Cancer Chemoprevention: An Exploration of the Efficacy and Potential of Various Materials (Synthetic and Natural)
Ikram Fazaa
Centre National de greffe de moelle osseuse de Tunis
Leila Achour
Departement of pharmacy, Marrow bone transplant center Tunisia
Yosr Trabelsi
Departement of pharmacy, Marrow bone transplant center Tunisia
Hajer Felfel
University of monastir, Faculty of pharmacy of Monastir, Tunisia
Freddy Mounsef
Departement of pharmacy, Hospital of Saint-Etienne
Chema Drira
Departement of pharmacy, Marrow bone transplant center Tunisia
DOI: https://doi.org/10.61706/MECOJ160139
Keywords: cancer chemoprevention, Natural Compounds, Synthetic Compounds
Abstract
The increasing incidence of cancer around the world has led to a growing focus on cancer chemoprevention in contemporary medical research. Chemoprevention, defined as the use of natural or synthetic bioactive substances to impede, delay, or mitigate tumor growth, is a critical component of cancer research and treatment. In light of the limitations of current chemotherapy, including toxicity and chemoresistance, which result in suboptimal success rates, the pursuit of safer and more effective alternatives has become imperative. The present study explores the efficacy of various natural and synthetic compounds as chemopreventive agents, drawing upon evidence from pre-clinical trials. This paper investigated the actions of chemopreventive drugs in obstructing cancer progression, with a specific emphasis on their role in safeguarding DNA integrity and suppressing the growth of premalignant cells. A comprehensive evaluation of pre-clinical trials was conducted to assess the practicality and advantages of using dietary components as chemopreventive agents.The trials reviewed provide substantial evidence supporting the potential of dietary components in cancer chemoprevention. These elements have demonstrated encouraging efficacy in impeding cancer progression by targeting DNA protection and constraining the proliferation of premalignant cells. Moreover, the implementation of these chemopreventive approaches in clinical trials has exhibited considerable promise, particularly in the protection of individuals at high risk of cancer development. The demonstrated efficacy of chemopreventive agents in diminishing cancer risk, especially in populations with heightened vulnerability, significantly reinforces their validity and potential utility. In light of the challenges associated with conventional chemotherapy, there is a growing recognition of the potential for a paradigm shift towards the integration of multiple chemopreventive compounds. This integration could represent a transformative phase in cancer treatment strategies.
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Abdel-Hamid, N. M., Abass, S. A., Mohamed, A. A., & Muneam Hamid, D. (2018). Herbal management of hepatocellular carcinoma through cutting the pathways of the common risk factors. Biomedicine & Pharmacotherapy, 107, 1246–1258. https://doi.org/10.1016/j.biopha.2018.08.104 DOI: https://doi.org/10.1016/j.biopha.2018.08.104
Abdel-Latif, M. M. (2015). Chemoprevention of gastrointestinal cancers by natural honey. World Journal of Pharmacology, 4(1), 160. https://doi.org/10.5497/wjp.v4.i1.160 DOI: https://doi.org/10.5497/wjp.v4.i1.160
Abdelmalak, J., Tan, N., Con, D., Eslick, G., Majeed, A., Kemp, W., & Roberts, S. K. (2023). The Effect of Aspirin Use on Incident Hepatocellular Carcinoma—An Updated Systematic Review and Meta-Analysis. Cancers, 15(13), 3518. https://doi.org/10.3390/cancers15133518 DOI: https://doi.org/10.3390/cancers15133518
Applegate, C., Rowles, J., Ranard, K., Jeon, S., & Erdman, J. (2018). Soy Consumption and the Risk of Prostate Cancer: An Updated Systematic Review and Meta-Analysis. Nutrients, 10(1), 40. https://doi.org/10.3390/nu10010040 DOI: https://doi.org/10.3390/nu10010040
Baur, J. A., & Sinclair, D. A. (2006). Therapeutic potential of resveratrol: the in vivo evidence. Nature Reviews Drug Discovery, 5(6), 493–506. https://doi.org/10.1038/nrd2060 DOI: https://doi.org/10.1038/nrd2060
Bonney, A., Malouf, R., Marchal, C., Manners, D., Fong, K. M., Marshall, H. M., Irving, L. B., & Manser, R. (2022). Impact of low-dose computed tomography (LDCT) screening on lung cancer-related mortality. Cochrane Database of Systematic Reviews, 2022(8). https://doi.org/10.1002/14651858.CD013829.pub2 DOI: https://doi.org/10.1002/14651858.CD013829.pub2
Bonovas, S., Filioussi, K., & Sitaras, N. M. (2005). Do nonsteroidal anti‐inflammatory drugs affect the risk of developing ovarian cancer? A meta‐analysis. British Journal of Clinical Pharmacology, 60(2), 194–203. https://doi.org/10.1111/j.1365-2125.2005.02386.x DOI: https://doi.org/10.1111/j.1365-2125.2005.02386.x
Bujanda, L., Hijona, E., Larzabal, M., Beraza, M., Aldazabal, P., García-Urkia, N., Sarasqueta, C., Cosme, A., Irastorza, B., González, A., & Arenas, J. I. (2008). Resveratrol inhibits nonalcoholic fatty liver disease in rats. BMC Gastroenterology, 8(1), 40. https://doi.org/10.1186/1471-230X-8-40 DOI: https://doi.org/10.1186/1471-230X-8-40
Choi, J., & Roberts, L. R. (2016). Statins and metformin for chemoprevention of hepatocellular carcinoma. Clinical Liver Disease, 8(2), 48–52. https://doi.org/10.1002/cld.568 DOI: https://doi.org/10.1002/cld.568
Cortés-Jofré, M., Rueda, J.-R., Asenjo-Lobos, C., Madrid, E., & Bonfill Cosp, X. (2020). Drugs for preventing lung cancer in healthy people. Cochrane Database of Systematic Reviews, 2020(3). https://doi.org/10.1002/14651858.CD002141.pub3 DOI: https://doi.org/10.1002/14651858.CD002141.pub3
Craig, E. L., Stopsack, K. H., Evergren, E., Penn, L. Z., Freedland, S. J., Hamilton, R. J., & Allott, E. H. (2022). Statins and prostate cancer—hype or hope? The epidemiological perspective. Prostate Cancer and Prostatic Diseases, 25(4), 641–649. https://doi.org/10.1038/s41391-022-00554-1 DOI: https://doi.org/10.1038/s41391-022-00554-1
Cruz-Pierard, S. M., Nestares, T., & Amaro-Gahete, F. J. (2022). Vitamin D and Calcium as Key Potential Factors Related to Colorectal Cancer Prevention and Treatment: A Systematic Review. Nutrients, 14(22), 4934. https://doi.org/10.3390/nu14224934 DOI: https://doi.org/10.3390/nu14224934
Cui, J.-W., Li, W., Han, F.-J., & Liu, Y.-D. (2015). Screening for lung cancer using low-dose computed tomography: concerns about the application in low-risk individuals. Translational Lung Cancer Research, 4(3), 275–286. https://doi.org/10.3978/j.issn.2218-6751.2015.02.05
Cunha, V., Cotrim, H. P., Rocha, R., Carvalho, K., & Lins-Kusterer, L. (2020). Metformin in the prevention of hepatocellular carcinoma in diabetic patients: A systematic review. Annals of Hepatology, 19(3), 232–237. https://doi.org/10.1016/j.aohep.2019.10.005 DOI: https://doi.org/10.1016/j.aohep.2019.10.005
Cuzick, J., Sestak, I., Cawthorn, S., Hamed, H., Holli, K., Howell, A., & Forbes, J. F. (2015). Tamoxifen for prevention of breast cancer: extended long-term follow-up of the IBIS-I breast cancer prevention trial. The Lancet Oncology, 16(1), 67–75. https://doi.org/10.1016/S1470-2045(14)71171-4 DOI: https://doi.org/10.1016/S1470-2045(14)71171-4
Daugherty, S. E., Pfeiffer, R. M., Sigurdson, A. J., Hayes, R. B., Leitzmann, M., Schatzkin, A., Hollenbeck, A. R., & Silverman, D. T. (2011). Nonsteroidal Antiinflammatory Drugs and Bladder Cancer: A Pooled Analysis. American Journal of Epidemiology, 173(7), 721–730. https://doi.org/10.1093/aje/kwq437 DOI: https://doi.org/10.1093/aje/kwq437
Dobruch, J., & Oszczudłowski, M. (2021). Bladder Cancer: Current Challenges and Future Directions. Medicina, 57(8), 749. https://doi.org/10.3390/medicina57080749 DOI: https://doi.org/10.3390/medicina57080749
G., M. S., Swetha, M., Keerthana, C. K., Rayginia, T. P., & Anto, R. J. (2022). Cancer Chemoprevention: A Strategic Approach Using Phytochemicals. Frontiers in Pharmacology, 12. https://doi.org/10.3389/fphar.2021.809308 DOI: https://doi.org/10.3389/fphar.2021.809308
Goh, M. J., & Sinn, D. H. (2022). Statin and aspirin for chemoprevention of hepatocellular carcinoma: Time to use or wait further? Clinical and Molecular Hepatology, 28(3), 380–395. https://doi.org/10.3350/cmh.2021.0366 DOI: https://doi.org/10.3350/cmh.2021.0366
Gold, K. A., Kim, E. S., Wistuba, I. I., & Hong, W. K. (2012). Personalizing Lung Cancer Prevention Through a Reverse Migration Strategy (pp. 221–240). https://doi.org/10.1007/128_2012_338 DOI: https://doi.org/10.1007/128_2012_338
Gupta, P., Wright, S. E., Kim, S.-H., & Srivastava, S. K. (2014). Phenethyl isothiocyanate: A comprehensive review of anti-cancer mechanisms. Biochimica et Biophysica Acta (BBA) - Reviews on Cancer, 1846(2), 405–424. https://doi.org/10.1016/j.bbcan.2014.08.003 DOI: https://doi.org/10.1016/j.bbcan.2014.08.003
Hunsu, V. O., Facey, C. O. B., Fields, J. Z., & Boman, B. M. (2021). Retinoids as Chemo-Preventive and Molecular-Targeted Anti-Cancer Therapies. International Journal of Molecular Sciences, 22(14), 7731. https://doi.org/10.3390/ijms22147731 DOI: https://doi.org/10.3390/ijms22147731
Jackson, S. E., & Chester, J. D. (2015). Personalised cancer medicine. International Journal of Cancer, 137(2), 262–266. https://doi.org/10.1002/ijc.28940 DOI: https://doi.org/10.1002/ijc.28940
Jiminez, V., & Yusuf, N. (2023). An update on clinical trials for chemoprevention of human skin cancer. Journal of Cancer Metastasis and Treatment, 9(1). https://doi.org/10.20517/2394-4722.2022.99 DOI: https://doi.org/10.20517/2394-4722.2022.99
Kathawala, R. J., Kudelka, A., & Rigas, B. (2018). The Chemoprevention of Ovarian Cancer: the Need and the Options. Current Pharmacology Reports, 4(3), 250–260. https://doi.org/10.1007/s40495-018-0133-6 DOI: https://doi.org/10.1007/s40495-018-0133-6
Keith, R. L., Blatchford, P. J., Merrick, D. T., Bunn, P. A., Bagwell, B., Dwyer-Nield, L. D., Jackson, M. K., Geraci, M. W., & Miller, Y. E. (2019). A Randomized Phase II Trial of Pioglitazone for Lung Cancer Chemoprevention in High-Risk Current and Former Smokers. Cancer Prevention Research, 12(10), 721–730. https://doi.org/10.1158/1940-6207.CAPR-19-0006 DOI: https://doi.org/10.1158/1940-6207.CAPR-19-0006
Ledesma, M. C., Jung-Hynes, B., Schmit, T. L., Kumar, R., Mukhtar, H., & Ahmad, N. (2011). Selenium and Vitamin E for Prostate Cancer: Post-SELECT (Selenium and Vitamin E Cancer Prevention Trial) Status. Molecular Medicine, 17(1–2), 134–143. https://doi.org/10.2119/molmed.2010.00136 DOI: https://doi.org/10.2119/molmed.2010.00136
Lee, J. Y., Sim, T.-B., Lee, J., & Na, H.-K. (2017). Chemopreventive and Chemotherapeutic Effects of Fish Oil derived Omega-3 Polyunsaturated Fatty Acids on Colon Carcinogenesis. Clinical Nutrition Research, 6(3), 147. https://doi.org/10.7762/cnr.2017.6.3.147 DOI: https://doi.org/10.7762/cnr.2017.6.3.147
Leone, A., Diorio, G., Sexton, W., Schell, M., Alexandrow, M., Fahey, J. W., & Kumar, N. B. (2017). Sulforaphane for the chemoprevention of bladder cancer: molecular mechanism targeted approach. Oncotarget, 8(21), 35412–35424. https://doi.org/10.18632/oncotarget.16015 DOI: https://doi.org/10.18632/oncotarget.16015
Liu, C.-Q., Sun, J.-X., Xu, J.-Z., Qian, X.-Y., Hong, S.-Y., Xu, M.-Y., An, Y., Xia, Q.-D., Hu, J., & Wang, S.-G. (2022). Metformin Use on Incidence and Oncologic Outcomes of Bladder Cancer Patients With T2DM: An Updated Meta-Analysis. Frontiers in Pharmacology, 13. https://doi.org/10.3389/fphar.2022.865988 DOI: https://doi.org/10.3389/fphar.2022.865988
Liu, D., & Chen, Z. (2013). The Effect of Curcumin on Breast Cancer Cells. Journal of Breast Cancer, 16(2), 133. https://doi.org/10.4048/jbc.2013.16.2.133 DOI: https://doi.org/10.4048/jbc.2013.16.2.133
Lung Cancer Prevention (PDQ®) - NCI - –Health Professional Version. (2025). National Cancer Institute. https://www.cancer.gov/types/lung/hp/lung-prevention-pdq
Maniewska, J., & Jeżewska, D. (2021). Non-Steroidal Anti-Inflammatory Drugs in Colorectal Cancer Chemoprevention. Cancers, 13(4), 594. https://doi.org/10.3390/cancers13040594 DOI: https://doi.org/10.3390/cancers13040594
Mao, J. T., Lu, Q.-Y., Xue, B., Neis, P., Zamora, F. D., Lundmark, L., Qualls, C., & Massie, L. (2019). A Pilot Study of a Grape Seed Procyanidin Extract for Lung Cancer Chemoprevention. Cancer Prevention Research, 12(8), 557–566. https://doi.org/10.1158/1940-6207.CAPR-19-0053 DOI: https://doi.org/10.1158/1940-6207.CAPR-19-0053
Marchesini, G., Bianchi, G., Tomassetti, S., Zoli, M., & Melchionda, N. (2001). Metformin in non-alcoholic steatohepatitis. The Lancet, 358(9285), 893–894. https://doi.org/10.1016/S0140-6736(01)06042-1 DOI: https://doi.org/10.1016/S0140-6736(01)06042-1
Minokawa, Y., Sawada, Y., & Nakamura, M. (2021). The Influences of Omega-3 Polyunsaturated Fatty Acids on the Development of Skin Cancers. Diagnostics, 11(11), 2149. https://doi.org/10.3390/diagnostics11112149 DOI: https://doi.org/10.3390/diagnostics11112149
MOKBEL, K., WAZIR, U., & MOKBEL, K. (2019). Chemoprevention of Prostate Cancer by Natural Agents: Evidence from Molecular and Epidemiological Studies. Anticancer Research, 39(10), 5231–5259. https://doi.org/10.21873/anticanres.13720 DOI: https://doi.org/10.21873/anticanres.13720
Pashayan, N., Antoniou, A. C., Ivanus, U., Esserman, L. J., Easton, D. F., French, D., Sroczynski, G., Hall, P., Cuzick, J., Evans, D. G., Simard, J., Garcia-Closas, M., Schmutzler, R., Wegwarth, O., Pharoah, P., Moorthie, S., De Montgolfier, S., Baron, C., Herceg, Z., … Widschwendter, M. (2020). Personalized early detection and prevention of breast cancer: ENVISION consensus statement. Nature Reviews Clinical Oncology, 17(11), 687–705. https://doi.org/10.1038/s41571-020-0388-9 DOI: https://doi.org/10.1038/s41571-020-0388-9
Ramchatesingh, B., Martínez Villarreal, A., Arcuri, D., Lagacé, F., Setah, S. A., Touma, F., Al-Badarin, F., & Litvinov, I. V. (2022). The Use of Retinoids for the Prevention and Treatment of Skin Cancers: An Updated Review. International Journal of Molecular Sciences, 23(20), 12622. https://doi.org/10.3390/ijms232012622 DOI: https://doi.org/10.3390/ijms232012622
Ranjan, A., Ramachandran, S., Gupta, N., Kaushik, I., Wright, S., Srivastava, S., Das, H., Srivastava, S., Prasad, S., & Srivastava, S. K. (2019). Role of Phytochemicals in Cancer Prevention. International Journal of Molecular Sciences, 20(20), 4981. https://doi.org/10.3390/ijms20204981 DOI: https://doi.org/10.3390/ijms20204981
Rivero, J. R., Thompson, I. M., Liss, M. A., & Kaushik, D. (2018). Chemoprevention in Prostate Cancer: Current Perspective and Future Directions. Cold Spring Harbor Perspectives in Medicine, 8(10), a030494. https://doi.org/10.1101/cshperspect.a030494 DOI: https://doi.org/10.1101/cshperspect.a030494
Russo, M., Spagnuolo, C., Tedesco, I., & Russo, G. L. (2010). Phytochemicals in Cancer Prevention and Therapy: Truth or Dare? Toxins, 2(4), 517–551. https://doi.org/10.3390/toxins2040517 DOI: https://doi.org/10.3390/toxins2040517
Sahin, K., Orhan, C., Tuzcu, M., Sahin, N., Tastan, H., Özercan, İ. H., Güler, O., Kahraman, N., Kucuk, O., & Ozpolat, B. (2018). Chemopreventive and Antitumor Efficacy of Curcumin in a Spontaneously Developing Hen Ovarian Cancer Model. Cancer Prevention Research, 11(1), 59–67. https://doi.org/10.1158/1940-6207.CAPR-16-0289 DOI: https://doi.org/10.1158/1940-6207.CAPR-16-0289
Sawicki, T., Ruszkowska, M., Danielewicz, A., Niedźwiedzka, E., Arłukowicz, T., & Przybyłowicz, K. E. (2021). A Review of Colorectal Cancer in Terms of Epidemiology, Risk Factors, Development, Symptoms and Diagnosis. Cancers, 13(9), 2025. https://doi.org/10.3390/cancers13092025 DOI: https://doi.org/10.3390/cancers13092025
Schrijver, L. H., Antoniou, A. C., Olsson, H., Mooij, T. M., Roos-Blom, M.-J., Azarang, L., Adlard, J., Ahmed, M., Barrowdale, D., Davidson, R., Donaldson, A., Eeles, R., Evans, D. G., Frost, D., Henderson, A., Izatt, L., Ong, K.-R., Bonadona, V., Coupier, I., … van den Broek, E. C. (2021). Oral contraceptive use and ovarian cancer risk for BRCA1/2 mutation carriers: an international cohort study. American Journal of Obstetrics and Gynecology, 225(1), 51.e1-51.e17. https://doi.org/10.1016/j.ajog.2021.01.014 DOI: https://doi.org/10.1016/j.ajog.2021.01.014
Sexton, R. E., Al Hallak, M. N., Diab, M., & Azmi, A. S. (2020). Gastric cancer: a comprehensive review of current and future treatment strategies. Cancer and Metastasis Reviews, 39(4), 1179–1203. https://doi.org/10.1007/s10555-020-09925-3 DOI: https://doi.org/10.1007/s10555-020-09925-3
Shah, S. C., & Peek, R. M. (2021). Chemoprevention Against Gastric Cancer. Gastrointestinal Endoscopy Clinics of North America, 31(3), 519–542. https://doi.org/10.1016/j.giec.2021.03.006 DOI: https://doi.org/10.1016/j.giec.2021.03.006
SHANG, J., CHEN, L., XIAO, F., SUN, H., DING, H., & XIAO, H. (2008). Resveratrol improves non-alcoholic fatty liver disease by activating AMP-activated protein kinase. Acta Pharmacologica Sinica, 29(6), 698–706. https://doi.org/10.1111/j.1745-7254.2008.00807.x DOI: https://doi.org/10.1111/j.1745-7254.2008.00807.x
Shang, Z., Wang, X., Yan, H., Cui, B., Wang, Q., Wu, J., Cui, X., Li, J., Ou, T., & Yang, K. (2018). Intake of Non-steroidal Anti-inflammatory Drugs and the Risk of Prostate Cancer: A Meta-Analysis. Frontiers in Oncology, 8. https://doi.org/10.3389/fonc.2018.00437 DOI: https://doi.org/10.3389/fonc.2018.00437
Sierra, J. C., Suarez, G., Piazuelo, M. B., Luis, P. B., Baker, D. R., Romero-Gallo, J., Barry, D. P., Schneider, C., Morgan, D. R., Peek, R. M., Gobert, A. P., & Wilson, K. T. (2019). α-Difluoromethylornithine reduces gastric carcinogenesis by causing mutations in Helicobacter pylori cagY. Proceedings of the National Academy of Sciences, 116(11), 5077–5085. https://doi.org/10.1073/pnas.1814497116 DOI: https://doi.org/10.1073/pnas.1814497116
Singh, A. K., Singh, S. V., Kumar, R., Kumar, S., Senapati, S., & Pandey, A. K. (2023). Current therapeutic modalities and chemopreventive role of natural products in liver cancer: Progress and promise. World Journal of Hepatology, 15(1), 1–18. https://doi.org/10.4254/wjh.v15.i1.1 DOI: https://doi.org/10.4254/wjh.v15.i1.1
Singh, M., Suman, S., & Shukla, Y. (2014). New Enlightenment of Skin Cancer Chemoprevention through Phytochemicals: In Vitro and In Vivo Studies and the Underlying Mechanisms. BioMed Research International, 2014, 1–18. https://doi.org/10.1155/2014/243452 DOI: https://doi.org/10.1155/2014/243452
Song, X., Zhang, M., Dai, E., & Luo, Y. (2018). Molecular targets of curcumin in breast cancer (Review). Molecular Medicine Reports. https://doi.org/10.3892/mmr.2018.9665 DOI: https://doi.org/10.3892/mmr.2018.9665
Tow, R., Hanoun, S., Andresen, B., Shahid, A., Wang, J., Kelly, K. M., Meyskens, F. L., & Huang, Y. (2023). Recent Advances in Clinical Research for Skin Cancer Chemoprevention. Cancers, 15(15), 3819. https://doi.org/10.3390/cancers15153819 DOI: https://doi.org/10.3390/cancers15153819
Trabert, B., Poole, E. M., White, E., Visvanathan, K., Adami, H.-O., Anderson, G. L., Brasky, T. M., Brinton, L. A., Fortner, R. T., Gaudet, M., Hartge, P., Hoffman-Bolton, J., Jones, M., Lacey, J. V, Larsson, S. C., Mackenzie, G. G., Schouten, L. J., Sandler, D. P., O’Brien, K., … Tworoger, S. S. (2019). Analgesic Use and Ovarian Cancer Risk: An Analysis in the Ovarian Cancer Cohort Consortium. JNCI: Journal of the National Cancer Institute, 111(2), 137–145. https://doi.org/10.1093/jnci/djy100 DOI: https://doi.org/10.1093/jnci/djy100
Tratnjek, L., Jeruc, J., Romih, R., & Zupančič, D. (2021). Vitamin A and Retinoids in Bladder Cancer Chemoprevention and Treatment: A Narrative Review of Current Evidence, Challenges and Future Prospects. International Journal of Molecular Sciences, 22(7), 3510. https://doi.org/10.3390/ijms22073510 DOI: https://doi.org/10.3390/ijms22073510
Umezawa, S., Higurashi, T., Komiya, Y., Arimoto, J., Horita, N., Kaneko, T., Iwasaki, M., Nakagama, H., & Nakajima, A. (2019). Chemoprevention of colorectal cancer: Past, present, and future. Cancer Science, 110(10), 3018–3026. https://doi.org/10.1111/cas.14149 DOI: https://doi.org/10.1111/cas.14149
Wang, G.-L., Fu, Y.-C., Xu, W.-C., Feng, Y.-Q., Fang, S.-R., & Zhou, X.-H. (2009). Resveratrol inhibits the expression of SREBP1 in cell model of steatosis via Sirt1–FOXO1 signaling pathway. Biochemical and Biophysical Research Communications, 380(3), 644–649. https://doi.org/10.1016/j.bbrc.2009.01.163 DOI: https://doi.org/10.1016/j.bbrc.2009.01.163
Wang, W. H., Huang, J. Q., Zheng, G. F., Lam, S. K., Karlberg, J., & Wong, B. C.-Y. (2003). Non-steroidal anti-inflammatory drug use and the risk of gastric cancer: a systematic review and meta-analysis. Journal of the National Cancer Institute, 95(23), 1784–1791. https://doi.org/10.1093/jnci/djg106 DOI: https://doi.org/10.1093/jnci/djg106
Whitsett Jr, T. G., & Lamartiniere, C. A. (2006). Genistein and resveratrol: mammary cancer chemoprevention and mechanisms of action in the rat. Expert Review of Anticancer Therapy, 6(12), 1699–1706. https://doi.org/10.1586/14737140.6.12.1699 DOI: https://doi.org/10.1586/14737140.6.12.1699
Xiao, Q., Xiao, J., Liu, J., Liu, J., Shu, G., & Yin, G. (2022). Metformin suppresses the growth of colorectal cancer by targeting INHBA to inhibit TGF-β/PI3K/AKT signaling transduction. Cell Death & Disease, 13(3), 202. https://doi.org/10.1038/s41419-022-04649-4 DOI: https://doi.org/10.1038/s41419-022-04649-4
Xin, P., Han, H., Gao, D., Cui, W., Yang, X., Ying, C., Sun, X., & Hao, L. (2013). Alleviative effects of resveratrol on nonalcoholic fatty liver disease are associated with up regulation of hepatic low density lipoprotein receptor and scavenger receptor class B type I gene expressions in rats. Food and Chemical Toxicology, 52, 12–18. https://doi.org/10.1016/j.fct.2012.10.026 DOI: https://doi.org/10.1016/j.fct.2012.10.026
Yang, F.-R., Li, S.-Y., Hu, X.-W., Li, X.-R., & Li, H.-J. (2022). Identifying the Antitumor Effects of Curcumin on Lung Adenocarcinoma Using Comprehensive Bioinformatics Analysis. Drug Design, Development and Therapy, Volume 16, 2365–2382. https://doi.org/10.2147/DDDT.S371420 DOI: https://doi.org/10.2147/DDDT.S371420
Zhang, J., Lei, Z., Huang, Z., Zhang, X., Zhou, Y., Luo, Z., Zeng, W., Su, J., Peng, C., & Chen, X. (2016). Epigallocatechin-3-gallate(EGCG) suppresses melanoma cell growth and metastasis by targeting TRAF6 activity. Oncotarget, 7(48), 79557–79571. https://doi.org/10.18632/oncotarget.12836 DOI: https://doi.org/10.18632/oncotarget.12836
Zulueta, A., Caretti, A., Signorelli, P., & Ghidoni, R. (2015). Resveratrol: A potential challenger against gastric cancer. World Journal of Gastroenterology, 21(37), 10636–10643. https://doi.org/10.3748/wjg.v21.i37.10636. DOI: https://doi.org/10.3748/wjg.v21.i37.10636