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黄酮类化合物通过免疫调节治疗非小细胞肺癌:迄今进展

Flavonoids in the Treatment of Non-small Cell Lung Cancer via Immunomodulation: Progress to Date.

作者信息

Liang Man-Shan, Huang Yang, Huang Sheng-Feng, Zhao Qi, Chen Zhe-Sheng, Yang Shuo

机构信息

Guangdong Provincial Key Laboratory of Molecular Target and Clinical Pharmacology, Department of Pharmacology, School of Pharmaceutical Sciences, Guangzhou Medical University, Guangzhou, China.

Cancer Center, Institute of Translational Medicine,Faculty of Health Sciences, University of Macau, Macau SPR, China.

出版信息

Mol Diagn Ther. 2025 May;29(3):307-327. doi: 10.1007/s40291-025-00772-y. Epub 2025 Mar 4.

Abstract

Lung cancer is one of the most common malignancies in the world, while non-small cell lung cancer (NSCLC) accounts for about 80% of all lung cancers. Most patients with NSCLC have advanced stage disease at diagnosis, and the 5-year survival rate can be discouragingly low. Flavonoids are widely found in fruits, vegetables, teas, and medicinal plants, with a variety of functional effects, including anti-inflammatory, antioxidant, and anticancer properties. This review aims to focus on the research progress of flavonoids in the treatment of NSCLC, including immunomodulatory effects on NSCLC, promotion of reactive oxygen species (ROS) production, interaction with microRNA (miRNA), and interactions with certain proteins. In addition, combining flavonoids and anticancer agents, radiotherapy, or nanoparticles can reverse NSCLC  drug resistance, inducing apoptosis of cancer cells. It therefore appears that flavonoids alone or in combination with other treatment agents may be a promising therapeutic modality for treating NSCLC, with great potential in mass production and clinical applications.

摘要

肺癌是世界上最常见的恶性肿瘤之一,而非小细胞肺癌(NSCLC)约占所有肺癌的80%。大多数NSCLC患者在确诊时已处于晚期,其5年生存率低得令人沮丧。黄酮类化合物广泛存在于水果、蔬菜、茶和药用植物中,具有多种功能作用,包括抗炎、抗氧化和抗癌特性。本综述旨在聚焦黄酮类化合物在NSCLC治疗中的研究进展,包括对NSCLC的免疫调节作用、促进活性氧(ROS)生成、与微小RNA(miRNA)的相互作用以及与某些蛋白质的相互作用。此外,将黄酮类化合物与抗癌药物、放疗或纳米颗粒联合使用可逆转NSCLC的耐药性,诱导癌细胞凋亡。因此,单独使用黄酮类化合物或与其他治疗药物联合使用似乎可能是一种有前景的NSCLC治疗方式,在大规模生产和临床应用中具有巨大潜力。

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