Biomedical Center Martin, Division of Oncology, Jessenius Faculty of Medicine, Comenius University in Bratislava, Martin, Slovakia.
Department of Medical Biology, Jessenius Faculty of Medicine, Comenius University in Bratislava, Mala Hora 4, 036 01, Martin, Slovakia.
J Cancer Res Clin Oncol. 2019 May;145(5):1087-1109. doi: 10.1007/s00432-019-02892-5. Epub 2019 Mar 22.
Cancer is a serious health issue and a leading cause of death worldwide. Most of the cancer patients (approximately 90%) do not die from the consequences of the primary tumor development, but due to a heavily treatable metastatic invasion. During the lengthy multistep process of carcinogenesis, there are a lot of opportunities available to reverse or slow down the tissue invasion or the process of tumor metastasis formation.
Current research has brought many promising results from anti-metastatic experimental studies, and has shown that chemoprevention by natural or semisynthetic phytochemicals with plethora of biological activities could be one of the potentially effective options in the fight against this problem. However, there is a lack of clinical trials to confirm these findings. In this review, we focused on summarization and discussion of the general features of metastatic cancer, and recent preclinical and clinical studies dealing with anti-metastatic potential of various plant-derived compounds.
Based on our findings, we can conclude and confirm our hypothesis that phytochemicals with pleiotropic anticancer effects can be very useful in retarding and/or reversing the metastasis process, and can also be used to prevent tissue invasion and metastases. But, further studies in this area are certainly necessary and desirable.
癌症是一个严重的健康问题,也是全球主要的死亡原因。大多数癌症患者(约 90%)并非死于原发性肿瘤发展的后果,而是由于可治疗的转移性侵袭。在致癌的漫长多步骤过程中,有很多机会可以逆转或减缓组织侵袭或肿瘤转移形成的过程。
目前的研究从抗转移的实验研究中带来了许多有希望的结果,并表明具有多种生物活性的天然或半合成植物化学物质的化学预防可能是对抗这一问题的潜在有效选择之一。然而,缺乏临床试验来证实这些发现。在这篇综述中,我们重点总结和讨论了转移性癌症的一般特征,以及最近涉及各种植物来源化合物抗转移潜力的临床前和临床研究。
基于我们的发现,我们可以得出并证实我们的假设,即具有多种抗癌作用的植物化学物质在延缓和/或逆转转移过程中非常有用,也可用于预防组织侵袭和转移。但是,在这一领域进一步的研究是必要的,也是可取的。