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植物大麻素的抗癌活性:分子机制及其在对抗卵巢癌和干细胞方面的潜力

Anti-Cancer Activity of Phytocannabinoids: Molecular Mechanisms and Potential in the Fight against Ovarian Cancer and Stem Cells.

作者信息

Koltai Hinanit, Shalev Nurit

机构信息

Institute of Plant Science, Agriculture Research Organization, Volcani Institute, Rishon LeZion 7505101, Israel.

The Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat Gan 5290002, Israel.

出版信息

Cancers (Basel). 2022 Sep 1;14(17):4299. doi: 10.3390/cancers14174299.

Abstract

Ovarian cancer (OC) is the most lethal gynecological malignancy, with about 70% of cases diagnosed only at an advanced stage. , which produces more than 150 phytocannabinoids, is used worldwide to alleviate numerous symptoms associated with various medical conditions. Recently, studies across a range of cancer types have demonstrated that the phytocannabinoids Δ-trans-tetrahydrocannabinol (THC) and cannabidiol (CBD) have anti-cancer activity in vitro and in vivo, but also the potential to increase other drugs' adverse effects. THC and CBD act via several different biological and signaling pathways, including receptor-dependent and receptor-independent pathways. However, very few studies have examined the effectiveness of cannabis compounds against OC. Moreover, little is known about the effectiveness of cannabis compounds against cancer stem cells (CSCs) in general and OC stem cells (OCSCs) in particular. CSCs have been implicated in tumor initiation, progression, and invasion, as well as tumor recurrence, metastasis, and drug resistance. Several hallmarks and concepts describe CSCs. OCSCs, too, are characterized by several markers and specific drug-resistance mechanisms. While there is no peer-reviewed information regarding the effect of cannabis and cannabis compounds on OCSC viability or development, cannabis compounds have been shown to affect genetic pathways and biological processes related to CSCs and OCSCs. Based on evidence from other cancer-type studies, the use of phytocannabinoid-based treatments to disrupt CSC homeostasis is suggested as a potential intervention to prevent chemotherapy resistance. The potential benefits of the combination of chemotherapy with phytocannabinoid treatment should be examined in ovarian cancer patients.

摘要

卵巢癌(OC)是最致命的妇科恶性肿瘤,约70%的病例仅在晚期才被诊断出来。大麻能产生150多种植物大麻素,在全球范围内被用于缓解与各种疾病相关的众多症状。最近,一系列癌症类型的研究表明,植物大麻素Δ-反式-四氢大麻酚(THC)和大麻二酚(CBD)在体外和体内均具有抗癌活性,但也有可能增加其他药物的不良反应。THC和CBD通过几种不同的生物学和信号通路发挥作用,包括受体依赖性和受体非依赖性通路。然而,很少有研究考察大麻化合物对OC的疗效。此外,对于大麻化合物对一般癌症干细胞(CSCs)尤其是卵巢癌干细胞(OCSCs)的疗效知之甚少。CSCs与肿瘤的起始、进展和侵袭以及肿瘤复发、转移和耐药性有关。有几个特征和概念描述了CSCs。OCSCs也具有几种标志物和特定的耐药机制。虽然没有关于大麻和大麻化合物对OCSC活力或发育影响的同行评议信息,但大麻化合物已被证明会影响与CSCs和OCSCs相关的遗传通路和生物学过程。基于其他癌症类型研究的证据,建议使用基于植物大麻素的治疗来破坏CSC的内环境稳定,作为预防化疗耐药的一种潜在干预措施。应在卵巢癌患者中研究化疗与植物大麻素治疗联合使用的潜在益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0530/9454933/7d4418f99056/cancers-14-04299-g001.jpg

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