实用肿瘤学杂志 ›› 2012, Vol. 26 ›› Issue (3): 262-267.doi: 10.3969/j.issn.1002-3070.2012.03.018

• 综述 • 上一篇    下一篇

三氧化二砷联合抗坏血酸在肿瘤治疗中的研究进展

左永超, 李岩, 李长福   

  1. 哈尔滨医科大学附属第三医院泌尿外科(哈尔滨 150081)
  • 收稿日期:2011-11-17 出版日期:2012-06-28 发布日期:2014-12-03
  • 通讯作者: 李长福,E-mail:cys211@163.com
  • 作者简介:左永超,男,(1983-),在读硕士,从事泌尿系统肿瘤的临床治疗与基础研究
  • 基金资助:
    黑龙江省科技攻关课题(GC09C407-5)

The research progress of Arsenic trioxide combined with ascorbic acid in tumor therapy

ZUO Yongchao,LI Yan,LI Changfu   

  1. Department of Urology Surgery,The Third Affiliated Hospital of Harbin Medical University,Harbin 150081
  • Received:2011-11-17 Online:2012-06-28 Published:2014-12-03

摘要: 自20世纪70年代初,哈尔滨医科大学第一附属医院开始尝试用砷剂(As2O3)治疗急性早幼粒细胞白血病(APL),并取得良好效果,自此As2O3的抗肿瘤效应成为了研究热点。近年来,不断有研究表明GSH在决定肿瘤细胞对化疗药物敏感性方面起着重要作用,对As2O3敏感的肿瘤细胞比耐药肿瘤细胞的GSH含量低,而抗坏血酸(AA)可降低细胞内GSH水平。据此,一些学者为了提高As2O3的抗肿瘤疗效,减少其应用剂量,提出了以AA与As2O3联合应用为基础的新型治疗方案,并在一些肿瘤的基础实验和临床研究中取得了一定成效。因此,本文中我们主要就该方案在不同肿瘤中应用的最新研究进展加以综述,并展望As2O3联合AA在抗肿瘤治疗中的应用价值和前景,为进一步研究和探寻更合理的化疗方案提供参考。

Abstract: Since 1970s,a Chinese study group at Harbin Medical University First Hospital began to use arsenic trioxide(As2O3) treatment of acute promyelocytic leukemia(APL) and achieved good results.Anticancer effect of As2O3 has become a research hotspot.In recent years,a growing number of studies demonstrate that glutathione(GSH) plays a central role in the delicate balance in determining sensitivity towards apoptosis or resistance of tumor cells.Cancer cells sensitive to As2O3 may contain less GSH than resistant cancer cells,and ascorbic acid(AA) can reduce the level of intracellular GSH.To improve anticancer effect of As2O3 and reduce its application dose,some scholars have proposed a new type of treatment program that As2O3 combination with AA for cancer treatment.In some basic experimental and clinical cancer research,As2O3 combination with AA has achieved some success.In light of this dosage regimen for the different tumors in the latest research progress,we conducted a review in this paper,which may be helpful for further exploring more reasonable chemotherapy regimens.

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