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Published on: July 5, 2017
Natural Polyphenols in Cancer Chemoresistance
Saad A Hussain1, Amal A Sulaiman1, Curt Balch2
1a Department of Pharmacology and Toxicology , College of Pharmacy, University of Baghdad , Baghdad , Iraq.
Abstract:
Resistance to chemotherapy remains a major impediment to the management of most types of cancer. Both intrinsic and acquired drug resistance are mediated by several cellular and molecular mechanisms, including alternative growth-signaling pathways unaffected by specific therapies, alterations in the tumor microenvironment (e.g., hypoxia and angiogenesis), and active transport of drugs out of the cell. Epidemiological studies have validated an inverse correlation between the consumption of dietary polyphenols and the risk of cancer, which has been attributed to polyphenol antioxidant capacity and their potential to inhibit activation of procarcinogens, cancer cell proliferation, metastasis, and angiogenesis, and inhibition or downregulation of active drug efflux transporters. Moreover, polyphenols can induce apoptosis in cancer cells and modulate immune responses and inflammatory cascades. Augmentation of the efficacy of chemotherapy and prevention of multidrug resistance are other important effects of dietary polyphenols that deserve further research, especially after the discovery of tight "crosstalk" between aberrant growth signaling and metabolic dysfunction in cancer cells. In this review, we cover what is currently known about the role of natural polyphenolic compounds in overcoming cancer drug resistance mediated by diverse primary and secondary resistance mechanisms.
Insights
Dietary polyphenols show promise in overcoming cancer drug resistance by targeting multiple cellular mechanisms. Further research is warranted to explore their potential in augmenting chemotherapy efficacy and preventing multidrug resistance.
Area of Science:
- Oncology
- Pharmacology
- Nutritional Science
Background:
- Chemotherapy resistance is a significant obstacle in cancer treatment.
- Mechanisms include altered signaling, tumor microenvironment changes, and drug efflux.
- Dietary polyphenols are linked to reduced cancer risk due to antioxidant and anti-cancer properties.
Purpose of the Study:
- To review the role of natural polyphenolic compounds in overcoming diverse cancer drug resistance mechanisms.
- To explore how polyphenols inhibit key resistance pathways.
- To highlight the potential of polyphenols in enhancing chemotherapy.
Main Methods:
- Literature review of studies on dietary polyphenols and cancer drug resistance.
- Analysis of molecular and cellular mechanisms targeted by polyphenols.
- Examination of epidemiological data correlating polyphenol intake with cancer risk.
Main Results:
- Polyphenols exhibit antioxidant capacity and inhibit procarcinogen activation, proliferation, metastasis, and angiogenesis.
- They can inhibit or downregulate active drug efflux transporters, crucial in multidrug resistance.
- Polyphenols induce apoptosis and modulate immune and inflammatory responses.
Conclusions:
- Dietary polyphenols offer a promising natural strategy to combat cancer drug resistance.
- Their multifaceted actions on various resistance mechanisms warrant further investigation for clinical application.
- Understanding the crosstalk between signaling and metabolism in cancer can guide polyphenol-based therapies.
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