Meta-Analysis of Oxaliplatin-Based Chemotherapy Combined With Traditional Medicines for Colorectal Cancer: Contributions of Specific Plants to Tumor Response
机构:[1]The China-Australia International Research Centre for Chinese Medicine, School of Health Sciences, RMIT University, Melbourne, Australia[2]Guangdong Provincial Hospital of Chinese Medicine, Guangdong Provincial Academy of Chinese Medical Sciences, and The Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China广东省中医院
This meta-analysis evaluates the clinical evidence for the addition of traditional medicines (TMs) to oxaliplatin-based regimens for colorectal cancer (CRC) in terms of tumor response rate (TRR). Eight electronic databases were searched for randomized controlled trials of oxaliplatin-based chemotherapy combined with TMs compared to the same oxaliplatin-based regimen. Data on TRR from 42 randomized controlled trials were analyzed using Review Manager 5.1. Studies were conducted in China or Japan. Publication bias was not evident. The meta-analyses suggest that the combination of the TMs with oxaliplatin-based regimens increased TRR in the palliative treatment of CRC (risk ratio [RR] 1.31 [1.20-1.42], I-2 = 0%). Benefits were evident for both injection products (RR 1.36 [1.18-1.57], I-2 = 0%) and orally administered TMs (RR 1.27 [1.15-1.41], I-2 = 0%). Further sensitivity analysis of specific plant-based TMs found that Paeonia, Curcuma, and Sophora produced consistently higher contributions to the RR results. Compounds in each of these TMs have shown growth-inhibitory effects in CRC cell-line studies. Specific combinations of TMs appeared to produce higher contributions to TRR than the TMs individually. Notable among these was the combination of Hedyotis, Astragalus, and Scutellaria.
基金:
China-Australia International Research Centre for Chinese Medicine (CAIRCCM), a joint initiative of RMIT University, Australia; Guangdong Provincial Academy of Chinese Medical Sciences, China; RMIT University, Australia
第一作者机构:[1]The China-Australia International Research Centre for Chinese Medicine, School of Health Sciences, RMIT University, Melbourne, Australia
通讯作者:
通讯机构:[1]The China-Australia International Research Centre for Chinese Medicine, School of Health Sciences, RMIT University, Melbourne, Australia[*1]School of Health Sciences, College of Science, Engineering and Health, RMIT University, PO Box 71, Bundoora, Victoria 3083, Australia.
推荐引用方式(GB/T 7714):
Chen Menghua,May Brian H.,Zhou Iris W.,et al.Meta-Analysis of Oxaliplatin-Based Chemotherapy Combined With Traditional Medicines for Colorectal Cancer: Contributions of Specific Plants to Tumor Response[J].INTEGRATIVE CANCER THERAPIES.2016,15(1):40-59.doi:10.1177/1534735415596424.
APA:
Chen, Menghua,May, Brian H.,Zhou, Iris W.,Xue, Charlie C. L.&Zhang, Anthony L..(2016).Meta-Analysis of Oxaliplatin-Based Chemotherapy Combined With Traditional Medicines for Colorectal Cancer: Contributions of Specific Plants to Tumor Response.INTEGRATIVE CANCER THERAPIES,15,(1)
MLA:
Chen, Menghua,et al."Meta-Analysis of Oxaliplatin-Based Chemotherapy Combined With Traditional Medicines for Colorectal Cancer: Contributions of Specific Plants to Tumor Response".INTEGRATIVE CANCER THERAPIES 15..1(2016):40-59