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Sulforaphane in Cancer Prevention and Therapy: A State-of-the-Art Review of Epidemiological Evidence, Molecular
Jung Yoon Jang1, Donghwan Kim2, Na Kyeong Lee1
1Department of Pharmacy, College of Pharmacy, Research Institute for Drug Development, Pusan National University, Busan 46241, Republic of Korea.
Abstract:
Sulforaphane (SFN), an aliphatic isothiocyanate derived from cruciferous vegetables such as broccoli, has emerged as a chemopreventive dietary agent. SFN exerts multifaceted anticancer effects through the activation of the nuclear factor erythroid 2-related factor 2 (Nrf2)-antioxidant response element (ARE) pathways, inhibition of histone deacetylases (HDACs) and hypoxia-inducible factor-1α (HIF-1α), and regulation of apoptosis and autophagy. Epidemiological studies have consistently associated cruciferous vegetable intake with reduced cancer risk, while mechanistic research has elucidated the capacity of SFN to modulate redox balance, detoxification pathways, and epigenetic processes. Recent clinical trials have further demonstrated its potential to reduce carcinogenic biomarker levels and support metabolic detoxification. This review integrates evidence from epidemiological observations, molecular mechanisms, and clinical studies to provide a comprehensive understanding of the role of SFN in cancer prevention and therapy. Finally, translational challenges, including limited bioavailability, dose optimization, and standardization of broccoli-derived preparations, are discussed as critical factors for successfully translating SFN therapies from bench to bedside.
Insights
Sulforaphane (SFN), a compound from broccoli, shows promise as a cancer-preventive agent. It works through multiple pathways, including Nrf2 activation and epigenetic modulation, with clinical trials supporting its potential.
Area of Science:
- Nutritional Science
- Oncology
- Molecular Biology
Background:
- Sulforaphane (SFN) is a key compound in cruciferous vegetables, recognized for its potential health benefits.
- Epidemiological studies link cruciferous vegetable consumption to reduced cancer incidence.
- Mechanistic studies reveal SFN's role in cellular defense and cancer modulation.
Purpose of the Study:
- To comprehensively review the role of Sulforaphane (SFN) in cancer prevention and therapy.
- To integrate evidence from epidemiological, molecular, and clinical research on SFN.
- To discuss translational challenges for SFN-based cancer interventions.
Main Methods:
- Literature review of epidemiological observations.
- Analysis of molecular mechanisms of SFN's action.
- Examination of recent clinical trial data on SFN.
Main Results:
- SFN activates the Nrf2-ARE pathway, inhibits HDACs and HIF-1α, and regulates apoptosis and autophagy.
- SFN modulates redox balance, detoxification, and epigenetic processes.
- Clinical trials indicate SFN can reduce cancer biomarkers and support metabolic detoxification.
Conclusions:
- SFN demonstrates significant potential as a chemopreventive and therapeutic agent against cancer.
- Translational success depends on addressing bioavailability, dosage, and standardization issues.
- Further research and development are needed to optimize SFN's clinical application.
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