Zulueta Aida, Caretti Anna, Signorelli Paola, Ghidoni Riccardo
Aida Zulueta, Anna Caretti, Paola Signorelli, Riccardo Ghidoni, Department of Health Sciences, San Paolo Hospital, University of Milan, 20142 Milano, Italy.
World J Gastroenterol. 2015 Oct 7;21(37):10636-43. doi: 10.3748/wjg.v21.i37.10636.
Gastric cancer (GC) is the fourth most common cancer and the second leading cause of cancer-related mortality in the world. Late diagnosis and classical therapeutic approaches such as surgery, chemotherapy and radiotherapy make this disease a still threatening tumor. Genetic asset, environmental stress, dietary habit and infections caused by Helicobacter pylori (H. pylori) are the major causes concurring to GC initiation. A common mechanism is induction of radicals resulting in gastric mucosal injury. A regular food intake of antioxidant and radical scavenging agents has been proposed to exert protection against tumorigenesis. Resveratrol belongs to the polyphenol flavonoids class of antioxidants produced by a restricted number of plants. Resveratrol exerts bactericidal activity against H. pylori and is a powerful antioxidant, thus acting as a tumor preventive agent. Resveratrol intracellular signaling results in growth arrest and apoptosis, so that it can be directed against tumor progression. Resveratrol therapeutic potential against GC initiation and progression are reviewed here.
胃癌(GC)是全球第四大常见癌症,也是癌症相关死亡的第二大主要原因。晚期诊断以及手术、化疗和放疗等传统治疗方法使这种疾病仍然是一种具有威胁性的肿瘤。遗传因素、环境压力、饮食习惯以及幽门螺杆菌(H. pylori)感染是导致胃癌发生的主要原因。一个共同机制是自由基的诱导导致胃黏膜损伤。有人提出定期摄入抗氧化剂和自由基清除剂可对肿瘤发生起到保护作用。白藜芦醇属于由少数植物产生的多酚类黄酮抗氧化剂。白藜芦醇对幽门螺杆菌具有杀菌活性,并且是一种强大的抗氧化剂,因此可作为肿瘤预防剂。白藜芦醇的细胞内信号传导导致生长停滞和凋亡,从而可以针对肿瘤进展发挥作用。本文综述了白藜芦醇对胃癌发生和进展的治疗潜力。