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当前针对神经胶质瘤的自然疗法。

Current natural therapies in the treatment against glioblastoma.

机构信息

Instituto de Bioquímica y Microbiología, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile.

Instituto de Bioquímica y Microbiología, Facultad de Ciencias, Universidad Austral de Chile, Campus Isla Teja s/n, Valdivia, Chile.

出版信息

Phytother Res. 2018 Nov;32(11):2191-2201. doi: 10.1002/ptr.6170. Epub 2018 Aug 15.

Abstract

Glioblastoma (GBM) is the most common and aggressive brain tumor, which causes the highest number of deaths worldwide. It is a highly vascularized tumor, infiltrative, and its tumorigenic capacity is exacerbated. All these hallmarks are therapeutic targets in GBM treatment, including surgical removal followed by radiotherapy and chemotherapy. Current therapies have not been sufficient for the effective patient's management, so the classic therapies have had to expand and incorporate new alternative treatments, including natural compounds. This review summarizes natural products and their physiological effects in in vitro and in vivo models of GBM, specifically by modulating signaling pathways involved in angiogenesis, cell migration/invasion, cell viability, apoptosis, and chemoresistance. The most important aspects of natural products and their derivatives were described in relation to its antitumoral effects. As a final result, it can be obtained that within the compounds with more evidence that supports or suggests its clinical use are the cannabinoids, terpenes, and curcumin, because many have been shown to have a significant effect in decreasing the progress of GBM through known mechanisms, such as chemo-sensitization or decrease migration and cell invasion. Natural compounds emerge as promising therapies to attack the progress of GBM.

摘要

胶质母细胞瘤(GBM)是最常见和侵袭性最强的脑肿瘤,也是全球导致死亡人数最多的肿瘤。它是一种高度血管化的肿瘤,具有浸润性,其致瘤能力加剧。所有这些特征都是 GBM 治疗的治疗靶点,包括手术切除后放疗和化疗。目前的治疗方法还不足以有效治疗患者,因此经典的治疗方法不得不扩大并纳入新的替代治疗方法,包括天然化合物。这篇综述总结了天然产物及其在 GBM 的体外和体内模型中的生理作用,特别是通过调节参与血管生成、细胞迁移/侵袭、细胞活力、细胞凋亡和化疗耐药性的信号通路。还描述了与抗肿瘤作用有关的天然产物及其衍生物的最重要方面。最终可以得出结论,在具有更多支持或暗示其临床应用证据的化合物中,大麻素、萜类化合物和姜黄素是最有前途的治疗方法,因为许多化合物已被证明通过已知机制(如化疗增敏或减少迁移和细胞侵袭)显著抑制 GBM 的进展。天然化合物作为攻击 GBM 进展的有希望的治疗方法出现。

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