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International Journal of Frontiers in Medicine, 2023, 5(7); doi: 10.25236/IJFM.2023.050716.

Advances in the Role of Active Ingredients of Astragalus in Lung Cancer-Related Signaling Pathways

Author(s)

Ruifang Cui1, Renting Li2

Corresponding Author:
Renting Li
Affiliation(s)

1Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712046, China

2Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, 712000, China

Abstract

Modern clinical studies have shown that the Chinese herbal medicine Astragalus plays an important role in reducing the toxic side effects of radiotherapy and chemotherapy for lung cancer, improving the quality of survival, stabilizing the tumor, and preventing tumor recurrence and metastasis after surgery. Due to the complex pathogenesis of lung cancer, the wide range of effective components of Astragalus and the complex action pathways, this paper reviews the pharmacological mechanisms of Astragalus in lung cancer treatment and the related signaling pathways by integrating the literature on the anti-lung cancer of Astragalus at home and abroad and combining the main components of Astragalus, methyloside, polysaccharides and flavonoids, in order to provide an effective pharmacological basis for the treatment of lung cancer by Astragalus and to facilitate the further development and utilization of Astragalus resources.

Keywords

astragalus active ingredients; lung cancer; signaling pathway

Cite This Paper

Ruifang Cui, Renting Li. Advances in the Role of Active Ingredients of Astragalus in Lung Cancer-Related Signaling Pathways. International Journal of Frontiers in Medicine (2023), Vol. 5, Issue 7: 101-107. https://doi.org/10.25236/IJFM.2023.050716.

References

[1] Zhang SW, Zheng RS, Sun KX. et al. Incidence and death estimates of malignant tumors by region in China in 2016: a population-based analysis of tumor registry data[J]. China Cancer, 2023, 32(05): 321-332. 

[2] Lin LZ, Wang SY, Huang XW. Expert Consensus on the Diagnosis and Treatment of Lung Cancer by Integrated Traditional Chinese and Western Medicine[J]. Journal of Oncology in Chinese Medicine, 2021, 3(6):1-17. 

[3] Yang T, Li Z, Hao LZ, et al. Survival of Non-small Cell Lung Cancer Patients Treated with Fuzheng Gushe Therapy: A Real World Study[J]. Chinese Journal of Experimental Traditional Medical Formulae, 2023, 29(9):188-195. 

[4] Hu NN, Zhang XJ. Research Progress on Chemical Constituents and Pharmacological Effects of Astragalus membranaceus [J]. Information on Traditional Chinese Medicine, 2021, 38(1):76-82. 

[5] Zhang Y, Liu H, Wang R, et al. Chemical constituents and pharmacological effects of Astragali Radix and predictive analysis on quality markers[J]. Chinese Journal of New Drugs, 2023, 32(4): 410-419. 

[6] He H, Zhou X, Wang Q, et al. Does the couse of astragalus-containing chinese herbal prescriptions and radiotherapy benefit to non-small-cell lung cancer treatment: a meta-analysis of randomized trials. Evid Based Complement Alternat Med, 2013:426207. 

[7] Li SJ. Investigation of the anti-lung cancer effects of mullein isoflavones and its derivative CA028 based on network pharmacology and transcriptomics[D]. Guilin Medical College, 2022. 

[8] Tsao SM, Wu TC, Chen J, et al. Astragalus Polysaccharide Injection (PG2) Normalizes the Neutrophil-to-Lymphocyte Ratio in Patients with Advanced Lung Cancer Receiving Immunotherapy [J]. Integrative Cancer Therapies, 2021. 

[9] He ZM, Xv Y, Deng TH, et al. Analysis of the medication rules of traditional Chinese medicine in 7435 cases of non-small cell lung cancer[J]. Journal of Hunan University of Chinese Medicine, 2022, 42(7): 1157-1163. 

[10] Zhao LL, Wang YT, Wang XQ, et al. Clinical and basic research progress on Xiaoyan Decoction in treatment of nonsmall cell lung cancer[J]. Chinese Traditional and Herbal Drugs, 2022, 53(2): 627-634. 

[11] Wang SF, Ge TT, Zhang DM, et al. Clinical study on Astragalus Polysaccharide for injection combined with AP regimen in treatment of advanced non-small cell lung cancer[J]. Drugs & Clinic, 2022, 37(11):2562-2567. 

[12] Jin W. Role of JAK/STAT3 Signaling in the Regulation of Metastasis, the Transition of Cancer Stem Cells, and Chemoresistance of Cancer by Epithelial-Mesenchymal Transition[J]. Cells. 2020 Jan 15; 9(1):217. 

[13] Wei Z, Xu LR, Xu JY, et al. Inhibition of invasive migration of human lung cancer H1299 cells through JAK2/STAT3 pathway by the drug-containing serum of the Chemical Stasis and Detoxification Formula[J]. Chinese Journal of Gerontology, 2023, 43(1):163-166. 

[14] Johnson DE, O'Keefe RA, Grandis JR. Targeting the IL-6/JAK/STAT3 signalling axis in cancer. Nat Rev Clin Oncol. 2018 Apr; 15(4):234-248. 

[15] Zhang SW, Wang X, Zhang XJ. Effect and mechanism of Astragalus polysaccharide on inhibiting migration of human lung cancer cells[J]. The Chinese Journal of Clinical Pharmacology, 2020, 36(9): 1124-1127. 

[16] Zhang ZH, Wang CM, Li H, et al. Astragaloside IV Inhibits Proliferation and Migration of Lung Cancer Cells through JAK/STAT3 Signaling Pathway[J]. Journal of Beihua University(Natural Science), 2022, 23(6):775-779. 

[17] Qi YS, Li X, Qin XM, et al. Anti-cancer effect of the flavonoids of Astragalus combined with cisplatin on Lewis lung carcinoma-bearing mice[J]. Acta Pharmaceutica Sinica, 2020, 55(5):930-940. 

[18] Sharma A, Mehan S. Targeting PI3K-AKT/mTOR signaling in the prevention of autism. Neurochem Int. 2021 Jul; 147:105067. 

[19] LoRusso PM. Inhibition of the PI3K/AKT/mTOR Pathway in Solid Tumors[J]. Clin Oncol. 2016 Nov 1; 34(31):3803-3815. 

[20] Iksen Pothongsrisit S, Pongrakhananon V. Targeting the PI3K/AKT/mTOR Signaling Pathway in Lung Cancer: An Update Regarding Potential Drugs and Natural Products. molecules. 2021 Jul 5; 26(13): 4100. 

[21] Alzahrani AS. PI3K/Akt/mTOR inhibitors in cancer: at the bench and bedside. Semin Cancer Biol. 2019 Dec; 59:125-132. 

[22] Yang Q, Duan JY, Wang XL, et al. Effect and mechanism of Astragalus polysaccharides on autophagy in lung cancer A549 cells[J]. The Chinese Journal of Clinical Pharmacology, 2022, 38(12): 1329-1333. 

[23] Shi L, Zhu W, Huang Y, et al. Cancer-associated fibroblast-derived exosomal microRNA-20a suppresses the PTEN/PI3K-AKT pathway to promote the progression and chemoresistance of non-small cell lung cancer. Clin Transl Med. 2022 Jul; 12(7):e989. 

[24] Jia LW, Wo XM, Wang QB, et al. Effect of Astragaloside on proliferation and apoptosis-related protein expression of non-small cell lung cancer A549 cells[J]. Journal of Natural Science of Heilongjiang University, 2019, 36(1):84-89. 

[25] Liu XM, Lu LL, Huang YF, et al. Water extracts of Astragali Radix prevent lung carcinogenesis via inhibiting PI3K/Akt pathway[J]. Chinese Traditional and Herbal Drugs, 2019, 0(7):1621-1628. 

[26] Liu Y, Chen LW. Effect of astragalus polysaccharide on cisplatin resistance of human lung cancer A549/DDP cells and its mechanism [J]. Journal of Jilin University (Medical Edition), 2020, 46(6): 1162-1168I0004. 

[27] Liu YX, Zheng X, Liang RR, et al. Experimental study on the effect of astragaloside based on ILT4-PI3K/Akt-B7-H3 pathway on immune escape mechanism in NSCLC[J]. Journal of Chinese Medicinal Materials, 2021, 44(11):2677-2682. 

[28] Wu AN, Yuan L, Xing J, et al. Regulatory effects of astragaloside IV on proliferation and apoptosis of non-small-cell lung cancer cells A549 and SPC-A1[J]. Shandong Medical Journal, 2021, 61(3): 18-22. 

[29] Jiang Z, Chen JH. Anti-angiogenesis in Lung Cancer: Current Situation, Progress and Confusion [J]. Chinese Journal of Lung Cancer, 2022, 25(4):278-286. 

[30] Wu XT. Expression of HIF-1α, VEGF and TGF-β1 in non-small cell lung cancer and their clinical significance [D]. Guangxi Medical University, 2013. 

[31] Yang QY, Wang Q, Zhao S, et al. Network pharmacology analysis of Astragalus-Curcuma in inhibiting lung cancer angiogenesis related signal pathways[J]. China Journal of Traditional Chinese Medicine and Pharmacy, 2022, 37(1):425-430. 

[32] Li Y, Yang LL, Bai YL et al. Effects of Astragalus Polysaccharides on Growth, Metastasis and Cell Cycle of Lewis Lung Cancer in Tumor-bearing Mice with Qi and Yin Deficiency[J]. Cancer Research on Prevention and Treatment, 2018, 45(3):131-137. 

[33] Xu CY. Summary of Prof. Dou Yongqi's academic thoughts on the treatment of tumors and research on the anti-tumor angiogenesis mechanism of Huangqi-Curcuma combination[D]. Chinese People's Liberation Army Medical College, 2018. 

[34] Liu J, Xiao Q, Xiao J, Niu C, et al. Wnt/β-catenin signalling: function, biological mechanisms, and therapeutic opportunities. Signal Transduct Target. Ther. 2022 Jan 3;7(1):3. 

[35] Zhou W, Chen GB, Liu HY, et al. Preventive and therapeutic effects of astragaloside IV on urethane induced lung cancer in mice and its mechanism[J]. Journal of Xinxiang Medical University, 2021, 38(1):18-25. 

[36] Teng G, Zhang R, Zhou J, et al. Effect of Modified Huangqi Gancaotang on Proliferation, Apoptosis, Invasion, Migration, and Epithelial-mesenchymal Transition of Non-small Cell Lung Cancer Cells Based on Wnt/β-catenin Pathway[J]. Chinese Journal of Experimental Traditional Medical Formulae, 2022, 28(21):10-22. 

[37] Hu KD, Yang KG, Soumia Cheddah, et al. Proteomics analysis of Astragalus polysaccharide on TLR4-activated lung cancer cell-derived exosomes[J]. China Journal of Chinese Materia Medica, 2022, 47(21):5908-5915. 

[38] Ming Hx, Chen Yw, Zhang F, et al. Effects of Astragalus polysaccharide combined with cis-dichlorodiamineplatinumⅡ dichloridle on Lewis lung transplanted tumor metastasis and its mechanism[J]. Acta Anatomica Sinica, 2016, 47(4):493-501. 

[39] Yang B, Yu GH, Li MY, et al., Mechanism of flavonoid components in Astragali Radix in inhibiting tumor growth and immunoregulation in C57BL/6 tumor bearing mice based on "invigorating Qi for consolidation of exterior"[J]. China Journal of Chinese Materia Medica, 2019, 44(23):5184-5190.