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植物抗癌化合物在癌症治疗中的现状与挑战

Status and Challenges of Plant-Anticancer Compounds in Cancer Treatment.

作者信息

Garcia-Oliveira Paula, Otero Paz, Pereira Antia Gonzalez, Chamorro Franklin, Carpena Maria, Echave Javier, Fraga-Corral Maria, Simal-Gandara Jesus, Prieto Miguel Angel

机构信息

Nutrition and Bromatology Group, Analytical and Food Chemistry Department, Faculty of Food Science and Technology, University of Vigo, Ourense Campus, E-32004 Ourense, Spain.

Centro de Investigação de Montanha (CIMO), Campus de Santa Apolonia, Instituto Politécnico de Bragança, 5300-253 Bragança, Portugal.

出版信息

Pharmaceuticals (Basel). 2021 Feb 14;14(2):157. doi: 10.3390/ph14020157.

Abstract

Nowadays, cancer is one of the deadliest diseases in the world, which has been estimated to cause 9.9 million deaths in 2020. Conventional treatments for cancer commonly involve mono-chemotherapy or a combination of radiotherapy and mono-chemotherapy. However, the negative side effects of these approaches have been extensively reported and have prompted the search of new therapeutic drugs. In this context, scientific community started to look for innovative sources of anticancer compounds in natural sources, including traditional plants. Currently, numerous studies have evaluated the anticancer properties of natural compounds derived from plants, both in vitro and in vivo. In pre-clinical stages, some promising compounds could be mentioned, such as the sulforaphane or different phenolic compounds. On the other hand, some phytochemicals obtained positive results in clinical stages and were further approved for cancer treatment, such as vinca alkaloids or the paclitaxel. Nevertheless, these compounds are not exempt of limitations, such as low solubility, restricted effect on their own, negative side-effects, etc. This review aims to compile the information about the current phytochemicals used for cancer treatment and also promising candidates, main action mechanisms and also reported limitations. In this sense, some strategies to face the limitations have been considered, such as nano-based formulations to improve solubility or chemical modification to reduce toxicity. In conclusion, although more research is still necessary to develop more efficient and safe phytochemical drugs, more of these compounds might be used in future cancer therapies.

摘要

如今,癌症是世界上最致命的疾病之一,据估计在2020年导致了990万人死亡。癌症的传统治疗通常包括单药化疗或放疗与单药化疗的联合。然而,这些方法的负面副作用已被广泛报道,并促使人们寻找新的治疗药物。在这种背景下,科学界开始在包括传统植物在内的天然来源中寻找抗癌化合物的创新来源。目前,许多研究已经在体外和体内评估了植物源天然化合物的抗癌特性。在临床前阶段,可以提及一些有前景的化合物,如萝卜硫素或不同的酚类化合物。另一方面,一些植物化学物质在临床阶段取得了积极成果,并被进一步批准用于癌症治疗,如长春花生物碱或紫杉醇。然而,这些化合物也并非没有局限性,如溶解度低、自身作用有限、负面副作用等。本综述旨在汇编有关目前用于癌症治疗的植物化学物质以及有前景的候选物、主要作用机制和报道的局限性的信息。从这个意义上说,已经考虑了一些应对局限性的策略,如基于纳米的制剂以提高溶解度或化学修饰以降低毒性。总之,尽管仍需要更多研究来开发更有效和安全的植物化学药物,但未来癌症治疗中可能会使用更多这类化合物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c73/7918405/b4c41c5cd872/pharmaceuticals-14-00157-g001.jpg

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