The use of phytotherapy in hepatocellular carcinoma – a systematic review

Hepatocellular carcinoma (HCC) is one of the most common malignant tumours and the second most frequent cause of cancer-related death worldwide. The aim of this review is to identify whether phytotherapy has an effect over the treatment of HCC or if it is suitable as a combination with chemotherapy...

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Main Authors: Cristina P. URSU, Emil I. MOIȘ, Luminița E. FURCEA, Rodica S. POP, Ștefan URSU, Diana SCHLANGER, Andra CIOCAN, Florin V. ZAHARIE, Aida PUIA, Nadim AL HAJJAR, Florin GRAUR
Format: Article
Language:English
Published: AcademicPres 2023-03-01
Series:Notulae Botanicae Horti Agrobotanici Cluj-Napoca
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Online Access:https://www.notulaebotanicae.ro/index.php/nbha/article/view/13084
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author Cristina P. URSU
Emil I. MOIȘ
Luminița E. FURCEA
Rodica S. POP
Ștefan URSU
Diana SCHLANGER
Andra CIOCAN
Florin V. ZAHARIE
Aida PUIA
Nadim AL HAJJAR
Florin GRAUR
author_facet Cristina P. URSU
Emil I. MOIȘ
Luminița E. FURCEA
Rodica S. POP
Ștefan URSU
Diana SCHLANGER
Andra CIOCAN
Florin V. ZAHARIE
Aida PUIA
Nadim AL HAJJAR
Florin GRAUR
author_sort Cristina P. URSU
collection DOAJ
description Hepatocellular carcinoma (HCC) is one of the most common malignant tumours and the second most frequent cause of cancer-related death worldwide. The aim of this review is to identify whether phytotherapy has an effect over the treatment of HCC or if it is suitable as a combination with chemotherapy. A systematic review was performed in order to offer current information over the use of phytotherapy in HCC. We conducted an electronic search of articles published in English in peer reviewed journals between 2012-2022. After keywords were associated, 302 articles were found. After the exclusion of articles which did not meet the inclusion criteria, there were 77 articles eligible for abstract evaluation. The following were discarded: two case report, one systematic review, 36 in vitro studies and nine studies which discussed other pathologies or with no regard to phytotherapy. The remaining articles encompassed 27 in vivo studies of phytotherapy in hepatocellular carcinoma and two randomized control trials. This selection process is illustrated in the Prisma Flow Diagram. Amongst the evaluated articles, two of them researched the effect of phytotherapy over human subjects in two randomized control trials, while the others illustrated the outcomes of phytotherapy over hepatocellular carcinoma cells and murine specimens. To sum up, phytotherapy has proven its usefulness in hepatocellular carcinoma, especially throughout the following mechanisms: anti-inflammatory effect, suppressing malignant cell proliferation, inhibiting angiogenesis, stimulating apoptosis, and even sensitizing cells to chemotherapy.
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spelling doaj.art-2b5ef62d611f4f958e989f3d2fb1f41e2023-03-31T16:40:10ZengAcademicPresNotulae Botanicae Horti Agrobotanici Cluj-Napoca0255-965X1842-43092023-03-0151110.15835/nbha51113084The use of phytotherapy in hepatocellular carcinoma – a systematic reviewCristina P. URSU0Emil I. MOIȘ1Luminița E. FURCEA2Rodica S. POP3Ștefan URSU4Diana SCHLANGER5Andra CIOCAN6Florin V. ZAHARIE7Aida PUIA8Nadim AL HAJJAR9Florin GRAUR10“Prof. Dr. Octavian Fodor” Institute of Gastroenterology and Hepatology, 19-21-23 Croitorilor, 400162 Cluj-Napoca“Prof. Dr. Octavian Fodor” Institute of Gastroenterology and Hepatology, 19-21-23 Croitorilor, 400162 Cluj-Napoca; “Iuliu Hațieganu” University of Medicine and Pharmacy, Faculty of Medicine, Department of Surgery, 8 V. Babeș, 400012 Cluj-Napoca“Prof. Dr. Octavian Fodor” Institute of Gastroenterology and Hepatology, 19-21-23 Croitorilor, 400162 Cluj-Napoca; “Iuliu Hațieganu” University of Medicine and Pharmacy, Faculty of Medicine, Department of Surgery, 8 V. Babeș, 400012 Cluj-Napoca“Iuliu Hațieganu” University of Medicine and Pharmacy, Faculty of Medicine, Department of Community Medicine, 8 V. Babeș, 400012 Cluj-Napoca“Prof. Dr. Octavian Fodor” Institute of Gastroenterology and Hepatology, 19-21-23 Croitorilor, 400162 Cluj-Napoca“Prof. Dr. Octavian Fodor” Institute of Gastroenterology and Hepatology, 19-21-23 Croitorilor, 400162 Cluj-Napoca“Prof. Dr. Octavian Fodor” Institute of Gastroenterology and Hepatology, 19-21-23 Croitorilor, 400162 Cluj-Napoca; “Iuliu Hațieganu” University of Medicine and Pharmacy, Faculty of Medicine, Department of Surgery, 8 V. Babeș, 400012 Cluj-Napoca“Prof. Dr. Octavian Fodor” Institute of Gastroenterology and Hepatology, 19-21-23 Croitorilor, 400162 Cluj-Napoca; “Iuliu Hațieganu” University of Medicine and Pharmacy, Faculty of Medicine, Department of Surgery, 8 V. Babeș, 400012 Cluj-Napoca“Iuliu Hațieganu” University of Medicine and Pharmacy, Faculty of Medicine, Department of Community Medicine, 8 V. Babeș, 400012 Cluj-Napoca“Prof. Dr. Octavian Fodor” Institute of Gastroenterology and Hepatology, 19-21-23 Croitorilor, 400162 Cluj-Napoca; “Iuliu Hațieganu” University of Medicine and Pharmacy, Faculty of Medicine, Department of Surgery, 8 V. Babeș, 400012 Cluj-Napoca“Prof. Dr. Octavian Fodor” Institute of Gastroenterology and Hepatology, 19-21-23 Croitorilor, 400162 Cluj-Napoca; “Iuliu Hațieganu” University of Medicine and Pharmacy, Faculty of Medicine, Department of Surgery, 8 V. Babeș, 400012 Cluj-Napoca Hepatocellular carcinoma (HCC) is one of the most common malignant tumours and the second most frequent cause of cancer-related death worldwide. The aim of this review is to identify whether phytotherapy has an effect over the treatment of HCC or if it is suitable as a combination with chemotherapy. A systematic review was performed in order to offer current information over the use of phytotherapy in HCC. We conducted an electronic search of articles published in English in peer reviewed journals between 2012-2022. After keywords were associated, 302 articles were found. After the exclusion of articles which did not meet the inclusion criteria, there were 77 articles eligible for abstract evaluation. The following were discarded: two case report, one systematic review, 36 in vitro studies and nine studies which discussed other pathologies or with no regard to phytotherapy. The remaining articles encompassed 27 in vivo studies of phytotherapy in hepatocellular carcinoma and two randomized control trials. This selection process is illustrated in the Prisma Flow Diagram. Amongst the evaluated articles, two of them researched the effect of phytotherapy over human subjects in two randomized control trials, while the others illustrated the outcomes of phytotherapy over hepatocellular carcinoma cells and murine specimens. To sum up, phytotherapy has proven its usefulness in hepatocellular carcinoma, especially throughout the following mechanisms: anti-inflammatory effect, suppressing malignant cell proliferation, inhibiting angiogenesis, stimulating apoptosis, and even sensitizing cells to chemotherapy. https://www.notulaebotanicae.ro/index.php/nbha/article/view/13084hepatocellular carcinomamedicinal herbstraditional Chinese medicinetraditional Korean medicine
spellingShingle Cristina P. URSU
Emil I. MOIȘ
Luminița E. FURCEA
Rodica S. POP
Ștefan URSU
Diana SCHLANGER
Andra CIOCAN
Florin V. ZAHARIE
Aida PUIA
Nadim AL HAJJAR
Florin GRAUR
The use of phytotherapy in hepatocellular carcinoma – a systematic review
Notulae Botanicae Horti Agrobotanici Cluj-Napoca
hepatocellular carcinoma
medicinal herbs
traditional Chinese medicine
traditional Korean medicine
title The use of phytotherapy in hepatocellular carcinoma – a systematic review
title_full The use of phytotherapy in hepatocellular carcinoma – a systematic review
title_fullStr The use of phytotherapy in hepatocellular carcinoma – a systematic review
title_full_unstemmed The use of phytotherapy in hepatocellular carcinoma – a systematic review
title_short The use of phytotherapy in hepatocellular carcinoma – a systematic review
title_sort use of phytotherapy in hepatocellular carcinoma a systematic review
topic hepatocellular carcinoma
medicinal herbs
traditional Chinese medicine
traditional Korean medicine
url https://www.notulaebotanicae.ro/index.php/nbha/article/view/13084
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