1.河南中医药大学第二临床医学院,郑州 450002
2.河南省中医院/河南中医药大学第二附属医院肛肠科诊疗中心,郑州 450002
3.河南中医药大学第一临床 医学院,郑州 450004
Received:13 August 2025,
Revised:2025-12-02,
Accepted:03 December 2025,
Published:30 December 2025
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刘迪,高宗跃,王成志,等.生物碱类成分抗结直肠癌的作用机制研究进展 Δ[J].中国药房,2025,36(24):3143-3148.
LIU Di,GAO Zongyue,WANG Chengzhi,et al.Research progress on the mechanisms of alkaloid components against colorectal cancer[J].ZHONGGUO YAOFANG,2025,36(24):3143-3148.
刘迪,高宗跃,王成志,等.生物碱类成分抗结直肠癌的作用机制研究进展 Δ[J].中国药房,2025,36(24):3143-3148. DOI: 10.6039/j.issn.1001-0408.2025.24.22.
LIU Di,GAO Zongyue,WANG Chengzhi,et al.Research progress on the mechanisms of alkaloid components against colorectal cancer[J].ZHONGGUO YAOFANG,2025,36(24):3143-3148. DOI: 10.6039/j.issn.1001-0408.2025.24.22.
结直肠癌(CRC)在我国的发病率与死亡率呈持续攀升态势。现有治疗手段可在一定程度上遏制CRC进程,但其毒副作用、高转移率及高复发率等问题不容忽视。近年来,中药的生物碱类成分因其结构多样、机制复杂及生物活性广泛,在CRC防治中展现出巨大潜力。苦参碱、小檗碱、吴茱萸碱等代表性生物碱可通过调控Wnt/
β
-联蛋白、核因子-κB、信号转导及转录激活蛋白3、磷脂酰肌醇3激酶/蛋白激酶B/哺乳动物雷帕霉素靶蛋白等信号通路,抑制CRC细胞增殖、迁移与侵袭,诱导细胞凋亡和自噬,阻滞细胞周期进程,调节肠道菌群,抑制细胞糖酵解,诱导细胞铁死亡等多途径发挥抗CRC作用。
The incidence and mortality of colorectal cancer (CRC) in China have been on a steady rise. Current therapeutic approaches can curb the progression of CRC to a certain extent, but issues such as toxic side effects, high metastasis rate, and high recurrence rate cannot be ignored. In recent years, alkaloid components derived from traditional Chinese medicine (TCM) have demonstrated tremendous potential in the prevention and treatment of CRC due to their diverse structures, complex mechanisms, and broad biological activities. Representative alkaloids such as matrine, berberine and evodiamine exert anti-CRC effects through multiple pathways: regulating signaling pathways including Wnt/
β
-catenin, nuclear factor-κB, signal transducer and activator of transcription 3, and phosphoinositide 3-kinase/protein kinase B/mammalian target of rapamycin; inhibiting the proliferation, migration, and invasion of CRC cells; inducing cell apoptosis and autophagy; arresting the cell cycle progression; regulating the gut microbiota; suppressing cellular glycolysis; and inducing ferroptosis.
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