Nutraceuticals and Oral Supplements in Cancer Prevention: A Narrative Review

Author:

De Pergola Giovanni12ORCID,Cerutti Nadia3,Zupo Roberta4,Marucci Simonetta5,Corbo Filomena6,Almerighi Guido7,Triggiani Vincenzo8,De Vito Danila9,Castellana Fabio4ORCID

Affiliation:

1. Unit of Geriatrics and Internal Medicine, National Institute of Gastroenterology “Saverio de Bellis,” Research Hospital, Castellana Grotte, 70013 Bari, Italy

2. Clinical Nutrition Unit, Medical Oncology, Department of Biomedical Science and Human Oncology, University of Bari, School of Medicine, 70124 Bari, Italy

3. Diabetology, Civil Hospital of Vigevano, Pavia, Italy

4. Unit of Data Sciences and Technology Innovation for Population Health, National Institute of Gastroenterology “Saverio de Bellis,” Research Hospital, Castellana Grotte, Bari, Italy

5. Biomedical Campus University. Dept. 'Sciences and Technologies for Man and the Environment'. Via Alvaro del Portillo 21, Rome. Italy

6. Department of Pharmacy-Drug Sciences, University of Bari 'Aldo Moro', 70125 Bari, Italy

7. Center for Dysmetabolic Diseases and Atherosclerosis, Azienda Ospedaliera G. Brotzu, Cagliari, Italy

8. Interdisciplinary Department of Medicine-Section of Internal Medicine, Geriatrics, Endocrinology and Rare Diseases. University of Bari 'Aldo Moro', School of Medicine, Policlinico, Piazza Giulio Cesare 11, 70124 Bari, Italy

9. Department of Basic Medical Sciences, Neurosciences and Sense Organs, University of Bari 'Aldo Moro', Bari, Italy

Abstract

Background: Epidemiological studies have shown that food is a compelling means of maintaining a state of well-being and preventing diseases. Many malignant diseases are related to nutrition, and the nutrient-organism interaction could define the balance between health and disease. Nutrients and dietary components influence epigenetic phenomena and modify drug response so that food-organism interactions may influence individual predisposition to disease and its potential therapeutic response. Aim: In this review, we highlighted emerging opinions and data on a large cluster of nutraceuticals, as well as functional foods and specific dietary patterns, with respect to cancer, including breast, pancreas, prostate, and colorectal. Only those nutraceuticals and nutritional supplements yielding sufficient and convincing data have been reported in this review; molecules with inconclusive clinical evidence will not be discussed. Conclusions: Growing and accumulating evidence is validating the use of nutraceuticals in cancer settings. However, a knowledge gap remains in terms of causal evidence for several compounds where a window for further clinical studies is left.

Publisher

Bentham Science Publishers Ltd.

Subject

Immunology and Allergy,Endocrinology, Diabetes and Metabolism

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