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天然物质作为芳香酶抑制剂的研究进展:乳腺癌的治疗管理。

Review on Natural Agents as Aromatase Inhibitors: Management of Breast Cancer.

机构信息

Institute of Pharmaceutical Research, GLA University Mathura, U.P: 281406, India.

出版信息

Comb Chem High Throughput Screen. 2024;27(18):2623-2638. doi: 10.2174/0113862073269599231009115338.

Abstract

Breast cancer is a prevalent type of cancer that is typically hormone-dependent, caused by estrogen. Aromatase inhibitors are frequently utilised in the treatment of hormonereceptor- positive breast cancer because they prevent the enzyme aromatase from converting androgens to estrogens. Natural medicines with aromatase inhibitory characteristics have attracted interest as potential alternatives or complementary therapy to manufactured medications. This review discusses the function of natural agents as aromatase inhibitors in treating breast cancer. A variety of natural compounds have been investigated for their capacity to inhibit aromatase activity and lower estrogen levels. These agents include resveratrol from red wine and grapes, curcumin from turmeric extract and green teahigh in catechins, and other flavonoids such as genistein, luteolin and quercetin. It has been demonstrated that by decreasing estrogen synthesis, they can slow the growth of breast cancer cells that are dependent on estrogen. However, the clinical evidence supporting their efficacy and safety in breast cancer treatment is inadequate. More research is required to investigate the therapeutic potential of natural medicines, such as aromatase inhibitors, in treating breast cancer. The clinical trials are required to assess their efficacy, appropriate doses, and potential interactions with other therapies. In conclusion, natural aromatase inhibitory drugs are promising adjuncts in the treatment of hormone receptor-positive breast cancer. Their clinical value and safety profile, however, require additional investigation.

摘要

乳腺癌是一种常见的癌症类型,通常是激素依赖性的,由雌激素引起。芳香酶抑制剂常用于治疗激素受体阳性乳腺癌,因为它们可以阻止芳香酶将雄激素转化为雌激素。具有芳香酶抑制特性的天然药物作为替代或补充治疗药物引起了人们的兴趣。本文综述了天然药物作为芳香酶抑制剂治疗乳腺癌的作用。已经研究了多种天然化合物抑制芳香酶活性和降低雌激素水平的能力。这些试剂包括红酒和葡萄中的白藜芦醇、姜黄中的姜黄素和富含儿茶素的绿茶,以及其他类黄酮如染料木黄酮、木樨草素和槲皮素。已经证明,通过减少雌激素的合成,可以减缓依赖雌激素的乳腺癌细胞的生长。然而,支持它们在乳腺癌治疗中的疗效和安全性的临床证据不足。需要进一步研究天然药物如芳香酶抑制剂在治疗乳腺癌中的治疗潜力。需要临床试验来评估它们的疗效、适当剂量以及与其他治疗方法的潜在相互作用。总之,天然芳香酶抑制剂是治疗激素受体阳性乳腺癌的有前途的辅助药物。然而,它们的临床价值和安全性仍需要进一步研究。

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