背景:心血管疾病现在是癌症患者死亡的第二大原因。晚期癌症患者的心脏损伤可导致左心室形态和功能明显恶化。这种特定的心脏疾病被称为癌症诱发的心脏恶病质(CICC),其特征在于心脏功能障碍和消瘦。然而,对于CICC的有效药物治疗仍然难以捉摸。
结论:CICC的发生发展与病理生理过程密切相关,比如蛋白质降解,氧化反应,和炎症。中药(TCM)单体在逆转心脏损伤方面具有独特的优势,这是CICC的终末期表现,常规治疗除外。这篇综述概述了与11种中药单体的影响有关的重要发现,即黄芪甲苷,人参皂苷Rb1,三七皂苷R1,红景天苷,丹参酮IIA,黄芪多糖,丹参多酚酸盐,丹酚酸A和B,银杏内酯A和B,改善心脏损伤。这些中药单体是CICC的潜在治疗剂,每个都有可能逆转与CICC相关的病理过程的特定机制。先进的药物输送策略,如纳米递送系统和外泌体递送系统,作为CICC治疗的靶向给药选择进行了讨论。
结论:本文总结了CICC的病理机制,并探讨了中药单体促进抗炎的药理治疗,抗氧化,和支持生存。它还考虑了给药中药单体的药物策略,强调它们作为CICC疗法的潜力。
BACKGROUND: Cardiovascular diseases are now the second leading cause of death among cancer patients. Heart injury in patients with terminal cancer can lead to significant deterioration of left ventricular morphology and function. This specific heart condition is known as cancer-induced cardiac cachexia (CICC) and is characterized by cardiac dysfunction and wasting. However, an effective pharmacological treatment for CICC remains elusive.
CONCLUSIONS: The development and progression of CICC are closely related to pathophysiological processes, such as protein degradation, oxidative responses, and inflammation. Traditional Chinese medicine (TCM) monomers offer unique advantages in reversing heart injury, which is the end-stage manifestation of CICC except the regular treatment. This review outlines significant findings related to the impact of eleven TCM monomers, namely Astragaloside IV, Ginsenosides Rb1, Notoginsenoside R1, Salidroside, Tanshinone II A, Astragalus polysaccharides, Salvianolate, Salvianolic acids A and B, and Ginkgolide A and B, on improving heart injury. These TCM monomers are potential therapeutic agents for CICC, each with specific mechanisms that could potentially reverse the pathological processes associated with CICC. Advanced drug delivery strategies, such as nano-delivery systems and exosome-delivery systems, are discussed as targeted administration options for the therapy of CICC.
CONCLUSIONS: This review summarizes the pathological mechanisms of CICC and explores the pharmacological treatment of TCM monomers that promote anti-inflammation, antioxidation, and pro-survival. It also considers pharmaceutical strategies for administering TCM monomers, highlighting their potential as therapies for CICC.