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槲皮素在前列腺癌治疗中的新作用。

Emerging impact of quercetin in the treatment of prostate cancer.

机构信息

Department of Medical Genetics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Pharmacology, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Biomed Pharmacother. 2021 Jun;138:111548. doi: 10.1016/j.biopha.2021.111548. Epub 2021 Apr 1.

Abstract

Quercetin is a flavonoid agent detected in fruits and vegetables with anti-inflammatory, antioxidant, and anticancer effects. This flavonoid can suppress cell cycle transition and induce apoptosis in neoplastic cells. Therapeutic effects of quercetin have been assessed in diverse cancers including prostate cancer through the establishment of in vitro and in vivo experiments. Moreover, this agent might prevent the initiation of this type of cancer as it indirectly blocks the activity of promoters of two important genes in the pathogenesis of prostate cancer i.e. androgen receptor (AR) and prostate specific antigen (PSA). Several in vitro investigations have identified the differential influence of quercetin on normal prostate cells versus neoplastic cells, emphasizing its specific cytotoxic effects on cancerous cells. The most appreciated route of quercetin effect on prostate cancer cells is the detachment of Bax from Bcl-xL and the stimulation of caspase families. Besides, quercetin might enhance the effects of other therapeutic options against prostate cancer. For instance, a combination of TNF-related apoptosis-inducing ligand (TRAIL) and quercetin has been recommended as a novel modality for the treatment of prostate cancer. These kinds of strategies might overcome resistance to apoptosis in cancer cells. In the current paper, we summarize the recent data about the preventive and therapeutic influences of quercetin in prostate cancer.

摘要

槲皮素是一种在水果和蔬菜中发现的类黄酮药物,具有抗炎、抗氧化和抗癌作用。这种类黄酮可以抑制肿瘤细胞的细胞周期转换并诱导其凋亡。通过建立体外和体内实验,已经评估了槲皮素在包括前列腺癌在内的多种癌症中的治疗效果。此外,该药物可能预防这种类型的癌症的发生,因为它间接阻断了前列腺癌发病机制中两个重要基因即雄激素受体(AR)和前列腺特异性抗原(PSA)的启动子的活性。一些体外研究已经确定了槲皮素对正常前列腺细胞与肿瘤细胞的不同影响,强调了其对癌细胞的特异性细胞毒性作用。槲皮素对前列腺癌细胞影响最受关注的途径是 Bax 从 Bcl-xL 上脱离以及半胱天冬酶家族的刺激。此外,槲皮素可能增强其他针对前列腺癌的治疗选择的效果。例如,已经推荐 TNF 相关凋亡诱导配体(TRAIL)和槲皮素的联合作为治疗前列腺癌的新方法。这些策略可能克服癌细胞对凋亡的抵抗。在本文中,我们总结了关于槲皮素在前列腺癌中的预防和治疗影响的最新数据。

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