2021
DOI: 10.3390/cancers13122952
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Newly Obtained Apple Pectin as an Adjunct to Irinotecan Therapy of Colorectal Cancer Reducing E. coli Adherence and β-Glucuronidase Activity

Abstract: Colorectal cancer (CRC) is the second cause of cancer death worldwide. The composition and enzymatic activity of colonic microbiota can significantly affect the effectiveness of CRC chemotherapy. Irinotecan is a drug widely used to treat colon cancer. However, the transformation of a drug-glucuronide (SN-38G) back to its active form (SN-38) by bacterial β-glucuronidase (GUS) constitutes the primary reason for the observed intestinal toxicity of irinotecan. It was demonstrated that novel enzymatically extracted… Show more

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Cited by 22 publications
(24 citation statements)
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“…The gut microbiome decomposes irinotecan-metabolite back to the active form, causing side effects. A new therapy, together with apple pectin, was able to inhibit metabolites responsible for diarrhoea in cell culture with human colorectal tumour cells and at the same time enhance the cytotoxic effect of irinotecan [78]. However, nonresponse to chemotherapy may also represent a complication of chemotherapy.…”
Section: Discussionmentioning
confidence: 99%
“…The gut microbiome decomposes irinotecan-metabolite back to the active form, causing side effects. A new therapy, together with apple pectin, was able to inhibit metabolites responsible for diarrhoea in cell culture with human colorectal tumour cells and at the same time enhance the cytotoxic effect of irinotecan [78]. However, nonresponse to chemotherapy may also represent a complication of chemotherapy.…”
Section: Discussionmentioning
confidence: 99%
“…In contrast, the viability of normal mouse fibroblasts was not affected by pectins in the studied concentrations. Recently, cellulase-extracted apple pectin, PC, was demonstrated to reduce the viability of colon cancer cells [20]. Pectins isolated from other plant sources, such as potato [26] and ginseng [27], were previously shown to also be anticancer agents in human colorectal adenocarcinoma HT-29 cells.…”
Section: Discussionmentioning
confidence: 99%
“…In our previous study [20], the promising anticancer activity of apple pectin PC, obtained with the use of endo-cellulase, was demonstrated. Its anticancer properties in colon cancer cell line HCT 116 were shown to be superior to commercially available modified citrus pectin, PectaSol.…”
Section: Introductionmentioning
confidence: 98%
“…The anti-tumor effects of dietary pectin may be boosted by formulating the fiber with a chemo-protective food component [69,70]. The mechanisms underlying this effect are associated with modulation of gut microbiota [71], apoptosis [72,73], tumor cell growth [74], and miRNA expression [67]. The anti-tumor efficacy of pectins have been primarily investigated in colon cancer.…”
Section: Pectinmentioning
confidence: 99%
“…Pectin supplementation facilitated an anti-PD-mAb effect in humanized C57BL/6 mice harboring colon cancer patient cells by enhancing T cell infiltration into the tumor microenvironment [71]. A study explored the possibility of its use as an adjuvant in irinotecan therapy for both enhancing curative efficacy and ameliorating the side-effects of colon cancer treatment [72]. In the study, a novel enzymatically-extracted apple pectin was shown to induce apoptosis and ROS production, while reducing cell viability and preventing the adhesion of prototype adherent-invasive E. coli in colorectal cancer cells, and HCT116 and Caco-2 cells.…”
Section: Pectinmentioning
confidence: 99%