Review Article

Dietary Modulation of Inflammation-Induced Colorectal Cancer through PPAR

Table 1

Natural compounds with therapeutic action against inflammation.

Compound nameImplicationsDisease targetStudy typeMolecular targets

Resveratrol (found in red wine, white hellebore) [59, 60]PreventionSkin cancer, colon cancer, diabetes, neurodegenerationCell culture, rodent, phase I clinical trialInhibition or reduction of COX-1 and COX-2, ROS

Beta-carotene (terpenoid found in yellow and orange fruits and vegetables) [61]PreventionInflammation, high cholesterolMouse, ferretROS

Curcumin (spice derived from turmeric) [62, 63]Prevention, therapyPancreatic cancer, myelodysplastic syndromes, colon cancer, psoriasis, inflammationCell culture, rat, clinical trialsInhibits, COX activities, ROS, inhibits production of many pro-inflammatory cytokines (IL-8, MCP-1, TNF- )

Folic acid (leafy vegetables and grain product) [64]PreventionRectal health, pancreatic and CRCsCell culture/rodentInvolved in function, synthesis, and repair of DNA in cell cycle

Tocopherols (form of vitamin E found in oils and wheat germ) [65]Treatment (supplement to anticancer drugs)Prostate and lung cancers, CRC, and melanomaCell culture/ratMitochondrial interactions with compounds leading to apoptosis, upstream inhibition of NF- B

Omega-3 polyunsaturated fatty acids (PUFAs; found in grains, fish, and some oils) [66]TreatmentIBDRat, mouse, human cancer cellsCell cycle arrest and apoptosis through inhibition of the PI3-kinase signaling pathway, PPAR activation

Vitamin D or calcitrol (plant sources, fungi, dairy, and fish) [67, 68]TreatmentRheumatoid arthritis, dermatological conditions, osteoporosis, prostate, colon and breast cancersMouse, human clinical trialPhase G0/G1 cell cycle arrest, regulation of cell cycle proteins, reduction of Akt and Erk which are cell survival markers

Calcium (dairy, nuts, seeds, soy, plants such as kelp and seaweed) [67]Treatment/ preventionRheumatoid arthritis, dermatological conditions, osteoporosis, prostate, colon cancer, breast cancers and diabetesCell culture, mouse, human clinical trialBalances cellular proliferation in the colon by inducing apoptosis

Dietary fiber (plant products, beans, root vegetables) [69, 70]PreventionIBD, CRCCell culture, human clinical trialButyrate, product of dietary fiber functions best with retenoids to inhibit histone deacetylase, butyrate regulates colonic epithelial homeostasis

Probiotics (fermented dairy) [71, 72]Treatment/ preventionIBDHuman clinical trialKnown mechanisms or targets are intestinal microflora, chemical balance, binds to carcinogens, production of short-chain FAs and anti-carcinogens

Prebiotics and synbiotics (oligosaccharides, garlic, onion, artichoke, and asparagus) [72, 73]TreatmentColitis, inflammation, cancerRats, clinical trialProduction of short-chain FAs, induce apoptosis of damaged cells, enhances activity of NK cells

Quercetin (a flavonoid found in cranberries and onions) [74]PreventionBreast, lung, skin, and colon cancers, heart diseaseCell culture, rodentROS, a proposed aryl-hydrocarbon receptor, suppresses pro-inflammatory mediators

CLA (dairy, meat) [75]PreventionIBDMouse, pigsEnhances the immune function, activates PPAR , downregulates pro-inflammatory cytokines through NF- B

Ginseng (root of the panax plant in the family araliaceae) [76]Prevention/ enhancement of current treatmentColon cancerCell culture, mouseSuppresses TNF- and NF- B signaling decreasing inflammation. Also targets movement and angiogenesis of carcinoma cells

Turmeric extract (curry, curumin) [77]TreatmentArthritis, inflammation, cardiovascular diseaseRodentInflammation, angiogensis, eliminates free redicals and ROS, suppresses TNF-

Phytoestrogen (soy products, whole grains) [78, 79]PreventionCRC, breast cancer, prostate cancerRat, clinical trialInduction of apoptosis and inhibition of tyrosine kinases, regulates some pro-inflammatory cytokines (IL-6) hormones which induce cancer

Kaempferol (flavonoid in apples, onions, broccoli, and citrus fruits) [80]Treatment/ preventionObesity and type II diabetes, cardiovascular diseases, neurodegenerative diseases, cancerCell cultureUpregulates TNF-related apoptosis-inducing ligand (TRAIL) receptors, sensitizes cancer cells to anti-carcinogenic compounds and pathways

Green tea phenols (tea leaves) [81]TreatmentGastric cancer and H. Pylori infectionsCell culture, mouseReduce ROS, gluthione metabolism, activates apoptotic markers and tightly regulates the cell-cycle

Blueberry Extracts (fruit from the shrub, vaccinium cyanococcus) [82]TreatmentCancer, inflammationCell culture, mouseInhibit growth, stimulate apoptosis