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Anti-cancer activity of Curcumin nanoformulations in two different studies (2015-10-14)

Curcumin, a natural yellow phenolic compound present in Curcuma longa (turmeric) is a natural antioxidant and has shown many pharmacological activities such as anti-inflammatory, anti-microbial, anti-cancer, and anti-Alzheimer in both preclinical and clinical studies.
Moreover, curcumin has hepatoprotective, nephroprotective, cardioprotective, neuroprotective, hypoglycemic, antirheumatic, and antidiabetic activities and it also suppresses thrombosis and protects against myocardial infarction.

Particularly, curcumin has demonstrated efficacy as an anticancer agent, but a limiting factor is its extremely low aqueous solubility which hampers its use as therapeutic agent. Therefore, many technologies have been developed and applied to overcome this limitation.

Cancer conventional therapies cause widespread systemic toxicity and lead to serious side effects which prohibit their long term use. Additionally, in many circumstances tumor resistance and recurrence is commonly observed.
Therefore, there is an urgent need to identify suitable anticancer therapies that are highly precise with minimal side effects.

Curcumin’s widespread availability, safety, low cost and multiple cancer fighting functions justify its development as a drug for cancer treatment.

A growing list of nanomedicine(s) using first line therapeutic drugs have been approved or are under consideration by the Food and Drug Administration (FDA) to improve human health. These nanotechnology strategies may help to overcome challenges and ease the translation of curcumin from bench to clinical application.

Prominent research is reviewed which shows that advanced drug delivery of curcumin (curcumin nanoformulations or curcumin nanomedicine) is able to leverage therapeutic benefits by improving bioavailability and pharmacokinetics which in turn improves binding, internalization and targeting of tumor(s).

Outcomes using these novel drug delivery systems have been discussed in detail. A review also describes the tumor-specific drug delivery system(s) that can be highly effective in destroying tumors. Such new approaches are expected to lead to clinical trials and to improve cancer therapeutics.

Curcumin (CUR) is a hydrophobic polyphenolic compound derived from the rhizomes of Curcuma longa. This natural compound has a long history of use as curry (turmeric) in East Asian countries.
Commercially available curcumin consists of a mixture of three curcuminoids [diferuloylmethane (~77%), demethoxycurcumin (~18%), and bisdemethoxycurcumin (~5%)].
Curcumin exhibits keto-enol tautomerism, having a predominant keto form in acidic and neutral solutions and a stable enol form in alkaline media.
Curcumin is “Generally Recognized as Safe (GRAS)” by the Food and Drug Administration (FDA).
Curcumin is characterized by a wide range of antibacterial, antifungal, antiviral, antioxidative, antiinflammatory, and antiproliferative activities.
Curcumin has demonstrated strong cancer preventive activity, including prevention of tumor initiation, promotion, metastasis, and angiogenesis in experimental animal systems, against a wide range of tumor cells.
Curcumin has pleiotropic properties that modulate numerous targets including proteins (thioredoxin reductase, cyclooxygenase 2 (COX-2), protein kinase C (PKC), 5-lipoxygenase, and tubulin), transcription factors, growth factors and their receptors, cytokines, enzymes, and gene regulating cell proliferation and apoptosis.
Because of this multi-targeted behavior, curcumin can perform a wide spectrum of actions while smart drugs or therapeutic drugs have only one target and are eliminated from the cells if they do not reach the right compartment.

The authors suggested that the estrogen mimicking activity of curcumin-PEG could contraindicate the treatment of breast and ovarian cancers, whereas anti-androgenic effects would be advantageous for the treatment of e.g. prostate cancer.

For more information
Curcumin Nanomedicine: A Road to Cancer Therapeutics
Murali M. Yallapu, Meena Jaggi, and Subhash C. Chauhan
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Curcumin nanoformulations: a review of pharmaceutical properties and preclinical studies and clinical data related to cancer treatment.
Ornchuma Naksuriyaa, Siriporn Okonogia, Raymond M. Schiffelersc, Wim E. Hennink
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