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Ketogenic Diets and their Therapeutic Potential on Breast Cancer: A Systemic Review

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CANCER MANAGEMENT AND RESEARCH
卷 13, 期 -, 页码 9147-9155

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DOVE MEDICAL PRESS LTD
DOI: 10.2147/CMAR.S339970

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ketogenic diet; breast cancer; adjuvant breast cancer therapy

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The ketogenic diet is a novel therapeutic approach that can increase the sensitivity of most cancers to standard therapies, potentially improving the antitumor effects of chemotherapy, overall safety, and quality of life. Studies have shown that the ketogenic diet can lower glucose and insulin levels necessary for tumor growth, making it a promising treatment option for various cancers.
Breast cancer remains a major cause of morbidity and mortality in women, and there is still a lack of complementary approaches to significantly improve the efficacy of standard therapies. For many kinds of cancers, the usual standard care is the combination of surgery, radiation, and chemotherapy. However, this standard therapy is not effective alone. Therefore, new approaches that increase therapeutic effectiveness are urgently needed. The ketogenic diet is a novel therapeutic approach for certain types of cancers, as indicated by several preclinical and clinical evidences. The ketogenic diet, which consists of a high-fat, low-carbohydrate diet with adequate protein, appears to sensitize most cancers to standard therapy by utilizing the reprogrammed metabolism of cancer cells, making it a promising candidate for adjuvant cancer treatment. The majority of preclinical and clinical studies argue that the use of a ketogenic diet in combination with standard therapies is based on its potential to improve the antitumor effects of conventional chemotherapy, its overall good safety and tolerability, and quality of life improvement. According to new evidence, a ketogenic diet lowers the level of glucose and insulin in the blood, which are necessary for tumor growth. Thus, the ketogenic diet has emerged as a potential treatment option for a variety of cancers, including breast cancer. Besides, implementation of a Ketogenic diet in the clinic could improve progression-free and overall survival for patients with breast cancer. This review summarizes the composition and metabolism of ketogenic diets and their potential mechanisms in breast carcinogenesis in addition to their therapeutic potential on breast cancer.

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