Omega-3 polyunsaturated fatty acids for the treatment and prevention of colorectal cancer

被引:220
作者
Cockbain, A. J. [1 ]
Toogood, G. J. [2 ]
Hull, M. A. [1 ]
机构
[1] Univ Leeds, Leeds Inst Mol Med, Leeds, W Yorkshire, England
[2] St James Univ Hosp, Dept Hepatobiliary Surg, Leeds Teaching Hosp NHS Trust, Leeds LS9 7TF, W Yorkshire, England
关键词
DIETARY FISH-OIL; ABERRANT CRYPT FOCI; COMMUNITY-ACQUIRED PNEUMONIA; INDUCED COLON CARCINOGENESIS; RECTAL CELL-PROLIFERATION; EICOSAPENTAENOIC ACID; DOCOSAHEXAENOIC ACID; TUMOR-GROWTH; RAT COLON; N-3; PUFA;
D O I
10.1136/gut.2010.233718
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Omega (omega)-3 polyunsaturated fatty acids (PUFAs) are naturally occurring substances that are well tolerated and have been used extensively for the prevention of cardiovascular disease. More recently, omega-3 PUFAs have been recognised to have anticancer activity. There is also evidence suggesting improved efficacy and/or tolerability of conventional cancer chemotherapy when administered with omega-3 PUFAs. The purpose of this review is to (i) describe the mechanisms by which omega-3 PUFAs are thought to have antineoplastic activity, (ii) review published preclinical and clinical studies that support anti-colorectal cancer activity and (iii) summarise current clinical trials investigating the potential therapeutic role(s) of omega-3 PUFAs at different stages of colorectal carcinogenesis, from adenoma (polyp) prevention to treatment of established malignant disease and prevention of cancer recurrence.
引用
收藏
页码:135 / 149
页数:15
相关论文
共 141 条
[21]   α-linolenic acid metabolism in men and women:: nutritional and biological implications [J].
Burdge, G .
CURRENT OPINION IN CLINICAL NUTRITION AND METABOLIC CARE, 2004, 7 (02) :137-144
[22]  
Byers Tim, 1996, Cancer, V78, P1612, DOI 10.1002/(SICI)1097-0142(19961001)78:7<1612::AID-CNCR43>3.0.CO
[23]  
2-#
[24]   Dietary fish oil suppresses human colon tumour growth in athymic mice [J].
Calder, PC ;
Davis, J ;
Yaqoob, P ;
Pala, H ;
Thies, F ;
Newsholme, EA .
CLINICAL SCIENCE, 1998, 94 (03) :303-311
[25]   Immunomodulation by omega-3 fatty acids [J].
Calder, Philip C. .
PROSTAGLANDINS LEUKOTRIENES AND ESSENTIAL FATTY ACIDS, 2007, 77 (5-6) :327-335
[26]   n-3 polyunsaturated fatty acids and the prevention of colorectal cancer: Molecular mechanisms involved [J].
Calviello, G. ;
Serini, S. ;
Piccioni, E. .
CURRENT MEDICINAL CHEMISTRY, 2007, 14 (29) :3059-3069
[27]   n-3 PUFAs reduce VEGF expression in human colon cancer cells modulating the COX-2/PGE2 induced ERK-1 and -2 and HIF-1α induction pathway [J].
Calviello, G ;
Di Nicuolo, F ;
Gragnoli, S ;
Piccioni, E ;
Serini, S ;
Maggiano, N ;
Tringali, G ;
Navarra, P ;
Ranelletti, FO ;
Palozza, P .
CARCINOGENESIS, 2004, 25 (12) :2303-2310
[28]   Docosahexaenoic acid enhances the susceptibility of human colorectal cancer cells to 5-fluorouracil [J].
Calviello, G ;
Di Nicuolo, F ;
Serini, S ;
Piccioni, E ;
Boninsegna, A ;
Maggiano, N ;
Ranelletti, FO ;
Palozza, P .
CANCER CHEMOTHERAPY AND PHARMACOLOGY, 2005, 55 (01) :12-20
[29]   Antineoplastic Effects of N-3 Polyunsaturated Fatty Acids in Combination With Drugs and Radiotherapy: Preventive and Therapeutic Strategies [J].
Calviello, G. ;
Serini, S. ;
Piccioni, E. ;
Pessina, G. .
NUTRITION AND CANCER-AN INTERNATIONAL JOURNAL, 2009, 61 (03) :287-301
[30]   Docosahexaenoic acid induces proteasome-dependent degradation of β-catenin, down-regulation of survivin and apoptosis in human colorectal cancer cells not expressing COX-2 [J].
Calviello, Gabriella ;
Resci, Federica ;
Serini, Simona ;
Piccioni, Elisabetta ;
Toesca, Amelia ;
Boninsegna, Alma ;
Monego, Giovanni ;
Ranelletti, Franco O. ;
Palozza, Paola .
CARCINOGENESIS, 2007, 28 (06) :1202-1209