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利用白藜芦醇在心脏肿瘤学中的心脏保护和抗癌特性。

Leveraging the Cardio-Protective and Anticancer Properties of Resveratrol in Cardio-Oncology.

机构信息

Department of Experimental and Clinical Pharmacology, College of Pharmacy, University of Minnesota, Minneapolis, MN 55455, USA.

出版信息

Nutrients. 2019 Mar 14;11(3):627. doi: 10.3390/nu11030627.

Abstract

Cardio-oncology is a clinical/scientific discipline which aims to prevent and/or treat cardiovascular diseases in cancer patients. Although a large number of cancer treatments are known to cause cardiovascular toxicity, they are still widely used because they are highly effective. Unfortunately, therapeutic interventions to prevent and/or treat cancer treatment-induced cardiovascular toxicity have not been established yet. A major challenge for such interventions is to protect the cardiovascular system without compromising the therapeutic benefit of anticancer medications. Intriguingly, the polyphenolic natural compound resveratrol and its analogs have been shown in preclinical studies to protect against cancer treatment-induced cardiovascular toxicity. They have also been shown to possess significant anticancer properties on their own, and to enhance the anticancer effect of other cancer treatments. Thus, they hold significant promise to protect the cardiovascular system and fight the cancer at the same time. In this review, we will discuss the current knowledge regarding the cardio-protective and the anticancer properties of resveratrol and its analogs. Thereafter, we will discuss the challenges that face the clinical application of these agents. To conclude, we will highlight important gaps of knowledge and future research directions to accelerate the translation of these exciting preclinical findings to cancer patient care.

摘要

心脏肿瘤学是一门临床/科学学科,旨在预防和/或治疗癌症患者的心血管疾病。尽管已知大量癌症治疗方法会引起心血管毒性,但由于它们非常有效,因此仍被广泛使用。不幸的是,预防和/或治疗癌症治疗引起的心血管毒性的治疗干预措施尚未建立。此类干预措施的主要挑战是在不损害抗癌药物治疗效果的情况下保护心血管系统。有趣的是,多酚类天然化合物白藜芦醇及其类似物已在临床前研究中被证明可预防癌症治疗引起的心血管毒性。它们本身也具有显著的抗癌特性,并增强了其他癌症治疗方法的抗癌效果。因此,它们具有保护心血管系统和同时对抗癌症的巨大潜力。在这篇综述中,我们将讨论白藜芦醇及其类似物的心脏保护和抗癌特性的现有知识。然后,我们将讨论这些药物临床应用所面临的挑战。最后,我们将重点介绍知识空白和未来的研究方向,以加速这些令人兴奋的临床前发现转化为癌症患者的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dea9/6471701/8d35043a5dc0/nutrients-11-00627-g001.jpg

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