Karthika Chenmala, Sureshkumar Raman, Zehravi Mehrukh, Akter Rokeya, Ali Faraat, Ramproshad Sarker, Mondal Banani, Kundu Milton Kumar, Dey Abhijit, Rahman Md Habibur, Antonescu Angela, Cavalu Simona
Department of Pharmaceutics, JSS College of Pharmacy, JSS Academy of Higher Education & Research, Ooty 643001, India.
Department of Clinical Pharmacy Girls Section, Prince Sattam Bin Abdul Aziz University, Alkharj 11942, Saudi Arabia.
Life (Basel). 2022 May 30;12(6):811. doi: 10.3390/life12060811.
Even though various treatment methods are available for cancer, the death curve is not reducing. The diagnosis of cancer at the fourth stage and drug resistance are the leading reasons for treatment failure and lower survival rates. In this review article, we summarize the possible pitfalls during cancer treatment in general, which mainly include multidrug resistance, and propose a hypothesis for colorectal cancer specifically. We also evaluate multidrug resistance in cancer in general and colorectal cancer in particular and hypothesize a concept based on combination therapy with 5-fluorouracil, curcumin, and lipids for the possible management of colorectal cancer. In addition, a hypothetical approach, combining a synthetic agent and a natural chemotherapeutic agent, to treating colorectal cancer is also discussed. This hypothesis could improve the management of colorectal cancer.
尽管针对癌症有多种治疗方法,但死亡曲线并未下降。癌症四期诊断和耐药性是治疗失败及生存率降低的主要原因。在这篇综述文章中,我们总结了癌症治疗过程中可能存在的陷阱,主要包括多药耐药性,并特别针对结直肠癌提出了一个假设。我们还对癌症总体尤其是结直肠癌中的多药耐药性进行了评估,并基于5-氟尿嘧啶、姜黄素和脂质联合治疗提出了一个概念,用于结直肠癌的可能治疗。此外,还讨论了一种将合成药物与天然化疗药物相结合治疗结直肠癌的假设方法。这一假设可能会改善结直肠癌的治疗。
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