文章摘要
华蟾素胶囊联合TP方案对晚期卵巢癌患者Th1/Th2细胞因子、血管生长因子及细胞凋亡调控因子的影响
Effect of huachansu capsule combined with TP regimen on Th1/Th2 cytokines, vascular growth factor and apoptosis regulatory factors in patients with advanced ovarian cancer
投稿时间:2024-03-22  修订日期:2024-03-22
DOI:
中文关键词: 华蟾素胶囊  化疗  晚期卵巢癌  辅助T细胞Th1/辅助T细胞Th2  血管生长因子  细胞凋亡
英文关键词: Huachansu capsule  Chemotherapy  Advanced ovarian cancer  Helper T cell Th1/helper T cell Th2  Vascular growth factor  Apoptosis regulatory factors
基金项目:江苏省医院药学基金(H202003)
作者单位邮编
陈颖* 中国人民解放军东部战区总医院 210000
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中文摘要:
      目的:观察华蟾素胶囊联合紫杉醇联合铂类药物(TP)方案对晚期卵巢癌患者辅助T细胞(Th)/1Th2细胞因子、血管生长因子及细胞凋亡调控因子的影响。方法:选择我院2020年3月~2022年5月期间收治的晚期卵巢癌患者102例,按照随机数字表法将患者分为研究组(51例,华蟾素胶囊联合TP方案化疗)和对照组(51例,TP方案化疗)。对比两组临床总有效率、血管生长因子、血清Th1/Th2细胞因子、细胞凋亡调控因子和不良反应发生率。结果:与对照组的临床总有效率相比,研究组的总有效率更高(P<0.05)。治疗后,研究组γ-干扰素(IFN-γ)、白细胞介素-2(IL-2)、Bcl-2相关X蛋白(Bax)较对照组更高,白细胞介素-6(IL-6)、白细胞介素-4(IL-4)较对照组更低(P<0.05)。治疗后,研究组血管内皮生长因子(VEGF)、成纤维细胞生长因子(bFGF)、内皮细胞特异性分子-1(ESM-1)、血管生成素-2(Ang-2)、B细胞淋巴瘤-2(Bcl-2)、生存素(Survivin)、Bcl-2结合抗凋亡基因-1(Bag-1)较对照组更低(P<0.05)。两组不良反应发生率对比未见统计学差异(P>0.05)。结论:华蟾素胶囊联合TP方案治疗可通过抑制肿瘤血管生成、促进肿瘤细胞凋亡、调节免疫功能等方面来阻止晚期卵巢癌患者的疾病进展。
英文摘要:
      Objective: To observe the effect of huachansu capsule combined with paclitaxel and platinum drugs (TP) regimen on T helper cell (Th)/1Th2 cytokines, vascular growth factor and apoptosis regulatory factors in patients with advanced ovarian cancer. Methods: 102 patients with advanced ovarian cancer who admitted to our hospital from March 2020 to May 2022 were selected, patients were divided into study group (51 cases, huachansu capsule combined with TP regimen chemotherapy) and control group (51 cases, TP regimen chemotherapy ) according to the random number table method. The total clinical effective rate, vascular growth factor, serum Th1/Th2 cytokines, apoptosis regulatory factors and incidence of adverse reactions were compared between two groups. Results: Compared with the total clinical effective rate in control group, the total effective rate in study group was higher (P<0.05). After treatment, the levels of γ-interferon (IFN-γ), interleukin-2 (IL-2) and Bcl-2 related X protein (Bax) in study group were higher than those in control group, and the levels of interleukin-6 (IL-6) and interleukin-4 (IL-4) were lower than those in control group (P<0.05). After treatment, the levels of vascular endothelial growth factor (VEGF), fibroblast growth factor (bFGF), endothelial cell specific molecule-1 (ESM-1), angiopoietin-2 (Ang-2), B cell lymphoma-2 (Bcl-2), survivin and Bcl-2 binding anti-apoptotic gene-1 (Bag-1) in study group were lower than those in control group (P<0.05). There was no significant difference in the incidence of adverse reactions between two groups (P>0.05). Conclusion: Huachansu capsule combined with TP regimen can prevent the disease progression of patients with advanced ovarian cancer by inhibiting tumor angiogenesis, promoting tumor cell apoptosis and regulating immune function.
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