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Pharmacodynamics (PD), Pharmacokinetics (PK) and PK-PD Modeling of NRF2 Activating Dietary Phytochemicals in Cancer Prevention and in Health. NRF2激活膳食植物化学物质在癌症预防和健康中的药效学(PD)、药代动力学(PK)和PK-PD模型
Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-01-01 Epub Date: 2024-12-05 DOI: 10.1007/s40495-024-00388-6
Ahmad Shannar, Pochung Jordan Chou, Rebecca Peter, Parv Dushyant Dave, Komal Patel, Yuxin Pan, Jiawei Xu, Md Shahid Sarwar, Ah-Ng Kong

Purpose of review: Dietary phytochemicals, bioactive compounds derived from plants, have gained increasing attention for their potential role in cancer prevention. Among these, NRF2 (nuclear factor erythroid 2-related factor 2) activating dietary phytochemicals such as curcumin, sulforaphane, ursolic acid, and cyanidin have demonstrated significant antioxidant and anti-inflammatory properties, making them promising agents in chemoprevention. This review examines the pharmacokinetic (PK) and pharmacodynamic (PD) profiles of these dietary phytochemicals, with a focus on their NRF2-mediated effects in cancer prevention.

Recent findings: Preclinical studies have highlighted the potential of these dietary phytochemicals to modulate oxidative stress and inflammation, key drivers of carcinogenesis. We explore the complexity of their PK/PD properties, influenced by factors such as bioavailability, metabolism, and drug interactions. While most of these phytochemicals follow two compartmental PK, their anti-oxidant and anti-inflammatory effects follow the indirect response (IDR) model. Furthermore, we discuss the application of physiologically based pharmacokinetic (PBPK) modeling to simulate the behavior of these compounds in humans, providing insights for clinical translation.

Summary: The integration of PK-PD analysis into the development of dietary phytochemical-based therapies offers a pathway to optimize dosing strategies, enhance therapeutic efficacy, and improve safety. This review underscores the importance of these compounds as part of cancer interception strategies, particularly in the early stages of cancer development, where they may offer a natural, less toxic alternative to conventional therapies.

Graphical abstract:

综述目的:膳食植物化学物质是一种从植物中提取的生物活性化合物,因其在癌症预防中的潜在作用而受到越来越多的关注。其中,NRF2(核因子-红细胞2相关因子2)激活膳食中的植物化学物质,如姜黄素、萝卜硫素、熊果酸和花青素,已显示出显著的抗氧化和抗炎特性,使其成为化学预防的有希望的药物。本文综述了这些膳食植物化学物质的药代动力学(PK)和药效学(PD)概况,重点研究了它们在nrf2介导的癌症预防作用。最近发现:临床前研究强调了这些膳食植物化学物质调节氧化应激和炎症的潜力,这是致癌的关键驱动因素。我们探讨了受生物利用度、代谢和药物相互作用等因素影响的它们的PK/PD特性的复杂性。虽然这些植物化学物质大多数遵循两个区室PK,但它们的抗氧化和抗炎作用遵循间接反应(IDR)模型。此外,我们讨论了基于生理的药代动力学(PBPK)模型的应用,以模拟这些化合物在人体内的行为,为临床翻译提供见解。摘要:将PK-PD分析整合到膳食植物化学疗法的开发中,为优化给药策略、增强治疗效果和提高安全性提供了一条途径。这篇综述强调了这些化合物作为癌症拦截策略的一部分的重要性,特别是在癌症发展的早期阶段,它们可能为传统疗法提供一种天然的、毒性更小的替代方案。图形化的简介:
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引用次数: 0
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Current Pharmacology Reports
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