Bioactive Phenolic Compounds in the Modulation of Central and Peripheral Nervous System Cancers: Facts and Misdeeds
Lorena Perrone1,2, Simone Sampaolo1, Mariarosa Anna Beatrice Melone1,3
1Department of Advanced Medical and Surgical Sciences, 2nd Division of Neurology, Center for Rare Diseases and InterUniversity Center for Research in Neurosciences, University of Campania "Luigi Vanvitelli", Via Sergio Pansini, 5 80131 Naples, Italy.
Abstract:
Efficacious therapies are not available for the cure of both gliomas and glioneuronal tumors, which represent the most numerous and heterogeneous primary cancers of the central nervous system (CNS), and for neoplasms of the peripheral nervous system (PNS), which can be divided into benign tumors, mainly represented by schwannomas and neurofibromas, and malignant tumors of the peripheral nerve sheath (MPNST). Increased cellular oxidative stress and other metabolic aspects have been reported as potential etiologies in the nervous system tumors. Thus polyphenols have been tested as effective natural compounds likely useful for the prevention and therapy of this group of neoplasms, because of their antioxidant and anti-inflammatory activity. However, polyphenols show poor intestinal absorption due to individual intestinal microbiota content, poor bioavailability, and difficulty in passing the blood-brain barrier (BBB). Recently, polymeric nanoparticle-based polyphenol delivery improved their gastrointestinal absorption, their bioavailability, and entry into defined target organs. Herein, we summarize recent findings about the primary polyphenols employed for nervous system tumor prevention and treatment. We describe the limitations of their application in clinical practice and the new strategies aimed at enhancing their bioavailability and targeted delivery.
Insights
Polyphenols show promise for treating nervous system tumors but face absorption challenges. Nanoparticle delivery enhances their bioavailability and targeted delivery for improved efficacy in glioma and peripheral nerve sheath tumor treatment.
Area of Science:
- Neuro-oncology
- Pharmacology
- Biotechnology
Background:
- Gliomas, glioneuronal tumors, and peripheral nervous system (PNS) neoplasms lack effective cures.
- Oxidative stress and metabolic dysregulation are implicated in nervous system tumor development.
- Polyphenols possess antioxidant and anti-inflammatory properties beneficial for cancer prevention and therapy.
Purpose of the Study:
- To review polyphenols for nervous system tumor prevention and treatment.
- To highlight limitations in clinical application, including poor bioavailability and blood-brain barrier (BBB) penetration.
- To explore strategies for enhancing polyphenol delivery and efficacy.
Main Methods:
- Review of recent findings on polyphenol applications in nervous system tumors.
- Analysis of challenges associated with polyphenol absorption and BBB crossing.
- Examination of nanoparticle-based delivery systems for improved polyphenol bioavailability.
Main Results:
- Polyphenols demonstrate potential in preventing and treating central nervous system (CNS) and PNS tumors.
- Poor intestinal absorption, low bioavailability, and limited BBB penetration hinder clinical use.
- Polymeric nanoparticle delivery systems show promise in overcoming these limitations.
Conclusions:
- Nanoparticle-based polyphenol delivery enhances gastrointestinal absorption and bioavailability.
- Targeted delivery strategies are crucial for improving polyphenol efficacy against nervous system tumors.
- Further research is needed to optimize these strategies for clinical application.
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