Article ; Online: Xiaotan Sanjie decoction normalizes tumor permissive microenvironment in gastric cancer (Review).
2023 Volume 49, Issue 4
Abstract: Gastric cancer (GC) develops in a complex tissue environment, the tumor microenvironment (TME), which it relies on for persistent proliferation, migration, invasion and metastasis. Non‑malignant stromal cell types within the TME are regarded as a ... ...
Abstract | Gastric cancer (GC) develops in a complex tissue environment, the tumor microenvironment (TME), which it relies on for persistent proliferation, migration, invasion and metastasis. Non‑malignant stromal cell types within the TME are regarded as a clinical meaningful target with the lower risk of resistance and tumor relapse. Studies have revealed that the Xiaotan Sanjie decoction, which is formulated on the basis of the theory of phlegm syndrome, a Traditional Chinese Medicine concept, modulates released factors such as transforming growth factor‑β from tumor cells, immune cells, cancer‑associated fibroblasts, extracellular matrix, as well as vascular endothelial growth factor involved in the process of angiogenesis within the TME. Clinical studies have also shown that the Xiaotan Sanjie decoction is associated with favorable survival and quality of life. The present review aimed to interpret the hypothesis that Xiaotan Sanjie decoction has the ability to normalize the GC tumor cells by influencing functions of stromal cells within the TME. The possible association between phlegm syndrome and the TME in GC was discussed in the present review. Overall, Xiaotan Sanjie decoction may be suitable to be added to tumor cell‑directed agents or emerging immunotherapies becoming a desirable modality in the management of GC and acquire improved outcomes for patients with GC. |
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MeSH term(s) | Humans ; Stomach Neoplasms/drug therapy ; Quality of Life ; Tumor Microenvironment ; Vascular Endothelial Growth Factor A |
Chemical Substances | xiaotan sanjie ; Vascular Endothelial Growth Factor A |
Language | English |
Publishing date | 2023-03-03 |
Publishing country | Greece |
Document type | Review ; Journal Article |
ZDB-ID | 1222484-4 |
ISSN | 1791-2431 ; 1021-335X |
ISSN (online) | 1791-2431 |
ISSN | 1021-335X |
DOI | 10.3892/or.2023.8511 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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