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@@ -910,6 +910,34 @@
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</div>
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+ <div class="evidence-inline">
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+ <div class="evidence-title">🧪 口服碳酸氢钠抑制肿瘤自发转移 — Cancer Res 2009</div>
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+ <img class="ref-shot" src="../img/ref-screenshots/cancer_ref_bicarb.png" alt="Bicarbonate increases tumor pH and inhibits spontaneous metastases">
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+ <div class="evidence-caption">
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+ <strong>Robey IF, et al. Cancer Res 2009;69(6):2260-8:</strong> 口服碳酸氢钠(NaHCO₃, 200 mmol/L饮水)<strong>选择性提高肿瘤细胞外pH</strong>(对照pHe 7.0 → 治疗后pHe 7.4),显著减少乳腺癌肺转移灶数目和大小(P=0.03),减少肝转移和淋巴结转移。机制与酸性环境降低Cathepsin B蛋白酶释放有关。该研究为"碱化肿瘤微环境→抑制转移"提供了关键动物实验证据。
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+ </div>
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+ <div class="evidence-translation">
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+ 📖 中文翻译:碳酸氢钠不改变正常组织pH,但能选择性提高实体瘤的细胞外pH。提高pH后,乳腺癌自发转移显著减少,小鼠生存期延长。酸性环境促进Cathepsin B蛋白酶释放帮助癌细胞侵袭——碳酸氢钠通过中和酸性来阻断这一过程。
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+ </div>
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+ <div class="evidence-meta">
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+ 来源:Robey IF, Baggett BK, Kirkpatrick ND, et al. "Bicarbonate increases tumor pH and inhibits spontaneous metastases" · <a href="https://doi.org/10.1158/0008-5472.CAN-07-5575" target="_blank" rel="noopener">doi:10.1158/0008-5472.CAN-07-5575</a> · PMCID: PMC2834485
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+ </div>
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+</div>
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+<div class="evidence-inline">
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+ <div class="evidence-title">🧪 碳酸氢钠增强雷帕霉素抗肿瘤效果 — Mol Cancer 2016</div>
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+ <img class="ref-shot" src="../img/ref-screenshots/cancer_ref_molcancer.png" alt="Acidic tumor microenvironment abrogates the efficacy of mTORC1 inhibitors">
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+ <div class="evidence-caption">
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+ <strong>Faes S, et al. Mol Cancer 2016;15:78:</strong> 酸性肿瘤微环境使mTORC1抑制剂(雷帕霉素)失效。口服碳酸氢钠<strong>单药抑制HT29肿瘤生长54.4%</strong>;与雷帕霉素联用达到<strong>98.3%的肿瘤生长抑制率</strong>,显著优于单药。联合治疗增加肿瘤坏死(9.6倍)和癌细胞凋亡。证明提高肿瘤pH可逆转对靶向药物的耐药性。
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+ </div>
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+ <div class="evidence-translation">
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+ 📖 中文翻译:酸性pH抑制mTORC1通路活性,使雷帕霉素失去抗增殖效果。碳酸氢钠提高肿瘤pH后恢复mTORC1信号,使雷帕霉素重新有效。碳酸氢钠+雷帕霉素联用几乎完全抑制肿瘤生长,为"碱化辅助靶向治疗"提供了有力证据。
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+ </div>
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+ <div class="evidence-meta">
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+ 来源:Faes S, Duval AP, Planche A, et al. "Acidic tumor microenvironment abrogates the efficacy of mTORC1 inhibitors" · <a href="https://doi.org/10.1186/s12943-016-0562-y" target="_blank" rel="noopener">doi:10.1186/s12943-016-0562-y</a> · Open Access
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+ </div>
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+</div>
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<div class="evidence-box green" style="margin-bottom:2rem;">
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<div class="evidence-box-header">
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<span class="evidence-box-title">🦠 肠-癌轴:肠道菌群如何影响癌症风险</span>
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