Sarkar Fazlul H, Li Yiwei, Wang Zhiwei, Kong Dejuan
Department of Pathology, Barbara Ann Karmanos Cancer Institute, Wayne State University School of Medicine, 740 Hudson Webber Cancer Research Center, 4100 John R, Detroit, MI 48201, USA.
Cell Signal. 2009 Nov;21(11):1541-7. doi: 10.1016/j.cellsig.2009.03.009. Epub 2009 Mar 16.
Cancer cells are known to have alterations in multiple cellular signaling pathways and because of the complexities in the communication between multiple signaling networks, the treatment and the cure for most human malignancies is still an open question. Perhaps, this is the reason why specific inhibitors that target only one pathway have been typically failed in cancer treatment. However, the in vitro and in vivo studies have demonstrated that some natural products such as isoflavones, indole-3-carbinol (I3C), 3,3'-diindolylmethane (DIM), curcumin, (-)-epigallocatechin-3-gallate (EGCG), resveratrol, lycopene, etc, have inhibitory effects on human and animal cancers through targeting multiple cellular signaling pathways and thus these "natural agents" could be classified as multi-targeted agents. This is also consistent with the epidemiological studies showing that the consumption of fruits, soybean and vegetables is associated with reduced risk of several types of cancers. By regulating multiple important cellular signaling pathways including NF-kappaB, Akt, MAPK, Wnt, Notch, p53, AR, ER, etc, these natural products are known to activate cell death signals and induce apoptosis in pre-cancerous or cancer cells without affecting normal cells. Therefore, non-toxic "natural agents" harvested from the bounties of nature could be useful either alone or in combination with conventional therapeutics for the prevention of tumor progression and/or treatment of human malignancies.
已知癌细胞在多个细胞信号通路中存在改变,并且由于多个信号网络之间通信的复杂性,大多数人类恶性肿瘤的治疗和治愈仍然是一个悬而未决的问题。也许,这就是为什么仅靶向一条通路的特定抑制剂在癌症治疗中通常失败的原因。然而,体外和体内研究表明,一些天然产物,如异黄酮、吲哚 - 3 - 甲醇(I3C)、3,3'-二吲哚基甲烷(DIM)、姜黄素、( - ) - 表没食子儿茶素 - 3 - 没食子酸酯(EGCG)、白藜芦醇、番茄红素等,通过靶向多个细胞信号通路对人类和动物癌症具有抑制作用,因此这些“天然药物”可归类为多靶点药物。这也与流行病学研究一致,该研究表明食用水果、大豆和蔬菜与几种癌症风险降低有关。通过调节包括NF - κB、Akt、MAPK、Wnt、Notch、p53、AR、ER等多个重要的细胞信号通路,这些天然产物已知可激活细胞死亡信号并诱导癌前或癌细胞凋亡,而不影响正常细胞。因此,从大自然的馈赠中获取的无毒“天然药物”单独使用或与传统疗法联合使用,可能对预防肿瘤进展和/或治疗人类恶性肿瘤有用。