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蘑菇及其生物活性化合物在癌症中的免疫调节作用:一项综合综述

英文原题:Immunomodulatory effect of mushrooms and their bioactive compounds in cancer: A comprehensive review.

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Immunomodulatory effect of mushrooms and their bioactive compounds in cancer: A comprehensive review.

PubMed 2022/04/04(内容时间) Biomed Pharmacother

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中文摘要

尽管药物研发领域取得了巨大进展,癌症仍然难以攻克。免疫功能受损是当前临床所用抗癌药物成功发挥药理作用的障碍。近年来,一些突破性癌症治疗策略如纳米制剂、细胞外囊泡治疗、天然抗氧化剂疗法、靶向免疫治疗、基因治疗、热消融和磁热疗,以及病理组学和影像组学已被开发并在临床前和临床中进行测试。

然而,此类疗法的临床疗效尚待确立,且部分疗法过于昂贵,贫困和发展中国家的患者难以使用。在此关键时刻,研究人员正转向从天然来源中寻找药物,与传统治疗相比,其具有更高的安全边际和多靶点药理功效。蘑菇自古以来就被传统上用作食物和药物,因其免疫调节作用,且富含蛋白质、低脂肪和低胆固醇。蘑菇被推荐为免疫抑制的癌症和HIV/AIDS患者的最佳素食之一。蘑菇因其抗癌活性而闻名,其影响免疫系统中的造血干细胞、淋巴细胞、巨噬细胞、T细胞、树突状细胞(DCs)和自然杀伤(NK)细胞。这篇综述文章重点阐述了癌症发生的分子机制、传统抗癌治疗,以及抗癌药物开发中一些已报道的重大突破、某些选定蘑菇物种及其生物活性植物成分的抗癌活性,随后简要讨论了近期一些载有蘑菇的金属纳米粒子的抗癌疗效。

展开英文摘要原文

Despite enormous development in the field of drug development, cancer still remains elusive. Compromised immunity stands as a roadblock to the successful pharmacological execution of anti-cancer drugs used clinically currently. Recently some breakthrough cancer treatment strategy like nano-formulation, extracellular vesicles treatment, natural antioxidant therapy, targeted immunotherapy, gene therapy, thermal ablation and magnetic hyperthermia, and pathomics and radiomics has been developed and tested pre-clinically as well as clinically.

However, clinical efficacy of such therapies is yet to establish and some are too costly to be utilized by patients from poor and developing countries. At this juncture, researchers are heading towards the search of medicines from natural sources that is higher safety margin and multitarget pharmacological efficacy compared to conventional treatments. Mushroom is used traditionally as food as well as drug since time immemorial due to its immunomodulatory effect which is loaded with proteins, low fat content and cholesterol. Mushrooms are recommended as one of the best vegetarian diets for immunosuppressed cancer and HIV/AIDS patients.

Mushrooms are well-known for their anti-cancer activity that impacts hematopoietic stem cells, lymphocytes, macrophages, T cells, dendritic cells (DCs), and natural killer (NK) cells in the immune system.

This comprehensive review article emphasizes on the molecular mechanisms of cancer genesis, conventional anti-cancer therapy as well as reported some significant breakthrough in anti-cancer drug development, anti-cancer activity of some selected species of mushrooms and their bioactive phytoconstituents followed by a brief discussion of recent anti-cancer efficacy of some metallic nanoparticles loaded with mushrooms.

论文信息

作者
Pathak MP、Pathak K、Saikia R、Gogoi U、Ahmad MZ、Patowary P、Das A
单位
Faculty of Pharmaceutical Science, Assam down town University, Panikhaiti, Guwahati 781026, Assam, India. Electronic address: manashpharma@rediffmail.com.India
文献类型
综述
期刊
Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie2022 May
原文标识
PubMed 36068771 · DOI 10.1016/j.biopha.2022.112901