1.北京中医医院顺义医院,北京市顺义区健盛街1号院,101300
2.中国中医科学院广安门医院
3.首都医科大学附属北京中医医院
guowang_yang@163.com
收稿:2024-02-26,
修回:2024-08-29,
纸质出版:2024-12-02
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强睿,李爽,吕文良等.基于中性粒细胞胞外诱捕网论肝癌瘀毒互结病机的科学内涵[J].中医杂志,2024,65(23):2394-2398.
QIANG Rui,LI Shuang,LYU Wenliang,et al.Discussion on the Scientific Connotation of Disease Mechanism of Stasis and Toxin Interaction of Liver Cancer based on Neutrophil Extracellular Traps[J].Journal of Traditional Chinese Medicine,2024,65(23):2394-2398.
强睿,李爽,吕文良等.基于中性粒细胞胞外诱捕网论肝癌瘀毒互结病机的科学内涵[J].中医杂志,2024,65(23):2394-2398. DOI: 10.13288/j.11-2166/r.2024.23.002.
QIANG Rui,LI Shuang,LYU Wenliang,et al.Discussion on the Scientific Connotation of Disease Mechanism of Stasis and Toxin Interaction of Liver Cancer based on Neutrophil Extracellular Traps[J].Journal of Traditional Chinese Medicine,2024,65(23):2394-2398. DOI: 10.13288/j.11-2166/r.2024.23.002.
阐释肝癌发生发展过程中中性粒细胞胞外诱捕网(NETs)与瘀毒互结病机的联系,为肝癌的防治提供思路。认为NETs致肝癌相关血栓形成的机制与中医学“瘀”形成的过程具有相似性,NETs维持或增强肿瘤微环境的机制亦与中医学“毒”形成的过程具有相似性;NETs的促凝作用促使局部形成肿瘤微环境可视为因瘀致毒状态,而NETs致肿瘤微环境变化可进一步诱导血小板聚集呈现出因毒致瘀状态;NETs导致肝癌发生发展的病理变化可视作肝癌瘀毒互结病机的微观表现。
This article is to illustrate the connection between neutrophil extracellular traps (NETs) and stasis-toxin interactions during the development of liver cancer, and to provide ideas for the prevention and treatment of liver cancer. It is believed that the mechanism of tumor-related thrombosis formation caused by NETs is closely related to "stasis" in traditional Chinese medicine (TCM), and the continuous maintenance or enhancement of tumor microenvironment by NETs is closely related to "toxin" in TCM; the strong coagulation-promoting effect of NETs makes the local microenvironment, which can be regarded as the toxin caused by blood stasis; the changes of tumor microenvironment induced by NETs further induced platelet aggregation, which may present a state of stasis caused by toxin; the pathological changes of liver cancer caused by NETs can be regarded as the microscopic manifestation of the mechanism of stasis-toxin interaction of liver cancer.
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