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Epigenetics of Dietary Phytochemicals in Cancer Prevention: Fact or Fiction. 膳食植物化学物质在癌症预防中的表观遗传学:事实或虚构。
IF 2.6 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-01 DOI: 10.1097/PPO.0000000000000742
PoChung Jordan Chou, Rebecca Mary Peter, Ahmad Shannar, Yuxin Pan, Parv Dushyant Dave, Jiawei Xu, Md Shahid Sarwar, Ah-Ng Kong

Abstract: Cancer development takes 10 to 50 years, and epigenetics plays an important role. Recent evidence suggests that ~80% of human cancers are linked to environmental factors impinging upon genetics/epigenetics. Because advanced metastasized cancers are resistant to radiation/chemotherapeutic drugs, cancer prevention by relatively nontoxic "epigenetic modifiers" will be logical. Many dietary phytochemicals possess powerful antioxidant and anti-inflammatory properties that are hallmarks of cancer prevention. Dietary phytochemicals can regulate gene expression of the cellular genome via epigenetic mechanisms. In this review, we will summarize preclinical studies that demonstrate epigenetic mechanisms of dietary phytochemicals in skin, colorectal, and prostate cancer prevention. Key examples of the importance of epigenetic regulation in carcinogenesis include hypermethylation of the NRF2 promoter region in cancer cells, resulting in inhibition of NRF2-ARE signaling. Many dietary phytochemicals demethylate NRF2 promoter region and restore NRF2 signaling. Phytochemicals can also inhibit inflammatory responses via hypermethylation of inflammation-relevant genes to block gene expression. Altogether, dietary phytochemicals are excellent candidates for cancer prevention due to their low toxicity, potent antioxidant and anti-inflammatory properties, and powerful epigenetic effects in reversing procarcinogenic events.

摘要:癌症的发生发展需要 10 到 50 年的时间,而表观遗传学在其中扮演着重要角色。最新证据表明,约 80% 的人类癌症与影响遗传学/表观遗传学的环境因素有关。由于晚期转移性癌症对辐射/化疗药物具有抗药性,因此通过相对无毒的 "表观遗传修饰剂 "来预防癌症将是顺理成章的。许多膳食植物化学物质具有强大的抗氧化和抗炎特性,这是预防癌症的标志。膳食植物化学物质可通过表观遗传机制调节细胞基因组的基因表达。在本综述中,我们将总结临床前研究,这些研究证明了膳食植物化学物在皮肤癌、结肠直肠癌和前列腺癌预防中的表观遗传学机制。表观遗传调控在致癌过程中的重要性的主要例子包括癌细胞中 NRF2 启动子区域的高甲基化,导致 NRF2ARE 信号传导受到抑制。许多膳食植物化学物质可使 NRF2 启动子区域去甲基化,恢复 NRF2 信号传导。植物营养素还可以通过炎症相关基因的超甲基化来阻止基因表达,从而抑制炎症反应。总之,膳食植物化学物质毒性低,具有强大的抗氧化和抗炎特性,在逆转致癌事件方面具有强大的表观遗传效应,因此是预防癌症的绝佳候选物质。
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引用次数: 0
New Metabolomic Insights Into Cancer. 代谢组学对癌症的新认识
IF 2.6 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-01 DOI: 10.1097/PPO.0000000000000740
Jiangjiang Zhu

Abstract: Cancer has been marked by metabolic irregularities that fuel various aggressive activities such as rapid cell proliferation, evasion of the immune system, and spread to distant organs. Therefore, exploiting cancer metabolism for diagnosis, monitoring, or treatment has been extensively studied in the past couple of decades with various molecular and cellular techniques. More recently, investigating cancer diagnostics and treatments through advanced metabolomics has emerged, and these comprehensive approaches provide a holistic understanding of cancer metabolism, which supported the discovery of metabolic targets relevant across multiple cancer types and the development of more effective treatments. This study offers highlights of new knowledge on cancer metabolism enabled by recent metabolomics studies and their potential applications in aiding cancer research and predicting cancer treatment outcomes. Specifically, we discussed the use of advanced metabolomics in cancer metabolism, tumor microenvironment, and cancer immunotherapy studies to provide valuable insights that can shape future research efforts in the dynamic field of cancer metabolism research.

摘要:癌症的特点是新陈代谢不正常,助长了各种侵袭性活动,如细胞快速增殖、逃避免疫系统和向远处器官扩散。因此,在过去几十年里,人们利用各种分子和细胞技术,对利用癌症代谢进行诊断、监测或治疗进行了广泛研究。最近,通过先进的代谢组学研究癌症诊断和治疗的方法应运而生,这些综合方法提供了对癌症代谢的整体认识,有助于发现与多种癌症类型相关的代谢靶点和开发更有效的治疗方法。本研究重点介绍了近期代谢组学研究带来的有关癌症代谢的新知识及其在辅助癌症研究和预测癌症治疗结果方面的潜在应用。具体来说,我们讨论了先进代谢组学在癌症代谢、肿瘤微环境和癌症免疫疗法研究中的应用,以提供有价值的见解,从而塑造未来在充满活力的癌症代谢研究领域的研究工作。
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引用次数: 0
Repurposing Drugs for Cancer Prevention: Targeting Mechanisms Common to Chronic Diseases. 预防癌症的药物再利用:针对慢性疾病的共同机制。
IF 2.6 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-01 DOI: 10.1097/PPO.0000000000000746
Nirmal Choradia, Eva Szabo

Abstract: The development of agents for cancer prevention is a lengthy process requiring a delicate balance between the safety and tolerability of potential interventions and effectiveness in preventing future cancer. Individuals at risk for a specific cancer are frequently at risk for multiple types of cancer as well as other chronic diseases, especially ones associated with aging. Shared environmental exposures, genetic predisposition, metabolic factors, and commonalities in pathogenesis suggest opportunities for combined targeting of cancer and other chronic diseases. Examples discussed here include mechanisms shared between various cancers and obesity, diabetes, and cardiovascular disease.

摘要:开发预防癌症的药物是一个漫长的过程,需要在潜在干预措施的安全性和耐受性与预防未来癌症的有效性之间取得微妙的平衡。有患某种癌症风险的人往往也有患多种癌症和其他慢性疾病的风险,尤其是与衰老有关的疾病。共同的环境暴露、遗传易感性、代谢因素以及发病机制的共性,都为联合治疗癌症和其他慢性疾病提供了机会。本文讨论的例子包括各种癌症与肥胖症、糖尿病和心血管疾病之间的共同机制。
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引用次数: 0
Advancements in Understanding and Preventing Obesity-Related Colon Cancer. 了解和预防肥胖相关结肠癌的进展。
IF 2.6 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-01 DOI: 10.1097/PPO.0000000000000744
Christine Shieh, Henry J Thompson, Eric McLaughlin, Chien-Wei Chiang, Hisham Hussan

Abstract: Obesity and colorectal cancer are global public health issues, with the prevalence of both conditions increasing over the last 4 decades. In the United States alone, the prevalence of obesity is greater than 40%, and this percentage is projected to increase past 50% by 2030. This review focuses on understanding the association between obesity and the risk of colorectal cancer while also highlighting hypotheses about molecular mechanisms underlying the link between these disease processes. We also consider whether those linkages can be disrupted via weight loss therapies, including lifestyle modifications, pharmacotherapy, bariatric surgery, and endobariatrics.

摘要:肥胖症和结肠直肠癌是全球性的公共卫生问题,这两种疾病的发病率在过去 40 年中不断上升。仅在美国,肥胖症的发病率就超过了 40%,预计到 2030 年,这一比例将超过 50%。本综述侧重于了解肥胖与结肠直肠癌风险之间的联系,同时还强调了有关这些疾病过程之间联系的分子机制的假设。我们还考虑了是否可以通过减肥疗法(包括改变生活方式、药物疗法、减肥手术和减肥内科手术)来破坏这些联系。
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引用次数: 0
Ecosystemic Approach to Understanding Gut Microbiome-Mediated Prevention of Colorectal Cancer. 以生态系统方法了解肠道微生物介导的结直肠癌预防。
IF 2.6 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-01 DOI: 10.1097/PPO.0000000000000743
Tymofiy Lutsiv, Hisham Hussan, Henry J Thompson

Humans and their associated microorganisms coexist in complex symbiotic relationships. Continuously advancing research is demonstrating the crucial role of host-associated microbiota in the pathophysiology and etiology of disease and in mediating the prevention thereof. As an exemplar, the gut microbiota, especially colonic bacteria, have been extensively studied in colorectal cancer (CRC), and the growing body of evidence establishes new oncomicrobes and their oncometabolites associated with the initiation and promotion of carcinogenesis. Herein, we discuss the importance of approaching the gut microbiome as an ecosystem rather than an assortment of individual factors, especially in the context of cancer prevention. Furthermore, we argue that a dietary pattern effectively drives multiple nodes of the gut microbial ecosystem toward disease- or health-promoting qualities. In the modern circumstances of excessive consumption of ultraprocessed and animal-based foods and concomitant escalation of chronic disease burden worldwide, we focus on whole food-derived dietary fiber as a key to establishing a health-promoting eubiosis in the gut.

人类与相关微生物之间存在着复杂的共生关系。不断进步的研究表明,宿主相关微生物群在疾病的病理生理学、病因学和预防方面发挥着至关重要的作用。例如,肠道微生物群,特别是结肠细菌,在结直肠癌(CRC)中的作用已得到广泛研究,越来越多的证据表明,新的微生物及其代谢产物与癌变的发生和促进有关。在此,我们讨论了将肠道微生物组视为一个生态系统而非各种单独因素的重要性,尤其是在癌症预防方面。此外,我们还认为,膳食模式能有效地推动肠道微生物生态系统的多个节点向疾病或促进健康的方向发展。在过度食用超加工食品和动物性食品以及全球慢性疾病负担随之加重的现代环境下,我们将重点放在源自全食物的膳食纤维上,将其作为在肠道中建立促进健康的生态平衡的关键。
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引用次数: 0
What to Eat for Cancer Prevention: The Total Dietary Pattern as a Combination Treatment for Prevention. 吃什么预防癌症?作为预防综合疗法的总体膳食模式。
IF 2.6 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-01 DOI: 10.1097/PPO.0000000000000741
Yiwen Zhang, Edward L Giovannucci

Abstract: Over the past 2 decades, the search for dietary factors for developing cancer prevention guidelines has led to a significant expansion in the study of dietary patterns and their relation to cancer. Dietary patterns, which consider the types, amounts, variety, and combination of consumed foods, may encompass additive, synergistic, or interactive effects on human health, compared with individual nutrients or foods. In this review, we discuss the history and methodologies of dietary pattern research, describe common dietary indices used in cancer research, and summarize the existing evidence on dietary patterns and cancer risk. Current evidence supports the beneficial role of dietary patterns that are rich in vegetables, legumes, whole fruit, and whole grains and limited in added sugars, refined grains, processed foods, and red and processed meat in preventing various cancers, including breast, colorectal, and prostate cancers. Additionally, emerging evidence suggests that dietary patterns based on biological mechanisms, such as hyperinsulinemic diet and inflammatory diet, hold promise and may be priority areas for future research.

摘要:在过去的二十年里,为制定癌症预防指南而对膳食因素进行的探索,大大扩展了对膳食模式及其与癌症关系的研究。膳食模式考虑的是摄入食物的种类、数量、品种和组合,与单个营养素或食物相比,膳食模式可能会对人体健康产生叠加、协同或交互影响。在本综述中,我们将讨论膳食模式研究的历史和方法,介绍癌症研究中常用的膳食指数,并总结有关膳食模式和癌症风险的现有证据。目前的证据表明,富含蔬菜、豆类、全果和全谷物,少吃添加糖、精制谷物、加工食品以及红肉和加工肉类的膳食模式对预防各种癌症(包括乳腺癌、结直肠癌和前列腺癌)有益。此外,新出现的证据表明,基于生物机制的膳食模式,如高胰岛素饮食和炎症饮食,也有希望成为未来研究的优先领域。
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引用次数: 0
Telemedicine and cancer care: Barriers and strategies to optimize delivery: Erratum. 远程医疗和癌症护理:远程医疗与癌症护理:优化服务的障碍与策略:勘误。
IF 2.6 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-01 DOI: 10.1097/PPO.0000000000000748
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引用次数: 0
Immunoprevention Strategies for Colorectal Cancer in Lynch Syndrome Carriers. 林奇综合征携带者结直肠癌的免疫预防策略。
IF 2.6 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-01 DOI: 10.1097/PPO.0000000000000738
Charles M Bowen, Krishna M Sinha, Eduardo Vilar

Abstract: The immune revolution that swept the field of oncology in the mid-2010s with the advent of checkpoint inhibitors has led to a paradigm shift in approaches toward adapting new cancer prevention modalities. Cancer vaccines have emerged from this era with astounding potential as a durable intervention to prevent cancers especially for patients with hereditary susceptibilities such as Lynch syndrome carriers. This review covers new insights in the immunoprevention landscape for patients living with Lynch syndrome including highlights ranging from clinical trials exploring the use of chemoprevention agents to boost immune cellularity to investigative studies using novel vaccine approaches to induce long-term antitumor immunity.

摘要:2010 年代中期,随着检查点抑制剂的出现,免疫革命席卷了肿瘤学领域。在这一时代,癌症疫苗作为一种持久的癌症预防干预措施,具有惊人的潜力,尤其是对于林奇综合征(Lynch syndrome)携带者等具有遗传易感性的患者。本综述涵盖了林奇综合征患者免疫预防领域的新观点,包括从探索使用化学预防药物提高免疫细胞能力的临床试验到使用新型疫苗方法诱导长期抗肿瘤免疫的调查研究等重点内容。
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引用次数: 0
Discovery of Natural Products for Cancer Prevention. 发现预防癌症的天然产品。
IF 2.6 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-01 DOI: 10.1097/PPO.0000000000000745
Peter J Blanco Carcache, Steven K Clinton, A Douglas Kinghorn

Abstract: "Cancer chemoprevention" is a term referring to the slowing or reversal of this disease, using nontoxic natural or synthetic compounds. For about 50 years, there has been a strong scientific interest in discovering plant-derived compounds to prevent cancer, and strategies for this purpose using a concerted series of in vitro, ex vivo, and in vivo laboratory bioassays have been developed. Five examples of the more thoroughly investigated agents of this type are described herein, which are each supported by detailed literature reports, inclusive of ellagic acid, isoliquiritigenin, lycopene, trans-resveratrol, and sulforaphane. In addition, extracts of the plants avocado (Persea americana), noni (Morinda citrifolia), açai (Euterpe oleracea), and mangosteen (Garcinia mangostana) have all shown inhibitory activity in an in vivo or ex vivo bioassay using a carcinogen and germane to cancer chemoprevention, and selected in vitro-active constituents are described for each of these 4 species.

摘要:"癌症化学预防 "是指利用无毒的天然或合成化合物来减缓或逆转这种疾病。大约 50 年来,科学界一直对发现植物提取的化合物来预防癌症有着浓厚的兴趣,并为此制定了一系列协调一致的体外、体内和实验室生物测定策略。本文介绍了五种经过深入研究的此类药物,每种药物都有详细的文献报告支持,包括鞣花酸、异桔梗甙元、番茄红素、反式白藜芦醇和莱菔硫烷。此外,牛油果(Persea americana)、诺丽果(Morinda citrifolia)、阿萨伊(Euterpe oleracea)和山竹果(Garcinia mangostana)等植物的提取物在使用致癌物进行体内或体外生物测定时均显示出抑制活性,并与癌症化学预防密切相关,本文对这 4 种植物的体外活性成分进行了介绍。
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引用次数: 0
Targets for Cancer Prevention: Evolving Methodologies in Basic and Epidemiological Sciences Identify Interrelated Pathways and the Need for Holistic Approaches. 癌症预防目标:基础科学和流行病学中不断发展的方法确定了相互关联的途径和整体方法的必要性。
IF 2.6 4区 医学 Q3 ONCOLOGY Pub Date : 2024-09-01 DOI: 10.1097/PPO.0000000000000747
Zora Djuric
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引用次数: 0
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Cancer journal
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