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减可剂量依赖性地升高RIPK1、RIPK3、MLKL蛋白的磷 multifaceted regulator of homeostasis,immunity,and
酸化水平,提示阳和汤加减对乳腺癌骨转移大鼠骨破坏 cancer[J]. Medicina,2023,59(10):1752.
的改善作用可能与激活RIPK1/RIPK3通路有关。随后, [10] TUFAIL M,WU C X. RANK pathway in cancer:under-
本研究通过沉默RIPK1蛋白表达对上述假设进行验证, lying resistance and therapeutic approaches[J]. J Che‐
结果显示,转染 si-RIPK1 以沉默 RIPK1 后,高剂量阳和 mother,2023,35(5):369-382.
[11] ZHENG J H,HE W L,CHEN Y,et al. Erianin serves as
汤加减的改善作用均被减弱,提示该方可能通过激活
an NFATc1 inhibitor to prevent breast cancer-induced
RIPK1/RIPK3通路来改善乳腺癌骨转移引发的骨破坏。
osteoclastogenesis and bone destruction[J]. J Adv Res,
综上,阳和汤加减可减轻乳腺癌骨转移大鼠的骨破
2025,69:399-411.
坏,上述作用可能与激活 RIPK1/RIPK3 通路有关。然
[12] PILARD C,RONCARATI P,ANCION M,et al. RANKL
而,乳腺癌骨转移的发生机制较为复杂,且阳和汤加减 blockade inhibits cancer growth through reversing the
药理作用丰富,其可能通过多条途径影响乳腺癌骨转移 tolerogenic profile of tumor-infiltrating(plasmacytoid)
的发生,故尚需后续研究进一步深入探索阳和汤加减对 dendritic cells[J]. J Immunother Cancer,2025,13(3):
乳腺癌骨转移的干预机制。 e010753.
参考文献 [13] 吴琳,张渭波,行艳丽,等 . 阳和汤对 Lewis 肺癌荷瘤小
[ 1 ] IBRAGIMOVA M K,TSYGANOV M M,KRAVTSOVA 鼠的抑瘤效应及肿瘤免疫微环境影响的实验研究[J]. 中
E A,et al. Organ-specificity of breast cancer metastasis[J]. 国医药导报,2021,18(25):26-30,封4.
Int J Mol Sci,2023,24(21):15625. [14] 李阳,黄立中 . 阳和汤对肾阳虚乳腺癌骨转移患者
[ 2 ] VENETIS K,PICIOTTI R,SAJJADI E,et al. Breast can‐ CXCL12/CXCR4 及其下游血管内皮生长因子的影响
cer with bone metastasis:molecular insights and clinical [J]. 肿瘤药学,2020,10(1):73-76.
management[J]. Cells,2021,10(6):1377. [15] SPEIR M,NOWELL C J,CHEN A A,et al. Ptpn6 inhibits
[ 3 ] SHAO H M,VARAMINI P. Breast cancer bone metastasis: caspase-8- and RIPK3/MLKL-dependent inflammation[J].
a narrative review of emerging targeted drug delivery Nat Immunol,2020,21(1):54-64.
systems[J]. Cells,2022,11(3):388. [16] JACOBSEN A V,PIEROTTI C L,LOWES K N,et al.
[ 4 ] 王志伟. 阳和汤加减联合西医止痛药治疗骨转移癌疼痛 The Lck inhibitor,AMG-47a,blocks necroptosis and im‐
的临床观察[J]. 世界最新医学信息文摘,2020,20(54): plicates RIPK1 in signalling downstream of MLKL[J].
29-30. Cell Death Dis,2022,13(4):291.
[ 5 ] NEWELL M,GORUK S,SCHUELER J,et al. Docosa‐ [17] 王乙波,焦斌,王小强,等 . 苍术素通过激活 RIPK1/
hexaenoic acid enrichment of tumor phospholipid mem‐ RIPK3/MLKL信号通路诱导非小细胞肺癌A549细胞程
branes increases tumor necroptosis in mice bearing triple 序性坏死并抑制裸鼠移植瘤生长[J]. 中国肿瘤生物治疗
negative breast cancer patient-derived xenografts[J]. J 杂志,2024,31(2):146-153.
Nutr Biochem,2022,107:109018. [18] LIN S S,CHANG T M,WEI A I,et al. Acetylshikonin in‐
[ 6 ] 徐波,徐蕾 . 阳和汤加减对强直性脊柱炎小鼠 RANKL duces necroptosis via the RIPK1/RIPK3-dependent path‐
系统表达的影响[J]. 中医药临床杂志,2018,30(10): way in lung cancer[J]. Aging,2023,15(24):14900-14914.
1844-1846. [19] VOGELSANG T L R,KAST V,BAGNJUK K,et al.
[ 7 ] 胡玉蝶,王晓丽,焦方敏,等. 基于Src/VEGF轴探究补肾 RIPK1 and RIPK3 are positive prognosticators for cervi‐
活血汤治疗乳腺癌骨转移的作用机制[J]. 湖南中医药大 cal cancer patients and C2 ceramide can inhibit tumor cell
学学报,2023,43(1):59-68. proliferation in vitro[J]. Front Oncol,2023,13:1110939.
[ 8 ] ZHANG Y,LIANG J Q,LIU P L,et al. The RANK/ [20] MOHANTY S,YADAV P,LAKSHMINARAYANAN H,
RANKL/OPG system and tumor bone metastasis:poten‐ et al. RETRA induces necroptosis in cervical cancer cells
tial mechanisms and therapeutic strategies[J]. Front Endo‐ through RIPK1,RIPK3,MLKL and increased ROS pro‐
crinol(Lausanne),2022,13:1063815. duction[J]. Eur J Pharmacol,2022,920:174840.
[ 9 ] DE LEON-OLIVA D,BARRENA-BLÁZQUEZ S,JIMÉNEZ- (收稿日期:2025-10-23 修回日期:2026-02-03)
ÁLVAREZ L,et al. The RANK-RANKL-OPG system:a (编辑:张元媛)
中国药房 2026年第37卷第4期 China Pharmacy 2026 Vol. 37 No. 4 · 437 ·

