Name: 建立溃疡性结肠直肠炎-结直肠癌（UC-CRC）模型评估中药的治疗效果
Uploaded: 2023-10-13T12:50:00
Description: Watch this Scientific Journal Video about Establishment of an Ulcerative Coloproctitis-Colorectal Cancer UC-CRC Model to Evaluate the Therapeutic Effect of Chinese Medicine at JoVE.com

establishment of an ulcerative coloproctitis-colorectal cancer (uc-crc) model to evaluate the therapeutic effect of chinese medicine

六君子汤：预防 UC-CRC 的有效治疗方法

Colorectal cancer (CRC) is a common gastrointestinal malignancy, the third most common malignancy, and the second most common cause of death in the world, accounting for 10% of the global cancer incidence and 9.4% of the total cancer-related death1,2. Genetic factors, chronic inflammation, high-fat diet, diabetes, and abnormal intestinal flora are risk factors for CRC3,4. Among them, inflammatory bowel disease, especially ulcerative coloproctitis (UC), is a clear risk factor for CRC5,6. UC-associated CRC (UC-CRC) is a transition process of inflammation, atypical hyperplasia, and cancer based on chronic inflammation of the colorectum, which is different from the typical adenoma-adenocarcinoma development model of CRC7,8. Compared with the general population, the risk of CRC is approximately 10-40 times higher in patients with inflammatory bowel disease9.
Currently, surgery is still the standard treatment for CRC, and depending on the location and stage of the tumor, radiation therapy, systemic drug therapy, or a combination of both are possible10. Although these traditional treatment modalities have made great progress, due to the high heterogeneity and recurrence rate of CRC, the prognosis is poor, and the treatment effect is not ideal11,12. Therefore, early detection, early diagnosis, and comprehensive treatment are key to improving the survival rate of CRC patients, and it is particularly important to pay attention to the transformation of UC to CRC. Over the years, traditional Chinese medicine (TCM) has attracted much attention in the treatment of UC-CRC or chronic gastritis due to its limited side effects and significant efficacy. Based on dialectical treatment, famous Chinese medicine practitioners of various generations have created a large number of classic prescriptions, such as Huangqi Jianzhong decoction13, Sijunzi decoction14, and Sishen pill15.
Liujunzi decoction (LJZD) originated from the works of Yi Xue Zheng Zhuan compiled in the Ming Dynasty and is a classic prescription in TCM16. As shown in Table 1, LJZD consists of six traditional herbs, including Codonopsis pilosula (Franch.) Nannf. (Dangshen), Poria cocos (Schw.) Wolf (Fuling), Atractylodes macrocephala Koidz. (Baizhu), Glycyrrhiza uralensis Fisch. (Gancao), Citrus reticulata Blanco (Chenpi) and Pinellia ternata (Thunb.) Breit (Banxia), which has the effect of replenishing qi and strengthening the spleen, drying dampness, and resolving phlegm. In modern clinical practice, it is often used to treat chronic gastritis, gastric ulcers, and duodenal ulcers. Modern pharmacological research has shown that LJZD and modified LJZD have high application value in the adjuvant treatment of UC and digestive tract cancer17,18,19.
At present, there are many ways to construct UC-CRC mouse models, but the azoxymethane (AOM)/dextran sulfate sodium (DSS) induced mouse model is the most widely used UC-CRC model; the clinical symptoms, morphological, and pathological observations have proved that the model is very similar to human UC-CRC20,21. The basic principle is to first induce carcinogenesis with chemical carcinogen AOM and then continuously expose mice to the inflammatory stimulation environment of DSS to simulate the continuous damage and repair of intestinal mucosal epithelium, thereby constructing a UC-CRC mouse model22. The aim of this study is to establish a mouse model of UC-CRC by intraperitoneal injection of AOM and cyclic stimulation of DSS in the short term and to evaluate the effect of the drug and the molecular mechanism of LJZD on UC-CRC in order to provide a scientific basis for the treatment of UC-CRC.

作者聚焦： 六君子汤作为结肠直肠炎癌症的中医治疗方法

小鼠结肠直肠炎癌症模型的建立及中药治疗效果评价

This study was on the prevention and treatment of coloproctitis cancer with traditional Chinese medicine. We aim to establish a mouse model for coloproctitis cancer and evaluate traditional Chinese medicine indicators. We confirmed that the Chinese medicine Liujunzi decoction is a effective treatment for coloproctitis cancer prevention.In the future, we will work to identify more sensitive biomarkers for colon and rectal cancer and screen Liujunzi decoction for therapeutic targets.

Watch this Scientific Journal Video about Establishment of an Ulcerative Coloproctitis-Colorectal Cancer UC-CRC Model to Evaluate the Therapeutic Effect of Chinese Medicine at JoVE.com

建立溃疡性结肠直肠炎-结直肠癌（UC-CRC）模型评估中药的治疗效果

首先，轻轻地将鼠标放在腹部向上，头部略微向下。抓住背部皮肤以固定腹部区域，并插入一根一毫升的注射器针头，在线交叉处腹部中线右侧一厘米处，连接两条大腿。逐渐将一毫升注射器针头插入皮肤下三到五毫米的深度。将针头以 45 度角插入腹腔约 0.3 至 0.5 毫米。一旦针尖穿过腹部肌肉，就会注意到阻力突然下降。每10克体重缓慢地将0.1毫升偶氮甲烷注射液注入小鼠体内。随后，轻轻缩回注射器。然后将 500 毫升无菌蒸馏水加入 10 克 DSS 中。准备 2%DSS 溶液。将溶液与涡旋混合器混合并储存在4摄氏度直至使用，在第7周和第15周通过胃管饲法每天在一致的时间将制备的LJZD和五氨基水杨酸溶液施用到相应的组中。

Research

JoVE Journal

Medicine

Establishment of an Ulcerative Coloproctitis-Colorectal Cancer (UC-CRC) Model to Evaluate the Therapeutic Effect of Chinese Medicine

Establishment of Coloproctitis Cancer Model in Mice and Evaluation of Therapeutic Effect of Chinese Medicine

Colorectal cancer (CRC) is a common malignancy of the digestive system and has become the third most common malignancy worldwide and the second leading ...