Mut-Salud Nuria, Álvarez Pablo Juan, Garrido Jose Manuel, Carrasco Esther, Aránega Antonia, Rodríguez-Serrano Fernando
Institute of Biopathology and Regenerative Medicine, University of Granada, 18071 Granada, Spain.
Department of Cardiovascular Surgery, Virgen de las Nieves Hospital, 18014 Granada, Spain.
Oxid Med Cell Longev. 2016;2016:6719534. doi: 10.1155/2016/6719534. Epub 2015 Nov 22.
The role of the induction of oxidative stress as the mechanism of action of many antitumor drugs is acquiring an increasing interest. In such cases, the antitumor therapy success may be conditioned by the antioxidants present in our own body, which can be synthesized de novo (endogenous) or incorporated through the diet and nutritional supplements (exogenous). In this paper, we have reviewed different aspects of antioxidants, including their classification, natural sources, importance in diet, consumption of nutritional supplements, and the impact of antioxidants on health. Moreover, we have focused especially on the study of the interaction between antioxidants and antitumor therapy, considering both radiotherapy and chemotherapy. In this regard, we found that the convenience of administration of antioxidants during cancer treatment still remains a very controversial issue. In general terms, antioxidants could promote or suppress the effectiveness of antitumor treatment and even protect healthy tissues against damage induced by oxidative stress. The effects may depend on many factors discussed in the paper. These factors should be taken into consideration in order to achieve precise nutritional recommendations for patients. The evidence at the moment suggests that the supplementation or restriction of exogenous antioxidants during cancer treatment, as appropriate, could contribute to improving its efficiency.
诱导氧化应激作为许多抗肿瘤药物的作用机制,正越来越受到关注。在这种情况下,抗肿瘤治疗的成功可能取决于我们自身身体中存在的抗氧化剂,这些抗氧化剂可以重新合成(内源性)或通过饮食和营养补充剂摄入(外源性)。在本文中,我们综述了抗氧化剂的不同方面,包括它们的分类、天然来源、在饮食中的重要性、营养补充剂的消费以及抗氧化剂对健康的影响。此外,我们特别关注了抗氧化剂与抗肿瘤治疗之间相互作用的研究,同时考虑了放疗和化疗。在这方面,我们发现癌症治疗期间抗氧化剂给药的便利性仍然是一个非常有争议的问题。一般来说,抗氧化剂可以促进或抑制抗肿瘤治疗的有效性,甚至保护健康组织免受氧化应激诱导的损伤。这些影响可能取决于本文讨论的许多因素。为了为患者实现精确的营养建议,应考虑这些因素。目前的证据表明,在癌症治疗期间适当补充或限制外源性抗氧化剂可能有助于提高其疗效。