Karikas George A
Department of Medical Laboratories, Faculty of Health and Caring Professions, Technological Educational Institute of Athens, Athens, Greece.
J BUON. 2010 Oct-Dec;15(4):627-38.
Natural products have afforded a rich source of compounds that have found many applications in cancer chemotherapy. Furthermore, the vast structural spectrum of natural compounds can provide "lead compounds" for therapeutic improvement by molecular modification. Over 70% of anticancer compounds are either natural products, or natural product-derived substances. On the other hand conjugation of toxic natural products to monoclonal antibodies or polymeric carriers can lead to more efficacious targeted therapies. Since less than 15% of higher plants have been systematically investigated, the natural products research towards chemotherapy requires further attention and multi-scientific collaboration. An enforcing application to chemotherapy, using natural products, is also chemoprevention. Apart from vegetables and fruit, more than 1,000 different phytochemicals are already proved to possess interesting chemopreventing activities. Effectiveness of chemopreventing agents reflects their ability to counteract certain upstream signals that leads to genotoxic damage, redox imbalances and other forms of cellular stress. Chemoprevention by edible phytochemicals is now considered to be an inexpensive, readily applicable, acceptable and accessible approach to cancer control and management. The present short review deals with a number of recent biochemical and therapeutic routes, concerning current approaches towards natural anticancer agents in clinical practice, new candidate oncotherapy drugs from plants, marine and microorganisms, as well as promising chemopreventing agents from nature.
天然产物提供了丰富的化合物来源,这些化合物在癌症化疗中已有许多应用。此外,天然化合物广泛的结构谱可以通过分子修饰为治疗改进提供“先导化合物”。超过70%的抗癌化合物要么是天然产物,要么是天然产物衍生的物质。另一方面,将有毒的天然产物与单克隆抗体或聚合物载体结合可导致更有效的靶向治疗。由于只有不到15%的高等植物得到了系统研究,天然产物在化疗方面的研究需要进一步关注和多学科合作。天然产物在化疗中的一个重要应用是化学预防。除了蔬菜和水果,已经证明有1000多种不同的植物化学物质具有有趣的化学预防活性。化学预防剂的有效性反映了它们抵消某些导致基因毒性损伤、氧化还原失衡和其他形式细胞应激的上游信号的能力。食用植物化学物质的化学预防现在被认为是一种廉价、易于应用、可接受且可及的癌症控制和管理方法。本简短综述涉及一些近期的生化和治疗途径,涉及临床实践中天然抗癌剂的当前方法、来自植物、海洋生物和微生物的新候选肿瘤治疗药物,以及来自自然界的有前景的化学预防剂。