Anwar Shehwaz, Almatroudi Ahmad, Alsahli Mohammed A, Khan Masood A, Khan Amjad A, Rahmani Arshad H
Department of Medical Laboratories, College of Applied Medical Sciences, Qassim University, Buraydah 52571, Saudi Arabia.
Department of Basic Health Sciences, College of Applied Medical Sciences, Qassim University, Buraidah, Saudi Arabia.
Anticancer Agents Med Chem. 2020;20(17):2025-2040. doi: 10.2174/1871520620666200705220307.
Cancer is one of the most leading causes of death worldwide. It is one of the primary global diseases that cause morbidity and mortality in millions of people. It is usually caused by different carcinogenic agents that damage the genetic material and alter the cell signaling pathways. Carcinogens are classified into two groups as genotoxic and non-genotoxic agents. Genotoxic carcinogens are capable of directly altering the genetic material, while the non-genotoxic carcinogens are capable of producing cancer by some secondary mechanisms not related to direct gene damage. There is undoubtedly the greatest need to utilize some novel natural products as anticancer agents, as these are within reach everywhere. Interventions by some natural products aimed at decreasing the levels and conditions of these risk factors can reduce the frequency of cancer incidences. Cancer is conventionally treated by surgery, radiation therapy and chemotherapy, but such treatments may be fast-acting and causes adverse effects on normal tissues. Alternative and innovative methods of cancer treatment with the least side effects and improved efficiency are being encouraged. In this review, we discuss the different risk factors of cancer development, conventional and innovative strategies of its management and provide a brief review of the most recognized natural products used as anticancer agents globally.
癌症是全球最主要的死因之一。它是导致数百万人发病和死亡的主要全球性疾病之一。它通常由不同的致癌因素引起,这些因素会损害遗传物质并改变细胞信号通路。致癌物分为遗传毒性和非遗传毒性两类。遗传毒性致癌物能够直接改变遗传物质,而非遗传毒性致癌物则能够通过一些与直接基因损伤无关的次要机制引发癌症。毫无疑问,最需要利用一些新型天然产物作为抗癌剂,因为这些天然产物随处可得。一些天然产物旨在降低这些风险因素的水平和状况的干预措施可以降低癌症发病率。癌症传统上通过手术、放射治疗和化疗进行治疗,但这些治疗可能起效快,并对正常组织产生不良影响。目前鼓励采用副作用最小且效率更高的替代和创新癌症治疗方法。在这篇综述中,我们讨论了癌症发生的不同风险因素、其管理的传统和创新策略,并简要回顾了全球最知名的用作抗癌剂的天然产物。