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早期乳腺癌的营养治疗学:机制、联合治疗和药物传递。

Harnessing the nutriceutics in early-stage breast cancer: mechanisms, combinational therapy, and drug delivery.

机构信息

Nitte (Deemed to Be University), Department of Pharmacognosy, NGSM Institute of Pharmaceutical Sciences, Mangaluru, 575018, India.

Nitte (Deemed to Be University), Department of Molecular Genetics and Cancer Biology, Nitte University Centre for Science, Education and Research, Mangaluru, 575018, India.

出版信息

J Nanobiotechnology. 2024 Sep 18;22(1):574. doi: 10.1186/s12951-024-02815-8.

Abstract

BACKGROUND

Breast cancer (BC) is a significant health challenge, ranking as the second leading cause of cancer-related death and the primary cause of mortality among women aged 45 to 55. Early detection is crucial for optimal prognosis. Among various treatment options available for cancer, chemotherapy remains the predominant approach. However, its patient-friendliness is hindered by cytotoxicity, adverse effects, multi-drug resistance, potential for recurrence, and high costs. This review explores extensively studied phytomolecules, elucidating their molecular mechanisms. It also emphasizes the importance of combination therapy, highlighting recent advancements in the exploration of diverse drug delivery systems and novel routes of administration. The regulatory considerations are crucial in translating these approaches into clinical practices.

RESULTS

Consequently, there is growing interest in exploring the relationship between diet, cancer, and complementary and alternative medicine (CAM) in cancer chemotherapy. Phytochemicals like berberine, curcumin, quercetin, lycopene, sulforaphane, resveratrol, epigallocatechin gallate, apigenin, genistein, thymoquinone have emerged as promising candidates due to their pleiotropic actions on target cells through multiple mechanisms with minimal toxicity effects. This review focuses on extensively studied phytomolecules, elucidating their molecular mechanisms. It also emphasizes the importance of combination therapy, highlighting recent advancements in the exploration of diverse drug delivery systems and novel routes of administration. The regulatory considerations are crucial in translating these approaches into clinical practices.

CONCLUSION

The present review provides a comprehensive understanding of the molecular mechanisms, coupled with well-designed clinical trials and adherence to regulatory guidelines, which pave the way for nutrition-based combination therapies to become a frontline approach in early-stage BC treatment.

摘要

背景

乳腺癌(BC)是一个重大的健康挑战,是癌症相关死亡的第二大主要原因,也是 45 至 55 岁女性死亡的主要原因。早期发现对于最佳预后至关重要。在癌症的各种治疗选择中,化疗仍然是主要方法。然而,其对患者的友好性受到细胞毒性、不良反应、多药耐药性、复发的可能性和高成本的阻碍。本综述广泛研究了植物分子,阐明了它们的分子机制。它还强调了联合治疗的重要性,突出了最近在探索多样化药物输送系统和新给药途径方面的进展。监管方面的考虑对于将这些方法转化为临床实践至关重要。

结果

因此,人们越来越感兴趣地探索饮食、癌症和癌症化疗中的补充和替代医学(CAM)之间的关系。由于其通过多种机制对靶细胞产生多效作用,且毒性作用最小,植物化学物质如小檗碱、姜黄素、槲皮素、番茄红素、萝卜硫素、白藜芦醇、表没食子儿茶素没食子酸酯、芹菜素、染料木黄酮、柚皮素、姜酮已成为有前途的候选物。本综述重点关注经过广泛研究的植物分子,阐明其分子机制。它还强调了联合治疗的重要性,突出了最近在探索多样化药物输送系统和新给药途径方面的进展。监管方面的考虑对于将这些方法转化为临床实践至关重要。

结论

本综述提供了对分子机制的全面理解,结合精心设计的临床试验和对监管指南的遵守,为基于营养的联合治疗成为早期 BC 治疗的一线方法铺平了道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f64a/11411841/65f113b6b59f/12951_2024_2815_Fig1_HTML.jpg

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