4.7 Review

The Involvement of Natural Polyphenols in the Chemoprevention of Cervical Cancer

Journal

Publisher

MDPI
DOI: 10.3390/ijms22168812

Keywords

cervical cancer; HPV; polyphenols; phytochemicals; toxicity; apoptosis

Funding

  1. Romanian National Authority for Scientific Research (UEFISCDI) [PN-III-P1-1.1-TE-2019-0960 a178TE/2020]

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Cervical cancer ranks among the top four most frequent types of cancer, with treatment options including surgical interventions and chemoradiotherapy. However, these methods come with significant adverse effects, leading to a growing focus on alternative medicine, specifically phytochemicals, for more effective treatments. Studies are aiming to find new chemopreventive agents with less toxicity but high effectiveness, with polyphenols showing promising potential in cervical cancer prevention.
From all types of cancer, cervical cancer manages to be in top four most frequent types, with a 6.5% rate of occurrence. The infectious vector that induces the disease, the high-risk Human papillomavirus (HPV), which is a sexually transmitted virus, is capable of transforming the host cell by modulating some of the principal signaling pathways responsible for cell cycle arrest, proliferation, and survival. Fortunately, like other cancer types, cervical cancer can be treated by chirurgical interventions or chemoradiotherapy, but these methods are not exactly the lucky clover of modern medicine because of the adverse effects they have. That is the reason why in the last years the emphasis has been on alternative medicine, more specifically on phytochemicals, as a substantial number of studies showed that diet contributes to cancer prevention and treatment. All these studies are trying to find new chemopreventive agents with less toxicity but high effectiveness both in vitro and in vivo. The aim of this review is to evaluate the literature in order to underline the advantages and disadvantages of polyphenols, a class of dietary compounds, as chemopreventive and chemotherapeutic agents. This review also aims to present polyphenols from different perspectives, starting with mechanisms of action and ending with their toxicity. The bigger picture illustrates that polyphenols have great potential in cervical cancer prevention, with strong effects on gene modulation.

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