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Study progress on the clinical and mechanism of traditional Chinese med- icine in treating acute lymphoblastic leukemia |
CHENG Yixuan1 NIU Qun2 SUN Shuzhang1 HOU Wanxin3 LI Hegen3▲ XIAO Ning1▲ |
1.Clinical Research Center, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China;
2.Department of Teaching, Shaanxi Provincial Hospital of Chinese Medicine, Shaanxi, Xi’an 710000, China;
3.Department of Oncology, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
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Abstract Acute lymphoblastic leukemia (ALL) can occur at all ages, which is a malignant tumor in the human blood system and is often accompanied by symptoms such as fever, bleeding, anemia, and organ damage. In recent years, traditional Chinese medicine (TCM) has made some progress in treating ALL. This article will systematically summarize the current situation of TCM against ALL based on the perspective of clinical dialectical classification and molecular biological mechanism, aiming to reveal the potential advantages of TCM including reducing chemotherapeutic untoward effects, reducing relapse of drug resistance, inducing cell apoptosis and autophagy, inhibiting cell proliferation and tumor invasion and metastasis, reversing multidrug resistance, and reduce toxicity and increasing efficiency. It will also clarify the unique efficacy of TCM in effectively prolonging the life of ALL patients and reducing relapse, so as to provide enlightenment and new ideas for clinical treatment of ALL in the future.
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[1] Kato M,Manabe A. Treatment and biology of pediatric acute lymphoblastic leukemia [J]. Pediatr Int,2018,60(1):4-12.
[2] Capria S,Molica M,Mohamed S,et al. A review of current induction strategies and emerging prognostic factors in the management of children and adolescents with acute lymphoblastic leukemia [J]. Expert Rev Hematol,2020,13(7):755-769.
[3] Toksvang LN,Lee SHR,Yang JJ,et al. Maintenance therapy for acute lymphoblastic leukemia:basic science and clinical translations [J]. Leukemia,2022,36(7):1749-1758.
[4] 杨艳峰,王献民.蒽环类药物治疗儿童急性淋巴细胞白血病患者心脏毒性研究进展[J].海南医学,2022,33(23):3125-3128.
[5] 李晓文,周越菡.儿童急性淋巴细胞白血病的治疗研究进展[J].右江民族医学院学报,2020,42(1):109-111.
[6] Fielding AK,Richards SM,Chopra R,et al. Outcome of 609 adults after relapse of acute lymphoblastic leukemia (ALL);an MRC UKALL12/ECOG 2993 study [J]. Blood,2007,109(3):944-950.
[7] 张前杏,蔡文亮,颜平康,等.中医药治疗白血病研究进展[J].辽宁中医药大学学报,2015,17(9):110-113.
[8] 李慧,庄海峰.中医辨治急性白血病的理论集萃[J].浙江中西医结合杂志,2021,31(5):478-479.
[9] 蓝海,侯丽,郎海燕,等.常见血液病的中医分类与命名[J].中医杂志,2019,60(9):750-753.
[10] 马武开,张惠臣.急性白血病中医证候分型与预后的相关性探讨[J].国际中医中药杂志,2007,29(6):361-364.
[11] 刘彦权,周华蓉,付海英,等.白血病的传统中医临床诊疗研究进展[J].中国医药指南,2020,18(12):30-32.
[12] 张建梅,夏小军.中医药治疗急性白血病简况[J].实用中医内科杂志,2015,29(11):177-178.
[13] 代兴斌,曹兆平,孙雪梅.急性白血病之伏毒理论浅说[J].新中医,2014,46(11):8-9.
[14] 詹继红.傅汝林教授治疗白血病经验[J].中国中医药现代远程教育,2011,9(5):154-155.
[15] 武效芬,邢海霞.中医辩证治疗急性白血病发热25例临床分析[J].中国现代药物应用,2009,3(19):93-94.
[16] 赵云鹏.中医辨证治疗急性白血病发热临床效果探讨[J].中国卫生标准管理,2018,9(1):100-102.
[17] 李乐,王雪,赵鑫茹.中药口服结合大椎穴放血拔罐护理在白血病患者癌性发热中的应用效果[J].中国当代医药,2022,29(12):186-188.
[18] 李慧,李达.李达从毒辨治血液肿瘤思路与临证经验[J].中华中医药杂志,2019,34(3):1086-1090.
[19] 严香,丁皓,黄子明,等.陈信义用中药治疗双表型急性白血病1例[J].北京中医药,2022,41(11):1322-1324.
[20] 牛占恩,井大新,许崇艳.八珍汤加减方结合化疗方案序贯治疗气阴两虚型急性淋巴细胞白血病患者的临床疗效分析[J].中国实验血液学杂志,2022,30(1):119-125.
[21] 孙艳舫,王会朋,王海南,等.急性白血病气阴两虚夹瘀证舌象特点及血常规指标变化关系研究[J].陕西中医,2022,43(1):76-79.
[22] 杨茜. 益气养阴方对气阴两虚型白血病化疗后骨髓抑制期的研究[D].乌鲁木齐:新疆医科大学,2019.
[23] 胡令彦,陈其文,周永明.周永明教授治疗老年急性白血病经验[J].辽宁中医药大学学报,2009,11(10):81-82.
[24] 安娜,张古英,赵宜乐,等.加味生脉饮辅助化疗对气血两虚证急性淋巴细胞白血病患儿的影响[J].中国实验方剂学杂志,2021,27(19):126-131.
[25] 聂柳,彭罕鸣.人参皂苷Rh2对人急性T淋巴细胞白血病Jurkat细胞诱导凋亡的作用及其机制[J].中国实验血液学杂志,2019,27(4):1111-1117.
[26] Niu Q,Hou W,Yan Y,et al. Antileukemic effects of topoisomerase I inhibitors mediated by de-SUMOylase SENP1 [J]. Biochim Biophys Acta Mol Basis Dis,2022,1868(12):166492.
[27] 方金勇,衣凯宁,宋早文,等.雷公藤红素抑制成人T细胞白血病细胞增殖及机制[J].生物工程学报,2018,34(9):1491-1499.
[28] 孙维栋,余醒醒,安依涵,等.双氢青蒿素通过激活氧化应激诱导人急性T淋巴细胞白血病细胞凋亡[J].中国实验血液学杂志,2020,28(3):753-757.
[29] 蒋沅岐,董玉洁,周福军,等.青蒿素及其衍生物的研究进展[J].中草药,2022,53(2):599-608.
[30] 李煜.人参皂苷Rh2抗急性淋巴细胞白血病的作用及其机制研究[D].天津:天津科技大学,2021.
[31] 陈颖.毛冬青甲素对白血病K562细胞自噬性凋亡LC3通路调控影响的研究[D].长沙:湖南中医药大学,2019.
[32] Niu YN,Zeng Y,Zhong FF,et al. Salidroside overcomes dexamethasone resistance in T-acute lymphoblastic leukemia cells [J]. Exp Ther Med,2021,21(6):636.
[33] 孟晓莹.黄芪、当归、忍冬藤水提物干预T淋巴细胞迁移和滑膜细胞炎性增殖的作用机制[D].北京:北京中医药大学,2021.
[34] Teng Z,Xu S,Lei Q. Tanshinone IIA enhances the inhibitory effect of imatinib on proliferation and motility of acute leukemia cell line TIB 152 in vivo and in vivo by inhibiting the PI3K/AKT/mTOR signaling pathway [J]. Oncol Rep, 2020, 43(2):503-515.
[35] 张晓丹,周永明,严静贤.中医药治疗急性髓系白血病的研究进展[J].中国中医急症,2020,29(5):925-929.
[36] 赵欢.复方浙贝颗粒逆转小鼠急性淋巴细胞白血病多药耐药的研究[D].北京:北京中医药大学,2020.
[37] 李雅竹.浙贝黄芩汤干预Wip1-p38MAPK-p53通路逆转白血病细胞耐药的机制[D].北京:北京中医药大学,2021.
[38] 王晓玲,杨小娟,郑倩倩,等.黄芪甲苷调控p62-Nrf2通路对抗小鼠淋巴细胞白血病耐药株的机制研究[J].天津中医药,2021,38(12):1609-1613.
[39] 柴红宇.参芪扶正注射液对急性淋巴细胞白血病病人骨髓造血功能和免疫功能的影响[J].蚌埠医学院学报,2017,42(10):1356-1358. |
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