PMID- 34637800 OWN - NLM STAT- MEDLINE DCOM- 20211203 LR - 20211214 IS - 1879-0631 (Electronic) IS - 0024-3205 (Linking) VI - 286 DP - 2021 Dec 1 TI - Curcuma as an adjuvant in colorectal cancer treatment. PG - 120043 LID - S0024-3205(21)01030-4 [pii] LID - 10.1016/j.lfs.2021.120043 [doi] AB - Colorectal cancer (CRC) is the second leading cause of cancer death worldwide and mostly affects men. Around 20% of its incidence is by familiar disposition due to hereditary syndromes. The CRC treatment involves surgery and chemotherapy; however, the side effects of treatments and the fast emergence of drug resistance evidence the necessity to find more effective drugs. Curcumin is the main polyphenol pigment present in Curcuma longa, a plant widely used as healthy food with antioxidant properties. Curcumin has synergistic effects with antineoplastics such as 5-fluorouracil and oxaliplatin, as well anti-inflammatory drugs by inhibiting cyclooxygenase-2 and the Nuclear factor kappa B. Furthermore, curcumin shows anticancer properties by inhibition of the Wnt/beta-catenin, Hedgehog, Notch, and the phosphatidylinositol-3-kinase (PI3K)/Akt and the mammalian target of rapamycin (mTOR) signaling pathways implicated in the progression of CRC. However, the consumption of pure curcumin is less suitable, as the absorption is poor, and the metabolism and excretion are high. Pharmacological formulations and essential oils of the plant improve the curcumin absorption, resulting in therapeutical dosages. Despite the evidence obtained in vitro and in vivo, clinical studies have not yet confirmed the therapeutic potential of curcumin against CRC. Here we reviewed the last scientific information that supports the consumption of curcumin as an adjuvant for CRC therapy. CI - Copyright (c) 2021 Elsevier Inc. All rights reserved. FAU - Villegas, Cecilia AU - Villegas C AD - Laboratory of Natural Products and Drug Discovery, Department of Basic Sciences, Universidad de La Frontera, Av. Francisco Salazar 01145, Temuco, Chile. FAU - Perez, Rebeca AU - Perez R AD - Laboratory of Natural Products and Drug Discovery, Department of Basic Sciences, Universidad de La Frontera, Av. Francisco Salazar 01145, Temuco, Chile. FAU - Sterner, Olov AU - Sterner O AD - Division of Organic chemistry, Lund University, Lund, Sweden. FAU - Gonzalez-Chavarria, Ivan AU - Gonzalez-Chavarria I AD - Departamento de Fisiopatologia, Facultad de Ciencias Biologicas, Universidad de Concepcion, Concepcion, Chile. FAU - Paz, Cristian AU - Paz C AD - Laboratory of Natural Products and Drug Discovery, Department of Basic Sciences, Universidad de La Frontera, Av. Francisco Salazar 01145, Temuco, Chile. Electronic address: cristian.paz@ufrontera.cl. LA - eng PT - Journal Article PT - Review DEP - 20211009 PL - Netherlands TA - Life Sci JT - Life sciences JID - 0375521 RN - 0 (Adjuvants, Pharmaceutic) RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Antineoplastic Agents) RN - 0 (Antioxidants) RN - 0 (NF-kappa B) RN - 0 (Plant Extracts) RN - 0 (Receptors, Notch) RN - 0 (beta Catenin) RN - 856YO1Z64F (turmeric extract) RN - EC 2.7.1.137 (Phosphatidylinositol 3-Kinase) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - IT942ZTH98 (Curcumin) SB - IM MH - Adjuvants, Pharmaceutic MH - Anti-Inflammatory Agents, Non-Steroidal/pharmacology MH - Antineoplastic Agents/pharmacology MH - Antioxidants/pharmacology MH - Cell Line, Tumor MH - Chemotherapy, Adjuvant/methods MH - Colorectal Neoplasms/*drug therapy/therapy MH - Curcuma/metabolism MH - Curcumin/metabolism/*pharmacology MH - Humans MH - NF-kappa B/metabolism MH - Phosphatidylinositol 3-Kinase/metabolism MH - Plant Extracts MH - Receptors, Notch/metabolism MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/metabolism MH - beta Catenin/metabolism OTO - NOTNLM OT - 5-fluorouracilo OT - Chemoprevention OT - Chemotherapy OT - Clinical trials OT - Concomitant therapy OT - Curcuma longa EDAT- 2021/10/13 06:00 MHDA- 2021/12/15 06:00 CRDT- 2021/10/12 20:14 PHST- 2021/08/04 00:00 [received] PHST- 2021/09/23 00:00 [revised] PHST- 2021/10/06 00:00 [accepted] PHST- 2021/10/13 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/10/12 20:14 [entrez] AID - S0024-3205(21)01030-4 [pii] AID - 10.1016/j.lfs.2021.120043 [doi] PST - ppublish SO - Life Sci. 2021 Dec 1;286:120043. doi: 10.1016/j.lfs.2021.120043. Epub 2021 Oct 9.