Department of Pharmacognosy, Faculty of Pharmacy with the Division of Laboratory Medicine, Medical University of Białystok, Białystok, Poland.
Department of Dermatology and Venereology, Research Center Skinitial, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Med Res Rev. 2022 Jul;42(4):1423-1462. doi: 10.1002/med.21880. Epub 2022 Feb 21.
Cutaneous malignant melanoma is the fastest growing and the most aggressive form of skin cancer that is diagnosed. However, its incidence is relatively scarce compared to the highest mortality rate of all skin cancers. The much more common skin cancers include nonmelanoma malignant skin cancers. Moreover, over the past several decades, the frequency of all skin cancers has increased much more dynamically than that of almost any other type of cancer. Among the available therapeutic options for skin cancers, chemotherapy used immediately after the surgical intervention has been an essential element. Unfortunately, the main problem with conventional chemopreventive regimens involves the lack of response to treatment and the associated side effects. Hence, there is a need for much more effective anticancer drugs. Correspondingly, the targeted alternatives have involved phytochemicals, which are safer chemotherapeutic agents and exhibit competitive anticancer activity with high therapeutic efficacy. Among polyphenolic compounds, some flavonoids and their derivatives, which are mostly found in medicinal plants, have been demonstrated to influence the modulation of signaling pathways at each stage of the carcinogenesis process, which is also important in the context of skin cancers. Hence, this review focuses on an exhaustive overview of the therapeutic effects of luteolin and its derivatives in the treatment and prevention of skin cancers. The bioavailability and structure-activity relationships of luteolin derivatives are also discussed. This review is the first such complete account of all of the scientific reports concerning this particular group of natural compounds that target a specific area of neoplastic diseases.
皮肤恶性黑色素瘤是诊断出的皮肤癌中增长最快、侵袭性最强的一种。然而,与所有皮肤癌中最高的死亡率相比,其发病率相对较少。更常见的皮肤癌包括非黑色素瘤恶性皮肤癌。此外,在过去几十年中,所有皮肤癌的发病率增长速度比几乎任何其他类型的癌症都要快。在皮肤癌的治疗选择中,手术干预后立即使用的化疗一直是一个重要因素。不幸的是,常规化学预防方案的主要问题涉及缺乏对治疗的反应和相关的副作用。因此,需要更有效的抗癌药物。相应地,靶向替代物涉及植物化学物质,这些物质是更安全的化疗药物,具有竞争性抗癌活性和高治疗效果。在多酚类化合物中,一些黄酮类化合物及其衍生物,主要存在于药用植物中,已被证明可以影响致癌过程每个阶段的信号通路的调节,这在皮肤癌方面也很重要。因此,本综述重点介绍了木犀草素及其衍生物在治疗和预防皮肤癌中的治疗效果的详尽概述。还讨论了木犀草素衍生物的生物利用度和构效关系。这是第一篇关于针对特定肿瘤疾病领域的天然化合物这一特定群体的所有科学报告的全面综述。