Unlocking the Therapeutic Potential of Natural Polyphenols in Esophageal Cancer.

IF 4.7 2区 医学 Q2 ONCOLOGY
Current Treatment Options in Oncology Pub Date : 2025-04-01 Epub Date: 2025-03-22 DOI:10.1007/s11864-025-01308-6
Chengu Niu, Jing Zhang, Patrick I Okolo
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引用次数: 0

Abstract

Opinion statement: 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.

揭示天然多酚在食管癌中的治疗潜力。
意见声明:食管癌(EC)是一种高度恶性的上消化道癌症,是全球第八大最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耐药性,而且很少有靶向治疗方法可用。目前,治疗EC的需求尚未得到满足。多酚是植物在应对环境威胁和伤害时自然产生的次生代谢产物。流行病学证据表明,长期食用富含多酚的饮食与患癌症的风险呈负相关。目前,天然多酚因其对EC的潜在治疗作用而受到越来越多的关注。在这篇综述中,我们总结和讨论了天然多酚在EC中治疗潜力的最新进展,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经批准的化疗和放疗相结合,以克服单一治疗所面临的挑战。讨论了目前面临的挑战和未来的发展方向,以加快天然多酚在EC中的临床应用。我们得出结论,天然多酚是管理EC的有希望的候选人。精心设计的随机对照研究有必要验证天然多酚对EC的有效性和安全性。从本综述中获得的知识将概述未来可能的研究方向,并应有助于开发新的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.10
自引率
0.00%
发文量
113
审稿时长
>12 weeks
期刊介绍: This journal aims to review the most important, recently published treatment option advances in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to facilitate worldwide approaches to cancer treatment. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as endocrine tumors, lymphomas, neuro-oncology, and cancers of the breast, head and neck, lung, skin, gastrointestinal tract, and genitourinary region. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known oncologists, and an international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research.
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