1. Chemotherapeutic efficacy of curcumin and resveratrol against cancer: Chemoprevention, chemoprotection, drug synergism and clinical pharmacokinetics
- Author
-
Sujit K. Bhutia, Rabindra Nayak, Thomas Efferth, Biswajita Pradhan, Srimanta Patra, Laxmidhar Rout, Mrutyunjay Jena, and Chhandashree Behera
- Subjects
0301 basic medicine ,Cancer Research ,Curcumin ,Phytochemicals ,Context (language use) ,Pharmacology ,Chemoprevention ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Pharmacokinetics ,Neoplasms ,Animals ,Humans ,Medicine ,business.industry ,Chemoprotection ,Drug Synergism ,Antineoplastic Agents, Phytogenic ,030104 developmental biology ,chemistry ,Resveratrol ,030220 oncology & carcinogenesis ,Pharmacodynamics ,Drug delivery ,Chemoprotective ,Nanocarriers ,business - Abstract
The frequent inefficiency of conventional cancer therapies due to drug resistance, non-targeted drug delivery, chemotherapy-associated toxic side effects turned the focus to bioactive phytochemicals. In this context, curcumin and resveratrol have emerged as potent chemopreventive and chemoprotective compounds modulating apoptotic and autophagic cell death pathways in cancer in vitro and in vivo. As synergistic agents in combination with clinically established anticancer drugs, the enhanced anticancer activity at reduced chemotherapy-associated toxicity towards normal organs can be explained by improved pharmacokinetics, pharmacodynamics, bioavailability and metabolism. With promising preclinical and clinical applications, the design of drug-loaded nanoparticles, nanocarriers, liposomes and micelles have gained much attention to improve target specificity and drug efficacy. The present review focuses on the molecular modes of chemoprevention, chemoprotection and drug synergism with special emphasis to preclinical and clinical applications, pharmacokinetics, pharmacodynamics and advanced drug delivery methods for the development of next-generation personalized cancer therapeutics.
- Published
- 2021
- Full Text
- View/download PDF