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Hindawi Publishing Corporation Journal of Oncology Volume 2012, Article ID 749310, 2 pages doi:10.1155/2012/749310 Editorial Dietary Agents in Cancer Chemoprevention and Treatment Julian J. Raffoul, 1 Omer Kucuk, 2 Fazlul H. Sarkar, 3 and Gilda G. Hillman 4 1 Department of Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA 2 Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University School of Medicine, Atlanta, GA 30322, USA 3 Department of Pathology, Barbara Ann Karmanos Cancer Institute, Wayne State University, Detroit, MI 48201, USA 4 Department of Radiation Oncology, Barbara Ann Karmanos Cancer Institute, Wayne State University School of Medicine, Detroit, MI 48201, USA Correspondence should be addressed to Julian J. Raoul, julian.ra[email protected] Received 6 December 2012; Accepted 6 December 2012 Copyright © 2012 Julian J. Raoul et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Cancer chemoprevention using natural or synthetic com- pounds to prevent or suppress the development of can- cer, is an area of active investigation. Many compounds belonging to diverse chemical classes have been identified as potential chemopreventive agents, including vitamins and minerals, naturally occurring phytochemicals, and synthetic compounds. Understanding the molecular mechanisms of cancer chemoprevention is not only important for the safe application of these compounds in populations of patients at high risk for cancer, but also allows for further development of novel treatment regimens for cancer patients. This special issue contains original research as well as review articles that are intended to stimulate the continuing eorts to understand the use of dietary agents in cancer chemoprevention and treatment. The lead article by S. N. Saldanha and T. O. Tollefsbol provides a comprehensive review of dietary agents that have shown strong chemopre- ventive and therapeutic properties in vitro. They also discuss the design and modification of these bioactive compounds for pre-clinical and clinical applications. Dietary intake of foods rich in antioxidant compounds has been suggested to be cancer protective. However, ran- domized clinical trials and epidemiologic studies on the association between intake of foods rich in antioxidants and cancer incidence have yielded mixed results. M. Y. Wei and E. L. Giovannuci discuss the epidemiologic consider- ations of lycopene as a chemopreventive agent, including measurement of lycopene, its major source in the diet, and the assessment of prostate cancer incidence and progression, with particular emphasis on the eect of PSA screening on this association. K. Zhou and J. J. Raoul discuss the composition and cancer-protective eects of major phenolic antioxidants in grape skin and grape seed extracts. M. A. Parasramka and S. V. Gupta provide original research demonstrating the anticancer properties of garcinol alone, or combined with curcumin, on pancreatic cancer cells. Garcinol, a polyisoprentylated benzophenone extracted from the rind of the fruit Garcinia indica, a plant found in tropical regions, has antioxidant and anti-inflammatory properties and its role as anticancer agent is thoroughly discussed in the review from N. Saadat and S. V. Gupta. Two manuscripts discussing the eect of dietary agents on DNA repair capacity are also part of this special issue. In a manuscript by J. J. Raoul et al., the potential for targeting the DNA base excision repair enzyme APE1/Ref- 1 using dietary agents such as soy isoflavones, resveratrol, curcumin, ascorbate, and alpha-tocopherol is discussed. The potential for these natural compounds to be combined with chemotherapy or radiotherapy for the more eective treat- ment of cancer are also reviewed. A proposed mechanism of action is discussed and an attempt is made to delineate which of the two activities of APE1/Ref-1 (DNA repair versus redox activation of cellular transcription factors) is responsible for the observed eects. The second manuscript by R. Rosati et al. reviews the role for dietary folate in the prevention of colorectal cancer. Data are presented which demonstrate that inhibition of DNA repair is protective in the development of preneoplastic colon lesions, both when folate is depleted and when it is not. This manuscript is a comprehensive review of the literature and provides a critical analysis of

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Page 1: Editorial DietaryAgentsinCancerChemopreventionandTreatmentdownloads.hindawi.com/journals/jo/2012/749310.pdf · 2019. 7. 31. · high risk for cancer, but also allows for further development

Hindawi Publishing CorporationJournal of OncologyVolume 2012, Article ID 749310, 2 pagesdoi:10.1155/2012/749310

Editorial

Dietary Agents in Cancer Chemoprevention and Treatment

Julian J. Raffoul,1 Omer Kucuk,2 Fazlul H. Sarkar,3 and Gilda G. Hillman4

1 Department of Medicine, Emory University School of Medicine, Atlanta, GA 30322, USA2 Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University School of Medicine,Atlanta, GA 30322, USA

3 Department of Pathology, Barbara Ann Karmanos Cancer Institute, Wayne State University, Detroit, MI 48201, USA4 Department of Radiation Oncology, Barbara Ann Karmanos Cancer Institute, Wayne State University School of Medicine,Detroit, MI 48201, USA

Correspondence should be addressed to Julian J. Raffoul, [email protected]

Received 6 December 2012; Accepted 6 December 2012

Copyright © 2012 Julian J. Raffoul et al. This is an open access article distributed under the Creative Commons AttributionLicense, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properlycited.

Cancer chemoprevention using natural or synthetic com-pounds to prevent or suppress the development of can-cer, is an area of active investigation. Many compoundsbelonging to diverse chemical classes have been identifiedas potential chemopreventive agents, including vitamins andminerals, naturally occurring phytochemicals, and syntheticcompounds. Understanding the molecular mechanisms ofcancer chemoprevention is not only important for the safeapplication of these compounds in populations of patients athigh risk for cancer, but also allows for further developmentof novel treatment regimens for cancer patients.

This special issue contains original research as well asreview articles that are intended to stimulate the continuingefforts to understand the use of dietary agents in cancerchemoprevention and treatment. The lead article by S. N.Saldanha and T. O. Tollefsbol provides a comprehensivereview of dietary agents that have shown strong chemopre-ventive and therapeutic properties in vitro. They also discussthe design and modification of these bioactive compoundsfor pre-clinical and clinical applications.

Dietary intake of foods rich in antioxidant compoundshas been suggested to be cancer protective. However, ran-domized clinical trials and epidemiologic studies on theassociation between intake of foods rich in antioxidantsand cancer incidence have yielded mixed results. M. Y. Weiand E. L. Giovannuci discuss the epidemiologic consider-ations of lycopene as a chemopreventive agent, includingmeasurement of lycopene, its major source in the diet, andthe assessment of prostate cancer incidence and progression,with particular emphasis on the effect of PSA screening

on this association. K. Zhou and J. J. Raffoul discuss thecomposition and cancer-protective effects of major phenolicantioxidants in grape skin and grape seed extracts. M.A. Parasramka and S. V. Gupta provide original researchdemonstrating the anticancer properties of garcinol alone,or combined with curcumin, on pancreatic cancer cells.Garcinol, a polyisoprentylated benzophenone extracted fromthe rind of the fruit Garcinia indica, a plant found in tropicalregions, has antioxidant and anti-inflammatory propertiesand its role as anticancer agent is thoroughly discussed in thereview from N. Saadat and S. V. Gupta.

Two manuscripts discussing the effect of dietary agentson DNA repair capacity are also part of this special issue.In a manuscript by J. J. Raffoul et al., the potential fortargeting the DNA base excision repair enzyme APE1/Ref-1 using dietary agents such as soy isoflavones, resveratrol,curcumin, ascorbate, and alpha-tocopherol is discussed. Thepotential for these natural compounds to be combined withchemotherapy or radiotherapy for the more effective treat-ment of cancer are also reviewed. A proposed mechanism ofaction is discussed and an attempt is made to delineate whichof the two activities of APE1/Ref-1 (DNA repair versus redoxactivation of cellular transcription factors) is responsible forthe observed effects. The second manuscript by R. Rosati etal. reviews the role for dietary folate in the prevention ofcolorectal cancer. Data are presented which demonstrate thatinhibition of DNA repair is protective in the developmentof preneoplastic colon lesions, both when folate is depletedand when it is not. This manuscript is a comprehensivereview of the literature and provides a critical analysis of

Page 2: Editorial DietaryAgentsinCancerChemopreventionandTreatmentdownloads.hindawi.com/journals/jo/2012/749310.pdf · 2019. 7. 31. · high risk for cancer, but also allows for further development

2 Journal of Oncology

the experimental designs used in folate and colorectal cancerresearch.

Two additional manuscripts detailing the ability ofdietary agents to sensitize cancer cells to chemotherapy andradiotherapy are included in this special issue. An originalresearch article by S. Duangmano et al. demonstrates thatcurcurbitacin B, a plant phytochemical, inhibited breastcancer cell proliferation in a dose-dependent manner andcaused radiosensitization of human breast cancer cells viaG2/M cell cycle arrest. Furthermore, an original researcharticle by K. Sahin et al. demonstrate that genistein, a soyisoflavone, sensitizes cervical cancer cells to cisplatin viainhibition of NF-kappa B and Akt/mTOR cell signalingpathways.

This special issue concludes with a report of a clini-cal study demonstrating the prevention of anthracycline-induced cardiac toxicity through supplementation withselenium in a group of pediatric cancer patients.

Research efforts aimed at understanding the role ofdietary agents and phytochemicals in cancer prevention andtreatment are likely to yield high-impact results that have thepotential for immediate clinical applications. Furthermore,combination of phytochemicals and nutritional agents withtherapies for advanced cancers, including radiotherapy andchemotherapy, would benefit from a complementary andsafe approach using dietary agents to mitigate the adverseeffects of these therapies on normal tissues while enhancingthe therapeutic efficacy. Elucidation of the mechanisms ofinteraction between dietary agents and conventional cancertreatments will have a major impact on understanding themolecular mechanisms of cancer chemoprevention and willultimately result in clinical use of dietary agents as an adjunctto standard cancer treatment.

Julian J. RaffoulOmer Kucuk

Fazlul H. SarkarGilda G. Hillman

Page 3: Editorial DietaryAgentsinCancerChemopreventionandTreatmentdownloads.hindawi.com/journals/jo/2012/749310.pdf · 2019. 7. 31. · high risk for cancer, but also allows for further development

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