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植物性疗法治疗甲状腺癌的前景:体外、体内及临床试验研究综述

Promising Approaches in Plant-Based Therapies for Thyroid Cancer: An Overview of In Vitro, In Vivo, and Clinical Trial Studies.

作者信息

Kaczmarzyk Ilona, Nowak-Perlak Martyna, Woźniak Marta

机构信息

Department of Clinical and Experimental Pathology, Division of General and Experimental Pathology, Wroclaw Medical University, 50-368 Wroclaw, Poland.

出版信息

Int J Mol Sci. 2024 Apr 18;25(8):4463. doi: 10.3390/ijms25084463.

Abstract

Thyroid cancer, particularly undifferentiated tumors, poses a significant challenge due to its limited response to standard therapies. The incidence of thyroid cancer, predominantly differentiated carcinomas, is on the rise globally. Anaplastic thyroid carcinoma (ATC), though rare, is highly aggressive and challenging to treat. Therefore, this study aimed to collect data and explore alternative treatments, focusing on the efficacy of photodynamic therapy (PDT) combined with natural compounds as well as the potential role of phytochemicals, including quercetin, kaempferol, apigenin, genistein, daidzein, naringenin, hesperitin, anthocyanidins, epigallocatechin gallate (EGCG), resveratrol, ellagic acid, ferulic acid, caffeic acid, curcumin, saponins, ursolic acid, indole-3-carbinol (I3C), capsaicin, and piperine in thyroid cancer treatment. PDT, utilizing sensitizers activated by tumor-directed light, demonstrates promising specificity compared to traditional treatments. Combining PDT with natural photosensitizers, such as hypericin and genistein, enhances cytotoxicity against thyroid carcinoma cells. This literature review summarizes the current knowledge on phytochemicals and their anti-proliferative effects in in vitro and in vivo studies, emphasizing their effectiveness and mechanism of action as a novel therapeutic approach for thyroid cancers, especially those refractory to standard treatments.

摘要

甲状腺癌,尤其是未分化肿瘤,由于对标准疗法反应有限,构成了重大挑战。甲状腺癌的发病率在全球范围内呈上升趋势,主要是分化型癌。间变性甲状腺癌(ATC)虽然罕见,但具有高度侵袭性且治疗具有挑战性。因此,本研究旨在收集数据并探索替代治疗方法,重点关注光动力疗法(PDT)与天然化合物联合使用的疗效以及植物化学物质的潜在作用,包括槲皮素、山奈酚、芹菜素、染料木黄酮、大豆苷元、柚皮素、橙皮苷、花青素、表没食子儿没食子酸酯(EGCG)、白藜芦醇、鞣花酸、阿魏酸、咖啡酸、姜黄素、皂苷、熊果酸、吲哚 - 3 - 甲醇(I3C)、辣椒素和胡椒碱在甲状腺癌治疗中的作用。PDT利用由肿瘤靶向光激活的敏化剂,与传统治疗相比显示出有前景的特异性。将PDT与天然光敏剂如金丝桃素和染料木黄酮联合使用,可增强对甲状腺癌细胞的细胞毒性。这篇文献综述总结了目前关于植物化学物质及其在体外和体内研究中的抗增殖作用的知识,强调了它们作为甲状腺癌,尤其是对标准治疗难治的甲状腺癌的新型治疗方法的有效性和作用机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df49/11050626/2099d64361af/ijms-25-04463-g001.jpg

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