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抗氧化剂作为前列腺癌的化学预防剂:临床前研究与临床研究之间的差距

Anti-Oxidants as Chemopreventive Agents in Prostate Cancer: A Gap Between Preclinical and Clinical Studies.

作者信息

Mohsenzadegan Monireh, Seif Farhad, Farajollahi Mohammad M, Khoshmirsafa Majid

机构信息

Department of Medical Laboratory Science, Faculty of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.

Department of Immunology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Recent Pat Anticancer Drug Discov. 2018;13(2):224-239. doi: 10.2174/1574892813666180213164700.

Abstract

BACKGROUND

Tumor cells may be expressed as a result of oxidative stress. The extent of oxidative stress correlates with the aggressive and metastatic potency of cancer.

OBJECTIVE

One simple way to control prostate cancer is through chemoprevention which refers to the administration of natural or synthetic agents to block, reverse, or delay the process of carcinogenesis. The most chemopreventive agents are antioxidants in nature.

METHODS

In this review, we summarized the effects of dietary antioxidants with a focus on their molecular mechanisms and possible roles in the treatment of prostate cancer cells. We also reported the recent outcomes of laboratory and/or clinical trials of antioxidants in prostate cancer patients.

RESULTS

Numerous pre-clinical studies showed that antioxidants protect DNA against being damaged by Reactive Oxygen Species (ROS), thereby genetic mutations causing cancer are likely to be prevented. However, the clinical trial results showed that antioxidants have yielded mixed outcomes or benefitted only a subgroup of the population.

CONCLUSION

A greater understanding of the molecular events associated with antioxidants will enhance the development of treatment and could result in better strategies for the chemoprevention of prostate cancer. Recent patents also suggest that anti-oxidant compounds can be effective for the prevention and the treatment of prostate cancer.

摘要

背景

肿瘤细胞可能是氧化应激的结果。氧化应激的程度与癌症的侵袭性和转移能力相关。

目的

控制前列腺癌的一种简单方法是化学预防,即使用天然或合成药物来阻断、逆转或延缓致癌过程。大多数化学预防药物本质上是抗氧化剂。

方法

在本综述中,我们总结了膳食抗氧化剂的作用,重点关注其分子机制以及在前列腺癌细胞治疗中的可能作用。我们还报告了抗氧化剂在前列腺癌患者中的实验室和/或临床试验的最新结果。

结果

大量临床前研究表明,抗氧化剂可保护DNA免受活性氧(ROS)的损伤,从而可能预防导致癌症的基因突变。然而,临床试验结果显示,抗氧化剂的效果参差不齐,或仅使一部分人群受益。

结论

更深入地了解与抗氧化剂相关的分子事件将促进治疗方法的发展,并可能产生更好的前列腺癌化学预防策略。近期的专利也表明,抗氧化化合物对前列腺癌的预防和治疗可能有效。

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