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探索灵芝在肿瘤中的治疗潜力

英文原题:Exploring the Therapeutic Potential of Ganoderma lucidum in Cancer.

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Exploring the Therapeutic Potential of Ganoderma lucidum in Cancer.

PubMed 2024/02/18(内容时间) J Clin Med Q1 · IF 3.3(JCR 2025)

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中文摘要

三萜类化合物,如灵芝酸,以及多糖类,包括β-D-葡聚糖、α-D-葡聚糖和α-D-甘露聚糖,是药用真菌灵芝的主要次生代谢产物。有证据表明灵芝酸对血液系统恶性肿瘤具有作用,其机制涉及刺激免疫应答、巨噬细胞样分化、MAP-K通路的激活、IL3依赖性细胞毒性作用、诱导细胞保护性自噬以及诱导凋亡。事实上,该化合物已在26种不同的人类癌细胞类型中进行了测试,并显示出抗增殖活性,尤其是在白血病、淋巴瘤和骨髓瘤细胞系中。

此外,研究阐明了灵芝中的分子能够诱导线粒体损伤,在急性早幼粒细胞白血病细胞中发挥作用,而对正常单核细胞无细胞毒性效应。从该真菌孢子中提取的活性脂质也已被证明可通过下调P-Akt和上调caspases-3、-8和-9来诱导凋亡。在体内研究中,一项对注射WEHI-3白血病细胞的BALB/c小鼠进行的研究表明,灵芝治疗可促进T细胞和B细胞前体的分化、PBMCs的吞噬作用以及NK细胞活性。本综述呈现的数据揭示了将灵芝用于血液系统恶性肿瘤并纳入临床实践的可能性。

展开英文摘要原文

Triterpenoids, such as ganoderic acid, and polysaccharides, including -D-glucans, -D-glucans, and -D-mannans, are the main secondary metabolites of the medicinal fungus Ganoderma lucidum .

There is evidence of the effects of ganoderic acid in hematological malignancies, whose mechanisms involve the stimulation of immune response, the macrophage-like differentiation, the activation of MAP-K pathway, an IL3-dependent cytotoxic action, the induction of cytoprotective autophagy, and the induction of apoptosis. In fact, this compound has been tested in twenty-six different human cancer cell types and has shown an anti-proliferative activity, especially in leukemia, lymphoma, and myeloma lines.

Moreover, research clarified the capability of molecules from Ganoderma lucidum to induce mitochondrial damage in acute promyelocytic leukemia cells, without cytotoxic effects in normal mononuclear cells. Active lipids extracted from the spores of this fungus have also been shown to induce apoptosis mediated by downregulation of P-Akt and upregulation of caspases-3, -8, and -9.

Among in vivo studies, a study in BALB/c mice injected with WEHI-3 leukemic cells suggested that treatment with Ganoderma lucidum promotes differentiation of T- and B-cell precursors, phagocytosis by PBMCs, and NK cell activity.

Our review presents data revealing the possibility of employing Ganoderma lucidum in hematological malignancies and incorporating it into clinical practice.

论文信息

作者
Cancemi G、Caserta S、Gangemi S、Pioggia G、Allegra A
单位
Hematology Unit, Department of Human Pathology in Adulthood and Childhood "Gaetano Barresi", University of Messina, via Consolare Valeria, 98125 Messina, Italy.Italy
文献类型
综述
期刊
Journal of clinical medicine2024 Feb 18
原文标识
PubMed 38398467 · DOI 10.3390/jcm13041153