Erfahrungsheilkunde 2017; 66(05): 268-276
DOI: 10.1055/s-0043-119018
Wissen
MVS Medizinverlage Stuttgart GmbH & Co. KG Stuttgart · New York

Curcuma longa in der Onkologie

Vera Maria Kneer
Further Information

Publication History

Publication Date:
19 October 2017 (online)

Zusammenfassung

Curcuma longa wird seit Jahrtausenden in der ayurvedischen und chinesischen Medizin bei zahlreichen Erkrankungen eingesetzt. Im Mittelpunkt der Forschung steht überwiegend Curcumin, ein wesentlicher Bestandteil des Extrakts. In-vitro- und In-vivo-Studien haben vielfältige Wirkmechanismen u. a. antioxidative und antiinflammatorische Wirkungen aufgezeigt. Bei zahlreichen Erkrankungen, v. a. mit entzündlicher Genese sowie bei Tumorerkrankungen, hat sich der Einsatz von Curcumin als effektiv erwiesen. Curcumin beeinflusst alle Signalwege von der Karzinogenese bis zur Metastasierung. Formulierungen mit verbesserter Bioverfügbarkeit sowie neue Applikationsformen versuchen pharmakologische Schwächen des Pflanzenstoffes auszugleichen. Aktuell werden in Patientenstudien z. B. Kombinationen mit Chemotherapien und Strahlentherapien erprobt. Daneben sind aber auch Kombinationen von Curcuma mit anderen Pflanzenstoffen zur Optimierung therapeutischer Effekte in der integrativen Onkologie von großem Interesse.

Abstract

Curcuma longa has been used for thousands of years in Ayurvedic and Chinese medicine for various diseases. The focus of research is predominantly on curcumin, an essential component of the extract. In vitro as well as in vivo studies have shown various mechanisms of action such as antioxidant, anti-inflammatory effects. The use of curcumin has proven to be effective in numerous diseases, including inflammatory genesis and tumor diseases. Curcumin affects all signaling pathways from carcinogenesis to metastasis. Formulations with improved bioavailability as well as new forms of application attempt to balance pharmacological weaknesses of the plant material. Currently, combinations of chemotherapies and radiation therapies are tested in patient studies. In addition, combinations of curcuma longa with other plants are also of great interest for the optimization of therapeutic effects in integrative oncology.

 
  • Literatur

  • 1 Bimonte S, Barbieri A, Leongito M. et al. Curcumin AntiCancer Studies in Pancreatic Cancer. Nutrients 2016; Jul 8 (07) 433
  • 2 Bose S, Panda AK, Mukherjee S. et al. Curcumin and tumor immune-editing: resurrecting the immune system. Cell division 2015; 10: 6
  • 3 Byeong MK, Yunkyung H, Seunghoon L. et al. Therapeutic Implications for Overcoming Radiation Resistance in Cancer Therapy. Int J Mol Sci 2015; Nov 16 (11) 26880-26913
  • 4 Dae-Woon E, Ji Hwan L, Young-Joo K. et al. Synergistic effect of curcumin on epigallocatechin gallate-induced anticancer action in PC3 prostate cancer cells,. BMB Rep 2015; 48 (08) 461-466
  • 5 Das Mandal S, Mandal S, Patel J. Brain targeting efficiency of Curcumin loaded mucoadhesive microemulsion through intranasal route. Journal of Pharmaceutical Investigation April 2016; 46 (02) 179-188
  • 6 Demiray M, Sahinbas H, Atahan S. et al. Successful treatment of c-kit positive metastatic Adenoid Cystic Carcinoma (ACC) with a combination of curcumin plus Imatinib. A case report. Complement Thera. Med 2016; Aug 27: 108-113
  • 7 Di Martino RMC, Bisi A, Rampa A. et al. Recent progress on curcumin-based therapeutics: a patent review (2012–2016). Part I: Curcumin. Expert opin Ther Pat 2017; May 27 (05) 579-590
  • 8 Elad S, Meidan I, Sellam G. et al. Topical curcumin for the prevention of oral mucositis in pediatric patient: case series. Altern Ther Health Med. 2013; May–Jun 19 (03) 21-24
  • 9 Fadus MC, Lau C, Bikchandani J. et al. Curcumin: An age-old anti-inflammatory and anti-neoplastic agent. J Tradit Complement Med 2017; Jul 7 (03) 339-346
  • 10 Fantini M, Benvenuto M, Musuelli L. et al. In vitro and in vivo antitumoral effects of combinations of Polyphenols and Anticancer drugs. Inf. J. Mol Sci 2015; 16 (05) 9246-9282
  • 11 Gupta SC, Parchva SW, Koh W. et al. Discovery of curcumin, a component of golden spice, and its miraculous biological activities. Clin Exp Pharmacol Physiol 2012; Mar 39 (03) 283-99
  • 12 Helson L. Curcumin (diferuloylmethane) delivery methods: a review, Biofactors. 2013; Jan–Feb 39 (01) 21-26
  • 13 Hong M, Tan HY, Li S. et al. Cancer Stem Cells: The Potential Targets of Chinese Medicines and Their Active Compounds. Int J Mol Sci 2016; Jun 17 (06) 893
  • 14 www.ardmediathek.de/tv/alles-wissen/Kurkuma-in-der-Forschung/hr-fernsehen/Video?bcastId=3416170&documentId=42219806
  • 15 www.clinicaltrials.gov/ct2/results?cond=cancer&term=Curcumin&cntry1=&state1=&recrs= Stand: 10.09.2017
  • 16 www.smartpatients.com/trials/ NCT 02439385; Stand: 10.09.2017
  • 17 www.ernaehrungsumschau.de/fileadmin/ErnaehrungsUmschau/pdfs/pdf_2015/11_15/EU11_2015_Special_Kocher_Eng.pdf
  • 18 www.turmericforhealth.com/general-info/turmeric-curcumin-dosage-for-cancer-a-scientific-plan Stand: 10.09.2017
  • 19 Hu X-Q, Sun Y, Lau E. et al. Advances in Synergistic Combinations of Chinese Herbal Medicine for the Treatment of Cancer. Current Cancer Drug Targets 2016; 16: 346-356
  • 20 Huang H, Xuan C, Dongli L. et al. Combination of α-Tomatine and Curcumin Inhibits Growth and Induces Apoptosis in Human Prostate Cancer Cells. Plos. 2015 Dec 2. 10. (12)
  • 21 Kim H, Gupta SC, Park B. et al. Turmeric (Curcuma longa) inhibits inflammatory nuclear factor (NF)-κB and NF-κB-regulated gene products and induces death receptors leading to suppressed proliferation, induced chemosensitization, and suppressed osteoclastogenesis. Mol nutr Food Res 2012; 56 (03) 454-465
  • 22 Kim W, Kang J, Youn B.. et al. Effects of traditional oriental medicines as anti-cytotoxic agents in radiotherapy. Oncology Letters. April 18 2017
  • 23 Klinger NV, Sandeep M. Therapeutic Potential of Curcumin for the Treatment of Brain Tumors, Oxidative Medicine and Cellular Longevity. 2016 9324085
  • 24 Kunnumakkara AB, Bordoloi D, Padmavathi G. et al. Curcumin, the golden nutraceutical multitargeting for multiple chronic diseases. BR J Pharmacol 2017; Jun 174 (11) 1325-1348
  • 25 Mahammedi H, Planchat E, Pouget M. et al. The New Combination Docetaxel, Prednisone and Curcumin in Patients with Castration-Resistant Prostate Cancer: A Pilot Phase II Study. Oncology 2016; 90 (02) 69-78
  • 26 McCubrey J, Lertpiriyapong K, Steelman LS. et al. Effects of resveratrol, curcumin, berberine and other nutraceuticals on aging, cancer development, cancer stem cells and microRNAs. Aging (Albany NY) 2017; Jun 9 (06) 1477-1536
  • 27 Mollaei H, Babei E. Therapeutic Potential of Novel Nano-Based Compounds in Vitro and in Vivo,. Asian Pac J Cancer Prev 2017; Apr 1 18 (04) 885-888
  • 28 Montgomery A, Adeyeni T, San Ket. et al. Curcumin sensitizes Silymarin to exert synergistic anticancer activity in Colon cancer cells. J Cancer 2016; 7 (10) 1250-1257
  • 29 Niedzwiecki A, Roomi MW, Kalinovsky T. et al. Review Anticancer efficacy of Polyphenols and their combinations. Nutrients Sept. 2016 9. 8(9)
  • 30 Panda AK, Chakraborty D, Sarkar I. et al. New insights into therapeutic activity and anticancer properties of curcumin. J Exp Pharmacol 2017; 9: 31-45
  • 31 Prasad NR, Muthusamy G, Shanmugam M. et al. South Asian Medicinal compounds as Modulators of Resistance to Chemotherapy and Radiotherapy. Cancers 2016; 8 (03) 32
  • 32 Quadir M. et. al. Mini Review. Curcumin: a Polyphenol with Molecular Targets for Cancer Control. Asian Pacific Journal of Cancer Prevention 2016; 17 (06) 2735-2749
  • 33 Rao S, Dinkar C, Vaishnav LK. et al. The Indian Spice Turmeric Delays and Mitigates Radiation-Induced Oral Mucositis in Patients Undergoing Treatment for Head and Neck Cancer: An Investigational Study. Integr Cancer Ther 2014; May 13 (03) 201-10
  • 34 Ryan JL, Heckler CE, Ling M. et. al. Curcumin for radiation dermatitis: a randomized, double-blind, placebo-controlled clinical trial of thirty breast cancer patients. Radiat Res 2013; Jul 180 (01) 34-43
  • 35 Schneider C, Gordon O. et al. Degradation of Curcumin. From mechanism to biological implications. J agric Food Chem 2015; Sep 9 63 (35) 7606-7614
  • 36 Sharma V, Kumar L, Mohanty SK. et al. Sensitization of androgen refractory prostate cancer cells to anti-androgens through re-expression of epigenetically repressed androgen receptor – Synergistic action of quercetin and curcumin. Mol Cell Endocrinol 2016; Aug 15 431: 12-23
  • 37 Shen L, Liu CC, An CY. et al. How does curcumin work with poor bioavailability? Clues from experimental and theoretical studies. Sci Rep 2016; Feb 18 6: 20872
  • 38 Shindikar A, Singh A, Nobre M. et al. Curcumin and Resveratrol as Promising Natural Remedies with Nanomedicine Approach for the Effective Treatment of Triple Negative Breast Cancer. J Oncol. 2016 9750785: 1
  • 39 Solda C, Bardini R, Sperti C. et al. Phase II study of Gemcitabine and Curcumin (Meriva) as first line treatment for locally advanced or metastatic pancreatic cancer preliminary results. Annals of Oncology Vol 26, Issue suppl 6, 1, October 2015, p VI. Im Internet: http://ascopubs.org/doi/abs/10.1200/JCO.2016.34.15_suppl.e15696 Stand: 10.09.2017
  • 40 Turmeric or Curcumin: Plants vs. Pills. NutrionFacts.org.. https://youtu.be/4vcl24rnyb-o
  • 41 Vaz GR, Hädrich G, Bidone J. et al. Development of Nasal Lipid Nanocarriers Containing Curcumin for Brain Targeting. J Alzheimer Dis. 2017 Jul 17 (e publish)
  • 42 Wang K, Zhang C, Bao J. et al. Synergistic chemoprevention effects of curcumin and berberine on human breast cancer cells through induction of apoptosis and autophagic cell death. Sci Rep 2016; Jun 6 6: 26064