Saleem Mohammad, Adhami Vaqar Mustafa, Siddiqui Imtiaz Ahmad, Mukhtar Hasan
Department of Dermatology, University of Wisconsin, 1300 Medical Science Center, Madison, WI 53706, USA.
Nutr Cancer. 2003;47(1):13-23. doi: 10.1207/s15327914nc4701_2.
Because prostate cancer has a long latency period and is typically diagnosed in elderly men, it represents an ideal candidate disease for chemoprevention. Therefore, even a modest delay achieved through intervention could have a significant impact on the outcome of this disease. Epidemiological and laboratory studies have provided convincing evidence that diet, genetic factors, and lifestyle are major causes of prostate cancer. Although surgery, radiotherapy, and hormone therapy are the most widely accepted curative options for a selected group of patients suffering from prostate cancer, the side effects of these treatments are many. In recent years, many dietary agents have been being described that show a wide range of chemopreventive effects in cell culture and selected animal model systems of prostate carcinogenesis. One such agent is the beverage tea, which, next to water, is the most popularly consumed beverage in the world. The epidemiological studies and recent data, amassed from various laboratories around the world, provide evidence that tea polyphenols such as epigallocatechin-3-gallate, epigallocatechin, and epicatechin-3-gallate may have the potential to lower the risk of prostate cancer in the human population. Recently, it has been shown that green tea polyphenols, when given to TRAMP, a transgenic mouse model that mimics progressive forms of human prostate cancer, exert remarkable preventive effects against prostate cancer development. Chemoprevention of prostate cancer by tea polyphenols appears to occur through the modulation of various molecular targets. This article attempts to address the issue of the possible use of tea, especially green tea, for the chemoprevention of prostate cancer.
由于前列腺癌潜伏期长,且通常在老年男性中被诊断出来,它是化学预防的理想候选疾病。因此,即使通过干预实现适度的延迟也可能对这种疾病的结果产生重大影响。流行病学和实验室研究提供了令人信服的证据,表明饮食、遗传因素和生活方式是前列腺癌的主要病因。虽然手术、放疗和激素疗法是针对特定前列腺癌患者群体最广泛接受的治疗选择,但这些治疗的副作用很多。近年来,许多膳食因子被描述在前列腺癌发生的细胞培养和选定动物模型系统中显示出广泛的化学预防作用。其中一种因子是茶饮料,它是世界上除水之外最受欢迎的消费饮料。来自世界各地不同实验室积累的流行病学研究和最新数据表明,表没食子儿茶素-3-没食子酸酯、表没食子儿茶素和儿茶素-3-没食子酸酯等茶多酚可能有降低人群前列腺癌风险的潜力。最近发现,当给TRAMP(一种模拟人类前列腺癌进展形式的转基因小鼠模型)喂食绿茶多酚时,对前列腺癌的发展有显著的预防作用。茶多酚对前列腺癌的化学预防似乎是通过调节各种分子靶点来实现的。本文试图探讨茶,尤其是绿茶,在前列腺癌化学预防中可能的应用问题。