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Cancer chemoprevention through dietary flavonoids: what's limiting?
Haneen Amawi1, Charles R Ashby2, Amit K Tiwari3,4
1Department of Pharmacology and Systems Therapeutics, College of Pharmacy and Pharmaceutical Sciences, University of Toledo, Toledo, OH, 43560, USA.
Abstract:
Flavonoids are polyphenols that are found in numerous edible plant species. Data obtained from preclinical and clinical studies suggest that specific flavonoids are chemo-preventive and cytotoxic against various cancers via a multitude of mechanisms. However, the clinical use of flavonoids is limited due to challenges associated with their effective use, including (1) the isolation and purification of flavonoids from their natural resources; (2) demonstration of the effects of flavonoids in reducing the risk of certain cancer, in tandem with the cost and time needed for epidemiological studies, and (3) numerous pharmacokinetic challenges (e.g., bioavailability, drug-drug interactions, and metabolic instability). Currently, numerous approaches are being used to surmount some of these challenges, thereby increasing the likelihood of flavonoids being used as chemo-preventive drugs in the clinic. In this review, we summarize the most important challenges and efforts that are being made to surmount these challenges.
Insights
Flavonoids show promise as cancer chemo-preventive agents, but clinical use is hindered by isolation, efficacy demonstration, and pharmacokinetic challenges. Ongoing research aims to overcome these obstacles for broader application.
Area of Science:
- Biochemistry
- Pharmacology
- Oncology
Background:
- Flavonoids, polyphenols from plants, exhibit chemo-preventive and cytotoxic properties against various cancers through multiple mechanisms.
- Preclinical and clinical data support the potential of specific flavonoids in cancer therapy.
Purpose of the Study:
- To review the significant challenges limiting the clinical application of flavonoids.
- To summarize current efforts and strategies aimed at overcoming these limitations.
Main Methods:
- Literature review of preclinical and clinical studies on flavonoids and cancer.
- Analysis of challenges in flavonoid isolation, purification, efficacy demonstration, and pharmacokinetics.
- Overview of emerging approaches to enhance flavonoid bioavailability and therapeutic efficacy.
Main Results:
- Key challenges include difficulties in isolating and purifying flavonoids, the lengthy and costly process of demonstrating cancer risk reduction, and significant pharmacokinetic issues like poor bioavailability and drug interactions.
- Despite these hurdles, various innovative strategies are being developed to improve flavonoid delivery and effectiveness.
Conclusions:
- Overcoming the identified challenges is crucial for realizing the full therapeutic potential of flavonoids as chemo-preventive agents.
- Continued research and development of novel approaches will facilitate the clinical integration of flavonoids in cancer treatment and prevention.
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