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Nutritional Preconditioning in Cancer Treatment in Relation to DNA Damage and Aging
Annual Review of Cancer Biology ( IF 7.7 ) Pub Date : 2021-03-04 , DOI: 10.1146/annurev-cancerbio-060820-090737
Winnie M C van den Boogaard 1, 2 , Marry M van den Heuvel-Eibrink 3 , Jan H J Hoeijmakers 1, 2, 4, 5 , Wilbert P Vermeij 1, 2
Affiliation  

Dietary restriction (DR) is the most successful nutritional intervention for extending lifespan and preserving health in numerous species. Reducing food intake triggers a protective response that shifts energy resources from growth to maintenance and resilience mechanisms. This so-called survival response has been shown to particularly increase life- and health span and decrease DNA damage in DNA repair–deficient mice exhibiting accelerated aging. Accumulation of DNA damage is the main cause of aging, but also of cancer. Moreover, radiotherapies and most chemotherapies are based on damaging DNA, consistent with their ability to induce toxicity and accelerate aging. Since fasting and DR decrease DNA damage and its effects, nutritional preconditioning holds promise for improving (cancer) therapy and preventing short- and long-term side effects of anticancer treatments. This review provides an overview of the link between aging and cancer, highlights important preclinical studies applying such nutritional preconditioning, and summarizes the first clinical trials implementing nutritional preconditioning in cancer treatment.

中文翻译:


与 DNA 损伤和衰老相关的癌症治疗中的营养预处理

饮食限制 (DR) 是在许多物种中延长寿命和保持健康的最成功的营养干预措施。减少食物摄入会引发保护性反应,将能源资源从生长转移到维持和恢复机制。这种所谓的生存反应已被证明可以特别增加寿命和健康寿命,并减少表现出加速衰老的 DNA 修复缺陷小鼠的 DNA 损伤。DNA损伤的累积是衰老的主要原因,也是癌症的主要原因。此外,放射疗法和大多数化学疗法都基于破坏性 DNA,这与其诱导毒性和加速衰老的能力相一致。由于禁食和 DR 减少了 DNA 损伤及其影响,营养预处理有望改善(癌症)治疗并预防抗癌治疗的短期和长期副作用。本综述概述了衰老与癌症之间的联系,重点介绍了应用这种营养预处理的重要临床前研究,并总结了在癌症治疗中实施营养预处理的首次临床试验。

更新日期:2021-03-05
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