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Evidence-based Anticancer Materia Medica for Brain Tumors

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Materia Medica for Various Cancers

Part of the book series: Evidence-based Anticancer Complementary and Alternative Medicine ((ACAM,volume 2))

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Abstract

Brain tumors encompass a group of tumors with varying degrees of response to conventional treatments. Glioblastomas are the deadliest and most common form of brain tumors. These are very aggressive and have a very poor survival rate. In addition to the poor survival rate in brain tumors, the current modes of therapy are laden with severe and debilitating side effects. The unique presence of blood–brain barrier in brain tumors makes its treatment more difficult as most of the currently used drugs do not cross this barrier and reach the tumor cells. Further, the inflammation and edema induced by chemotherapy by stimulation of eicosanoid producing enzymes, such as COX-2, the inaccessibility of the tumors for surgery add to the problem. These problems call for the identification of novel compounds for the treatment of brain tumors. A number of plant products are found to have anticancer activities and are capable of reducing the side effects of conventional chemotherapy and radiotherapy. Even though some of these are already in use for treatment of other cancers and have shown promise in Phase I and II brain tumor clinical trials, no product has so far been cleared by US FDA to be a potential treatment drug for brain tumors. This is mainly due to the lack of well-designed studies, lack of knowledge of the multiple targets of action of these drugs, its side effects and interaction with the conventional chemotherapeutic drugs. Recent studies focus on the mechanism of action and the results show the action to mainly fall in the categories of antioxidant, induction of programmed cell death, regulation of various cellular pathways and stimulation of immune response activities. No solid data is available to support the notion that the antioxidant activity can interfere with radiotherapy. The same is the case with other side effects. However, some patients respond better when herbal products are used as adjuvant therapy and hence it is advised by many oncologists. The wide gap in the knowledge in the use of herbal therapy calls for more focused and dedicated research on these products as main line or adjuvant treatments for brain tumors.

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Balaram, P., Harun, F. (2012). Evidence-based Anticancer Materia Medica for Brain Tumors. In: Cho, W. (eds) Materia Medica for Various Cancers. Evidence-based Anticancer Complementary and Alternative Medicine, vol 2. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-1983-5_14

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