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纳米植物化学物在结直肠癌中的作用的最新综述

An Updated Review on the Role of Nanoformulated Phytochemicals in Colorectal Cancer.

机构信息

Department of Medical Biotechnology, Faculty of Allied Health Sciences, Chettinad Academy of Research and Education (CARE), Chettinad Hospital and Research Institute (CHRI), Chennai 603103, India.

Department of Chemistry, Govt. Degree College, Dharmanagar 799253, India.

出版信息

Medicina (Kaunas). 2023 Mar 30;59(4):685. doi: 10.3390/medicina59040685.

Abstract

The most common cancer-related cause of death worldwide is colorectal cancer. It is initiated with the formation of polyps, which further cause the development of colorectal cancer in multistep phases. Colorectal cancer mortality is high despite recent treatment breakthroughs and a greater understanding of its pathophysiology. Stress is one of the major causes of triggering different cellular signalling cascades inside the body and which might turn toward the development of cancer. Naturally occurring plant compounds or phytochemicals are being studied for medical purposes. Phytochemicals' benefits are being analyzed for inflammatory illnesses, liver failure, metabolic disorders, neurodegenerative disorders, and nephropathies. Cancer treatment with fewer side effects and better outcomes has been achieved by combining phytochemicals with chemotherapy. Resveratrol, curcumin, and epigallocatechin-3-gallate have been studied for their chemotherapeutic and chemopreventive potentiality, but hydrophobicity, solubility, poor bioavailability, and target selectivity limit the clinical uses of these compounds. The therapeutic potential is maximized by utilizing nanocarriers such as liposomes, micelles, nanoemulsions, and nanoparticles to increase phytochemical bioavailability and target specificity. This updated literature review discusses the clinical limitations, increased sensitivity, chemopreventive and chemotherapeutic effects, and the clinical limitations of the phytochemicals.

摘要

全球范围内最常见的与癌症相关的死亡原因是结直肠癌。它始于息肉的形成,进一步导致结直肠癌在多步阶段发展。尽管最近在治疗方面取得了突破,对其病理生理学有了更深入的了解,但结直肠癌的死亡率仍然很高。压力是引发体内不同细胞信号级联反应的主要原因之一,这些反应可能会导致癌症的发展。天然存在的植物化合物或植物化学物质正在被研究用于医学目的。正在分析植物化学物质对炎症性疾病、肝衰竭、代谢紊乱、神经退行性疾病和肾病的益处。通过将植物化学物质与化疗相结合,已经实现了具有更少副作用和更好疗效的癌症治疗。白藜芦醇、姜黄素和表没食子儿茶素没食子酸酯已被研究其化疗和化学预防潜力,但疏水性、溶解度、生物利用度差和靶向选择性限制了这些化合物的临床应用。通过利用脂质体、胶束、纳米乳剂和纳米粒子等纳米载体来提高植物化学物质的生物利用度和靶向特异性,可以最大限度地发挥其治疗潜力。这篇最新的文献综述讨论了植物化学物质的临床局限性、提高的敏感性、化学预防和化学治疗效果以及临床局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/227f/10143464/df1d52aed6c9/medicina-59-00685-g001.jpg

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