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Natural flavonoids for the prevention of colon cancer: A comprehensive review of preclinical and clinical studies
Authors:Khashayar Afshari  Nazgol-Sadat Haddadi  Arvin Haj-Mirzaian  Mohammad Hosein Farzaei  Mohammad Mojtaba Rohani  Freshteh Akramian  Rozita Naseri  Antoni Sureda  Negar Ghanaatian  Amir Hossein Abdolghaffari
Institution:1. Department of Pharmacology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran;2. Pharmaceutical Sciences Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran;3. Department of Pharmacology, Pharmaceutical Sciences Branch, Islamic Azad University, Tehran, Iran;4. Research Group on Community Nutrition and Oxidative Stress, University of the Balearic Islands, Palma de Mallorca, Spain

CIBEROBN (Physiopathology of Obesity and Nutrition, CB12/03/30038), Instituto de Salud Carlos III, Madrid, Spain

Abstract:Flavonoids comprise a group of natural polyphenols consisting of more than 5,000 subtypes mostly existing in fruits and vegetables. Flavonoids consumption could potentially attenuate the incidence and recurrence risk of colorectal cancers through their antiperoxidative, antioxidant, and anti-inflammatory effects. In addition, these compounds regulate the mitochondrial function, balance the bacterial flora and promote the apoptosis process in cancerous cells. However, some previous data failed to show the effectiveness of flavonoids in reducing the risk of colorectal cancer. In this study, we have reviewed the efficacy of different flavonoids subtypes on the risk of colon cancer and molecular mechanisms involved in this process in both clinical and animal studies. In addition, we tried to elucidate the potential synergy between these compounds and current colorectal cancer treatments.
Keywords:anti-inflammatory  antioxidant  colorectal cancer  flavonoids  supplement
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