挖掘天然多酚类物质在食管癌治疗中的潜力
Unlocking the Therapeutic Potential of Natural Polyphenols in Esophageal Cancer.
作者信息
Niu Chengu, Zhang Jing, Okolo Patrick I
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
Curr Treat Options Oncol. 2025 Apr;26(4):278-290. doi: 10.1007/s11864-025-01308-6. Epub 2025 Mar 22.
Esophageal cancer (EC), one highly malignant upper gastrointestinal cancer, is the eighth most commonly occurring cancer and the sixth leading cause of cancer-related deaths worldwide. Clinically, this malignancy is considered to be one of the most difficult-to-treat cancers, owing to its resistance to common therapies like chemotherapy and radiotherapy, and few targeted therapies are available. There is currently an unmet need for treatment of EC. Polyphenols are naturally occurring plant secondary metabolites in response to environmental threats and injury. Epidemiological evidence suggests that long-term consumption of a polyphenol-rich diet is inversely associated with the risk of cancer. Currently, natural polyphenols have received increased attention for their potential therapeutic effects on EC. In this review, we summarize and discuss recent progress in the therapeutic potential of natural polyphenols in EC, as well as their sources, oral bioavailability, and pharmacokinetics. We review natural polyphenols combined with approved chemotherapy and radiotherapy to overcome challenges faced by either monotherapy. We also discuss the current challenges and future directions to accelerate the clinical application of natural polyphenols in EC. We concluded that natural polyphenols represent promising candidates for the management of EC. Well-designed randomized controlled studies are warranted to verify the efficacy and safety of natural polyphenols for EC. Knowledge gained from this review will outline possible future research directions and should help to develop new therapeutics for this disease.
食管癌(EC)是一种高度恶性的上消化道癌症,是全球第八大常见癌症和第六大癌症相关死亡原因。临床上,这种恶性肿瘤被认为是最难治疗的癌症之一,因为它对化疗和放疗等常见疗法具有抗性,且可用的靶向疗法很少。目前,食管癌的治疗存在未满足的需求。多酚是植物应对环境威胁和损伤而产生的天然次生代谢产物。流行病学证据表明,长期食用富含多酚的饮食与癌症风险呈负相关。目前,天然多酚因其对食管癌的潜在治疗作用而受到越来越多的关注。在这篇综述中,我们总结并讨论了天然多酚在食管癌治疗潜力方面的最新进展,以及它们的来源、口服生物利用度和药代动力学。我们回顾了天然多酚与已批准的化疗和放疗联合使用以克服单一疗法所面临挑战的情况。我们还讨论了加速天然多酚在食管癌临床应用方面当前面临的挑战和未来方向。我们得出结论,天然多酚是食管癌治疗的有希望的候选药物。有必要开展精心设计的随机对照研究来验证天然多酚治疗食管癌的疗效和安全性。从这篇综述中获得的知识将勾勒出未来可能的研究方向,并应有助于开发针对这种疾病的新疗法。