Antioxidant Therapy in Cancer: Rationale and Progress
Maochao Luo1,2, Li Zhou2, Zhao Huang2
1School of Medicine, Ningbo University, Ningbo 315211, China.
Abstract:
Cancer is characterized by increased oxidative stress, an imbalance between reactive oxygen species (ROS) and antioxidants. Enhanced ROS accumulation, as a result of metabolic disturbances and signaling aberrations, can promote carcinogenesis and malignant progression by inducing gene mutations and activating pro-oncogenic signaling, providing a possible rationale for targeting oxidative stress in cancer treatment. While numerous antioxidants have demonstrated therapeutic potential, their clinical efficacy in cancer remains unproven. Here, we review the rationale for, and recent advances in, pre-clinical and clinical research on antioxidant therapy in cancer, including targeting ROS with nonenzymatic antioxidants, such as NRF2 activators, vitamins, N-acetylcysteine and GSH esters, or targeting ROS with enzymatic antioxidants, such as NOX inhibitors and SOD mimics. In addition, we will offer insights into prospective therapeutic options for improving the effectiveness of antioxidant therapy, which may expand its applications in clinical cancer treatment.
Insights
Cancer involves increased oxidative stress from reactive oxygen species (ROS). Antioxidant therapies show promise but lack proven clinical efficacy, necessitating further research for effective cancer treatment.
Area of Science:
- Oncology
- Biochemistry
Background:
- Cancer is linked to elevated oxidative stress, an imbalance between reactive oxygen species (ROS) and antioxidants.
- Increased ROS can drive carcinogenesis by causing mutations and activating pro-oncogenic pathways.
Purpose of the Study:
- To review the rationale and recent advances in antioxidant therapy for cancer.
- To explore targeting ROS with various antioxidant strategies.
- To provide insights into improving antioxidant therapy's clinical effectiveness.
Main Methods:
- Review of pre-clinical and clinical research on antioxidant therapy in cancer.
- Examination of nonenzymatic antioxidants (e.g., NRF2 activators, vitamins, N-acetylcysteine, GSH esters).
- Analysis of enzymatic antioxidants (e.g., NOX inhibitors, SOD mimics).
Main Results:
- Antioxidant therapy targeting ROS is a potential cancer treatment strategy.
- Numerous antioxidants show pre-clinical promise, but clinical efficacy is unproven.
- Research is ongoing to enhance the effectiveness of these therapies.
Conclusions:
- Targeting oxidative stress is a rational approach for cancer treatment.
- Further research and prospective therapeutic options are needed to improve clinical outcomes.
- Optimizing antioxidant therapy could expand its role in cancer care.
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