肝癌之战:植物源多酚类物质奋起反击。

Liver cancer wars: plant-derived polyphenols strike back.

机构信息

Internal Medicine Residency Program, Rochester General Hospital, 1425 Portland Avenue, Rochester, NY, 14621, USA.

Rainier Springs Behavioral Health Hospital, 2805 NE 129th St, Vancouver, WA, 98686, USA.

出版信息

Med Oncol. 2024 Apr 16;41(5):116. doi: 10.1007/s12032-024-02353-1.

Abstract

Liver cancer currently represents the leading cause of cancer-related death worldwide. The majority of liver cancer arises in the context of chronic inflammation and cirrhosis. Surgery, radiation therapy, and chemotherapy have been the guideline-recommended treatment options for decades. Despite enormous advances in the field of liver cancer therapy, an effective cure is yet to be found. Plant-derived polyphenols constitute a large family of phytochemicals, with pleiotropic effects and little toxicity. They can drive cellular events and modify multiple signaling pathways which involves initiation, progression and metastasis of liver cancer and play an important role in contributing to anti-liver cancer drug development. The potential of plant-derived polyphenols for treating liver cancer has gained attention from research clinicians and pharmaceutical scientists worldwide in the last decades. This review overviews hepatic carcinogenesis and briefly discusses anti-liver cancer mechanisms associated with plant-derived polyphenols, specifically involving cell proliferation, apoptosis, autophagy, angiogenesis, oxidative stress, inflammation, and metastasis. We focus on plant-derived polyphenols with experiment-based chemopreventive and chemotherapeutic properties against liver cancer and generalize their basic molecular mechanisms of action. We also discuss potential opportunities and challenges in translating plant-derived polyphenols from preclinical success into clinical applications.

摘要

肝癌目前是全球癌症相关死亡的主要原因。大多数肝癌是在慢性炎症和肝硬化的背景下发生的。几十年来,手术、放射治疗和化疗一直是指南推荐的治疗选择。尽管肝癌治疗领域取得了巨大进展,但仍未找到有效的治愈方法。植物来源的多酚是一大类植物化学物质,具有多种效应和较小的毒性。它们可以驱动细胞事件并改变多个信号通路,涉及肝癌的起始、进展和转移,并在促进抗肝癌药物开发方面发挥重要作用。在过去几十年中,植物来源的多酚治疗肝癌的潜力引起了研究临床医生和药物科学家的关注。这篇综述概述了肝癌的发生机制,并简要讨论了与植物来源的多酚相关的抗肝癌机制,特别是涉及细胞增殖、细胞凋亡、自噬、血管生成、氧化应激、炎症和转移。我们重点介绍了具有实验性化学预防和化学治疗肝癌特性的植物来源的多酚,并概括了它们的基本作用机制。我们还讨论了将植物来源的多酚从临床前成功转化为临床应用的潜在机遇和挑战。

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