Smeu Andreea, Marcovici Iasmina, Dehelean Cristina Adriana, Dumitrel Stefania-Irina, Borza Claudia, Lighezan Rodica
Faculty of Pharmacy, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square No. 2, 300041 Timisoara, Romania.
Research Center for Pharmaco-Toxicological Evaluations, Faculty of Pharmacy, "Victor Babes" University of Medicine and Pharmacy Timisoara, Eftimie Murgu Square No. 2, 300041 Timisoara, Romania.
Pharmaceuticals (Basel). 2025 Feb 8;18(2):231. doi: 10.3390/ph18020231.
Colorectal cancer (CRC) represents one of the most serious health issues and the third most commonly diagnosed cancer worldwide. However, the treatment options for CRC are associated with adverse reactions, and in some cases, resistance can develop. Flavonoids have emerged as promising alternatives for CRC prevention and therapy due to their multitude of biological properties and ability to target distinct processes involved in CRC pathogenesis. Their innate disadvantageous properties (e.g., low solubility and stability, reduced bioavailability, and lack of tumor specificity) have delayed the potential inclusion of flavonoids in CRC treatment regimens but have hastened the design of nanopharmaceuticals comprising a flavonoid agent entrapped in a nanosized delivery platform that not only counteract these inconveniences but also provide an augmented therapeutic effect and an elevated safety profile by conferring a targeted action. Starting with a brief presentation of the pathological features of CRC and an overview of flavonoid classes, the present study comprehensively reviews the anti-CRC activity of different flavonoids from a mechanistic perspective while also portraying the latest discoveries made in the area of flavonoid-containing nanocarriers that have proved efficient in CRC management. This review concludes by showcasing future perspectives for the advancement of flavonoids and flavonoid-based nanopharmaceuticals in CRC research.
结直肠癌(CRC)是最严重的健康问题之一,也是全球第三大常见诊断癌症。然而,CRC的治疗方案会引发不良反应,在某些情况下还会产生耐药性。由于类黄酮具有多种生物学特性,且能够针对CRC发病机制中涉及的不同过程发挥作用,因此已成为CRC预防和治疗的有前景的替代方案。其固有的不利特性(如低溶解度和稳定性、生物利用度降低以及缺乏肿瘤特异性)阻碍了类黄酮在CRC治疗方案中的潜在应用,但也加速了纳米药物的设计,这种纳米药物是将类黄酮药物包裹在纳米级递送平台中,不仅可以克服这些不便之处,还能通过赋予靶向作用提供增强的治疗效果和更高的安全性。本研究首先简要介绍了CRC的病理特征和类黄酮类别的概述,然后从机制角度全面综述了不同类黄酮的抗CRC活性,同时还描述了在含类黄酮纳米载体领域取得的最新发现,这些发现已证明在CRC治疗中有效。本综述最后展示了类黄酮和基于类黄酮的纳米药物在CRC研究中的未来发展前景。
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