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Published on: June 26, 2018
Metabolic and toxicological considerations of botanicals in anticancer therapy
Carmela Fimognari1, Lorenzo Ferruzzi, Eleonora Turrini
1Alma Mater Studiorum-University of Bologna, Department of Pharmacology, Via Irnerio 48, 40126 Bologna, Italy. carmela.fimognari@unibo.it
Introduction:
Cancer is a complex disease, characterized by redundant aberrant signaling pathways as a result of genetic perturbations at different levels. Botanicals consist of a complex mixture of constituents and exhibit pharmacological effects by the interaction of many phytochemicals. The multitarget nature of botanicals could, therefore, be a relevant strategy to address the biological complexity that characterizes tumors.
Areas Covered:
This article reviews the current status of botanicals in the oncological field and the challenges associated with their complex nature.
Expert Opinion:
Botanicals are an important new pharmacological strategy, which are potentially exploitable in the oncological area but are characterized by a number of problems still unresolved. Content variation of products is one of the primary problems with botanicals and, consequently, there is a concern about the therapeutic consistency in marketed batches. Furthermore, metabolic interactions with antineoplastic drugs and the genotoxic potential of botanicals need to be properly addressed throughout the various phases of botanical drug development. These issues not only pose a serious problem to the approvability of those botanical products as new drugs but also present as a limitation to their post-approval clinical use.
Insights
Botanicals offer a multitarget strategy for complex cancers, but product variability and safety concerns hinder their development as cancer drugs. Addressing these challenges is crucial for clinical use and drug approvability.
Area of Science:
- Oncology
- Pharmacology
- Phytochemistry
Background:
- Cancer is a complex disease driven by aberrant signaling pathways.
- Botanicals, with their complex phytochemical mixtures, offer a multitarget approach to combat tumor complexity.
Purpose of the Study:
- To review the current status of botanicals in oncology.
- To identify challenges in developing botanical products for cancer treatment.
Main Methods:
- Literature review of botanical applications in oncology.
- Analysis of challenges in botanical drug development.
Main Results:
- Botanicals present a promising pharmacological strategy for cancer treatment.
- Significant challenges include product content variation, therapeutic inconsistency, and potential drug interactions.
Conclusions:
- Botanical products face hurdles in approvability and clinical use due to unresolved issues.
- Addressing content variation, metabolic interactions, and genotoxicity is essential for botanical drug development.
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