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白藜芦醇作为结直肠癌可塑性的敏化剂。

Resveratrol as sensitizer in colorectal cancer plasticity.

机构信息

Chair of Vegetative Anatomy, Institute of Anatomy, Faculty of Medicine, LMU Munich, Pettenkoferstr. 11, D-80336, Munich, Germany.

Cancer Biology Laboratory, Department of Biosciences and Bioengineering, Indian Institute of Technology (IIT) Guwahati, Guwahati, Assam, 781039, India.

出版信息

Cancer Metastasis Rev. 2024 Mar;43(1):55-85. doi: 10.1007/s10555-023-10126-x. Epub 2023 Jul 29.


DOI:10.1007/s10555-023-10126-x
PMID:37507626
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11016130/
Abstract

Despite tremendous medical treatment successes, colorectal cancer (CRC) remains a leading cause of cancer deaths worldwide. Chemotherapy as monotherapy can lead to significant side effects and chemoresistance that can be linked to several resistance-activating biological processes, including an increase in inflammation, cellular plasticity, multidrug resistance (MDR), inhibition of the sentinel gene p53, and apoptosis. As a consequence, tumor cells can escape the effectiveness of chemotherapeutic agents. This underscores the need for cross-target therapeutic approaches that are not only pharmacologically safe but also modulate multiple potent signaling pathways and sensitize cancer cells to overcome resistance to standard drugs. In recent years, scientists have been searching for natural compounds that can be used as chemosensitizers in addition to conventional medications for the synergistic treatment of CRC. Resveratrol, a natural polyphenolic phytoalexin found in various fruits and vegetables such as peanuts, berries, and red grapes, is one of the most effective natural chemopreventive agents. Abundant in vitro and in vivo studies have shown that resveratrol, in interaction with standard drugs, is an effective chemosensitizer for CRC cells to chemotherapeutic agents and thus prevents drug resistance by modulating multiple pathways, including transcription factors, epithelial-to-mesenchymal transition-plasticity, proliferation, metastasis, angiogenesis, cell cycle, and apoptosis. The ability of resveratrol to modify multiple subcellular pathways that may suppress cancer cell plasticity and reversal of chemoresistance are critical parameters for understanding its anti-cancer effects. In this review, we focus on the chemosensitizing properties of resveratrol in CRC and, thus, its potential importance as an additive to ongoing treatments.

摘要

尽管在医学治疗方面取得了巨大的成功,但结直肠癌(CRC)仍然是全球癌症死亡的主要原因。作为单药治疗的化疗可能会导致严重的副作用和化疗耐药性,这可能与几种激活耐药的生物学过程有关,包括炎症增加、细胞可塑性、多药耐药(MDR)、抑癌基因 p53 的抑制和细胞凋亡。因此,肿瘤细胞可以逃避化疗药物的有效性。这突显出需要采用交叉靶向治疗方法,这些方法不仅在药理学上安全,而且还可以调节多个有效的信号通路,并使癌细胞对标准药物的耐药性敏感。近年来,科学家一直在寻找除传统药物外还可以用作化疗增敏剂的天然化合物,以协同治疗 CRC。白藜芦醇是一种天然多酚植物抗毒素,存在于各种水果和蔬菜中,如花生、浆果和红葡萄,是最有效的天然化学预防剂之一。大量的体外和体内研究表明,白藜芦醇与标准药物相互作用,是 CRC 细胞对化疗药物的有效化疗增敏剂,从而通过调节多个途径,包括转录因子、上皮-间充质转化-可塑性、增殖、转移、血管生成、细胞周期和细胞凋亡,防止耐药性的发生。白藜芦醇能够修饰多个可能抑制癌细胞可塑性和逆转化疗耐药性的亚细胞途径,这是理解其抗癌作用的关键参数。在这篇综述中,我们重点关注白藜芦醇在 CRC 中的化疗增敏特性,以及它作为正在进行的治疗的附加物的潜在重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed7/11016130/d1588b320840/10555_2023_10126_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed7/11016130/59b3c21d5fc9/10555_2023_10126_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed7/11016130/3bce08b10542/10555_2023_10126_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed7/11016130/d1588b320840/10555_2023_10126_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed7/11016130/59b3c21d5fc9/10555_2023_10126_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed7/11016130/3bce08b10542/10555_2023_10126_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed7/11016130/d1588b320840/10555_2023_10126_Fig3_HTML.jpg

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[7]
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引用本文的文献

[1]
Harnessing Liquiritigenin: A Flavonoid-Based Approach for the Prevention and Treatment of Cancer.

Cancers (Basel). 2025-7-13

[2]
Exploring Experimental Models of Colorectal Cancer: A Critical Appraisal from 2D Cell Systems to Organoids, Humanized Mouse Avatars, Organ-on-Chip, CRISPR Engineering, and AI-Driven Platforms-Challenges and Opportunities for Translational Precision Oncology.

Cancers (Basel). 2025-6-26

[3]
Resveratrol: Molecular Mechanisms, Health Benefits, and Potential Adverse Effects.

MedComm (2020). 2025-6-11

[4]
Plant Terpenoids in Combination with Conventional Therapeutics in Colorectal Cancer: A Promising Option.

Curr Oncol Rep. 2025-4-21

[5]
Resveratrol contributes to NK cell-mediated breast cancer cytotoxicity by upregulating ULBP2 through miR-17-5p downmodulation and activation of MINK1/JNK/c-Jun signaling.

Front Immunol. 2025-2-3

[6]
Prominent Naturally Derived Oxidative-Stress-Targeting Drugs and Their Applications in Cancer Treatment.

Antioxidants (Basel). 2025-1-3

[7]
Effects of Resveratrol on Nonmelanoma Skin Cancer (NMSC): A Comprehensive Review.

Food Sci Nutr. 2024-10-24

[8]
Protective and Detoxifying Effects of Resveratrol on Zearalenone-Mediated Toxicity: A Review.

Int J Mol Sci. 2024-10-13

[9]
Synergistic Mechanisms of Selected Polyphenols in Overcoming Chemoresistance and Enhancing Chemosensitivity in Colorectal Cancer.

Antioxidants (Basel). 2024-7-7

[10]
Research progress of DNA methylation in colorectal cancer (Review).

Mol Med Rep. 2024-9

本文引用的文献

[1]
Tumor cell plasticity in targeted therapy-induced resistance: mechanisms and new strategies.

Signal Transduct Target Ther. 2023-3-11

[2]
Resveratrol Modulates Chemosensitisation to 5-FU via β1-Integrin/HIF-1α Axis in CRC Tumor Microenvironment.

Int J Mol Sci. 2023-3-5

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Resveratrol improves hepatic ischemia-reperfusion injury by inhibiting neutrophils via the ERK signaling pathway.

Biomed Pharmacother. 2023-4

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Cancer Med. 2023-5

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Nutrients. 2022-11-24

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Toxins (Basel). 2022-10-26

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Resveratrol improves diabetic cardiomyopathy by preventing asymmetric dimethylarginine-caused peroxisome proliferator-activated receptor-γ coactivator-1α acetylation.

Eur J Pharmacol. 2022-12-5

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Advances in Dietary Phenolic Compounds to Improve Chemosensitivity of Anticancer Drugs.

Cancers (Basel). 2022-9-21

[10]
Multifunctionality of Calebin A in inflammation, chronic diseases and cancer.

Front Oncol. 2022-9-16

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