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      Clinical effects of curcumin in enhancing cancer therapy: A systematic review

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          Abstract

          Background

          Curcumin is herbal compound that has been shown to have anti-cancer effects in pre-clinical and clinical studies. The anti-cancer effects of curcumin include inhibiting the carcinogenesis, inhibiting angiogenesis, and inhibiting tumour growth. This study aims to determine the Clinical effects of curcumin in different types of cancers using systematic review approach.

          Methods

          A systematic review methodology is adopted for undertaking detailed analysis of the effects of curcumin in cancer therapy. The results presented in this paper is an outcome of extracting the findings of the studies selected from the articles published in international databases including SID, MagIran, IranMedex, IranDoc, Google Scholar, ScienceDirect, Scopus, PubMed and Web of Science (ISI). These databases were thoroughly searched, and the relevant publications were selected based on the plausible keywords, in accordance with the study aims, as follows: prevalence, curcumin, clinical features, cancer.

          Results

          The results are derived based on several clinical studies on curcumin consumption with chemotherapy drugs, highlighting that curcumin increases the effectiveness of chemotherapy and radiotherapy which results in improving patient’s survival time, and increasing the expression of anti-metastatic proteins along with reducing their side effects.

          Conclusion

          The comprehensive systematic review presented in this paper confirms that curcumin reduces the side effects of chemotherapy or radiotherapy, resulting in improving patients’ quality of life. A number of studies reported that, curcumin has increased patient survival time and decreased tumor markers’ level.

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          Most cited references58

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          Multiple biological activities of curcumin: a short review.

          Turmeric (Curcuma longa rhizomes), commonly used as a spice is well documented for its medicinal properties in Indian and Chinese systems of medicine. It has been widely used for the treatment of several diseases. Epidemiological observations, though inconclusive, are suggestive that turmeric consumption may reduce the risk of some form of cancers and render other protective biological effects in humans. These biological effects of turmeric have been attributed to its constituent curcumin that has been widely studied for its anti-inflammatory, anti-angiogenic, anti-oxidant, wound healing and anti-cancer effects. As a result of extensive epidemiological, clinical, and animal studies several molecular mechanisms are emerging that elucidate multiple biological effects of curcumin. This review summarizes the most interesting in vitro and in vivo studies on the biological effects of curcumin.
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            A review of the dietary flavonoid, kaempferol on human health and cancer chemoprevention.

            Kaempferol is a polyphenol antioxidant found in fruits and vegetables. Many studies have described the beneficial effects of dietary kaempferol in reducing the risk of chronic diseases, especially cancer. Epidemiological studies have shown an inverse relationship between kaempferol intake and cancer. Kaempferol may help by augmenting the body's antioxidant defence against free radicals, which promote the development of cancer. At the molecular level, kaempferol has been reported to modulate a number of key elements in cellular signal transduction pathways linked to apoptosis, angiogenesis, inflammation, and metastasis. Significantly, kaempferol inhibits cancer cell growth and angiogenesis and induces cancer cell apoptosis, but on the other hand, kaempferol appears to preserve normal cell viability, in some cases exerting a protective effect. The aim of this review is to synthesize information concerning the extraction of kaempferol, as well as to provide insights into the molecular basis of its potential chemo-preventative activities, with an emphasis on its ability to control intracellular signaling cascades that regulate the aforementioned processes. Chemoprevention using nanotechnology to improve the bioavailability of kaempferol is also discussed. Copyright © 2012 Elsevier Ltd. All rights reserved.
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              Curcumin: A review of anti-cancer properties and therapeutic activity in head and neck squamous cell carcinoma

              Curcumin (diferuloylmethane) is a polyphenol derived from the Curcuma longa plant, commonly known as turmeric. Curcumin has been used extensively in Ayurvedic medicine for centuries, as it is nontoxic and has a variety of therapeutic properties including anti-oxidant, analgesic, anti-inflammatory and antiseptic activity. More recently curcumin has been found to possess anti-cancer activities via its effect on a variety of biological pathways involved in mutagenesis, oncogene expression, cell cycle regulation, apoptosis, tumorigenesis and metastasis. Curcumin has shown anti-proliferative effect in multiple cancers, and is an inhibitor of the transcription factor NF-κB and downstream gene products (including c-myc, Bcl-2, COX-2, NOS, Cyclin D1, TNF-α, interleukins and MMP-9). In addition, curcumin affects a variety of growth factor receptors and cell adhesion molecules involved in tumor growth, angiogenesis and metastasis. Head and neck squamous cell carcinoma (HNSCC) is the sixth most common cancer worldwide and treatment protocols include disfiguring surgery, platinum-based chemotherapy and radiation, all of which may result in tremendous patient morbidity. As a result, there is significant interest in developing adjuvant chemotherapies to augment currently available treatment protocols, which may allow decreased side effects and toxicity without compromising therapeutic efficacy. Curcumin is one such potential candidate, and this review presents an overview of the current in vitro and in vivo data supporting its therapeutic activity in head and neck cancer as well as some of the challenges concerning its development as an adjuvant chemotherapeutic agent.
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                Author and article information

                Contributors
                kamranmansouri@gmail.com
                Shna.rasolpour@gmail.com
                ac5916@coventry.ac.uk
                Soroush.abolfathi@warwick.ac.uk
                n.salari@kums.ac.ir
                masoud.mohammadi1989@yahoo.com
                Sh.rasoulpour@gmail.com
                Sherwin.shabani@gmail.com
                Journal
                BMC Cancer
                BMC Cancer
                BMC Cancer
                BioMed Central (London )
                1471-2407
                24 August 2020
                24 August 2020
                2020
                : 20
                : 791
                Affiliations
                [1 ]GRID grid.412112.5, ISNI 0000 0001 2012 5829, Medical Biology Research Centre, , Kermanshah University of Medical Sciences, ; Kermanshah, Iran
                [2 ]GRID grid.466826.8, Department of Biology, , Islamic Azad University Urmia, ; Urmia, Iran
                [3 ]GRID grid.8096.7, ISNI 0000000106754565, School of Computing, Electronics and Maths, , Coventry University, ; Coventry, UK
                [4 ]GRID grid.7372.1, ISNI 0000 0000 8809 1613, Centre for Predictive Modelling, , University of Warwick, ; Coventry, CV4 7AL UK
                [5 ]GRID grid.412112.5, ISNI 0000 0001 2012 5829, Department of Biostatistics, School of Health, , Kermanshah University of Medical Sciences, ; Kermanshah, Iran
                [6 ]GRID grid.412112.5, ISNI 0000 0001 2012 5829, Sleep Disorders Research Center, , Kermanshah University of Medical Sciences, ; Kermanshah, Iran
                [7 ]GRID grid.412112.5, ISNI 0000 0001 2012 5829, Department of Nursing, School of Nursing and Midwifery, , Kermanshah University of Medical Sciences, ; Kermanshah, Iran
                [8 ]GRID grid.412112.5, ISNI 0000 0001 2012 5829, Department of Nursing, School of Nursing and Midwifery, , Kermanshah University of Medical Sciences, ; Kermanshah, Iran
                [9 ]GRID grid.466826.8, Department of Biology, , Islamic Azad University Urmia, ; Urmia, Iran
                Author information
                http://orcid.org/0000-0003-3550-405X
                Article
                7256
                10.1186/s12885-020-07256-8
                7446227
                32838749
                2ac6b337-84bf-48fc-a7af-cfcf7344c9a7
                © The Author(s) 2020

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 18 April 2020
                : 4 August 2020
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2020

                Oncology & Radiotherapy
                prevalence,curcumin,clinical feature,cancer,systematic review
                Oncology & Radiotherapy
                prevalence, curcumin, clinical feature, cancer, systematic review

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