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利用新策略对抗头颈部癌:综述通过 PI3K/Akt/mTOR 信号通路的植物化学方法。

Exploiting new strategies in combating head and neck carcinoma: A comprehensive review on phytochemical approaches passing through PI3K/Akt/mTOR signaling pathway.

机构信息

Pharmaceutical Sciences Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.

出版信息

Phytother Res. 2024 Jul;38(7):3736-3762. doi: 10.1002/ptr.8228. Epub 2024 May 22.

Abstract

Recently, malignant neoplasms have growingly caused human morbidity and mortality. Head and neck cancer (HNC) constitutes a substantial group of malignancies occurring in various anatomical regions of the head and neck, including lips, mouth, throat, larynx, nose, sinuses, oropharynx, hypopharynx, nasopharynx, and salivary glands. The present study addresses the phosphoinositide 3-kinase (PI3K)/protein kinase B (Akt)/mammalian target of rapamycin (mTOR) pathway as a possible therapeutic target in cancer therapy. Finding new multitargeting agents capable of modulating PI3K/Akt/mTOR and cross-linked mediators could be viewed as an effective strategy in combating HNC. Recent studies have introduced phytochemicals as multitargeting agents and rich sources for finding and developing new therapeutic agents. Phytochemicals have exhibited immense anticancer effects, including targeting different stages of HNC through the modulation of several signaling pathways. Moreover, phenolic/polyphenolic compounds, alkaloids, terpenes/terpenoids, and other secondary metabolites have demonstrated promising anticancer activities because of their diverse pharmacological and biological properties like antiproliferative, antineoplastic, antioxidant, and anti-inflammatory activities. The current review is mainly focused on new therapeutic strategies for HNC passing through the PI3K/Akt/mTOR pathway as new strategies in combating HNC.

摘要

近年来,恶性肿瘤导致的发病率和死亡率不断上升。头颈部癌症(HNC)是一组发生在头颈部不同解剖部位的恶性肿瘤,包括嘴唇、口腔、喉咙、喉、鼻子、鼻窦、口咽、下咽、鼻咽和唾液腺。本研究探讨了磷酸肌醇 3-激酶(PI3K)/蛋白激酶 B(Akt)/哺乳动物雷帕霉素靶蛋白(mTOR)途径作为癌症治疗的可能治疗靶点。寻找能够调节 PI3K/Akt/mTOR 和交联介质的新型多靶点药物,可以被视为对抗 HNC 的有效策略。最近的研究已经将植物化学物质作为多靶点药物,并作为寻找和开发新治疗药物的丰富来源。植物化学物质通过调节多种信号通路,表现出巨大的抗癌作用,包括针对 HNC 的不同阶段。此外,酚类/多酚类化合物、生物碱、萜类/萜烯类化合物和其他次生代谢产物由于具有多种药理学和生物学特性,如抗增殖、抗肿瘤、抗氧化和抗炎活性,表现出有希望的抗癌活性。本综述主要集中于通过 PI3K/Akt/mTOR 途径的 HNC 新治疗策略,作为对抗 HNC 的新策略。

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