Journal of Practical Oncology ›› 2021, Vol. 35 ›› Issue (5): 480-484.doi: 10.11904/j.issn.1002-3070.2021.05.018

• Review • Previous Articles     Next Articles

Research progress in anti-tumor effect of propofol and its molecular mechanism in lung cancer

WU Changshuai, ZHANG Baohui, GAO Zhenglian, ZHANG Xiaowang, WANG Kun   

  1. Harbin Medical University Cancer Hospital,Harbin 150081,China
  • Received:2020-10-10 Revised:2020-12-08 Online:2021-10-28 Published:2021-10-25

Abstract: Lung cancer is the most common malignant tumor.Surgical resection is the main method for the treatment of lung cancer.However,postoperative tumor recurrence and metastasis may still occur after surgery.Propofol is the most commonly used intravenous general anesthetic.In recent years,more and more documents have shown that propofol can prolong the survival period of patients with lung cancer.In this paper,by searching relevant literature,it is concluded that propofol regulates a variety of signal pathways to play a direct anti-cancer effect by regulating microRNA(miRNA)and circular RNA(circRNA).Propofol promotes T cell differentiation,improves immunity,reduces inflammatory mediators and indirectly inhibits the activity of cancer cells.Propofol can also increase the sensitivity of tumor cells to chemotherapy drugs and exert indirect anti-tumor effects.In addition,clinical trials have also confirmed that propofol may be closely related to the survival of cancer patients due to its anti-tumor properties.Therefore,the use of propofol intravenous general anesthesia in lung cancer surgery may be more suitable,but it still needs to be confirmed by large-scale prospective clinical trials.

Key words: Propofol, Lung cancer, MicroRNA, Circular RNA, Immunity

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