Skip to main content
Top
Published in: Cancer Cell International 1/2021

01-12-2021 | Colorectal Cancer | Review

Pien Tze Huang (PZH) as a Multifunction Medicinal Agent in Traditional Chinese Medicine (TCM): a review on cellular, molecular and physiological mechanisms

Author: Zhiliang Chen

Published in: Cancer Cell International | Issue 1/2021

Login to get access

Abstract

Relevance

Pien Tze Huang (PZH) is a well-known Traditional Chinese Medicine (TCM), characterized by a multitude of pharmacological effects, such as hepatoprotection and inhibition of inflammation and cell proliferative conditions. Many of these effects have been validated at the cellular, molecular and physiological levels but, to date, most of these findings have not been comprehensively disclosed.

Objectives

This review aims to provide a critical summary of recent studies focusing on PZH and its multiple pharmacological effects. As a result, we further discuss some novel perspectives related to PZH’s mechanisms of action and a holistic view of its therapeutic activities.

Methods

A systematic review was performed focusing on PZH studies originated from original scientific resources. The scientific literature retrieved for this work was obtained from International repositories including NCBI/PubMed, Web of Science, Science Direct and China National Knowledge Infrastructure (CNKI) databases.

Results

The major active componentes and their potential functions, including hepatoprotective and neuroprotective effects, as well as anti-cancer and anti-inflammatory activities, were summarized and categorized accordingly. As indicated, most of the pharmacological effects were validated in vitro and in vivo. The identification of complex bioactive components in PZH may provide the basis for further therapeutic initiatives.

Conclusion

Here we have collectively discussed the recent evidences covering most, if not all, pharmacological effects driven by PZH. This review provides novel perspectives on understanding the modes of action and the holistic view of TCM. The rational development of future clinical trials will certainly provide evidence-based medical evidences that will also confirm the therapeutic advantages of PZH, based on the current information available.
Literature
1.
go back to reference Hong F, Chen Z, Tang HC, Wu SL, Yang J, Yew DT. Herbal medicine for liver protection in experimental animals-a histochemical, pathological study. Hong F, Chen Z, Tang HC, Wu SL, Yang J, Yew DT. Herbal medicine for liver protection in experimental animals-a histochemical, pathological study.
4.
go back to reference Hu Y, Wang S, Wu X, Zhang J, Chen R, Chen M, et al. Chinese herbal medicine-derived compounds for cancer therapy: a focus on hepatocellular carcinoma. J Ethnopharmacol. 2013;149:601–12.PubMedCrossRef Hu Y, Wang S, Wu X, Zhang J, Chen R, Chen M, et al. Chinese herbal medicine-derived compounds for cancer therapy: a focus on hepatocellular carcinoma. J Ethnopharmacol. 2013;149:601–12.PubMedCrossRef
5.
go back to reference Nikakhlagh S, Rahim F, Aryani FHN, Syahpoush A, Brougerdnya MG, Saki N. Herbal treatment of allergic rhinitis: the use of Nigella sativa. Am J Otolaryngol Head Neck Med Surg. 2011;32:402–7. Nikakhlagh S, Rahim F, Aryani FHN, Syahpoush A, Brougerdnya MG, Saki N. Herbal treatment of allergic rhinitis: the use of Nigella sativa. Am J Otolaryngol Head Neck Med Surg. 2011;32:402–7.
9.
go back to reference Meshram Y, Ray SK. Epigenetics and cancer. Drug Invent Today|. 2019;12:265–8. Meshram Y, Ray SK. Epigenetics and cancer. Drug Invent Today|. 2019;12:265–8.
10.
go back to reference Nie J, Zhao C, Deng L, Chen J, Yu B, Wu X, et al. Efficacy of traditional Chinese medicine in treating cancer (Review). Biomed Reports. 2016;4:3–14.CrossRef Nie J, Zhao C, Deng L, Chen J, Yu B, Wu X, et al. Efficacy of traditional Chinese medicine in treating cancer (Review). Biomed Reports. 2016;4:3–14.CrossRef
11.
go back to reference Lu AP, Jia HW, Xiao C, Lu QP. Theory of traditional Chinese medicine and therapeutic method of diseases. World J. Gastroenterol. [Internet]. WJG Press; 2004;10:1854–6. /pmc/articles/PMC4572216/?report=abstract. Accessed 22 Nov 2020. Lu AP, Jia HW, Xiao C, Lu QP. Theory of traditional Chinese medicine and therapeutic method of diseases. World J. Gastroenterol. [Internet]. WJG Press; 2004;10:1854–6. /pmc/articles/PMC4572216/?report=abstract. Accessed 22 Nov 2020.
13.
go back to reference Liao X, Bu Y, Jia Q. Traditional Chinese medicine as supportive care for the management of liver cancer: past, present, and future. Genes Dis. Chongqing University; 2019. Liao X, Bu Y, Jia Q. Traditional Chinese medicine as supportive care for the management of liver cancer: past, present, and future. Genes Dis. Chongqing University; 2019.
14.
go back to reference Lin W fu, Lu J ying, Cheng B bin, Ling C quan. Progress in research on the effects of traditional Chinese medicine on the tumor microenvironment. J Integr Med. Elsevier (Singapore) Pte Ltd; 2017. p. 282–7. Lin W fu, Lu J ying, Cheng B bin, Ling C quan. Progress in research on the effects of traditional Chinese medicine on the tumor microenvironment. J Integr Med. Elsevier (Singapore) Pte Ltd; 2017. p. 282–7.
15.
go back to reference Yang J, Pi C, Wang G. Inhibition of PI3K/Akt/mTOR pathway by apigenin induces apoptosis and autophagy in hepatocellular carcinoma cells. Biomed Pharmacother Elsevier Masson SAS. 2018;103:699–707.CrossRef Yang J, Pi C, Wang G. Inhibition of PI3K/Akt/mTOR pathway by apigenin induces apoptosis and autophagy in hepatocellular carcinoma cells. Biomed Pharmacother Elsevier Masson SAS. 2018;103:699–707.CrossRef
16.
go back to reference Zheng H, Wang X, Zhang Y, Chen L, Hua L, Xu W. Pien-Tze-Huang ameliorates hepatic fibrosis via suppressing NF-κB pathway and promoting HSC apoptosis. J Ethnopharmacol. 2019;244:111856.PubMedCrossRef Zheng H, Wang X, Zhang Y, Chen L, Hua L, Xu W. Pien-Tze-Huang ameliorates hepatic fibrosis via suppressing NF-κB pathway and promoting HSC apoptosis. J Ethnopharmacol. 2019;244:111856.PubMedCrossRef
18.
go back to reference Xu W, Zhang Y, Zhou C, Tai Y, Zhang X, Liu J, et al. Simultaneous quantification six active compounds in rat plasma by UPLC–MS/MS and its application to a pharmacokinetic study of Pien-Tze-Huang. J. Chromatogr B Anal Technol Biomed Life Sci 2017;1061–1062:314–21. Xu W, Zhang Y, Zhou C, Tai Y, Zhang X, Liu J, et al. Simultaneous quantification six active compounds in rat plasma by UPLC–MS/MS and its application to a pharmacokinetic study of Pien-Tze-Huang. J. Chromatogr B Anal Technol Biomed Life Sci 2017;1061–1062:314–21.
19.
go back to reference Huang L, Zhang Y, Zhang X, Chen X, Wang Y, Lu J, et al. Therapeutic potential of Pien-tze-huang: a review on its chemical composition, pharmacology, and clinical application. Molecules [Internet]. MDPI AG; 2019. /pmc/articles/PMC6767116/?report=abstract. Accessed 26 Dec 2020. Huang L, Zhang Y, Zhang X, Chen X, Wang Y, Lu J, et al. Therapeutic potential of Pien-tze-huang: a review on its chemical composition, pharmacology, and clinical application. Molecules [Internet]. MDPI AG; 2019. /pmc/articles/PMC6767116/?report=abstract. Accessed 26 Dec 2020.
20.
go back to reference Dong TTX, Cui XM, Song ZH, Zhao KJ, Ji ZN, Lo CK, et al. Chemical assessment of roots of Panax notoginseng in China: regional and seasonal variations in its active constituents. J Agric Food Chem. 2003;51:4617–23.PubMedCrossRef Dong TTX, Cui XM, Song ZH, Zhao KJ, Ji ZN, Lo CK, et al. Chemical assessment of roots of Panax notoginseng in China: regional and seasonal variations in its active constituents. J Agric Food Chem. 2003;51:4617–23.PubMedCrossRef
21.
go back to reference Xie GX, Qiu YP, Qiu MF, Gao XF, Liu YM, Jia W. Analysis of dencichine in Panax notoginseng by gas chromatography-mass spectrometry with ethyl chloroformate derivatization. J Pharm Biomed Anal. 2007;43:920–5.PubMedCrossRef Xie GX, Qiu YP, Qiu MF, Gao XF, Liu YM, Jia W. Analysis of dencichine in Panax notoginseng by gas chromatography-mass spectrometry with ethyl chloroformate derivatization. J Pharm Biomed Anal. 2007;43:920–5.PubMedCrossRef
22.
go back to reference Wang Z, Yang JY, Song SJ, Zhao SHWY. Effect of dencichine on coagulation and the hemostatic mechanism. Chinese J New Drugs. 2014;23:356–9. Wang Z, Yang JY, Song SJ, Zhao SHWY. Effect of dencichine on coagulation and the hemostatic mechanism. Chinese J New Drugs. 2014;23:356–9.
23.
go back to reference Gao BY, Li XJ, Liu L. Zhang BH [Effect of panaxatriol saponins isolated from Panax notoginseng (PTS) on myocardial ischemic arrhythmia in mice and rats]. Yao Xue Xue Bao. 1992;27:641–4.PubMed Gao BY, Li XJ, Liu L. Zhang BH [Effect of panaxatriol saponins isolated from Panax notoginseng (PTS) on myocardial ischemic arrhythmia in mice and rats]. Yao Xue Xue Bao. 1992;27:641–4.PubMed
24.
go back to reference Xia W, Sun C, Zhao Y, Wu L. Hypolipidemic and antioxidant activities of Sanchi (Radix Notoginseng) in rats fed with a high fat diet. Phytomedicine. 2011;18:516–20.PubMedCrossRef Xia W, Sun C, Zhao Y, Wu L. Hypolipidemic and antioxidant activities of Sanchi (Radix Notoginseng) in rats fed with a high fat diet. Phytomedicine. 2011;18:516–20.PubMedCrossRef
25.
go back to reference Hai-shan Y, Information JC-S& T, 2010 U. An overview of pharmacological effects of panax notoginseng on blood, cardio-cerebrovascular and central nervous system. en.cnki.com.cn. Hai-shan Y, Information JC-S& T, 2010 U. An overview of pharmacological effects of panax notoginseng on blood, cardio-cerebrovascular and central nervous system. en.cnki.com.cn.
26.
go back to reference Sun H, Yang Z, Ye Y. Structure and biological activity of protopanaxatriol-type saponins from the roots of Panax notoginseng. Int Immunopharmacol. 2006;6:14–25.PubMedCrossRef Sun H, Yang Z, Ye Y. Structure and biological activity of protopanaxatriol-type saponins from the roots of Panax notoginseng. Int Immunopharmacol. 2006;6:14–25.PubMedCrossRef
27.
go back to reference Yi-ling W, Di CJW. Effects and mechanism of total saponins of panax notoginseng on anti-inflammation and analgesia. Chin J Integr Tradit West Med. 1994;2:90–90. Yi-ling W, Di CJW. Effects and mechanism of total saponins of panax notoginseng on anti-inflammation and analgesia. Chin J Integr Tradit West Med. 1994;2:90–90.
28.
go back to reference Yeh Y-H, Wang D-Y, Liau M-Y, Wu M-L, Deng J-F, Noguchi T, et al. Bile acid composition in snake bile juice and toxicity of snake bile acids to rats. Comp Biochem Physiol C Toxicol Pharmacol. 2003;136:277–84.PubMedCrossRef Yeh Y-H, Wang D-Y, Liau M-Y, Wu M-L, Deng J-F, Noguchi T, et al. Bile acid composition in snake bile juice and toxicity of snake bile acids to rats. Comp Biochem Physiol C Toxicol Pharmacol. 2003;136:277–84.PubMedCrossRef
32.
go back to reference Hai-feng, Tang, Zhou Wei ZW. Snake gall pharmacological study and clinical application of exploration to [J]. J Pract Tradit Chinese Intern Med 2009; Hai-feng, Tang, Zhou Wei ZW. Snake gall pharmacological study and clinical application of exploration to [J]. J Pract Tradit Chinese Intern Med 2009;
33.
go back to reference Zou QW, Shi Y, Wei F, Lin RC, Ma SC. Study on chemical composition and pharmacological effects of Bovis Calculus medicinal materials. Chin Pharm Aff. 2014;28:646–50. Zou QW, Shi Y, Wei F, Lin RC, Ma SC. Study on chemical composition and pharmacological effects of Bovis Calculus medicinal materials. Chin Pharm Aff. 2014;28:646–50.
34.
go back to reference Wan TC, Cheng FY, Liu YT, Lin LC, Sakata R. Study on bioactive compounds of in vitro cultured Calculus Suis and natural Calculus Bovis. Anim Sci J. 2009;80:697–704.PubMedCrossRef Wan TC, Cheng FY, Liu YT, Lin LC, Sakata R. Study on bioactive compounds of in vitro cultured Calculus Suis and natural Calculus Bovis. Anim Sci J. 2009;80:697–704.PubMedCrossRef
35.
go back to reference Shumin G, Yansheng S, Rujuan W. A comparative study on antipyretic and sedative actions of cow teeth root with bezoar and artificial bezoar. Chin Tradit Herb Drugs. 1996;27:603–5. Shumin G, Yansheng S, Rujuan W. A comparative study on antipyretic and sedative actions of cow teeth root with bezoar and artificial bezoar. Chin Tradit Herb Drugs. 1996;27:603–5.
36.
go back to reference Shin SK, Lee YB, Shin DJ, Park HM, Park KH, Seong YH, Kim JH, Lim EK, Park CW. Correlation of serum total bilirubin levels and the severity of acute ischemic stroke. Korean J Cerebrovasc Surg. 2008;10:442–7. Shin SK, Lee YB, Shin DJ, Park HM, Park KH, Seong YH, Kim JH, Lim EK, Park CW. Correlation of serum total bilirubin levels and the severity of acute ischemic stroke. Korean J Cerebrovasc Surg. 2008;10:442–7.
37.
go back to reference Mas MR, Comert B, Mas N, Yamanel L, Ozotuk H, Tasci I, et al. Effects of long term hydrophilic bile acid therapy on in vitro containing of gallbladder muscle strips in patients with cholesterol gallstones. World J Gastroenterol WJG Press. 2007;13:4336–9.CrossRef Mas MR, Comert B, Mas N, Yamanel L, Ozotuk H, Tasci I, et al. Effects of long term hydrophilic bile acid therapy on in vitro containing of gallbladder muscle strips in patients with cholesterol gallstones. World J Gastroenterol WJG Press. 2007;13:4336–9.CrossRef
38.
go back to reference He W, Xu Y, Zhang C, Lu J, Li J, Xiang D, et al. Hepatoprotective effect of calculus bovis sativus on nonalcoholic fatty liver disease in mice by inhibiting oxidative stress and apoptosis of hepatocytes. Drug Des Devel Ther. 2017;11:3449–60.PubMedPubMedCentralCrossRef He W, Xu Y, Zhang C, Lu J, Li J, Xiang D, et al. Hepatoprotective effect of calculus bovis sativus on nonalcoholic fatty liver disease in mice by inhibiting oxidative stress and apoptosis of hepatocytes. Drug Des Devel Ther. 2017;11:3449–60.PubMedPubMedCentralCrossRef
39.
go back to reference Li T, Yang Z, Cai HJ, Song LW, Lu KY, Zhou Z, et al. Effects of in vitro cultivated Calculus Bovis compound on pulmonary lesions in rabbits with schistosomiasis. World J Gastroenterol. 2010;16:749–54.PubMedPubMedCentralCrossRef Li T, Yang Z, Cai HJ, Song LW, Lu KY, Zhou Z, et al. Effects of in vitro cultivated Calculus Bovis compound on pulmonary lesions in rabbits with schistosomiasis. World J Gastroenterol. 2010;16:749–54.PubMedPubMedCentralCrossRef
40.
go back to reference Jin R, Zhang B, Xue CM, Liu SM, Zhao Q, Li K. Classification of 365 Chinese medicines in Shennong’s Materia Medica Classic based on a semi-supervised incremental clustering method. J Chinese Integr Med. 2011;9:665–74.CrossRef Jin R, Zhang B, Xue CM, Liu SM, Zhao Q, Li K. Classification of 365 Chinese medicines in Shennong’s Materia Medica Classic based on a semi-supervised incremental clustering method. J Chinese Integr Med. 2011;9:665–74.CrossRef
41.
go back to reference Lin J, Feng J, Jin Y, Yan Z, Lai Z, Peng J. Pien Tze Huang suppresses VEGF-C-mediated lymphangiogenesis in colorectal cancer. Oncol Rep. 2016;36:3568–76.PubMedCrossRef Lin J, Feng J, Jin Y, Yan Z, Lai Z, Peng J. Pien Tze Huang suppresses VEGF-C-mediated lymphangiogenesis in colorectal cancer. Oncol Rep. 2016;36:3568–76.PubMedCrossRef
42.
go back to reference Tan H. Comparison on some pharmacological actions of musks from wild and domestic male musk deer in mice. Chin J Pharm Anal. 1993;13:223–8. Tan H. Comparison on some pharmacological actions of musks from wild and domestic male musk deer in mice. Chin J Pharm Anal. 1993;13:223–8.
43.
go back to reference Chen YS. Comparative studies on the pharmacological activities of muskrat and musk. Zhong yao tong bao. 1988;13:46.PubMed Chen YS. Comparative studies on the pharmacological activities of muskrat and musk. Zhong yao tong bao. 1988;13:46.PubMed
44.
go back to reference Chen YS, Jin SD, Dong WC, Tong YR, Hua SF, Zhao HY. Effect of muskrat on the cardiovascular system in anesthetized dogs. Zhongguo Zhong Yao Za Zhi. 1989;14(241–3):256. Chen YS, Jin SD, Dong WC, Tong YR, Hua SF, Zhao HY. Effect of muskrat on the cardiovascular system in anesthetized dogs. Zhongguo Zhong Yao Za Zhi. 1989;14(241–3):256.
45.
go back to reference Ye RY. Effect of heart-protecting Musk Pill on cardiac function of ischemic heart disease. Zhejiang J Integr Tradit. 2006;16:734–5. Ye RY. Effect of heart-protecting Musk Pill on cardiac function of ischemic heart disease. Zhejiang J Integr Tradit. 2006;16:734–5.
46.
go back to reference Hyun E, Bolla M, Steinhoff M, Wallace JL, Del Soldato P, Vergnolle N. Anti-inflammatory effects of nitric oxide-releasing hydrocortisone NCX 1022, in a murine model of contact dermatitis. Br J Pharmacol. 2004;143:618–25.PubMedPubMedCentralCrossRef Hyun E, Bolla M, Steinhoff M, Wallace JL, Del Soldato P, Vergnolle N. Anti-inflammatory effects of nitric oxide-releasing hydrocortisone NCX 1022, in a murine model of contact dermatitis. Br J Pharmacol. 2004;143:618–25.PubMedPubMedCentralCrossRef
47.
go back to reference Shi J-F, Zhang B-A, Jia Y-J. Protective effect of musk extract on rat’s cerebral cortical neurons with inflammatory injury. Chin J Integr Tradit West Med. 2010;30:625–9. Shi J-F, Zhang B-A, Jia Y-J. Protective effect of musk extract on rat’s cerebral cortical neurons with inflammatory injury. Chin J Integr Tradit West Med. 2010;30:625–9.
48.
go back to reference Xu L, Cao Y. Native musk and synthetic musk ketone strongly induced the growth repression and the apoptosis of cancer cells. BMC Complement Altern Med. 2016;16:511.PubMedPubMedCentralCrossRef Xu L, Cao Y. Native musk and synthetic musk ketone strongly induced the growth repression and the apoptosis of cancer cells. BMC Complement Altern Med. 2016;16:511.PubMedPubMedCentralCrossRef
49.
go back to reference Yu L, Cong R, Lin S, Sun Z, Li H, Lin P, Chu KXW. Determination of active components in Pien Tze Huang by mixed micellar electrokinetic chromatography. J Anal Sci. 2015. Yu L, Cong R, Lin S, Sun Z, Li H, Lin P, Chu KXW. Determination of active components in Pien Tze Huang by mixed micellar electrokinetic chromatography. J Anal Sci. 2015.
50.
go back to reference Lai YJ, Chen JPYY. Determination of four compounds in Pien Tze Huang by HPLC. Chinese Pharm J. 2008. Lai YJ, Chen JPYY. Determination of four compounds in Pien Tze Huang by HPLC. Chinese Pharm J. 2008.
51.
go back to reference Huang M, Zhao H, Xu W, Chu K, Hong Z, Peng J, et al. Rapid simultaneous determination of twelve major components in Pien Tze Huang by ultra-performance liquid chromatography coupled with triple quadrupole mass spectrometry. J Sep Sci. 2013;36:3866–73.PubMedCrossRef Huang M, Zhao H, Xu W, Chu K, Hong Z, Peng J, et al. Rapid simultaneous determination of twelve major components in Pien Tze Huang by ultra-performance liquid chromatography coupled with triple quadrupole mass spectrometry. J Sep Sci. 2013;36:3866–73.PubMedCrossRef
52.
go back to reference Huang M, Xu W, Zhang Y, Liu J, Zhang X, Lin J, et al. Identification and quantification of the anti-inflammatory constituents in Pian-Tze-Huang by liquid chromatography combined with quadrupole time-of-flight and triple quadrupole mass spectrometry. J Chromatogr B Anal Technol Biomed Life Sci. 2016;1027:27–39.CrossRef Huang M, Xu W, Zhang Y, Liu J, Zhang X, Lin J, et al. Identification and quantification of the anti-inflammatory constituents in Pian-Tze-Huang by liquid chromatography combined with quadrupole time-of-flight and triple quadrupole mass spectrometry. J Chromatogr B Anal Technol Biomed Life Sci. 2016;1027:27–39.CrossRef
53.
go back to reference Hou YL, Tsai YH, Lin YH, Chao JCJ. Ginseng extract and ginsenoside Rb1 attenuate carbon tetrachloride-induced liver fibrosis in rats. BMC Complement Altern Med. 2014;14:415.PubMedPubMedCentralCrossRef Hou YL, Tsai YH, Lin YH, Chao JCJ. Ginseng extract and ginsenoside Rb1 attenuate carbon tetrachloride-induced liver fibrosis in rats. BMC Complement Altern Med. 2014;14:415.PubMedPubMedCentralCrossRef
54.
go back to reference Park S, Ahn IS, Kwon DY, Ko BS, Jun WK. Ginsenosides Rb1 and Rg1 suppress triglyceride accumulation in 3T3-L1 adipocytes and enhance β-cell insulin secretion and viability in min6 cells via PKA-dependent pathways. Biosci Biotechnol Biochem. 2008;72:2815–23.PubMedCrossRef Park S, Ahn IS, Kwon DY, Ko BS, Jun WK. Ginsenosides Rb1 and Rg1 suppress triglyceride accumulation in 3T3-L1 adipocytes and enhance β-cell insulin secretion and viability in min6 cells via PKA-dependent pathways. Biosci Biotechnol Biochem. 2008;72:2815–23.PubMedCrossRef
55.
go back to reference Lee KKH, Kwong WH, Chau FT, Yew DT, Chan WY. Pien Tze Huang protects the liver against carbon tetrachloride-induced damage. Pharmacol Toxicol. 2002;91:185–92.PubMedCrossRef Lee KKH, Kwong WH, Chau FT, Yew DT, Chan WY. Pien Tze Huang protects the liver against carbon tetrachloride-induced damage. Pharmacol Toxicol. 2002;91:185–92.PubMedCrossRef
56.
go back to reference Yang Y, Chen Z, Deng L, Yu J, Wang K, Zhang X, et al. Pien Tze Huang ameliorates liver injury by inhibiting the PERK/eIF2α signaling pathway in alcohol and high-fat diet rats. Acta Histochem Elsevier GmbH. 2018;120:578–85.CrossRef Yang Y, Chen Z, Deng L, Yu J, Wang K, Zhang X, et al. Pien Tze Huang ameliorates liver injury by inhibiting the PERK/eIF2α signaling pathway in alcohol and high-fat diet rats. Acta Histochem Elsevier GmbH. 2018;120:578–85.CrossRef
57.
go back to reference Chan WY, Chau FT, Lee KKH, Kwong WH, Yew DT. Substitution for natural musk in Pien Tze Huang does not affect its hepatoprotective activities. Hum Exp Toxicol Arnold. 2004;23:35–47.CrossRef Chan WY, Chau FT, Lee KKH, Kwong WH, Yew DT. Substitution for natural musk in Pien Tze Huang does not affect its hepatoprotective activities. Hum Exp Toxicol Arnold. 2004;23:35–47.CrossRef
58.
go back to reference Zhao J, Zhang Y, Wan Y, Hu H, Hong Z. Pien Tze Huang Gan Bao attenuates carbon tetrachloride-induced hepatocyte apoptosis in rats, associated with suppression of p53 activation and oxidative stress. Mol Med Rep. 2017;16:2611–9.PubMedPubMedCentralCrossRef Zhao J, Zhang Y, Wan Y, Hu H, Hong Z. Pien Tze Huang Gan Bao attenuates carbon tetrachloride-induced hepatocyte apoptosis in rats, associated with suppression of p53 activation and oxidative stress. Mol Med Rep. 2017;16:2611–9.PubMedPubMedCentralCrossRef
59.
go back to reference Zhao J, Hu H, Wan Y, Zhang Y, Zheng L, Hong Z. Pien Tze Huang Gan Bao ameliorates carbon tetrachloride-induced hepatic injury, oxidative stress and inflammation in rats. spandidos-publications.com. Zhao J, Hu H, Wan Y, Zhang Y, Zheng L, Hong Z. Pien Tze Huang Gan Bao ameliorates carbon tetrachloride-induced hepatic injury, oxidative stress and inflammation in rats. spandidos-publications.com.
60.
go back to reference Lyu-yu D, Feng-hua L, Guang J, Yan-chun C, Xing Z, Technology EC for S and, et al. Effect Study of Pien Tze Huang on nonalcoholic fatty liver disease in rats. Chin J Exp Tradit. Med Formulae. 2015;124–8. Lyu-yu D, Feng-hua L, Guang J, Yan-chun C, Xing Z, Technology EC for S and, et al. Effect Study of Pien Tze Huang on nonalcoholic fatty liver disease in rats. Chin J Exp Tradit. Med Formulae. 2015;124–8.
61.
go back to reference Schwarz DS, Blower MD. The endoplasmic reticulum: Structure, function and response to cellular signaling. Cell Mol Life Sci 2016. p. 79–94. Schwarz DS, Blower MD. The endoplasmic reticulum: Structure, function and response to cellular signaling. Cell Mol Life Sci 2016. p. 79–94.
62.
go back to reference Guoli L, Hongshan W, Jianping Z, Fan X, Junyan H, Zhiying L, et al. The protection of panax notoginseng saponins against liver damage and its potential mechanisms. Chin J Exp Clin Infect Dis Version. 2007;1:5–9. Guoli L, Hongshan W, Jianping Z, Fan X, Junyan H, Zhiying L, et al. The protection of panax notoginseng saponins against liver damage and its potential mechanisms. Chin J Exp Clin Infect Dis Version. 2007;1:5–9.
63.
go back to reference Ding RB, Tian K, Cao YW, Bao JL, Wang M, He C, et al. Protective effect of panax notoginseng saponins on acute ethanol-induced liver injury is associated with ameliorating hepatic lipid accumulation and reducing ethanol-mediated oxidative stress. J Agric Food Chem. 2015;63:2413–22.PubMedCrossRef Ding RB, Tian K, Cao YW, Bao JL, Wang M, He C, et al. Protective effect of panax notoginseng saponins on acute ethanol-induced liver injury is associated with ameliorating hepatic lipid accumulation and reducing ethanol-mediated oxidative stress. J Agric Food Chem. 2015;63:2413–22.PubMedCrossRef
64.
go back to reference Wang DD, Zhu HZ, Li SW, Yang JM, Xiao Y, Kang QR, et al. Crude saponins of Panax notoginseng have neuroprotective effects to inhibit palmitate-triggered endoplasmic reticulum stress-associated apoptosis and loss of postsynaptic proteins in staurosporine differentiated RGC-5 retinal ganglion cells. J Agric Food Chem. 2016;64:1528–39.PubMedCrossRef Wang DD, Zhu HZ, Li SW, Yang JM, Xiao Y, Kang QR, et al. Crude saponins of Panax notoginseng have neuroprotective effects to inhibit palmitate-triggered endoplasmic reticulum stress-associated apoptosis and loss of postsynaptic proteins in staurosporine differentiated RGC-5 retinal ganglion cells. J Agric Food Chem. 2016;64:1528–39.PubMedCrossRef
65.
go back to reference Wang LC, Zhang WS, Liu Q, Li J, Alolga RN, Liu K, et al. A standardized notoginseng extract exerts cardioprotection by attenuating apoptosis under endoplasmic reticulum stress conditions. J Funct Foods Elsevier Ltd. 2015;16:20–7.CrossRef Wang LC, Zhang WS, Liu Q, Li J, Alolga RN, Liu K, et al. A standardized notoginseng extract exerts cardioprotection by attenuating apoptosis under endoplasmic reticulum stress conditions. J Funct Foods Elsevier Ltd. 2015;16:20–7.CrossRef
66.
go back to reference Parzych KR, Klionsky DJ. An overview of autophagy: morphology, mechanism, and regulation. Antioxidants Redox Signal. 2014. p. 460–73. Parzych KR, Klionsky DJ. An overview of autophagy: morphology, mechanism, and regulation. Antioxidants Redox Signal. 2014. p. 460–73.
67.
go back to reference Costas MA, Rubio MF. Autophagy. A strategy for cell survival. Medicina. 2017;77:314–20.PubMed Costas MA, Rubio MF. Autophagy. A strategy for cell survival. Medicina. 2017;77:314–20.PubMed
69.
go back to reference Próchnicki T, Latz E. Inflammasomes on the crossroads of innate immune recognition and metabolic control. Cell Metab. 2017;26:71–93.PubMedCrossRef Próchnicki T, Latz E. Inflammasomes on the crossroads of innate immune recognition and metabolic control. Cell Metab. 2017;26:71–93.PubMedCrossRef
70.
go back to reference Kim SH, Son KM, Kim KY, Yu SN, Park SG, Kim YW, et al. Deoxypodophyllotoxin induces cytoprotective autophagy against apoptosis via inhibition of PI3K/AKT/mTOR pathway in osteosarcoma U2OS cells. Pharmacol Rep. 2017;69:878–84.PubMedCrossRef Kim SH, Son KM, Kim KY, Yu SN, Park SG, Kim YW, et al. Deoxypodophyllotoxin induces cytoprotective autophagy against apoptosis via inhibition of PI3K/AKT/mTOR pathway in osteosarcoma U2OS cells. Pharmacol Rep. 2017;69:878–84.PubMedCrossRef
71.
go back to reference Bing-yi C, Wen-tao G, Jia-hui L, Nan L, Yan Z, Traumatology S of O and, et al. Pien Tze Huang inhibited proliferation of human osteosarcoma drug resistant cells MG63/ADM via PI3K/Akt pathway. China J Tradit Chin Med Pharm 2017;1520–4. Bing-yi C, Wen-tao G, Jia-hui L, Nan L, Yan Z, Traumatology S of O and, et al. Pien Tze Huang inhibited proliferation of human osteosarcoma drug resistant cells MG63/ADM via PI3K/Akt pathway. China J Tradit Chin Med Pharm 2017;1520–4.
72.
go back to reference Peng R, Wang S, Wang R, Wang Y, Wu Y, Yuan Y. Antifibrotic effects of tanshinol in experimental hepatic fibrosis by targeting PI3K/AKT/mTOR/p70S6K1 signaling pathways. Discov Med. 2017;23:81–94.PubMed Peng R, Wang S, Wang R, Wang Y, Wu Y, Yuan Y. Antifibrotic effects of tanshinol in experimental hepatic fibrosis by targeting PI3K/AKT/mTOR/p70S6K1 signaling pathways. Discov Med. 2017;23:81–94.PubMed
73.
go back to reference Gao H, Sun Y, Yu HT, Zhang CJ. Mechanism of ginsenoside Rh2 inhibit non-small cell lung cancer. Adv Mater Res. 2013;749:167–71.CrossRef Gao H, Sun Y, Yu HT, Zhang CJ. Mechanism of ginsenoside Rh2 inhibit non-small cell lung cancer. Adv Mater Res. 2013;749:167–71.CrossRef
74.
go back to reference Qiu X, Guo Q, Liu X, Luo H, Fan D, Deng Y, et al. Pien Tze Huang alleviates relapsing-remitting experimental autoimmune encephalomyelitis mice by regulating Th1 and Th17 cells. Front Pharmacol. 2018;9:1237.PubMedPubMedCentralCrossRef Qiu X, Guo Q, Liu X, Luo H, Fan D, Deng Y, et al. Pien Tze Huang alleviates relapsing-remitting experimental autoimmune encephalomyelitis mice by regulating Th1 and Th17 cells. Front Pharmacol. 2018;9:1237.PubMedPubMedCentralCrossRef
76.
go back to reference Zhang L, Lam WP, Lü L, Wang C, Wong YW, Lam LH, et al. Protective effects and potential mechanisms of Pien Tze Huang on cerebral chronic ischemia and hypertensive stroke. Chin Med. 2010;5:1–4.PubMedPubMedCentralCrossRef Zhang L, Lam WP, Lü L, Wang C, Wong YW, Lam LH, et al. Protective effects and potential mechanisms of Pien Tze Huang on cerebral chronic ischemia and hypertensive stroke. Chin Med. 2010;5:1–4.PubMedPubMedCentralCrossRef
77.
go back to reference Zhang X, Zhang Y, Tang S, Yu L, Zhao Y, Ren Q, et al. Pien-Tze-Huang protects cerebral ischemic injury by inhibiting neuronal apoptosis in acute ischemic stroke rats. J Ethnopharmacol Elsevier Ireland Ltd. 2018;219:117–25.CrossRef Zhang X, Zhang Y, Tang S, Yu L, Zhao Y, Ren Q, et al. Pien-Tze-Huang protects cerebral ischemic injury by inhibiting neuronal apoptosis in acute ischemic stroke rats. J Ethnopharmacol Elsevier Ireland Ltd. 2018;219:117–25.CrossRef
78.
go back to reference Lu L, Wai MSM, Yew DT, Mak YT. Pien Tze Huang, a composite Chinese traditional herbal extract, affects survival of neuroblastoma cells. Int J Neurosci. 2009;119:255–62.PubMedCrossRef Lu L, Wai MSM, Yew DT, Mak YT. Pien Tze Huang, a composite Chinese traditional herbal extract, affects survival of neuroblastoma cells. Int J Neurosci. 2009;119:255–62.PubMedCrossRef
79.
go back to reference Correale J, Gaitán MI, Ysrraelit MC, Fiol MP. Progressive multiple sclerosis: from pathogenic mechanisms to treatment. Brain. 2017;140:527–46.PubMed Correale J, Gaitán MI, Ysrraelit MC, Fiol MP. Progressive multiple sclerosis: from pathogenic mechanisms to treatment. Brain. 2017;140:527–46.PubMed
80.
go back to reference Constantinescu CS, Farooqi N, O’Brien K, Gran B. Experimental autoimmune encephalomyelitis (EAE) as a model for multiple sclerosis (MS). Br J Pharmacol. 2011;164:1079–106.PubMedPubMedCentralCrossRef Constantinescu CS, Farooqi N, O’Brien K, Gran B. Experimental autoimmune encephalomyelitis (EAE) as a model for multiple sclerosis (MS). Br J Pharmacol. 2011;164:1079–106.PubMedPubMedCentralCrossRef
81.
go back to reference Lee MJ, Jang M, Choi J, Chang BS, Kim DY, Kim SH, et al. Korean red ginseng and ginsenoside-Rb1/-Rg1 alleviate experimental autoimmune encephalomyelitis by suppressing Th1 and Th17 cells and upregulating regulatory T cells. Mol Neurobiol. 2016;53:1977–2002.PubMedCrossRef Lee MJ, Jang M, Choi J, Chang BS, Kim DY, Kim SH, et al. Korean red ginseng and ginsenoside-Rb1/-Rg1 alleviate experimental autoimmune encephalomyelitis by suppressing Th1 and Th17 cells and upregulating regulatory T cells. Mol Neurobiol. 2016;53:1977–2002.PubMedCrossRef
82.
go back to reference Qian L, Xiyan H, Lingqun Z. Effect of Pien Tze Huang on aquaporin-4 express in focal cerebral infarction rats. Chin J Integr Med Cardio/cerebrovasc Dis. 2013;11:59–61. Qian L, Xiyan H, Lingqun Z. Effect of Pien Tze Huang on aquaporin-4 express in focal cerebral infarction rats. Chin J Integr Med Cardio/cerebrovasc Dis. 2013;11:59–61.
83.
go back to reference Zhang L, Lam WP, Lu L, Wang Y-XJ, Wong YW, Lam LH, et al. How would composite traditional chinese medicine protect the brain—an example of the composite formula “Pien Tze Huang”. Curr Med Chem 2011;18:3590–4. Zhang L, Lam WP, Lu L, Wang Y-XJ, Wong YW, Lam LH, et al. How would composite traditional chinese medicine protect the brain—an example of the composite formula “Pien Tze Huang”. Curr Med Chem 2011;18:3590–4.
84.
go back to reference Fitzmaurice C, Abate D, Abbasi N, Abbastabar H, Abd-Allah F, Abdel-Rahman O, et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-Adjusted life-years for 29 cancer groups, 1990 to 2017: A systematic analysis for the global burden of disease study. JAMA Oncol. 2019;5:1749–68.PubMedPubMedCentralCrossRef Fitzmaurice C, Abate D, Abbasi N, Abbastabar H, Abd-Allah F, Abdel-Rahman O, et al. Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-Adjusted life-years for 29 cancer groups, 1990 to 2017: A systematic analysis for the global burden of disease study. JAMA Oncol. 2019;5:1749–68.PubMedPubMedCentralCrossRef
85.
go back to reference Rezaee Z, Yadollahpour A, Bayati V, Dehbashi FN. Gold nanoparticles and electroporation impose both separate and synergistic radiosensitizing effects in HT-29 tumor cells: an in vitro study. Int J Nanomed. 2017;12:1431–9.CrossRef Rezaee Z, Yadollahpour A, Bayati V, Dehbashi FN. Gold nanoparticles and electroporation impose both separate and synergistic radiosensitizing effects in HT-29 tumor cells: an in vitro study. Int J Nanomed. 2017;12:1431–9.CrossRef
86.
go back to reference Yadollahpour A, Rezaee Z, Bayati V, Birgani MJT, Dehbashi FN. Radiotherapy enhancement with electroporation in human intestinal colon cancer HT-29 Cells. Asian Pacific J Cancer Prev. 2018;19:1259–62. Yadollahpour A, Rezaee Z, Bayati V, Birgani MJT, Dehbashi FN. Radiotherapy enhancement with electroporation in human intestinal colon cancer HT-29 Cells. Asian Pacific J Cancer Prev. 2018;19:1259–62.
88.
go back to reference Wu P, Zhu H, Zhuang Y, Sun X, Gu N. Combined therapeutic effects of131I-Labeled and 5Fu-loaded multifunctional nanoparticles in colorectal cancer. Int J Nanomed. 2020;15:2777–87.CrossRef Wu P, Zhu H, Zhuang Y, Sun X, Gu N. Combined therapeutic effects of131I-Labeled and 5Fu-loaded multifunctional nanoparticles in colorectal cancer. Int J Nanomed. 2020;15:2777–87.CrossRef
89.
go back to reference Rezaee Z, Yadollahpour A, Bayati V. Single intense microsecond electric pulse induces radiosensitization to ionizing radiation: effects of time intervals between electric pulse and ionizing irradiation. Front Oncol. 2018;8:418.PubMedPubMedCentralCrossRef Rezaee Z, Yadollahpour A, Bayati V. Single intense microsecond electric pulse induces radiosensitization to ionizing radiation: effects of time intervals between electric pulse and ionizing irradiation. Front Oncol. 2018;8:418.PubMedPubMedCentralCrossRef
90.
go back to reference Edlich F. BCL-2 proteins and apoptosis: recent insights and unknowns. Biochem Biophys Res Commun. 2018;500:26–34.PubMedCrossRef Edlich F. BCL-2 proteins and apoptosis: recent insights and unknowns. Biochem Biophys Res Commun. 2018;500:26–34.PubMedCrossRef
91.
go back to reference Macdonald A, Campbell DG, Toth R, McLauchlan H, Hastie CJ, Arthur JSC. Pim kinases phosphorylate multiple sites in Bad and promote 14-3-3 binding and dissociation from Bcl-XL. BMC Cell Biol. 2006;7:1–4.PubMedPubMedCentralCrossRef Macdonald A, Campbell DG, Toth R, McLauchlan H, Hastie CJ, Arthur JSC. Pim kinases phosphorylate multiple sites in Bad and promote 14-3-3 binding and dissociation from Bcl-XL. BMC Cell Biol. 2006;7:1–4.PubMedPubMedCentralCrossRef
92.
go back to reference Vasudev NS, Reynolds AR. Anti-angiogenic therapy for cancer: current progress, unresolved questions and future directions. Angiogenesis. 2014;17:471–94.PubMedPubMedCentralCrossRef Vasudev NS, Reynolds AR. Anti-angiogenic therapy for cancer: current progress, unresolved questions and future directions. Angiogenesis. 2014;17:471–94.PubMedPubMedCentralCrossRef
93.
94.
go back to reference Zhuang Q, Hong F, Shen A, Zheng L, Zeng J, Lin W, et al. Pien Tze Huang inhibits tumor cell proliferation and promotes apoptosis via suppressing the STAT3 pathway in a colorectal cancer mouse model. Int J Oncol. 2012;40:1569–74.PubMed Zhuang Q, Hong F, Shen A, Zheng L, Zeng J, Lin W, et al. Pien Tze Huang inhibits tumor cell proliferation and promotes apoptosis via suppressing the STAT3 pathway in a colorectal cancer mouse model. Int J Oncol. 2012;40:1569–74.PubMed
95.
go back to reference Lin JM, Wei LH, Chen YQ, Liu XX, Hong ZF, Sferra TJ, et al. Pien Tze Huang-induced apoptosis in human colon cancer HT-29 cells is associated with regulation of the Bcl-2 family and activation of caspase 3. Chin J Integr Med. 2011;17:685–90.PubMedCrossRef Lin JM, Wei LH, Chen YQ, Liu XX, Hong ZF, Sferra TJ, et al. Pien Tze Huang-induced apoptosis in human colon cancer HT-29 cells is associated with regulation of the Bcl-2 family and activation of caspase 3. Chin J Integr Med. 2011;17:685–90.PubMedCrossRef
96.
go back to reference Shen A, Hong F, Liu L, Lin J, Zhuang Q, Hong Z, et al. Effects of Pien Tze Huang on angiogenesis in vivo and in vitro. Chin J Integr Med. 2012;18:431–6.PubMedCrossRef Shen A, Hong F, Liu L, Lin J, Zhuang Q, Hong Z, et al. Effects of Pien Tze Huang on angiogenesis in vivo and in vitro. Chin J Integr Med. 2012;18:431–6.PubMedCrossRef
97.
go back to reference Ren S, Yuan F, Liu Y, Zhou L, Li J. Effect of p27 gene combined with Pientzehuang (片仔癀) on tumor growth in osteosarcoma-bearing nude mice. Chin J Integr Med. 2015;21:830–6.PubMedCrossRef Ren S, Yuan F, Liu Y, Zhou L, Li J. Effect of p27 gene combined with Pientzehuang (片仔癀) on tumor growth in osteosarcoma-bearing nude mice. Chin J Integr Med. 2015;21:830–6.PubMedCrossRef
99.
go back to reference Wan Y, Shen A, Qi F, Chu J, Cai Q, Sferra TJ, et al. Pien Tze Huang inhibits the proliferation of colorectal cancer cells by increasing the expression of miR-34c-5p. Exp Ther Med. 2017;14:3901–7.PubMedPubMedCentralCrossRef Wan Y, Shen A, Qi F, Chu J, Cai Q, Sferra TJ, et al. Pien Tze Huang inhibits the proliferation of colorectal cancer cells by increasing the expression of miR-34c-5p. Exp Ther Med. 2017;14:3901–7.PubMedPubMedCentralCrossRef
100.
go back to reference Fu C, Chu J, Shen A, Liu L, Chen H, Lin J, et al. Pien Tze Huang alleviates 5-fluorouracil-induced intestinal mucositis in CT-26 tumor-bearing mice. Exp Ther Med. 2017;14:2291–7.PubMedPubMedCentralCrossRef Fu C, Chu J, Shen A, Liu L, Chen H, Lin J, et al. Pien Tze Huang alleviates 5-fluorouracil-induced intestinal mucositis in CT-26 tumor-bearing mice. Exp Ther Med. 2017;14:2291–7.PubMedPubMedCentralCrossRef
101.
go back to reference Shen A, Lin J, Chen Y, Lin W, Liu L, Hong Z, et al. Pien Tze Huang inhibits tumor angiogenesis in a mouse model of colorectal cancer via suppression of multiple cellular pathways. Oncol Rep. 2013;30:1701–6.PubMedCrossRef Shen A, Lin J, Chen Y, Lin W, Liu L, Hong Z, et al. Pien Tze Huang inhibits tumor angiogenesis in a mouse model of colorectal cancer via suppression of multiple cellular pathways. Oncol Rep. 2013;30:1701–6.PubMedCrossRef
102.
go back to reference Mohamed SY, Mohammed HL, Ibrahim HM, Mohamed EM, Salah M. Role of VEGF, CD105, and CD31 in the prognosis of colorectal cancer cases. J Gastrointest Cancer. 2019;50:23–34.PubMedCrossRef Mohamed SY, Mohammed HL, Ibrahim HM, Mohamed EM, Salah M. Role of VEGF, CD105, and CD31 in the prognosis of colorectal cancer cases. J Gastrointest Cancer. 2019;50:23–34.PubMedCrossRef
104.
go back to reference Shen A, Lin W, Chen Y, Liu L, Chen H, Zhuang Q, et al. Pien Tze Huang inhibits metastasis of human colorectal carcinoma cells via modulation of TGF-β1/ZEB/miR-200 signaling network. Int J Oncol. 2015;46:685–90.PubMedCrossRef Shen A, Lin W, Chen Y, Liu L, Chen H, Zhuang Q, et al. Pien Tze Huang inhibits metastasis of human colorectal carcinoma cells via modulation of TGF-β1/ZEB/miR-200 signaling network. Int J Oncol. 2015;46:685–90.PubMedCrossRef
105.
go back to reference Lin W, Zhuang Q, Zheng L, Cao Z, Shen A, Li Q, et al. Pien Tze Huang inhibits liver metastasis by targeting TGF-β signaling in an orthotopic model of colorectal cancer. Oncol Rep. 2015;33:1922–8.PubMedCrossRef Lin W, Zhuang Q, Zheng L, Cao Z, Shen A, Li Q, et al. Pien Tze Huang inhibits liver metastasis by targeting TGF-β signaling in an orthotopic model of colorectal cancer. Oncol Rep. 2015;33:1922–8.PubMedCrossRef
106.
go back to reference Pan Y, Liang H, Chen W, Zhang H, Wang N, Wang F, et al. MicroRNA-200b and microRNA-200c promote colorectal cancer cell proliferation via targeting the reversion-inducing cysteine-rich protein with Kazal motifs. RNA Biol. 2015;12:276–89.PubMedPubMedCentralCrossRef Pan Y, Liang H, Chen W, Zhang H, Wang N, Wang F, et al. MicroRNA-200b and microRNA-200c promote colorectal cancer cell proliferation via targeting the reversion-inducing cysteine-rich protein with Kazal motifs. RNA Biol. 2015;12:276–89.PubMedPubMedCentralCrossRef
107.
go back to reference Fu Y, Zhang L, Hong Z, Zheng H, Li N, Gao H, et al. Methanolic extract of pien tze huang induces apoptosis signaling in human osteosarcoma MG63 cells via multiple pathways. Molecules. 2016;21:283.PubMedPubMedCentralCrossRef Fu Y, Zhang L, Hong Z, Zheng H, Li N, Gao H, et al. Methanolic extract of pien tze huang induces apoptosis signaling in human osteosarcoma MG63 cells via multiple pathways. Molecules. 2016;21:283.PubMedPubMedCentralCrossRef
108.
go back to reference He F, Wu HN, Cai MY, Li CP, Zhang X, Wan Q, et al. Inhibition of ovarian cancer cell proliferation by Pien Tze Huang via the AKT-mTOR pathway. Oncol Lett. 2014;7:2047–52.PubMedPubMedCentralCrossRef He F, Wu HN, Cai MY, Li CP, Zhang X, Wan Q, et al. Inhibition of ovarian cancer cell proliferation by Pien Tze Huang via the AKT-mTOR pathway. Oncol Lett. 2014;7:2047–52.PubMedPubMedCentralCrossRef
109.
go back to reference Wei L, Chen P, Chen Y, Shen A, Chen H, Lin W, et al. Pien Tze Huang suppresses the stem-like side population in colorectal cancer cells. Mol Med Rep. 2014;9:261–6.PubMedCrossRef Wei L, Chen P, Chen Y, Shen A, Chen H, Lin W, et al. Pien Tze Huang suppresses the stem-like side population in colorectal cancer cells. Mol Med Rep. 2014;9:261–6.PubMedCrossRef
110.
go back to reference Qi F, Wei L, Shen A, Chen Y, Lin J, Chu J, et al. Pien Tze Huang inhibits the proliferation, and induces the apoptosis and differentiation of colorectal cancer stem cells via suppression of the Notch1 pathway. Oncol Rep. 2016;35:511–7.PubMedCrossRef Qi F, Wei L, Shen A, Chen Y, Lin J, Chu J, et al. Pien Tze Huang inhibits the proliferation, and induces the apoptosis and differentiation of colorectal cancer stem cells via suppression of the Notch1 pathway. Oncol Rep. 2016;35:511–7.PubMedCrossRef
112.
go back to reference Zhang Y, Wang Q, Niu S, Liu J, Zhang L. Pien Tze Huang induces apoptosis in multidrug-resistant U2OS/ADM cells via downregulation of Bcl-2, survivin and P-gp and upregulation of Bax. Oncol Rep. 2014;31:763–70.PubMedCrossRef Zhang Y, Wang Q, Niu S, Liu J, Zhang L. Pien Tze Huang induces apoptosis in multidrug-resistant U2OS/ADM cells via downregulation of Bcl-2, survivin and P-gp and upregulation of Bax. Oncol Rep. 2014;31:763–70.PubMedCrossRef
113.
go back to reference Qi F, Zhou S, Li L, Wei L, Shen A, Liu L, et al. Pien Tze Huang inhibits the growth of hepatocellular carcinoma cells by upregulating miR-16 expression. Oncol Lett. 2017;14:8132–7.PubMedPubMedCentral Qi F, Zhou S, Li L, Wei L, Shen A, Liu L, et al. Pien Tze Huang inhibits the growth of hepatocellular carcinoma cells by upregulating miR-16 expression. Oncol Lett. 2017;14:8132–7.PubMedPubMedCentral
114.
go back to reference Chen X, Qi F, Shen AL, Chu JF, Sferra TJ, Chen YQ, et al. Pien Tze Huang (片仔癀) overcomes doxorubicin resistance and inhibits epithelial-mesenchymal transition in MCF-7/ADR CELLS. Chin J Integr Med. 2019;25:598–603.PubMedCrossRef Chen X, Qi F, Shen AL, Chu JF, Sferra TJ, Chen YQ, et al. Pien Tze Huang (片仔癀) overcomes doxorubicin resistance and inhibits epithelial-mesenchymal transition in MCF-7/ADR CELLS. Chin J Integr Med. 2019;25:598–603.PubMedCrossRef
116.
go back to reference Chen H, Shen A, Zhang Y, Chen Y, Lin J, Lin W, et al. Pien Tze Huang inhibits hypoxia-induced epithelial-mesenchymal transition in human colon carcinoma cells through suppression of the HIF-1 pathway. Exp Ther Med. 2014;7:1237–42.PubMedPubMedCentralCrossRef Chen H, Shen A, Zhang Y, Chen Y, Lin J, Lin W, et al. Pien Tze Huang inhibits hypoxia-induced epithelial-mesenchymal transition in human colon carcinoma cells through suppression of the HIF-1 pathway. Exp Ther Med. 2014;7:1237–42.PubMedPubMedCentralCrossRef
117.
go back to reference Shackleton M. Normal stem cells and cancer stem cells: similar and different. Semin Cancer Biol. 2010;20:85–92.PubMedCrossRef Shackleton M. Normal stem cells and cancer stem cells: similar and different. Semin Cancer Biol. 2010;20:85–92.PubMedCrossRef
118.
go back to reference Li L, Shen A, Chu J, Sferra TJ, Sankararaman S, Ke X, et al. Pien Tze Huang ameliorates DSS-induced colonic inflammation in a mouse colitis model through inhibition of the IL-6/STAT3 pathway. Mol Med Rep. 2018;18:1113–9.PubMed Li L, Shen A, Chu J, Sferra TJ, Sankararaman S, Ke X, et al. Pien Tze Huang ameliorates DSS-induced colonic inflammation in a mouse colitis model through inhibition of the IL-6/STAT3 pathway. Mol Med Rep. 2018;18:1113–9.PubMed
Metadata
Title
Pien Tze Huang (PZH) as a Multifunction Medicinal Agent in Traditional Chinese Medicine (TCM): a review on cellular, molecular and physiological mechanisms
Author
Zhiliang Chen
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Cancer Cell International / Issue 1/2021
Electronic ISSN: 1475-2867
DOI
https://doi.org/10.1186/s12935-021-01785-3

Other articles of this Issue 1/2021

Cancer Cell International 1/2021 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine