School of Biosciences, Faculty of Science and Engineering, University of Nottingham Malaysia, Semenyih 43500, Selangor, Malaysia.
Biofunctional Molecule Exploratory Research Group, School of Pharmacy, Monash University Malaysia, Bandar Sunway 47500, Selangor, Malaysia.
Molecules. 2021 Jul 17;26(14):4329. doi: 10.3390/molecules26144329.
The rise in cancer cases in recent years is an alarming situation worldwide. Despite the tremendous research and invention of new cancer therapies, the clinical outcomes are not always reassuring. Cancer cells could develop several evasive mechanisms for their survivability and render therapeutic failure. The continuous use of conventional cancer therapies leads to chemoresistance, and a higher dose of treatment results in even greater toxicities among cancer patients. Therefore, the search for an alternative treatment modality is crucial to break this viscous cycle. This paper explores the suitability of curcumin combination treatment with other cancer therapies to curb cancer growth. We provide a critical insight to the mechanisms of action of curcumin, its role in combination therapy in various cancers, along with the molecular targets involved. Curcumin combination treatments were found to enhance anticancer effects, mediated by the multitargeting of several signalling pathways by curcumin and the co-administered cancer therapies. The preclinical and clinical evidence in curcumin combination therapy is critically analysed, and the future research direction of curcumin combination therapy is discussed.
近年来癌症病例的增加是全球范围内令人震惊的情况。尽管对癌症治疗方法进行了大量的研究和发明,但临床结果并不总是令人安心。癌细胞可能会为了生存而发展出几种逃避机制,从而导致治疗失败。传统癌症疗法的持续使用会导致化疗耐药性,而更高剂量的治疗会导致癌症患者的毒性更大。因此,寻找替代治疗方法对于打破这种恶性循环至关重要。本文探讨了姜黄素联合治疗与其他癌症疗法联合抑制癌症生长的适宜性。我们提供了对姜黄素作用机制的批判性见解,以及它在各种癌症联合治疗中的作用,以及涉及的分子靶点。研究发现,姜黄素联合治疗通过姜黄素对多种信号通路的多靶向作用以及联合使用的癌症治疗方法,增强了抗癌作用。对姜黄素联合治疗的临床前和临床证据进行了批判性分析,并讨论了姜黄素联合治疗的未来研究方向。