Nirmala Parthasarathy, Ramanathan Manickam
Division of Pharmacology, Rajah Muthiah Medical College, Annamalai University, Cuddalore District, Tamil Nadu, South India.
J Exp Ther Oncol. 2011;9(2):101-8.
Colorectal cancer (CRC) is a leading cause of cancer mortality especially in the western world. The incidence of CRC in Asia is now increasing at an alarming rate from the previously negligible levels. The pathogenesis of CRC is a multistep process wherein pre cancer lesions accumulate in the mucosal cells finally resulting in cancer. Diet plays an important role in its aetio-pathogenesis--the high levels of dietary fat correlates to the increased incidence of CRC. This along with hereditary, environmental factors and singular lack of physical exercise provides a potent combination in its pathogenesis. Besides CRC isfrequently associated with persistent oxidative stress which results not only in DNA damage but also in mutation of cancer related genes besides the epigenetic silencing of the tumor suppressor gene. An important approach in the prevention of cancer is chemoprevention. Variety of plant products have been found to be highly effective in retarding the pathogenesis of the colorectal cancer. Myricetin is a well known bioflavonoid that is claimed to have anti cancer action particularly in colorectal cancer. Myricetin not only brought about significant decrease in the incidence of number of tumor bearing rats but also the tumor incidence. Myricetin supplementation significantly reduced liver TBARS. Further the anti oxidant enzymes like Catalase, Glutathione peroxidase and GSH were significantly rejuvenated following myricetin supplementation in a dose dependent manner. The fecal and colonic bacterial enzyme activity was also significantly decreased with the supplementation of myricetin 50 and 100 mg/kg. There was no additional benefit with the supplementation of 200 mg/kg of myricetin.
结直肠癌(CRC)是癌症死亡的主要原因,尤其是在西方世界。亚洲CRC的发病率正以前所未有的惊人速度从之前可忽略不计的水平上升。CRC的发病机制是一个多步骤过程,其中癌前病变在黏膜细胞中积累,最终导致癌症。饮食在其病因发病机制中起重要作用——高脂肪饮食与CRC发病率增加相关。这与遗传、环境因素以及缺乏体育锻炼共同构成了其发病机制中的有力组合。此外,CRC常与持续的氧化应激相关,这不仅会导致DNA损伤,还会导致癌症相关基因的突变以及肿瘤抑制基因的表观遗传沉默。癌症预防的一个重要方法是化学预防。已发现多种植物产品在延缓结直肠癌的发病机制方面非常有效。杨梅素是一种著名的生物类黄酮,据称具有抗癌作用,尤其是在结直肠癌方面。杨梅素不仅使荷瘤大鼠的数量和肿瘤发生率显著降低。补充杨梅素显著降低了肝脏丙二醛水平。此外,补充杨梅素后,过氧化氢酶、谷胱甘肽过氧化物酶和谷胱甘肽等抗氧化酶以剂量依赖的方式显著恢复活力。补充50和100mg/kg的杨梅素也显著降低了粪便和结肠细菌酶活性。补充200mg/kg的杨梅素没有额外益处。