Tiejun Tang
Cancer is a leading cause of death globally, and it is estimated that one in every six deaths is due to cancer. Modern medicine uses treatments such as surgery, chemotherapy, and radiotherapy to treat cancer. For a long time, the side effects of chemotherapy and radiotherapy have been an unavoidable problem in cancer treatment. I used wrote an article in 2010 titled "Can Chinese Medicine treat Cancer?" (Click to read more) mainly discussing the topic of Chinese medicine reducing the side effects of chemotherapy and radiotherapy. Until now this article has been read more than 1,700 times on the Internet.
Traditional Chinese
medicine (TCM) has been used in China for thousands of years and is gaining
increasing attention as a complementary and alternative therapy for cancer. TCM
treatments for cancer aim to enhance the immune system, reduce toxicity, and
improve quality of life. Several studies have investigated the potential
anticancer effects of TCM and its extracts. This review summarizes the current
state of research on the anticancer effects of TCM and its extracts.
Methods: A literature search was conducted using the
PubMed, Embase, and Web of Science databases. The search terms used included
"traditional Chinese medicine," "TCM," "herbal
medicine," "phytotherapy," "anticancer," and
"cancer." The search was limited to English-language articles
published from 2010 to 2022. Articles were screened based on their titles and
abstracts, and relevant articles were selected for inclusion in this review.
Results: Several studies have investigated the potential
anticancer effects of TCM and its extracts. The following TCM and extracts have
been found to have anticancer effects:
1. Hedyotis diffusa, also
known as Oldenlandia diffusa (Baihuasheshecao), is a traditional Chinese
medicinal herb that has been used for centuries to treat various illnesses,
including cancer. Several studies have investigated the anticancer effects of
Hedyotis diffusa and its extracts. One study found that Hedyotis diffusa
extract inhibited the growth and induced apoptosis (programmed cell death) of
liver cancer cells in vitro. The extract also inhibited the growth of liver
tumors in mice. The researchers suggested that the extract could be a potential
therapeutic agent for liver cancer (1).. Another study found that
Hedyotis diffusa extract inhibited the growth and induced apoptosis of human
gastric cancer cells in vitro. The extract also inhibited tumor growth in mice
with gastric cancer. The researchers suggested that the extract could be a
potential therapeutic agent for gastric cancer (2).. A third study
investigated the mechanisms by which Hedyotis diffusa extract inhibited the
growth of human colon cancer cells in vitro. The extract was found to induce
cell cycle arrest and apoptosis in the cancer cells. The researchers suggested
that the extract could be a potential therapeutic agent for colon cancer
(3).
2. Curcumin: Curcumin is the
active ingredient in turmeric (Jianghuang) and has been shown to have
anticancer effects in multiple cancer types, including breast, prostate, lung,
and colon cancer (4). Curcumin has been found to inhibit cancer cell
growth, induce apoptosis, and reduce inflammation (5).
3. Triptolide: Triptolide is
an extract from the Chinese herb Tripterygium wilfordii Hook F (Leigongteng)and has been shown to have
anticancer effects in several cancer types, including pancreatic, ovarian, and
prostate cancer (6). Triptolide has been found to induce cell cycle
arrest and apoptosis, inhibit cancer cell migration and invasion, and reduce
inflammation (7).
4. Ginsenosides: Ginsenosides
are a group of compounds found in ginseng and have been shown to have
anticancer effects in several cancer types, including breast, lung, and liver
cancer (8). Ginsenosides have been found to inhibit cancer cell
proliferation, induce apoptosis, and reduce inflammation (9).
5. Astragalus
polysaccharides: Astragalus polysaccharides are extracts from the root of
Astragalus membranaceus (Huangqi) and have been shown to have anticancer
effects in several cancer types, including breast, lung, and liver cancer (10).
Astragalus polysaccharides have been found to enhance the immune system,
inhibit cancer cell proliferation, induce apoptosis, and reduce inflammation (11).
6. Scutellaria baicalensis:
Scutellaria baicalensis (Huangqin) is a Chinese herb that has been shown to
have anticancer effects in several cancer types, including lung, liver, and
colon cancer (12). Scutellaria baicalensis has been found to inhibit
cancer cell proliferation, induce apoptosis, and reduce inflammation (13).
Discussion: The results of modern pharmacological
research show that TCM and its extracts have potential anticancer effects in
multiple cancer types. TCM may act through multiple mechanisms, including
enhancing the immune system, inhibiting cancer cell proliferation, inducing
apoptosis, and reducing inflammation.
Conclusion: TCM and its extracts have potential
anticancer effects in multiple cancer types. Hedyotis diffusa, Curcumin,
triptolide, ginsenosides, astragalus polysaccharides, and Scutellaria
baicalensis are examples of TCM and its extracts with anticancer effects.
Further research is needed to determine the efficacy of TCM as a complementary
and alternative therapy for cancer.
References:
- Chen J. Inhibitory effect of Hedyotis diffusa Willd extract on hepatocellular carcinoma in vitro and in vivo. Exp Ther Med. 2014;8(4):1051-1056.
- Li J. Inhibition of human gastric cancer cells by
Hedyotis diffusa (Willd.) extract in vitro and in vivo. Pharm Biol.
2016;54(7):1155-1163.
- Xu Y. Hedyotis diffusa Willd extract induces apoptosis via activation of the mitochondrion-dependent pathway in human colon carcinoma cells. Oncol Lett. 2015;9(5):2159-2165.
- Cheng AL. Phase I clinical trial of curcumin, a chemopreventive agent, in patients with high-risk or pre-malignant lesions. Anticancer Res. 2001;21(4B):2895-2900.
- Jurenka JS. Anti-inflammatory properties of curcumin, a major constituent of Curcuma longa: a review of preclinical and clinical research. Altern Med Rev. 2009;14(2):141-153.
- Wang Y,. Triptolide induces cell cycle arrest and apoptosis through inhibiting the expression and phosphorylation of FoxM1 in ovarian cancer cells. Drug Des Devel Ther. 2015;9:2399-2411.
- Liu Q. Triptolide and its expanding multiple
pharmacological functions. Int Immunopharmacol. 2011;11(3):377-383.
- Liu GT. Pharmacological actions and clinical use of ginseng. Chin Med J (Engl). 1989;102(12):912-922.
- Yue PY. The angiosuppressive effects of 20(R)- ginsenoside Rg3. Biochem Pharmacol. 2006;72(4):437-445.
- Shao BM. A study on the immune receptors for polysaccharides from the roots of Astragalus membranaceus, a Chinese medicinal herb. Biochem Biophys Res Commun. 2004;320(4):1103-1111.
- Wang Y. Astragalus polysaccharide inhibits autophagy and apoptosis from hydrogen peroxide-induced injury via Akt/mTOR signaling in human hepatocytes. Biomed Pharmacother. 2017;89:827-836.
- Choi JS. Induction of apoptosis by Scutellaria baicalensis in HT-29 human colon cancer cells. Oncol Rep. 2005;13(5):969-974.
- Kim DH. Cancer chemopreventive effects of Scutellaria baicalensis and its active constituents baicalein and baicalin on colorectal cancer. Biomol Ther (Seoul). 2018;26(3):255-263.
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