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结直肠癌(Colo rectal cancer,CRC)是具有高发病率和高死亡率的恶性肿瘤之一,严重威胁人类的健康。现代医学常采用手术、放化疗等方式治疗结直肠癌,但仍存在明显不足,因此,寻找更安全有效的治疗方式尤为重要。腺苷酸活化蛋白激酶(AMPK)能通过调控细胞增殖、凋亡、迁移与侵袭等在结直肠癌中发挥作用,被认为是抗结直肠癌的重要靶点。研究发现,中药单体能通过调控AMPK信号通路发挥抗结直肠癌作用。本文通过对近几年来中药单体调控AMPK信号通路治疗结直肠癌的作用机制进行综述,以期为结直肠癌的中医药治疗提供参考。
Abstract:Colorectal cancer (CRC) is one of the most prevalent and lethal malignancies, posing a serious threat to human health. Modern medicine commonly employs surgery, radiotherapy and chemotherapy for CRC treatment, yet these approaches still have significant limitations. Therefore, finding safer and more effective therapeutic strategies is of great importance. The adenosine monophosphate-activated protein kinase (AMPK) plays a critical role in CRC by regulating cell proliferation, apoptosis, migration and invasion, making it a promising therapeutic target. Recent studies have shown that the active monomers isolated from traditional Chinese medicine (TCM) can exert anti-CRC effects by modulating the AMPK pathway. This article reviews the mechanisms by which TCM monomers regulate the AMPK signaling pathway in CRC treatment, aiming to provide insights for the application of TCM in combating colorectal cancer.
[1] Bray F, Laversanne M, Sung H, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries [J]. CA: A Cancer Journal for Clinicians, 2024, 74(3): 229-263.
[2] 姚春鹏 注译. 黄帝内经[M]. 北京: 中华书局, 2010: 1187-1328.
[3] Grahame Hardie D. AMP-activated protein kinase: a key regulator of energy balance with many roles in human disease [J]. Journal of Internal Medicine, 2014, 276(6): 543-559.
[4] Lin S C, Hardie D G. AMPK: sensing glucose as well as cellular energy status [J]. Cell Metabolism, 2018, 27(2): 299-313.
[5] Herzig S, Shaw R J. AMPK: guardian of metabolism and mitochondrial homeostasis [J]. Nature Reviews Molecular Cell Biology, 2018, 19(2): 121-135.
[6] Hawley S A, Russell F M, Hardie D G. AMP-activated protein kinase can be allosterically activated by ADP but AMP remains the key activating ligand [J]. The Biochemical Journal, 2024, 481(8): 587-599.
[7] Gowans G J, Hawley S A, Ross F A, et al. AMP is a true physiological regulator of AMP-activated protein kinase by both allosteric activation and enhancing net phosphorylation [J]. Cell Metabolism, 2013, 18(4): 556-566.
[8] Garcia D, Shaw R J. AMPK: mechanisms of cellular energy sensing and restoration of metabolic balance [J]. Molecular Cell, 2017, 66(6): 789-800.
[9] Jeon S M, Hay N. The double-edged sword of AMPK signaling in cancer and its therapeutic implications [J]. Archives of Pharmacal Research, 2015, 38(3): 346-357.
[10] Schafer K A. The cell cycle: a review[J]. Veterinary Pathology, 1998, 35(6): 461-478.
[11] Thoreen C C, Sabatini D M. AMPK and p53 help cells through lean times [J]. Cell Metabolism, 2005, 1(5): 287-288.
[12] Shrestha A, Nepal S, Kim M J, et al. Critical role of AMPK/FoxO3A axis in globular adiponectin-induced cell cycle arrest and apoptosis in cancer cells [J]. Journal of Cellular Physiology, 2016, 231(2): 357-369.
[13] O'Neill L A J, Hardie D G. Metabolism of inflammation limited by AMPK and pseudo-starvation [J]. Nature, 2013, 493(7432): 346-355.
[14] Igata M, Motoshima H, Tsuruzoe K, et al. Adenosine monophosphate-activated protein kinase suppresses vascular smooth muscle cell proliferation through the inhibition of cell cycle progression [J]. Circulation Research, 2005, 97(8): 837-844.
[15] Liu S, Yao S, Yang H, et al. Autophagy: regulator of cell death [J]. Cell Death & Disease, 2023, 14(10): 648.
[16] Kim J, Kundu M, Virenland B, et al. AMPK and mTOR regulate autophagy through direct phosphorylation of Ulk1[EB/OL]. (2011-01-21)[2025-03-24]. https://pubmed.ncbi.nlm.nih.gov/21258367/.
[17] Yan Y, Yu W, Guo M, et al. Autophagy regulates apoptosis of colorectal cancer cells based on signaling pathways [J]. Discover Oncology, 2024, 15(1): 367.
[18] Kesavardhana S, Malireddi R K S, Kanneganti T D. Caspases in cell death, inflammation, and pyroptosis [J]. Annual Review of Immunology, 2020, 38: 567-595.
[19] Han J, Liu Z, Sun Y, et al. Apoptosis in cancer: from pathogenesis to treatment [EB/OL]. (2011-09-20)[2025-03-24]. https://pubmed.ncbi.nlm.nih.gov/21943236/.
[20] Villanueva-Paz M, Cotán D, Garrido-Maraver J, et al. AMPK regulation of cell growth, apoptosis, autophagy, and bioenergetics [J]. Experientia Supplementum, 2016, 107: 45-71.
[21] Chou C C, Lee K H, Lai I L, et al. AMPK reverses the mesenchymal phenotype of cancer cells by targeting the Akt-MDM2-Foxo3a signaling axis [J]. Cancer Research, 2014, 74(17): 4783-4795.
[22] Li W D, Li N P, Song D D, et al. Metformin inhibits endothelial progenitor cell migration by decreasing matrix metalloproteinases MMP-2 and MMP-9 via the AMPK/mTOR/autophagy pathway[J]. International Journal of Molecular Medicine, 2017, 39(5): 1262-1268.
[23] Li Y J, Lei Y H, Yao N, et al. Autophagy and multidrug resistance in cancer[J]. Chinese Journal of Cancer, 2017, 36(1): 52.
[24] Wang Z, Zhu Z, Li C, et al. NMIIA promotes tumorigenesis and prevents chemosensitivity in colorectal cancer by activating AMPK/mTOR pathway[J]. Experimental Cell Research, 2021, 398(1): 112387.
[25] Tan W, Zhong Z, Carney R P, et al. Deciphering the metabolic role of AMPK in cancer multi-drug resistance[J]. Seminars in Cancer Biology, 2019, 56: 56-71.
[26] Motallebi M, Bhia M, Rajani H F, et al. Naringenin: a potential flavonoid phytochemical for cancer therapy[J]. Life Sciences, 2022, 305: 120752.
[27] Wang D, Zhou Y, Hua L, et al. The role of the natural compound naringenin in AMPK-mitochondria modulation and colorectal cancer inhibition[J]. Phytomedicine, 2024, 131: 155786.
[28] Imran M, Rauf A, Abu-Izneid T, et al. Luteolin, a flavonoid, as an anticancer agent: a review[J]. Biomedicine & Pharmacotherapy, 2019, 112: 108612.
[29] Wang Y, Wang Y, Liu X, et al. Luteolin synergistically enhances antitumor activity of oxaliplatin in colorectal carcinoma via AMPK inhibition[EB/OL]. (2022-04-22)[2025-03-24]. https://pubmed.ncbi.nlm.nih.gov/35453311/.
[30] Liu H L, Kao T H, Shiau C Y, et al. Functional components in Scutellaria barbata D. Don with anti-inflammatory activity on RAW 264.7 cells [J]. Journal of Food and Drug Analysis, 2018, 26(1): 31-40.
[31] Liu L, Liu T, Tao W, et al. Flavonoids from Scutellaria barbata D. Don exert antitumor activity in colorectal cancer through inhibited autophagy and promoted apoptosis via ATF4/sestrin2 pathway [J]. Phytomedicine, 2022, 99: 154007.
[32] Ji S, Tang S, Li K, et al. Licoricidin inhibits the growth of SW480 human colorectal adenocarcinoma cells in vitro and in vivo by inducing cycle arrest, apoptosis and autophagy [J]. Toxicology and Applied Pharmacology, 2017, 326: 25-33.
[33] Tang S, Cai S, Ji S, et al. Isoangustone A induces autophagic cell death in colorectal cancer cells by activating AMPK signaling [J]. Fitoterapia, 2021, 152: 104935.
[34] Lee Y S, Mun J G, Park S Y, et al. Saikosaponin D inhibits lung metastasis of colorectal cancer cells by inducing autophagy and apoptosis [J]. Nutrients, 2024, 16(12): 1844.
[35] 党锋, 杨坤荣, 李峰, 等. 柴胡皂苷 D 抑制人结直肠癌细胞 SW480 增殖的分子机制探讨 [J]. 现代肿瘤医学, 2018, 26(14): 2159-2162.
[36] Sun J, Feng Y, Wang Y, et al. α-hederin induces autophagic cell death in colorectal cancer cells through reactive oxygen species dependent AMPK/mTOR signaling pathway activation [J]. International Journal of Oncology, 2019, 54(5): 1601-1612.
[37] Li X, Zhang C T, Ma W, et al. Oridonin: a review of its pharmacology, pharmacokinetics and toxicity [J]. Frontiers in Pharmacology, 2021, 12: 645824.
[38] Bu H, Liu D, Zhang G, et al. AMPK/mTOR/ULK1 axis-mediated pathway participates in apoptosis and autophagy induction by oridonin in colon cancer DLD-1 cells [J]. OncoTargets and Therapy, 2020, 13: 8533-8545.
[39] Feng Y, An Q, Zhao Z, et al. Beta-elemene: a phytochemical with promise as a drug candidate for tumor therapy and adjuvant tumor therapy [J]. Biomedicine & Pharmacotherapy, 2024, 172: 116266.
[40] Wang G Y, Zhang L, Geng Y D, et al. β-Elemene induces apoptosis and autophagy in colorectal cancer cells through regulating the ROS/AMPK/mTOR pathway [J]. Chinese Journal of Natural Medicines, 2022, 20(1): 9-21.
[41] Chen X, Hu H, Lin X, et al. Euphorbia factor L1 inhibited transport channel and energy metabolism in human colon adenocarcinoma cell line Caco-2 [J]. Biomedicine & Pharmacotherapy, 2023, 169: 115919.
[42] Lai C H, Huo C Y, Xu J, et al. Critical review on the research of chemical structure, bioactivities, and mechanism of actions of dendrobium officinale polysaccharide [J]. International Journal of Biological Macromolecules, 2024, 263(Pt 1): 130315.
[43] Zhang K, Zhou X, Wang J, et al. Dendrobium officinale polysaccharide triggers mitochondrial disorder to induce colon cancer cell death via ROS-AMPK-autophagy pathway [J]. Carbohydrate Polymers, 2021, 264: 118018.
[44] Qi W, Zhou X, Wang J, et al. Cordyceps sinensis polysaccharide inhibits colon cancer cells growth by inducing apoptosis and autophagy flux blockage via mTOR signaling [J]. Carbohydrate Polymers, 2020, 237: 116113.
[45] Wang J, Zhao F, Wu W, et al. Ellagic acid from hull blackberries: extraction, purification, and potential anticancer activity [J]. International Journal of Molecular Sciences, 2023, 24(20): 15228.
[46] Ni X, Shang F S, Wang T F, et al. Ellagic acid induces apoptosis and autophagy in colon cancer through the AMPK/mTOR pathway [J]. Tissue & Cell, 2023, 81: 102032.
[47] Xu T, Kuang T, Du H, et al. Magnoflorine: a review of its pharmacology, pharmacokinetics and toxicity [J]. Pharmacological Research, 2020, 152: 104632.
[48] 刘璨, 刘艾鑫, 姜昌镐. 木兰花碱通过 ROS/KRAS/AMPK 抑制结直肠癌 sw480 细胞干性特征和糖酵解 [J]. 中国免疫学杂志, 2022, 38(3): 344-347.
[49] Zhou Z, Zhou Y, Zhang Z, et al. Progress on the effects and underlying mechanisms of evodiamine in digestive system diseases, and its toxicity: a systematic review and meta-analysis [J]. Phytomedicine, 2024, 132: 155851.
[50] Jaiswal V, Lee H J. Trifolirhizin: a phytochemical with multiple pharmacological properties [J]. Molecules, 2025, 30(2): 383.
[51] Sun D, Tao W, Zhang F, et al. Trifolirhizin induces autophagy-dependent apoptosis in colon cancer via AMPK/mTOR signaling [J]. Signal Transduction and Targeted Therapy, 2020, 5(1): 174.
[52] Liu X, Li Y, Zhang H, et al. Osthole: an up-to-date review of its anticancer potential and mechanisms of action [EB/OL]. (2022-09-28)[2025-03-24]. https://pubmed.ncbi.nlm.nih.gov/36160431/.
[53] Zhou X, Kang J, Zhang L, et al. Osthole inhibits malignant phenotypes and induces ferroptosis in KRAS-mutant colorectal cancer cells via suppressing AMPK/Akt signaling [J]. Cancer Chemotherapy and Pharmacology, 2023, 92(2): 119-134.
基本信息:
中图分类号:R273
引用信息:
[1]刘雪,邹文萱,易飞扬,等.中药单体调控AMPK信号通路治疗结直肠癌的研究进展[J].现代中药研究与实践().
基金信息:
国家自然科学基金(81573990)
2026-05-15
2026-05-15
2026-05-15