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姜黄素-顺铂化疗:一种提高化疗疗效、降低副作用的新策略。

Curcumin-cisplatin chemotherapy: A novel strategy in promoting chemotherapy efficacy and reducing side effects.

机构信息

Lab of Controlled Release and Drug Delivery System, College of Pharmaceutical Sciences, Soochow University, Suzhou, China.

Department of Pharmacy, Abdul Wali Khan University Mardan, Mardan, Pakistan.

出版信息

Phytother Res. 2021 Dec;35(12):6514-6529. doi: 10.1002/ptr.7225. Epub 2021 Aug 4.

Abstract

The efficacy of chemotherapy in cancer therapy is limited due to resistance, treatment selectivity, and severe adverse effects. Immunotherapy, chemotherapy, targeted therapy, radiation, and surgery are the most common therapeutic strategies for treatment, with chemotherapy being the most successful. Nonetheless, these treatments exhibit poor effectiveness due to toxicity and resistance. Therefore, combination therapies of natural products may be used as an effective and novel strategy to overcome such barriers. Cisplatin is a platinum-based chemotherapy agent, and when administered alone, it can lead to severe adverse effects and resistance mechanism resulting in therapeutic failure. Curcumin is a polyphenolic compound extracted from turmeric (Curcuma longa) exhibiting anticancer potential with minimal adverse effects. The combination therapy of curcumin and cisplatin is a novel strategy to mitigate/attenuate cisplatin-related adverse effects and improve the barrier of resistance reducing unwanted effects. However, there are uncertainties on the efficacy of curcumin, and more in depth and high-quality studies are needed. This review aims to explain the adverse effects related to individual cisplatin delivery, the positive outcome of individual curcumin delivery, and the combination therapy of curcumin and cisplatin from nano platform as a novel strategy for cancer therapy.

摘要

由于耐药性、治疗选择性和严重的不良反应,化疗在癌症治疗中的疗效有限。免疫疗法、化疗、靶向治疗、放射治疗和手术是最常见的治疗策略,其中化疗最为成功。然而,由于毒性和耐药性,这些治疗方法的效果不佳。因此,天然产物的联合治疗可能被用作克服这些障碍的有效和新颖的策略。顺铂是一种基于铂的化疗药物,单独使用时,可能会导致严重的不良反应和耐药机制,从而导致治疗失败。姜黄素是一种从姜黄(Curcuma longa)中提取的多酚化合物,具有抗癌潜力,不良反应最小。姜黄素和顺铂联合治疗是减轻/缓解顺铂相关不良反应和提高耐药性障碍的一种新策略,可降低不良影响。然而,姜黄素的疗效存在不确定性,需要更多深入和高质量的研究。本综述旨在解释单独顺铂给药相关的不良反应、单独姜黄素给药的积极结果以及姜黄素和顺铂联合治疗作为癌症治疗的一种新策略的纳米平台。

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