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生酮饮食在癌症预防和治疗中的作用:分子靶点和治疗机会。

Ketogenic Diet in Cancer Prevention and Therapy: Molecular Targets and Therapeutic Opportunities.

机构信息

Department of Clinical Pharmacy and Therapeutics, Applied Science Private University, Amman 11931, Jordan.

Department of Food Science and Nutrition, College of Agricultural and Marine Sciences, Sultan Qaboos University, Al-Khoud 34-123, Oman.

出版信息

Curr Issues Mol Biol. 2021 Jul 3;43(2):558-589. doi: 10.3390/cimb43020042.

Abstract

Although cancer is still one of the most significant global challenges facing public health, the world still lacks complementary approaches that would significantly enhance the efficacy of standard anticancer therapies. One of the essential strategies during cancer treatment is following a healthy diet program. The ketogenic diet (KD) has recently emerged as a metabolic therapy in cancer treatment, targeting cancer cell metabolism rather than a conventional dietary approach. The ketogenic diet (KD), a high-fat and very-low-carbohydrate with adequate amounts of protein, has shown antitumor effects by reducing energy supplies to cells. This low energy supply inhibits tumor growth, explaining the ketogenic diet's therapeutic mechanisms in cancer treatment. This review highlights the crucial mechanisms that explain the ketogenic diet's potential antitumor effects, which probably produces an unfavorable metabolic environment for cancer cells and can be used as a promising adjuvant in cancer therapy. Studies discussed in this review provide a solid background for researchers and physicians to design new combination therapies based on KD and conventional therapies.

摘要

尽管癌症仍然是全球公共卫生面临的重大挑战之一,但世界仍缺乏能显著提高标准抗癌疗法疗效的互补方法。癌症治疗过程中的基本策略之一是遵循健康饮食计划。生酮饮食(KD)最近作为癌症治疗中的一种代谢疗法出现,针对的是癌细胞代谢,而不是传统的饮食方法。生酮饮食(KD)是一种高脂肪、低碳水化合物、适量蛋白质的饮食,通过减少细胞的能量供应来显示出抗肿瘤作用。这种低能量供应抑制肿瘤生长,解释了生酮饮食在癌症治疗中的治疗机制。这篇综述强调了生酮饮食的抗肿瘤作用的关键机制,这可能为癌细胞产生不利的代谢环境,并可作为癌症治疗中一种有前途的辅助手段。本综述中讨论的研究为研究人员和医生提供了坚实的基础,以设计基于 KD 和传统疗法的新联合治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db75/8928964/a45b4ff3c891/cimb-43-00042-g001.jpg

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