汁酸, 免疫机制

Abstract: Traditional Chinese Medicine plays an indispensable role in the clinical treatment of tumor, especially in comprehensive adjuvant therapy, it can significantly reduce the adverse reactions caused by radiotherapy, chemotherapy, targeted therapy and immunotherapy, collection of treatment and health in one and strengthening healthy to eliminate pathogens. At the same time, the intestinal microflora and its metabolites are regulated to increase beneficial bacteria and reduce harmful bacteria, repair the intestinal microenvironment, regulate bile acid (BA) metabolism and immune factor expression, exert immune response, and then improve the liver regeneration microenvironment to inhibit the occurrence and development of liver cancer. This review will start with the regulation of intestinal flora by traditional Chinese medicine and explain its immune mechanism in liver cancer.

Key words: Liver cancer, Traditional Chinese Medicine, Gut microbiota, Bile acid, Immune mechanism