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前列腺癌的差异、化学预防和特定药用植物的治疗。

Prostate Cancer Disparity, Chemoprevention, and Treatment by Specific Medicinal Plants.

机构信息

Natural Chemotherapeutics Research Laboratory, NIH/NIMHD RCMI-Center for Environmental Health, College of Science, Engineering and Technology, Jackson State University, 1400 Lynch Street, Jackson, MS 39217, USA.

Department of Biology, College of Science, Engineering and Technology, Jackson State University, 1400 Lynch Street, Jackson, MS 39217, USA.

出版信息

Nutrients. 2019 Feb 4;11(2):336. doi: 10.3390/nu11020336.

Abstract

Prostate cancer (PC) is one of the most common cancers in men. The global burden of this disease is rising. Its incidence and mortality rates are higher in African American (AA) men compared to white men and other ethnic groups. The treatment decisions for PC are based exclusively on histological architecture, prostate-specific antigen (PSA) levels, and local disease state. Despite advances in screening for and early detection of PC, a large percentage of men continue to be diagnosed with metastatic disease including about 20% of men affected with a high mortality rate within the African American population. As such, this population group may benefit from edible natural products that are safe with a low cost. Hence, the central goal of this article is to highlight PC disparity associated with nutritional factors and highlight chemo-preventive agents from medicinal plants that are more likely to reduce PC. To reach this central goal, we searched the PubMed Central database and the Google Scholar website for relevant papers. Our search results revealed that there are significant improvements in PC statistics among white men and other ethnic groups. However, its mortality rate remains significantly high among AA men. In addition, there are limited studies that have addressed the benefits of medicinal plants as chemo-preventive agents for PC treatment, especially among AA men. This review paper addresses this knowledge gap by discussing PC disparity associated with nutritional factors and highlighting the biomedical significance of three medicinal plants (curcumin, garlic, and ) that show a great potential to prevent/treat PC, as well as to reduce its incidence/prevalence and mortality, improve survival rate, and reduce PC-related health disparity.

摘要

前列腺癌(PC)是男性最常见的癌症之一。这种疾病的全球负担正在增加。与白人和其他族裔群体相比,非裔美国人(AA)男性的发病率和死亡率更高。PC 的治疗决策仅基于组织学结构、前列腺特异性抗原(PSA)水平和局部疾病状态。尽管在 PC 的筛查和早期检测方面取得了进展,但仍有很大一部分男性被诊断为转移性疾病,包括约 20%的 AA 男性死亡率较高。因此,这群人可能受益于安全且成本低的天然食用产品。因此,本文的中心目标是强调与营养因素相关的 PC 差异,并强调来自药用植物的化学预防剂,这些化学预防剂更有可能降低 PC 的发病率。为了实现这一中心目标,我们在 PubMed Central 数据库和 Google Scholar 网站上搜索了相关论文。我们的搜索结果表明,白人和其他族裔群体的 PC 统计数据有显著改善。然而,AA 男性的死亡率仍然很高。此外,很少有研究探讨药用植物作为 PC 治疗的化学预防剂的益处,尤其是在 AA 男性中。这篇综述文章通过讨论与营养因素相关的 PC 差异,并强调三种药用植物(姜黄素、大蒜和)的生物医学意义,来解决这一知识差距,这些药用植物具有很大的潜力来预防/治疗 PC,并降低其发病率/患病率和死亡率,提高生存率,并减少与 PC 相关的健康差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f24/6412894/94df28599c2c/nutrients-11-00336-g001.jpg

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