某些多酚类化合物在三阴性乳腺癌(TNBC)中的抗癌作用机制。

The anticancer mechanism of action of selected polyphenols in triple-negative breast cancer (TNBC).

机构信息

Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, Selangor Darul Ehsan 47500, Malaysia.

出版信息

Biomed Pharmacother. 2023 Sep;165:115170. doi: 10.1016/j.biopha.2023.115170. Epub 2023 Jul 21.

Abstract

Breast cancer is a leadingcause of cancer-related deaths in women globally, with triple-negative breast cancer (TNBC) being an aggressive subtype that lacks targeted therapies and is associated with a poor prognosis. Polyphenols, naturally occurring compounds in plants, have been investigated as a potential therapeutic strategy for TNBC. This review provides an overview of the anticancer effects of polyphenols in TNBC and their mechanisms of action. Several polyphenols, including resveratrol, quercetin, kaempferol, genistein, epigallocatechin-3-gallate, apigenin, fisetin, hesperetin and luteolin, have been shown to inhibit TNBC cell proliferation, induce cell cycle arrest, promote apoptosis, and suppress migration/invasion in preclinical models. The molecular mechanisms underlying their anticancer effects involve the modulation of several signalling pathways, such as PI3K/Akt, MAPK, STATT, and NF-κB pathways. Polyphenols also exhibit synergistic effects with chemotherapy drugs, making them promising candidates for combination therapy. The review also highlights clinical trials investigating the potential use of polyphenols, individually or in combination therapy, against breast cancer. This review deepens the under-standing of the mechanism of action of respective polyphenols and provides valuable insights into the potential use of polyphenols as a therapeutic strategy for TNBC, and lays the groundwork for future research in this area.

摘要

乳腺癌是全球女性癌症相关死亡的主要原因之一,三阴性乳腺癌(TNBC)是一种侵袭性亚型,缺乏靶向治疗,预后较差。多酚是植物中天然存在的化合物,已被研究作为治疗 TNBC 的潜在策略。本综述概述了多酚在 TNBC 中的抗癌作用及其作用机制。几种多酚,包括白藜芦醇、槲皮素、山奈酚、染料木黄酮、表没食子儿茶素-3-没食子酸酯、芹菜素、非瑟酮、橙皮苷和木樨草素,已被证明可抑制 TNBC 细胞增殖,诱导细胞周期停滞,促进细胞凋亡,并抑制临床前模型中的迁移/侵袭。其抗癌作用的分子机制涉及几种信号通路的调节,如 PI3K/Akt、MAPK、STAT 和 NF-κB 通路。多酚还与化疗药物表现出协同作用,使它们成为联合治疗的有前途的候选药物。该综述还强调了正在研究多酚单独或联合治疗乳腺癌的潜在用途的临床试验。本综述加深了对各种多酚作用机制的理解,为将多酚作为治疗 TNBC 的一种治疗策略提供了有价值的见解,并为该领域的未来研究奠定了基础。

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