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Research progress on traditional Chinese medicines regulating endoplasmic reticulum stress in the intervention of colorectal cancer
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DOI   10.11656/j.issn.1672-1519.2026.05.15
Key Words   colorectal cancer;endoplasmic reticulum stress;mechanism;traditional Chinese medicine
Author NameAffiliationE-mail
LIANG Lei Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
ZHANG Le West China Hospital Sichuan University Jintang Hospital-Jintang First People's Hospital, Chengdu 610400, China  
PENG Xin Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
LIU Shihong Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China  
LIANG Hairong North Sichuan Medical College, Nanchong 637000, China  
ZHANG Yutian Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China  
WANG Tianlin The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China  
LI Zhenyu West China Hospital Sichuan University Jintang Hospital-Jintang First People's Hospital, Chengdu 610400, China 443123903@qq.com 
WANG Hong The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300250, China ctwanghong@sina.com 
Abstract
    Colorectal cancer(CRC) is one of the most prevalent malignant tumors in the digestive system,with consistently high incidence and mortality rates,making it a significant global public health concern. The pathogenesis of CRC is highly complex,and its early symptoms are often nonspecific,which leads to delayed diagnosis and difficult treatment. Moreover,the overall prognosis remains unfavorable. Current therapeutic approaches,including surgical resection,radiotherapy,and chemotherapy,are associated with various limitations. Therefore,the development of safe,effective,and low-toxicity therapeutic strategies has become an urgent priority in clinical oncology. Accumulating evidence indicates that endoplasmic reticulum stress(ERS) plays a crucial role in the initiation and progression of CRC,as well as in tumor cell proliferation,invasion,metastasis,and drug resistance. Targeted modulation of ERS signaling pathways may offer a promising novel approach for the intervention of CRC. Multiple studies have confirmed that the active components of traditional Chinese medicine,owing to their advantages of multi-target,multi-pathway and multi-level actions,are widely utilized in the prevention and treatment of CRC,making them a prominent focus of recent research. Active ingredients of Chinese medicines,including terpenoids,phenylpropanoids,polyphenols,quinones,steroids and alkaloids,have been demonstrated to exert anti-CRC effects by modulating ERS-related signaling pathways. These mechanisms involve inducing tumor cell apoptosis and autophagy,arresting cancer cell cycles,regulating epithelial-mesenchymal transition,enhancing chemosensitivity,and inhibiting tumor cell proliferation and migration. This article aims to systematically review the mechanisms and therapeutic potential of TCM-mediated ERS regulation in CRC management,synthesizing domestic and international research over the past decade. It also addresses current research limitations,aiming to provide insights and references for the development of future CRC prevention strategies and novel therapeutic agents.

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