4.3 Article

Sulforaphane as a Promising Natural Molecule for Cancer Prevention and Treatment

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CURRENT MEDICAL SCIENCE
卷 41, 期 2, 页码 250-269

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SPRINGER
DOI: 10.1007/s11596-021-2341-2

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sulforaphane; isothiocyanates; cancer; chemoprevention; antineoplastic agent

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Sulforaphane (SF) has potent cancer-prevention activities by modulating multiple cellular targets involved in carcinogenesis. Combination therapy of conventional chemotherapy with SF has shown favorable outcomes in studies, making SF a promising agent in cancer prevention and therapy. Recent human clinical trials on SF have also shown promising results.
Tumorigenicity-inhibiting compounds have been identified in our daily diet. For example, isothiocyanates (ITCs) found in cruciferous vegetables were reported to have potent cancer-prevention activities. The best characterized ITC is sulforaphane (SF). SF can simultaneously modulate multiple cellular targets involved in carcinogenesis, including (1) modulating carcinogen-metabolizing enzymes and blocking the action of mutagens; (2) inhibition of cell proliferation and induction of apoptosis; and (3) inhibition of neo-angiogenesis and metastasis. SF targets cancer stem cells through modulation of nuclear factor kappa B (NF-kappa B), Sonic hedgehog (SHH), epithelial-mesenchymal transition, and Wnt/beta-catenin pathways. Conventional chemotherapy/SF combination was tested in several studies and resulted in favorable outcomes. With its favorable toxicological profile, SF is a promising agent in cancer prevention and/or therapy. In this article, we discuss the human metabolism of SF and its effects on cancer prevention, treatment, and targeting cancer stem cells, as well as providing a brief review of recent human clinical trials on SF.

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