| Background:Division from the1990s,we focused on the study of traditionalChinese medicine inhabit tumor recurrence and metastasis.Using JianPiYiShen fang can effectively improve the living quality of cancer patients.But it has a little effect on the inhibition of tumor recurrence and metastasis. On this basis,our department convert ideas,using the method of Fuzhengjiedu advanced gastrointestinal cancer patients achieved good effect. Fuzhengjiedu approach is called the suppression of tumor recurrence and metastasis. in2010,Division I naturally applicant countries studied the molecular mechanism of detoxification methods righting anti-tumor recurrence and metastasis. Pre-primary tumor model tests have confirmed righting detoxifying herbs combined5-FU chemotherapy drugs, not only can inhibit tumor cell lung lymph node metastasis in mice,but also can effectively prolong survival,its causes with tumor-associated macrophages in tumor immunosuppressive microenvironment,and tumor metastasis promoting certain correlation. This test is based on preliminary tests,further righting detoxifying herbs inhibition mechanism of tumor recurrence and metastasis of tumor recurrence model aspects from research.Method:The main topics include cell experiments,animal experiments. Animal experiment including:modeling. Established the Primary tumor model and model of postoperative recurrence and metastasis model (National Natural Science Foundation of NO.30271656reference method has been completed).615mice were randomly divided into5groups:Blank control group (normal,normal-operation),Model control group (untreated),Fu Zheng Jie Du group (FZJD-treated),5-Fu group (5-FU-treated),5-Fu+FZJD group (5-Fu+FZJD). Mice in blank control group were non tumor bearing models,the other groups were tumor bearing models were injected with MFC cells. Detection: Get macrophages form the spleen and tumor tissue of mice. RT-PCR was used to detect the expression levels of macrophage-associated molecules CCL3, CCL22,iNOS and Arg I. Flow cytometry detect the percentage of CD16/32+and CD206+cell in Macrophages,assess their capabilities by yeast’s phagocytosis. ELISA test: the secretion of Cytokines IL-4ã€IL-10ã€IL-13ã€TGF-β.Western blot detect the expression of PTENã€PI3Kã€Aktã€mTORã€HIF-1αã€TGF-βã€LYVE-1in tumor tissue and lymph node metastasizing.Conclusion:FuZhengJiedu fang combined chemotherapy can effectively inhibit the tumor recurrence rate in situ local and growth, inhibit distant metastasis of lung, lymph node and prolong survival in mice. The mechanism may be traditional Chinese medicine combined with chemotherapy inhibited HIF-la mediated PTEN/PI3K/Akt/mTOR signaling pathway, down M2macrophages related cytokines IL-4ã€IL-10ã€IL-13ã€TGF-β secretion, prompting M2to M1-type macrophages changes, decreased tumor microenvironment M2macrophage infiltration type, improved Bureau tumor microenvironment, inhibited vascular lymphatic formation, inhibition of local recurrence of distant metastasis. |