Abstract
Curcumin, the active ingredient of the spice turmeric, has been shown to have anticancer activities in several preclinical and clinical studies. The prophylactic effect of curcumin against chemotherapy-induced damage and side effects was evaluated in a double-blind, placebo-controlled randomized trial. Eighty cancer patients on standard chemotherapy regimens were randomly assigned to receive curcumin as adjuvant therapy (500 mg per 12 hours) and matched control group to receive placebo for 9 weeks. Pre- and post-intervention, the changes in the health-related quality-of-Life (QoL) score (based on the University of Washington Quality-of-Life (UW-QoL) questionnaire, version 3), clinical symptoms, and hematological and biochemical parameters were assessed. Comparison between groups based on total QoL score showed that curcumin supplementation was not associated with improved QoL (P = 0.102). Hematological and biochemical analysis showed no statistical differences between the groups at the end of the trial (P > 0.05). However, during the trial, significant differences were observed in hemoglobin (Hb), hematocrit (HCT), lactic acid dehydrogenase (LDH), serum glutamic-oxaloacetic transaminase (SGOT), and anaplastic lymphoma kinase (ALK) between the groups (P < 0.05). Future studies in a larger homogenous population of cancer patients are required to confirm the adjuvant effect of curcumin on chemotherapy-induced QoL.
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References
Biemar, F., & Foti, M. (2013). Global progress against cancer-challenges and opportunities. Cancer Biology & Medicine, 10(4), 183–186.
Sengupta, R., & Honey, K. (2018). AACR cancer progress report 2018: Harnessing research discoveries for patient benefit. Clinical Cancer Research, 24(18), 4351.
Heydarnejad, M. S., Hassanpour, D. A., & Solati, D. K. (2011). Factors affecting quality of life in cancer patients undergoing chemotherapy. African Health Sciences, 11(2), 266–270.
Nayak, M. G., George, A., Vidyasagar, M. S., Mathew, S., Nayak, S., Nayak, B. S., et al. (2017). Quality of life among cancer patients. Indian Journal of Palliative Care, 23(4), 445–450.
Dehkordi, A., Heydarnejad, M. S., & Fatehi, D. (2009). Quality of life in cancer patients undergoing chemotherapy. Oman Medical Journal, 24(3), 204–207.
Nurgali, K., Jagoe, R. T., & Abalo, R. (2018). Editorial: Adverse effects of Cancer chemotherapy: Anything new to improve tolerance and reduce sequelae? Frontiers in Pharmacology, 9245.
Chui, P. L. (2019). Cancer- and chemotherapy-related symptoms and the use of complementary and alternative medicine. Asia-Pacific Journal of Oncology Nursing, 6(1), 4–6.
Ramirez, L. Y., Huestis, S. E., Yap, T. Y., Zyzanski, S., Drotar, D., & Kodish, E. (2009). Potential chemotherapy side effects: What do oncologists tell parents? Pediatric Blood & Cancer, 52(4), 497–502.
Rahmani, A. H., Aly, S. M., Ali, H., Babiker, A. Y., Srikar, S., & Khan, A. A. (2014). Therapeutic effects of date fruits (Phoenix dactylifera) in the prevention of diseases via modulation of anti-inflammatory, anti-oxidant and anti-tumour activity. International Journal of Clinical and Experimental Medicine, 7(3), 483–491.
Rahmani, A. H., Albutti, A. S., & Aly, S. M. (2014). Therapeutics role of olive fruits/oil in the prevention of diseases via modulation of anti-oxidant, anti-tumour and genetic activity. International Journal of Clinical and Experimental Medicine, 7(4), 799–808.
Rahmani, A. H., Alzohairy, M. A., Khan, M. A., & Aly, S. M. (2014). Therapeutic implications of black seed and its constituent thymoquinone in the prevention of cancer through inactivation and activation of molecular pathways. Evidence-Based Complementary and Alternative Medicine, 2014724658.
Gupta, A. P., Khan, S., Manzoor, M. M., Yadav, A. K., Sharma, G., Anand, R., et al. (2017). Chapter 10—Anticancer curcumin: Natural analogues and structure-activity relationship. In R. Attaur (Ed.), Studies in natural products chemistry (Vol. 54, pp. 355–401). Amsterdam: Elsevier.
Nagahama, K., Utsumi, T., Kumano, T., Maekawa, S., Oyama, N., & Kawakami, J. (2016). Discovery of a new function of curcumin which enhances its anticancer therapeutic potency. Scientific Reports, 630962.
Aggarwal, B. B., Yuan, W., Li, S., & Gupta, S. C. (2013). Curcumin-free turmeric exhibits anti-inflammatory and anticancer activities: Identification of novel components of turmeric. Molecular Nutrition & Food Research, 57(9), 1529–1542.
Dai, C., Ciccotosto, G. D., Cappai, R., Tang, S., Li, D., Xie, S., et al. (2018). Curcumin attenuates Colistin-induced neurotoxicity in N2a cells via anti-inflammatory activity, suppression of oxidative stress, and apoptosis. Molecular Neurobiology, 55(1), 421–434.
Ghandadi, M., & Sahebkar, A. (2017). Curcumin: An effective inhibitor of interleukin-6. Current Pharmaceutical Design, 23(6), 921–931.
Iranshahi, M., Sahebkar, A., Takasaki, M., Konoshima, T., & Tokuda, H. (2009). Cancer chemopreventive activity of the prenylated coumarin, umbelliprenin, in vivo. European Journal of Cancer Prevention, 18(5), 412–415.
Panahi, Y., Khalili, N., Sahebi, E., Namazi, S., Simental-Mendía, L.E., Majeed, M., Sahebkar, A. (2018). Effects of Curcuminoids Plus Piperine on Glycemic, Hepatic and Inflammatory Biomarkers in Patients with Type 2 Diabetes Mellitus: A Randomized Double-Blind Placebo-Controlled Trial. Drug Research, 68(7), 403–409.
Momtazi, A. A., Derosa, G., Maffioli, P., Banach, M., & Sahebkar, A. (2016). Role of microRNAs in the therapeutic effects of curcumin in non-cancer diseases. Molecular Diagnosis and Therapy, 20(4), 335–345.
Ghasemi, F., Shafiee, M., Banikazemi, Z., Pourhanifeh, M.H., Khanbabaei, H., Shamshirian, A., Amiri Moghadam, S., ArefNezhad, R., Sahebkar, A., Avan, A., & Mirzaei, H. (2019). Curcumin inhibits NF-kB and Wnt/β-catenin pathways in cervical cancer cells. Pathology Research and Practice, 215(10), 152556.
Sadeghian, M., Rahmani, S., Jamialahmadi, T., Johnston, T.P., Sahebkar, A. (2021). The effect of oral curcumin supplementation on health-related quality of life: A systematic review and meta-analysis of randomized controlled trials. Journal of Affective Disorders, 278, 627–636.
Teymouri, M., Pirro, M., Johnston, T. P., & Sahebkar, A. (2017). Curcumin as a multifaceted compound against human papilloma virus infection and cervical cancers: A review of chemistry, cellular, molecular, and preclinical features. BioFactors, 43(3), 331–346.
Liu, Z., Huang, P., Law, S., Tian, H., Leung, W., & Xu, C. (2018). Preventive effect of curcumin against chemotherapy-induced side-effects. Frontiers in Pharmacology, 91374.
Mohajeri, M., & Sahebkar, A. (2018). Protective effects of curcumin against doxorubicin-induced toxicity and resistance: A review. Critical Reviews in Oncology, 12, 230–251.
Millsopp, L., Frackleton, S., Lowe, D., & Rogers, S. N. (2006). A feasibility study of computer-assisted health-related quality of life data collection in patients with oral and oropharyngeal cancer. International Journal of Oral and Maxillofacial Surgery, 35(8), 761–764.
Belcaro, G., Hosoi, M., Pellegrini, L., Appendino, G., Ippolito, E., Ricci, A., et al. (2014). A controlled study of a lecithinized delivery system of curcumin (Meriva®) to alleviate the adverse effects of cancer treatment. Phytotherapy Research, 28(3), 444–450.
Harrington, S. E., & Smith, T. J. (2008). The role of chemotherapy at the end of life: “when is enough, enough?”. JAMA, 299(22), 2667–2678.
Shahid, S. (2016). Review of hematological indices of cancer patients receiving combined chemotherapy & radiotherapy or receiving radiotherapy alone. Critical Reviews in Oncology/Hematology, 105, 145–155.
Aapro, M. S., Bohlius, J., Cameron, D. A., Dal Lago, L., Donnelly, J. P., Kearney, N., et al. (2011). 2010 update of EORTC guidelines for the use of granulocyte-colony stimulating factor to reduce the incidence of chemotherapy-induced febrile neutropenia in adult patients with lymphoproliferative disorders and solid tumours. European Journal of Cancer, 47(1), 8–32.
Shrivastava, S., Singh, N., Nigam, A. K., Chandel, S. S., Shrivastava, R., & Kumar, S. (2016). Comparative study of hematological parameters along with effect of chemotherapy and radiotherapy in different stages of breast cancer. International Journal of Research in Medical Sciences, 5(1), 5.
Mercadante, S., Gebbia, V., Marrazzo, A., & Filosto, S. (2000). Anaemia in cancer: Pathophysiology and treatment. Cancer Treatment Reviews, 26(4), 303–311.
Lind, M., Vernon, C., Cruickshank, D., Wilkinson, P., Littlewood, T., Stuart, N., et al. (2002). The level of haemoglobin in anaemic cancer patients correlates positively with quality of life. British Journal of Cancer, 86(8), 1243–1249.
Yellen, S. B., Cella, D. F., Webster, K., Blendowski, C., & Kaplan, E. (1997). Measuring fatigue and other anemia-related symptoms with the functional assessment of Cancer therapy (FACT) measurement system. Journal of Pain and Symptom Management, 13(2), 63–74.
Benzer, F., Kandemir, F. M., Ozkaraca, M., Kucukler, S., & Caglayan, C. (2018). Curcumin ameliorates doxorubicin-induced cardiotoxicity by abrogation of inflammation, apoptosis, oxidative DNA damage, and protein oxidation in rats. Journal of Biochemical and Molecular Toxicology, 32(2).
Swamy, A. V., Gulliaya, S., Thippeswamy, A., Koti, B. C., & Manjula, D. V. (2012). Cardioprotective effect of curcumin against doxorubicin-induced myocardial toxicity in albino rats. Indian Journal of Pharmacology, 44(1), 73–77.
Chakraborty, M., Bhattacharjee, A., & Kamath, J. V. (2017). Cardioprotective effect of curcumin and piperine combination against cyclophosphamide-induced cardiotoxicity. Indian Journal of Pharmacology, 49(1), 65–70.
Grigorian, A., & O’Brien, C. B. (2014). Hepatotoxicity secondary to chemotherapy. Journal of Clinical and Translational Hepatology, 2(2), 95–102.
Waseem, M., Pandey, P., Tomar, B., Raisuddin, S., & Parvez, S. (2014). Ameliorative action of curcumin in cisplatin-mediated hepatotoxicity: An in vivo study in Wistar rats. Archives of Medical Research, 45(6), 462–468.
Zhou, Q. M., Wang, X. F., Liu, X. J., Zhang, H., Lu, Y. Y., Huang, S., et al. (2011). Curcumin improves MMC-based chemotherapy by simultaneously sensitising cancer cells to MMC and reducing MMC-associated side-effects. European Journal of Cancer, 47(14), 2240–2247.
Ortega-Domínguez, B., Aparicio-Trejo, O. E., García-Arroyo, F. E., León-Contreras, J. C., Tapia, E., Molina-Jijón, E., et al. (2017). Curcumin prevents cisplatin-induced renal alterations in mitochondrial bioenergetics and dynamic. Food and Chemical Toxicology, 107(Pt A), 373–385.
Acknowledgments
The authors thank the clinical research development department of the Baqiyatallah Hospital.
Conflict of Interest
Muhammed Majeed is the founder of the Sami-Sabinsa group. The other authors have no other conflicting interests to disclose.
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Panahi, Y. et al. (2021). The Effects of Curcumin on the Side Effects of Anticancer Drugs in Chemotherapy: A Randomized Controlled Trial. In: Sahebkar, A., Sathyapalan, T. (eds) Natural Products and Human Diseases. Advances in Experimental Medicine and Biology(), vol 1328. Springer, Cham. https://doi.org/10.1007/978-3-030-73234-9_17
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