Rabi Thangaiyan, Gupta Sanjay
Department of Urology, Case Western Reserve University, University Hospitals, University Hospitals Case Medical Center, Cleveland, Ohio 44106, USA.
Front Biosci. 2008 May 1;13:3457-69. doi: 10.2741/2940.
Cancer chemoprevention by phytochemicals may be one of the most feasible approaches for cancer control. Phytochemicals obtained from vegetables, fruits, spices, teas, herbs and medicinal plants, such as terpenoids and other phenolic compounds, have been proven to suppress experimental carcinogenesis in various organs in pre-clinical models. Recent studies have indicated that mechanisms underlying chemopreventive potential may be a combination of antioxidant, anti-inflammatory, immune-enhancing, and hormone modulation effects, with modification of drug metabolizing enzymes, influence on cell cycle and cell differentiation, induction of apoptosis, suppression of proliferation and angiogenesis playing roles in the initiation and secondary modification stages of neoplastic development. Specific features of prostate cancer, such as high prevalence and long latency period provides ample opportunities for chemopreventive agents to work at various stages of disease progression. Finally, suitable populations with appropriate risk factors, including the presence of pre-malignant lesions and genetic predispositions, need to be well characterized for future chemopreventive interventions. Here we review naturally occurring dietary terpenoids as useful agents for prostate cancer chemoprevention with reference to their classes and sources.
植物化学物质进行癌症化学预防可能是癌症控制最可行的方法之一。从蔬菜、水果、香料、茶、草药和药用植物中获取的植物化学物质,如萜类化合物和其他酚类化合物,已被证明在临床前模型中可抑制各器官的实验性致癌作用。最近的研究表明,化学预防潜力的潜在机制可能是抗氧化、抗炎、免疫增强和激素调节作用的组合,同时药物代谢酶的改变、对细胞周期和细胞分化的影响、细胞凋亡的诱导、增殖和血管生成的抑制在肿瘤发生的起始和继发改变阶段发挥作用。前列腺癌的特定特征,如高发病率和长潜伏期,为化学预防剂在疾病进展的各个阶段发挥作用提供了充足的机会。最后,对于未来的化学预防干预措施,需要很好地界定具有适当风险因素的合适人群,包括癌前病变的存在和遗传易感性。在此,我们参照天然膳食萜类化合物的类别和来源,综述其作为前列腺癌化学预防有用剂的情况。