BY V.Prathiksha K.Sharmila jasmine S.Sumathi K.Priyadharsini G.Gowthami
DEFINITIONS Cancer: A disease of uncontrolled cell growth Tumour:
growth
Mass of tissue formed by abnormal cell
Carcinogens: Substances that induce cancer Anticancer agents:
cancer
Substances that prevent
Carcinogen
Directly cause mutations in DNA
React with chemicals in body and cause gene mutation
Tumor development
cancer
Sources carci nogens
Chemicals Food Industrial emission Smoking & tobacco
of
UV rays
Radioactive substances
Natural food components except Aflatoxins Cancer rate consumption Food additives
due to
processed food
DANGEROUS FOOD ADDITIVES
Substances which are deliberately added to food for purpose of Preservation
Coloring
Texture Enhancing flavour
•Legal to use but is shown to cause cancer
FOOD ADDITIVES INDUCING CANCER
CHEMICAL S
ROLE
FOOD
TYPE OF CANCER
Propyl gallate
Antioxidant
Oil, Potato sticks
BHA, BHT
Antioxidant
Potassium bromate
Leavening agent
Chewing gum, oil, cereals, potato Bread &chips rolls
MSG
Flavour enhancer
Soups, salad dressing, sausages
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Aspartame
Sweetener
Diet sodas, diet foods
Brain tumor
Acesulfame
Sweetener
Baked foods, soft drinks, chewing gum
Thyroid
Urinary bladder cancer
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--------------
CHEMICAL S
ROLE
FOOD
TYPE OF CANCER
Olestra
Fat substitute
Crackers, potato chips
-----------------
Sodium nitrite
Preservativ e, coloring, flavouring
Bacon, ham,hot dogs,meats, smoked fish
Bowel cancer
Blue 1 & 2
Food colorant
Brain tumor
Red 3
Food colorant
Candy, beverages, bakery goods, Fruit
Yellow 6
Food colorant
Acryl amide Saccharin
Sweetener
cocktails, baked foods,candy Baked foods, candy, sausages Chips & bread Soda
Thyroid cancer Adrenal gland, kidney tumors Damages DNA Bladder cancer
NOTE avoid colored foods prolonged consumption Foods in their natural form
Metabolism of nutrients
Energy + unstable O2 atom( free radical)
Free radical + e from neighbouring molecule
Chain Reaction
Damage DNA,enzymes,proteins (CAUSE FOR CANCER)
ACTION OF ANTIOXIDANTS
HELP!
ACTION OF ANTIOXIDANTS
HAPPY
REACTION MECHANISM R*+ AO
R+ AO*
AO*
AO+ Heat
Retinoids are better known as vitamin A . Present in liver,egg yolk,butter,fish,yellow and orange fruits.
RETINOL
9- cis retinoic acid Trans retinoic acid
It binds to the nuclear receptor inducing or suppressing the DNA transcription. Receptors: a)Retinoid acid receptor b)Retinoid X receptor Synthetic retinoids:
TRETINOIN,ISO TRETINOIN,ADAPALENE.
• SOURCES: fish, shellfish, red meat, egg yolks, chicken, garlic. • necessary for the function of the detoxifying enzyme glutathione peroxidase. • hydroxyl radicals attack DNA and cause mutations. • protection against ultraviolet induced skin tumors. • reduces the incidence of cancers involving the lung, colon/rectum and prostate. • Reduces the mortality of lung cancer.
•
SOURCES: orange and red vegetables , carrots, tomatoes, beets, and berries.
•
Reduces free radical damage of DNA after ultraviolet exposure.
•
Beta-carotene with vitamins C and E offer synergistic cell protection against free radicals.
•
Protect lipids, blood and other body fluids from free radicals.
• SOURCES:Nuts,wheat germ oil ,spinach, citrus fruits. • Vitamin C combined with vitamin E -photoprotective effect than either agent alone. • Due to the capacity of vitamin C to regenerate vitamin E from its free radical form. • Vitamin C, or ascorbic acid–stabilize collagen’s helical structure. • Vitamin E or alpha tocopherol –prevents peroxidation of
FOOD
ACTIVE MECHANISM INGREDIENT
TYPE OF CANCER
Green tea
Polyphenols, Catechins
Prevents free radical, stops action of cancer causing chemicals.
MOUTH,BREAST CANCER
Black tea
Polyphenols, antioxidants.
Prevents free radical formation, Stops action of cancer causing chemicals.
PROSTRATE,BOW EL CANCER
Tofu, soya milk
Iso flavones
Act as oestrogen
Reduce the risk of HARMONAL CANCER.
Tomato
Lycopene
Mops free radical
PROSTRATE CANCER
Cod liver oil
Omega 3 fatty acid.
Grape seeds
Polyphenol
Cabbage,cauliflow Indole 3-carbinol er Rice bran Cyclo artenol ferulate
--------------------Inhibit epidermal lipid peroxidation ----------------------Anti inflammatory
BREAST AND COLON CANCER SKIN CANCER --------------------------------------
CANCER TREATMENT SURGERY
RADIATION THERAPY
CHEMOTHERAP Y
SURGERY To diagnose or to treat a disease Diagnostic surgery a piece of tumor removed & tissue viewed under microscope Curative surgery organ removed along with lymph glands
• • • • •
Laser Cryosurgery Moh’s procedure Laproscopy Electrosurgery
RADIATION THERAPY Ionising radiation to control malignant cells For curative or adjuvant cancer treatment As palliative or in therapeutic treatment Primary therapy Treatment intent depends on - tumor type, location & stage - patient health Commonly applied to gross tumor
TYPES Conventional external beam Intensity modulated
SIDE EFFECTS Damage of mouth, throat, oesophage & bowel Soreness & ulceration of head & neck areas Fibrosis Dryness Hair loss
• Radiotherapy through infusion or ingestion • Examples Iodine 131 Leutetium 177 Yttrium 90 Glass/resin microspheres
thyroid cancer neuroendocrine cancer live tumors/liver metastases
CHEMOTHERAPY • • • •
Administration of cytotoxic or anticancer drugs Non oncological Targets fast dividing cells ACTION - affect cell division/DNA syntehesis & function - directly targets molecular abnormality - modulate tumor cell behaviour - some cause cells to apoptosis
TYPES antimetabolites alkylating drugs anthracyclins monoclonal antibodies
SIDE EFFECTS Nausea, vomiting Diarrhoea Hair loss
DISAVANTAGES More effective on younger cells --loss of differentiation, growth is less regulated Doesn’t reach the centre of solid core
Compounds used in chemotherapy TAXOL Yew tree inhibits mitosis in tumor cells Flourouracil Adriamycin Methotrexate
• CISPLATIN H3N H3N
Pt
Cl Cl
• CARBOPLATIN •
NEDAPLATIN & OXALIPLATIN
• 2-PICOLINE Pt COMPLEX- 2 to 3 times slow hydrolysis than cisplatin
OTHER METALS METALS MECHANIS Titanium M Transferrin Gold
Transferrin
Gallium
Transferrin
Rutheniu Transferrin m Copper Mixed ligand Cobalt
TYPE OF CANCER Breast & GI carcinomas Cisplatin sensitive & ovarian cancer Lung &urothelium carcinomas Primary tumors ------
pH dependant Leukemia & carcinoma cell lines
MECHANISM OF CIS PLATIN
• drug accumulation • Altered drug metabolism • Altered drug targets • repair of drug induced damage • trapping agents formation • Combination of resistance mechanism