程遥, 刁冬梅, 宋永春, 党诚学. 2-脱氧葡萄糖在抗肿瘤领域的研究进展[J]. 中国肿瘤临床, 2012, 39(17): 1325-1328. DOI: 10.3969/j.issn.1000-8179.2012.17.015
引用本文: 程遥, 刁冬梅, 宋永春, 党诚学. 2-脱氧葡萄糖在抗肿瘤领域的研究进展[J]. 中国肿瘤临床, 2012, 39(17): 1325-1328. DOI: 10.3969/j.issn.1000-8179.2012.17.015
Yao CHENG, Dongmei DIAO, Yongchun SONG, Chengxue DANG. Current Research on 2-Deoxyglucose in Anti-cancer Treatment[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2012, 39(17): 1325-1328. DOI: 10.3969/j.issn.1000-8179.2012.17.015
Citation: Yao CHENG, Dongmei DIAO, Yongchun SONG, Chengxue DANG. Current Research on 2-Deoxyglucose in Anti-cancer Treatment[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2012, 39(17): 1325-1328. DOI: 10.3969/j.issn.1000-8179.2012.17.015

2-脱氧葡萄糖在抗肿瘤领域的研究进展

Current Research on 2-Deoxyglucose in Anti-cancer Treatment

  • 摘要: 2-脱氧葡萄糖(2-Deoxyglucose,2-DG)被证明对多种肿瘤细胞有抑制作用。其作为可能的抗肿瘤药物的研究已有近半个世纪。一系列的研究显示2-脱氧葡萄糖有较复杂的抗肿瘤机制。除了对糖酵解的抑制,降低细胞内ATP,抑制生长以外,它还抑制寡糖链来干扰肿瘤的糖基化,引起细胞内的未折叠蛋白反应和凋亡,或影响糖基化来抑制相关转录因子。在单独使用时,可激活某些肿瘤的凋亡通路和因子,造成细胞凋亡,尚可影响氧化还原反应,抑制肿瘤生长。联合使用时,它被证实在体外对放化疗有增敏作用,还可减少化疗药物造成的机体损伤。动物实验和部分Ⅰ期临床研究,证实2-脱氧葡萄糖具有代谢快、不良反应小的特点。但国内对2-脱氧葡萄糖的相关研究以及重视程度尚不足。本文回顾了2-脱氧葡萄糖的抗肿瘤机制和研究现状,对其抗肿瘤作用机制的最新进展做简要综述。

     

    Abstract: The inhibitor in glycolysis, 2-deoxyglucose (2-DG), proved to have a definite inhibition towards many types of cancer cells. As a candidate anti-tumor drug, 2-DG has been studied for nearly half a century. Over the past few years, a series of studies have shown that more sophisticated mechanisms of 2-DG against cancer cells may exist, which was previously not given, sufficient attention. Aside from its typical mechanism of inhibiting glycolysis, 2-DG also can interfere with glycosylation by disturbing the formation of oligosaccharides. This action induces unfolded protein response in the endoplasmic reticulum and in active cell apoptosis. 2-DG can also increase the specific glycosylation of proteins from several genes to suppress the correlated transcription factors and interfere with the growth of cancer cells. When used alone, 2-DG can directly activate apoptosis via several intracellular signal pathways and release some factors to suppress the growth of tumor cells in vitro. 2-DG can inhibit cancer cells by interfering with intracellular redox and maintaining intracellular redox stress to induce the apoptosis of cancer cells. When combined with other treatments, 2-DG can be sensitive to radiotherapy and chemotherapy with a limited effect that is formerly attributed to the resistance of cells to therapies. Moreover, 2-DG can protect normal cells from damage by chemotherapy. Animal experiments proved that 2-DG also inhibits xenograft tumor cells in rats. Several institutes abroad are engaged in Phase-I clinical studies. The results of their studies indicated that 2-DG has a relatively low toxicity and a short half-life in the human body. However, in Mainland China, little attention has been given on the subject. In this summary, we perform a straightforward review of the mechanisms of the inhibitory action against tumor cells that have been proven in the last few years and focus on other mechanisms aside from the typical inhibition effects of glycolysis.

     

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