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Saturday, May 24, 2014

Peony root and Cervical Cancer

Cervical cancer is malignant neoplasm of the cervix uteri or cervical area caused by abnormal cells growth with alternation of cells DNA. According to the American Cancer Society's, in 2014, 12,360 new cases of invasive cervical cancer will be diagnosed with the death of  4,020 patients. The risk of cervical cancer is higher in Hispanic women followed by African-Americans, Asians and Pacific Islanders, and whites(a).
Depending to the stage and grade of the cancer, if the cancer is found in the early stahe, hysterectomy may not be needed. Other while  after sugery, chemotherapy including Cisplatin, Fluorouracil (5-FU), Mitomycin, Paclitaxel, Ifosfamide, Carboplatin, Bevacizumab and radiotherapy may be necesary, but with certain side effects. Emerging suggestion of a healthy and balanced diet to improve high serum levels of antioxidants may reduce cervical neoplasia risk(b)(c)  but other suggested that the role of diet and nutrition in the etiology of cervical cancer is not yet resolved(d) and Catalan Institute of Oncology study showed statistically nonsignificant inverse associations were also observed for leafy vegetables, root vegetables, garlic and onions, citrus fruits, vitamin C, vitamin E and retinol for invasive squamous cervical cancer (ISC)(e).
Epidemiological studies, linking herbal medicine in reduced risk of cervical cancer have not been consistent. But certain herbs and spice may be effective in  treating cervical caner(1) with little or no side effects.
Peony root
Bai Shao also known as White Peony Root, the bitter sour and cool herb has been used in TCM as anti-spastic, anticonvulsant, analgesic, sedative, antipyretic, anti-inflammatory, antibiotic agent and to lower blood pressure, dilates peripheral blood vessels etc., as it nourishes Blood and liver, preserves the Yin, clams pain;, etc., by promoting the function of liver and spleen channels.
Chi Shao or Chi Shao Yao is also known as Red Peony Root, the bitter, sour and cool herb has been used in TCM to anti-spastic, antipyretic, anti-inflammatory, antibiotic, anticonvulsant, analgesic, sedative agnet and to lower blood pressure, dilate peripheral blood vessels, coronary arteries, treat viral hepatitis, chronic constipation, asthma, whooping coughs, diabetes, etc., as it clears Heat, cools Blood, eliminates Blood accumulation, calms paindilates, etc., by enhancing the functions of liver and spleen channels. 
Paeoniflorin (PF), the principal bioactive chemical compound from the peony root, inhibited human cervical cancer cell line (HeLa) cells, through a decrease in the expression of Bcl-2 and increase the expression of Bax and caspase-3 genes(2)(3).

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References
(a) Cerical cancer (Amerrican cancer society)
(b) Diet and serum micronutrients in relation to cervical neoplasia and cancer among low-income Brazilian women by Tomita LY1, Longatto Filho A, Costa MC, Andreoli MA, Villa LL, Franco EL, Cardoso MA; Brazilian Investigation into Nutrition and Cervical Cancer Prevention (BRINCA) Study Team.(PubMed)
(c) Associations of dietary dark-green and deep-yellow vegetables and fruits with cervical intraepithelial neoplasia: modification by smoking by Tomita LY1, Roteli-Martins CM, Villa LL, Franco EL, Cardoso MA; BRINCA Study Team.(PubMed)
(d) Diet and the risk of in situ cervical cancer among white women in the United States by Ziegler RG1, Jones CJ, Brinton LA, Norman SA, Mallin K, Levine RS, Lehman HF, Hamman RF, Trumble AC, Rosenthal JF, et al.(PubMed)
(e) Dietary factors and in situ and invasive cervical cancer risk in the European prospective investigation into cancer and nutrition study by González CA1, Travier N, Luján-Barroso L, Castellsagué X, Bosch FX, Roura E, Bueno-de-Mesquita HB, Palli D, Boeing H, Pala V, Sacerdote C, Tumino R, Panico S, Manjer J, Dillner J, Hallmans G, Kjellberg L, Sanchez MJ, Altzibar JM, Barricarte A, Navarro C, Rodriguez L, Allen N, Key TJ, Kaaks R, Rohrmann S, Overvad K, Olsen A, Tjønneland A, Munk C, Kjaer SK, Peeters PH, van Duijnhoven FJ, Clavel-Chapelon F, Boutron-Ruault MC, Trichopoulou A, Benetou V, Naska A, Lund E, Engeset D, Skeie G, Franceschi S, Slimani N, Rinaldi S, Riboli E.(PubMed)
(1) Anticancer Activity of Certain Herbs and Spices on the Cervical Epithelial Carcinoma (HeLa) Cell Line by Berrington D1, Lall N.(PubMed)
(2) Modulating Bcl-2 family proteins and caspase-3 in induction of apoptosis by paeoniflorin in human cervical cancer cells by Zhang L1, Zhang S.(PubMed)
(3) [Relevant study on apoptosis of cervical cancer HeLa cells induced by paeoniflorin].


[Article in Chinese] by Zhang LL1, Zhang SL, Wang SZ.(PubMed)

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