Biomedical Innovation and Research Group, Faculty of Applied and Exact Sciences, Instituto Tecnologico Metropolitano, Medellin, Colombia.
Nutr Cancer. 2022;74(2):384-404. doi: 10.1080/01635581.2021.1884730. Epub 2021 Feb 17.
In the last few decades there has been a rise in the worldwide incidence of colorectal cancer which can be traced back to the influence of well-known modifiable risk factors such as lifestyle, diet and obesity. Conversely, the consumption of fruits, vegetables and fiber decreases the risk of CRC, which is why dietary polyphenols have aroused interest in recent years as potentially anti-carcinogenic compounds. One of the driving forces of colorectal carcinogenesis, in both sporadic and hereditary CRC, is the aberrant activation/regulation of the Wnt/β-catenin pathway. This review discusses reports of modulation of the Wnt/β-Catenin signaling pathway by dietary polyphenols (resveratrol, avenanthramides, epigallocatechinin, curcumin, quercetin, silibinin, genistein and mangiferin) specifically focusing on CRC, and proposes a model as to how this modulation occurs. There is potential for implementing these dietary polyphenols into preventative and therapeutic therapies for CRC as evidenced by some clinical trials that have been carried out with promising results.
在过去的几十年中,全世界范围内结直肠癌的发病率有所上升,这可以追溯到一些众所周知的可改变的风险因素的影响,如生活方式、饮食和肥胖。相反,水果、蔬菜和纤维的摄入可以降低 CRC 的风险,这就是为什么近年来饮食中的多酚类化合物作为潜在的抗癌化合物引起了人们的兴趣。结直肠发生癌变的驱动力之一,无论是散发性 CRC 还是遗传性 CRC,是 Wnt/β-catenin 途径的异常激活/调节。本综述讨论了饮食多酚(白藜芦醇、燕麦蒽酰胺、表没食子儿茶素没食子酸酯、姜黄素、槲皮素、水飞蓟素、染料木黄酮和芒果苷)对 Wnt/β-catenin 信号通路的调节作用,特别是针对 CRC,并提出了这种调节作用发生的模型。一些临床试验已经取得了有希望的结果,证明这些饮食多酚类化合物在预防和治疗 CRC 方面具有潜在的应用价值。
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