Articles
| Open Access |
https://doi.org/10.55640/
PREVENTION OF ESOPHAGEAL CANCER USING TRADITIONAL MEDICINE APPROACHES AND THE MECHANISM OF ACTION OF CRUCIFEROUS VEGETABLES
Mamatova Iroda Yusupovna , Doctor of Medical Sciences, Head of the Department of Biological Chemistry, Andijan State Medical Institute, Andijan, Uzbekistan Fozilova Gavharoy Erkinjonovna , Assistant of the Department of Biological Chemistr, Andijan State Medical Institute, Andijan, UzbekistanAbstract
Esophageal cancer is one of the malignant neoplastic diseases characterized by a high mortality rate, late detection, and biologically aggressive course. Tobacco products, alcohol, very hot beverages, a diet rich in nitrosamines, chronic gastroesophageal reflux, Barrett’s esophagus, obesity, micronutrient deficiency, and disturbances in the general culture of nutrition play an important role in its development. In traditional medicine, views on cancer prevention are often associated with the use of natural foods, vegetables, greens, spices, and plants. A modern scientific approach evaluates such remedies not as substitutes for treatment, but as an additional direction of a healthy lifestyle, rational nutrition, and reduction of risk factors. Cruciferous vegetables such as cabbage, broccoli, cauliflower, Brussels sprouts, turnip, radish, garden radish, and arugula are attracting particular attention because they are rich in glucosinolates, isothiocyanates, indole compounds, sulforaphane, phenolic substances, vitamin C, folates, and dietary fiber. This review-analytical article highlights the elements of traditional medicine in the prevention of esophageal cancer and the possible molecular mechanisms of action of cruciferous vegetables. The analysis of available literature shows that cruciferous vegetables should not be interpreted as agents that directly treat cancer; however, through carcinogen detoxification, reduction of oxidative stress, lowering of inflammatory mediators, apoptosis, and control of the cell cycle, they may occupy an important place in the model of primary preventive nutrition.
Keywords
Esophageal cancer, traditional medicine, cruciferous vegetables, broccoli, cabbage, sulforaphane, isothiocyanates, glucosinolates, prevention, nutrition, carcinogenesis.
References
Bray, F., Laversanne, M., Sung, H., Ferlay, J., Siegel, R. L., Soerjomataram, I., & Jemal, A. (2024). Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 74, 229–263.
Qi, L., et al. (2024). Global esophageal cancer epidemiology in 2022 and predictions for 2050: A comprehensive analysis and projections based on GLOBOCAN data. Chinese Medical Journal.
World Cancer Research Fund International, & American Institute for Cancer Research. (2016). Diet, nutrition, physical activity and oesophageal cancer. Continuous Update Project Expert Report.
American Cancer Society. (2025). Risk factors for esophageal cancer.
International Agency for Research on Cancer. (2016). IARC Monographs evaluate drinking coffee, maté, and very hot beverages. IARC Press Release No. 244.
Vingeliene, S., Chan, D. S. M., Vieira, A. R., Polemiti, E., Stevens, C., Abar, L., Rosenblatt, D. N., Greenwood, D. C., & Norat, T. (2017). An update of the WCRF/AICR systematic literature review and meta-analysis on dietary and anthropometric factors and esophageal cancer risk. Annals of Oncology, 28(10), 2409–2419.
National Cancer Institute. (2012). Cruciferous vegetables and cancer prevention.
International Agency for Research on Cancer. (2004). Cruciferous vegetables, isothiocyanates and indoles. IARC Handbooks of Cancer Prevention.
Hecht, S. S. (2000). Inhibition of carcinogenesis by isothiocyanates. Drug Metabolism Reviews, 32(3–4), 395–411.
Keum, Y. S., Jeong, W. S., & Kong, A. N. T. (2004). Chemoprevention by isothiocyanates and their underlying molecular signaling mechanisms. Mutation Research, 555, 191–202.
Navarro, S. L., Li, F., & Lampe, J. W. (2011). Mechanisms of action of isothiocyanates in cancer chemoprevention: An update. Food & Function, 2, 579–587.
Mitsiogianni, M., Koutsidis, G., Mavroudis, N. E., Trafalis, D. T., Botaitis, S., Franco, R., Zoumpourlis, V., & Pappa, A. (2019). The role of isothiocyanates as cancer chemo-preventive, chemo-therapeutic and anti-inflammatory agents. Antioxidants, 8(4), 106.
Lu, Z., et al. (2021). Inhibiting autophagy enhances sulforaphane-induced apoptosis via targeting NRF2 in esophageal squamous cell carcinoma. Acta Pharmaceutica Sinica B, 11(5), 1246–1260.
Zhang, C., et al. (2023). Sulforaphene suppresses oesophageal cancer growth by inhibiting MSK2 expression. Cellular and Molecular Biology Letters.
Sakai, M., et al. (2022). Fruit and vegetable consumption and risk of esophageal cancer in the Asian region: A systematic review and meta-analysis. Esophagus, 19(1), 27–38.
Tang, L., et al. (2014). Fruit and vegetable consumption and risk of esophageal cancer: A case-control study in north-west China. Diseases of the Esophagus.
Qin, X., et al. (2022). Diet and esophageal cancer risk: An umbrella review of systematic reviews and meta-analyses. Frontiers in Nutrition.
Ren, H. G., et al. (2024). High intake of cruciferous vegetables reduces the risk of digestive system cancers: Evidence from updated meta-analysis. Nutrients.
Article Statistics
Downloads
Copyright License

This work is licensed under a Creative Commons Attribution 4.0 International License.