Targeting oxidative stress with natural products: A novel strategy for esophageal cancer therapy

Fang Cao, Han-Ling Zhang, Cui Guo, X. Xu, Qiang Yuan
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Abstract

Esophageal cancer (ESC) is a malignant tumor that originates from the mucosal epithelium of the esophagus and is part of the digestive tract. Although the exact pathogenesis of ESC has not been fully elucidated, excessive oxidative stress is an important characteristic that leads to the development of many cancers. Abnormal expression of several proteins and transcription factors contributes to oxidative stress in ESCs, which alters the growth and proliferation of ESCs and promotes their metastasis. Natural compounds, including alkaloids, terpenes, polyphenols, and xanthine compounds, can inhibit reactive oxygen species production in ESCs. These compounds reduce oxidative stress levels and subsequently inhibit the occurrence and progression of ESC through the regulation of targets and pathways such as the cytokine interleukins 6 and 10, superoxide dismutase, the NF-+ACY-kappa+ADs-B/MAPK pathway, and the mammalian Nrf2/ARE target pathway. Thus, targeting tumor oxidative stress has become a key focus in anti-ESC therapy. This review discusses the potential of Natural products (NPs) for treating ESCs and summarizes the application prospects of oxidative stress as a new target for ESC treatment. The findings of this review provide a reference for drug development targeting ESCs. Nonetheless, further high-quality studies will be necessary to determine the clinical efficacy of these various NPs.
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利用天然产品靶向氧化应激:食管癌治疗的新策略
食管癌(ESC)是一种起源于食管粘膜上皮的恶性肿瘤,是消化道的一部分。虽然食管癌的确切发病机制尚未完全阐明,但过度氧化应激是导致许多癌症发生的一个重要特征。多种蛋白质和转录因子的异常表达导致了ESC中的氧化应激,从而改变了ESC的生长和增殖,并促进了它们的转移。天然化合物,包括生物碱、萜类、多酚和黄嘌呤化合物,可以抑制 ESCs 中活性氧的产生。这些化合物通过调节细胞因子白介素 6 和 10、超氧化物歧化酶、NF-+ACY-kappa+ADs-B/MAPK 通路和哺乳动物 Nrf2/ARE 靶点通路等靶点和通路,降低氧化应激水平,进而抑制 ESC 的发生和发展。因此,以肿瘤氧化应激为靶点已成为抗ESC疗法的重点。本综述探讨了天然产物(NPs)治疗ESC的潜力,并总结了氧化应激作为ESC治疗新靶点的应用前景。本综述的研究结果为针对间充质干细胞的药物开发提供了参考。然而,要确定这些不同NPs的临床疗效,还需要进一步开展高质量的研究。
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