Bioreduction-mediated food-drug interactions: opportunities for oncology nutrition
Melanie M Erzinger1, Shana J Sturla
1ETH Zürich, Institute of Food, Nutrition and Health, Schmelzbergstrasse 9, CH-8092 Zürich.
Abstract:
Chemical and biochemical processes underlying food-drug interactions in cancer therapy have not been well addressed with a systematic focus, even though they offer significant potential for enhancing the efficacy of cancer chemotherapy. Bioreductive anticancer drugs are metabolically activated by reductase enzymes. The levels and activities of relevant metabolic enzymes are regulated by transcription factors, which are under the control of chemical interactions with small molecules, including bioactive food components (BFCs) such as minerals, vitamins, and a variety of phytochemicals. One important and well-established process is the upregulation of enzymes involved in xenobiotic metabolism and redox regulation. Thus, BFCs might help to overcome resistances of some cancer cells towards anticancer agents or to increase efficacy by sensitizing cancer cells towards synergistic drugs. By understanding chemical and biochemical processes involved in food-drug interactions, not only can the risk of harmful food-drug interactions be diminished, but appropriate nutritional recommendations for cancer patients can be made and new functional foods with specific benefits in anticancer therapy may be developed.
Insights
Bioactive food components (BFCs) can enhance cancer chemotherapy by modulating drug-metabolizing enzymes. Understanding these food-drug interactions can improve cancer treatment efficacy and patient nutrition.
Area of Science:
- Biochemistry
- Pharmacology
- Nutritional Science
Background:
- Food-drug interactions (FDIs) in cancer therapy are complex and underexplored.
- Metabolic activation of bioreductive anticancer drugs involves reductase enzymes.
- Transcription factors regulate enzyme activity, influenced by bioactive food components (BFCs).
Purpose of the Study:
- To systematically address the chemical and biochemical processes of FDIs in cancer therapy.
- To explore the potential of BFCs in enhancing chemotherapy efficacy.
- To inform nutritional recommendations and develop functional foods for cancer patients.
Main Methods:
- Review of biochemical pathways of drug metabolism.
- Analysis of molecular interactions between BFCs and metabolic enzymes.
- Investigation of transcriptional regulation of xenobiotic metabolizing enzymes.
Main Results:
- BFCs can modulate reductase enzyme activity, affecting drug metabolism.
- Upregulation of xenobiotic metabolism and redox regulation enzymes by BFCs is a key mechanism.
- BFCs show potential to overcome drug resistance and enhance synergistic drug effects.
Conclusions:
- Understanding FDIs is crucial for optimizing cancer chemotherapy.
- BFCs can be leveraged to improve treatment outcomes and patient care.
- Further research can lead to novel functional foods for anticancer therapy.
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