Success in treating established cancer by chemotherapy, surgery or radiotherapy remains limited, making chemoprevention by dietary constituents or medicines an important and promising alternative strategy in the management of malignancy. In terms of reducing cancer incidence, epidemiological studies suggest that enormous benefit might be derived from dietary manipulation or supplementation. However, there is still much uncertainty as to which dietary constituents exhibit chemopreventive activity and, moreover, at which dose such efficacy is observed without adverse effect. A more detailed understanding of the carcinogenic process, and the way in which chemopreventive agents inhibit it, is therefore essential. Such understanding would facilitate the design of more effective clinical intervention protocols, and/or prophylactic drug strategies for individuals at particular risk of developing cancer. Characterisation of the chemopreventive activity of food constituents will ultimately help formulate dietary advice for the general population. Such research has the potential to improve, in a fundamental way, the health of the nation by greatly reducing the cancer burden.  

 

 

Curcumin

EGCG

 
Indole-3-carbinol
 
Resveratrol
 

 

 

The aims of the Group’s research programme include the characterisation of diet-derived cancer chemopreventive agents and their mechanisms of action, preparation of potentially promising agents for clinical evaluation, their pharmacokinetic and pharmacodynamic evaluation and finally the use of promising agents in the clinic.To date curcumin, a component of turmeric, has progressed through all of these stages as a potential agent for prevention of colon cancer. A key feature of the Group is the unique combination of chemical, biochemical, pharmacokinetic, pharmacodynamic and oncological expertise.
The main aims of the programme are:
to identify potentially useful chemopreventive agents, both from in-house research and published evidence
to understand their mechanisms of action at the cellular and molecular level
to explore their efficacy in preclinical experiments with suitable in vivo models, and to verify changes in surrogate biomarkers
to use the information gained in preclinical studies to design and conduct phase I clinical trials
to establish robust pharmacokinetic and pharmacodynamic data for the agents in humans which will help optimise further phase II/III chemoprevention trials.

 

 

 
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