天然化合物作为治疗神经胶质瘤的有前途的辅助剂。
Natural Compounds as Promising Adjuvant Agents in The Treatment of Gliomas.
机构信息
Department of Mathematics and Physics, University of Salento, Via Per Arnesano, 73100 Lecce, Italy.
CNR Nanotec-Istituto di Nanotecnologia, Via Monteroni, 73100 Lecce, Italy.
出版信息
Int J Mol Sci. 2022 Mar 20;23(6):3360. doi: 10.3390/ijms23063360.
In humans, glioblastoma is the most prevalent primary malignant brain tumor. Usually, glioblastoma has specific characteristics, such as aggressive cell proliferation and rapid invasion of surrounding brain tissue, leading to a poor patient prognosis. The current therapy-which provides a multidisciplinary approach with surgery followed by radiotherapy and chemotherapy with temozolomide-is not very efficient since it faces clinical challenges such as tumor heterogeneity, invasiveness, and chemoresistance. In this respect, natural substances in the diet, integral components in the lifestyle medicine approach, can be seen as potential chemotherapeutics. There are several epidemiological studies that have shown the chemopreventive role of natural dietary compounds in cancer progression and development. These heterogeneous compounds can produce anti-glioblastoma effects through upregulation of apoptosis and autophagy; allowing the promotion of cell cycle arrest; interfering with tumor metabolism; and permitting proliferation, neuroinflammation, chemoresistance, angiogenesis, and metastasis inhibition. Although these beneficial effects are promising, the efficacy of natural compounds in glioblastoma is limited due to their bioavailability and blood-brain barrier permeability. Thereby, further clinical trials are necessary to confirm the in vitro and in vivo anticancer properties of natural compounds. In this article, we overview the role of several natural substances in the treatment of glioblastoma by considering the challenges to be overcome and future prospects.
在人类中,胶质母细胞瘤是最常见的原发性恶性脑肿瘤。通常,胶质母细胞瘤具有特定的特征,如侵袭性细胞增殖和快速侵袭周围脑组织,导致患者预后不良。目前的治疗方法——采用多学科方法,手术切除后联合放疗和替莫唑胺化疗——并不是非常有效,因为它面临着肿瘤异质性、侵袭性和化疗耐药性等临床挑战。在这方面,饮食中的天然物质——生活方式医学方法的组成部分——可以被视为潜在的化疗药物。有几项流行病学研究表明,天然膳食化合物在癌症进展和发展中具有化学预防作用。这些异质化合物可以通过上调细胞凋亡和自噬产生抗胶质母细胞瘤作用;促进细胞周期停滞;干扰肿瘤代谢;抑制增殖、神经炎症、化疗耐药性、血管生成和转移。尽管这些有益的作用很有前景,但由于天然化合物的生物利用度和血脑屏障通透性,其在胶质母细胞瘤中的疗效有限。因此,有必要进行进一步的临床试验来证实天然化合物在体外和体内的抗癌特性。本文通过考虑需要克服的挑战和未来的前景,综述了几种天然物质在胶质母细胞瘤治疗中的作用。