4.7 Review

Calorie restriction and breast cancer treatment: a mini-review

Journal

JOURNAL OF MOLECULAR MEDICINE-JMM
Volume 100, Issue 8, Pages 1095-1109

Publisher

SPRINGER HEIDELBERG
DOI: 10.1007/s00109-022-02226-y

Keywords

Calorie restriction; Intermittent fasting; Breast cancer treatments; Chemotherapy; Radiation therapy; Immunotherapy

Funding

  1. Purdue University Northwest College of Engineering and Sciences

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Calorie restriction is a safe way to extend lifespan and decrease the risk of age-related diseases. It can alter metabolism, enhance health characteristics, and reduce the occurrence of cancer risk factors.
Calorie restriction (CR), referred to as a reduction in dietary calorie intake without malnutrition, has been demonstrated to be a safe way to extend longevity of yeast, worms, and laboratory animals, and to decrease the risk factors in age-related diseases including cancer in humans. Pre-clinical studies in animal models demonstrated that CR may enhance the efficacy of chemotherapy, radiation therapy, and immunotherapy during breast cancer treatment. Reduced calorie intake ameliorates risk factors and delays the onset of cancer by altering metabolism and fostering health-enhancing characteristics including increased autophagy and insulin sensitivity, and decreased blood glucose levels, inflammation, angiogenesis, and growth factor signaling. CR is not a common protocol implemented by medical practitioners to the general public due to the lack of substantial clinical studies. Future research and clinical trials are urgently needed to understand fully the biochemical basis of CR or CR mimetics to support its benefits. Here, we present a mini-review of research studies integrating CR as an adjuvant to chemotherapy, radiation therapy, or immunotherapy during breast cancer treatment.

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