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NEW APPROACHES IN HUMAN PAPILLOMAVIRUS (HPV) TREATMENT: ACTIVE HEXOSE-RELATED COMPOUND (AHCC®)

Yıl 2024, Cilt: 48 Sayı: 2, 714 - 726, 20.05.2024
https://doi.org/10.33483/jfpau.1364203

Öz

Objective: Human papillomavirus (HPV) poses a serious public health problem as it is the most common sexually transmitted viral infection that can cause warts and cancer on the skin and mucous membranes, depending on its subtypes. Current treatment options only aim to remove warts and improve symptoms, without eradicating the disease. In addition to these treatments, it has been shown that the use of various natural products that support the immune system can be beneficial in the treatment of HPV. Although the pharmacological effects of mushroom extracts on the immune system have not been fully elucidated, they have been used for various health problems in different parts of the world for many years. This review focused on the effects of AHCC®, a mushroom extract, on HPV infection.
Result and Discussion: AHCC®, a standardized, cultured extract of the edible mushroom Lentinula edodes, enriched in acetylated α-1,4-glucans, is among the prominent alternative treatment options in the treatment of HPV due to its pharmacological effects. Preclinical and clinical studies show that AHCC® may be a promising new option for HPV treatment by supporting the immune system.

Kaynakça

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İNSAN PAPİLLOMA VİRÜSÜ (HPV) TEDAVİSİNDE YENİ YAKLAŞIMLAR: AKTİF HEKSOZ İLİŞKİLİ BİLEŞİK (AHCC®)

Yıl 2024, Cilt: 48 Sayı: 2, 714 - 726, 20.05.2024
https://doi.org/10.33483/jfpau.1364203

Öz

Amaç: İnsan papilloma virüsü (HPV) alt tiplerine bağlı olarak cilt ve mukoza zarlarında siğil ve kanser oluşumuna sebep olabilen cinsel yolla bulaşan en yaygın viral enfeksiyon olması sebebi ile ciddi bir halk sağlığı problemi oluşturmaktadır. Günümüzde HPV tedavisinde hastalığın eradikasyonunu sağlamayan, sadece dışa doğru büyüyen siğillerin uzaklaştırılmasını ve semptomların iyileştirilmesini amaçlayan seçenekler mevcuttur. Bu tedavilerin dışında immün sistemi destekleyici çeşitli doğal ürünlerin kullanımının da HPV tedavisinde faydalı olabileceği gösterilmiştir. Mantar ekstraktlarının bağışıklık sistemi üzerindeki kesin etkileri tam olarak aydınlatılamamış olsa da uzun yıllardan beri dünyanın farklı bölgelerinde çeşitli sağlık sorunları için kullanılmaktadır. Bu derlemede bir mantar ekstratı olan AHCC®’nin HPV enfeksiyonu üzerindeki etkilerine odaklanılmıştır.
Sonuç ve Tartışma: Yenilebilir bir mantar olan Lentinula edodes'in asetillenmiş α-1,4-glukanlar bakımından zenginleştirilmiş, standartlaştırılmış, kültürlenmiş bir özütü olan AHCC® sahip olduğu çeşitli farmakolojik etkileri nedeni ile HPV tedavisinde öne çıkan alternatif tedavi seçenekleri arasında yer almaktadır. Yapılan preklinik ve klinik çalışmalar, AHCC®’nin bağışıklık sistemini destekleyerek HPV tedavisi için umut veren yeni bir seçenek olabileceğini göstermektedir.

Kaynakça

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  • 3. Moens, U. (2018). Human polyomaviruses and papillomaviruses. International Journal of Molecular Sciences, 19(8), 2360. [CrossRef]
  • 4. Heidegger, I., Borena, W., Pichler, R. (2015). The role of human papilloma virus in urological malignancies. Anticancer Research, 35(5), 2513-2519.
  • 5. Schiffman, M., Doorbar, J., Wentzensen, N., De Sanjosé, S., Fakhry, C., Monk, B.J., Stanley, M.A., Franceschi, S. (2016). Carcinogenic human papillomavirus infection. Nature Reviews Disease Primers, 2(1), 1-20. [CrossRef]
  • 6. Sabol, I., Smahelova, J., Klozar, J., Mravak-Stipetic, M., Gheit, T., Tommasino, M., Grce, M., Tachezy, R. (2016). Beta-HPV types in patients with head and neck pathology and in healthy subjects. Journal of Clinical Virology, 82, 159-165. [CrossRef]
  • 7. Nicolae, I., Tampa, M., Mitran, C., Ene, C.D., Mitran, M., Matei, C., Musetescu, A., Pituru, S., Pop, C.S., Georgescu, S.R. (2017). Gamma-glutamyl transpeptidase alteration as a biomarker of oxidative stress in patients with human papillomavirus lesions following topical treatment with sinecatechins. Farmacia, 65(4), 617-623.
  • 8. Harden, M.E., Munger, K. (2017). Human papillomavirus molecular biology. Mutation Research/Reviews in Mutation Research, 772, 3-12. [CrossRef]
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  • 29. Ocaktan, M.E. (2012). HPV aşıları ve Türkiye açısından bir değerlendirme. Toplum ve Hekim, 27(2), 118-134.
  • 30. Castle, P.E., Maza, M. (2016). Prophylactic HPV vaccination: Past, present, and future. Epidemiology & Infection, 144(3), 449-468. [CrossRef]
  • 31. Tobian, A.A., Serwadda, D., Quinn, T.C., Kigozi, G., Gravitt, P.E., Laeyendecker. O., Charvat, B., Ssempijja, V., Riedesel, M., Oliver, A.E., Nowak, R.G., Moulton, L.H., Chen M.Z., Reynolds, S.J., Wawer, M.J., Gray, R.H. (2009). Male circumcision for the prevention of HSV-2 and HPV infections and syphilis. New England Journal of Medicine, 360(13), 1298-1309. [CrossRef]
  • 32. Backes, D.M., Bleeker, M.C.G., Meijer, C.J.L.M., Hudgens, M.G., Agot, K., Bailey, R.C., Ndinya-Achola, J.O., Hayombe, J., Hogewoning, C.J.A., Moses, S., Snijders, P.J.F., Smith, J.S. (2012). Male circumcision is associated with a lower prevalence of human papillomavirus associated penile lesions among Kenyan men. International Journal of Cancer, 130(8), 1888-1897. [CrossRef]
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  • 35. Erdoğan, P., Akkaya, F. (2022). Ulusal serviks kanseri tarama programının mevsimsellik ve demografik eğilimleri: COVID-19 pandemisinin etkisi. Turkish Journal of Public Health, 20(1), 152-163. [CrossRef]
  • 36. Yaslı, G. (2022). Türkiye’de servikal kanser tarama programı saha değerlendirmesi. Sağlık ve Toplum, 32(3), 14-22.
  • 37. Khairkhah, N., Bolhassani, A., Najafipour, R. (2022). Current and future direction in treatment of HPV-related cervical disease. Journal of Molecular Medicine, 100(6), 829-845. [CrossRef]
  • 38. Tatti, S., Swinehart, J.M., Thielert, C., Tawfik, H., Mescheder, A., Beutner, K.R. (2008). Sinecatechins, a defined green tea extract, in the treatment of external anogenital warts: A randomized controlled trial. Obstetrics & Gynecology, 111(6), 1371-1379. [CrossRef]
  • 39. Gilson, R., Nugent, D., Werner, R.N., Ballesteros, J., Ross, J. (2020). 2019 IUSTI‐Europe guideline for the management of anogenital warts. Journal of the European Academy of Dermatology and Venereology, 34(8), 1644-1653. [CrossRef]
  • 40. Ciavattini, A., Tsiroglou, D., Vichi, M., Di Giuseppe, J., Cecchi, S., Tranquilli, A.L. (2012). Topical Imiquimod 5% cream therapy for external anogenital warts in pregnant women: Report of four cases and review of the literature. The Journal of Maternal-Fetal & Neonatal Medicine, 25(7), 873-876. [CrossRef]
  • 41. Krogh, G.V., Hellberg, D. (1992). Self-treatment using a 0.5% podophyllotoxin cream of external genital condylomata acuminata in women: A placebo-controlled, double-blind study. Sexually Transmitted Diseases, 19(3), 170-174. [CrossRef]
  • 42. Beutner, K.R., Wiley, D.J., Douglas, J.M., Tyring, S.K., Fife, K., Trofatter, K., Stone, K.M. (1999). Genital warts and their treatment. Clinical Infectious Diseases, 28(Supplement_1), 37-56. [CrossRef]
  • 43. Theisen, L.L., Erdelmeier, C.A.J., Spoden, G.A., Boukhallouk, F., Sausy, A., Florin, L., Muller, C.P. (2014). Tannins from Hamamelis virginiana bark extract: Characterization and improvement of the antiviral efficacy against influenza A virus and human papillomavirus. PloS One, 9(1), e88062. [CrossRef]
  • 44. Choudhari, A.S., Suryavanshi, S.A., Kaul-Ghanekar, R. (2013). The aqueous extract of Ficus religiosa induces cell cycle arrest in human cervical cancer cell lines SiHa (HPV-16 positive) and apoptosis in HeLa (HPV-18 positive). PLoS One, 8(7), e70127. [CrossRef]
  • 45. Mahata, S., Pandey, A., Shukla, S., Tyagi, A., Husain, S.A., Das, B.C., Bharti, A.C. (2013). Anticancer activity of Phyllanthus emblica Linn. (Indian gooseberry): Inhibition of transcription factor AP-1 and HPV gene expression in cervical cancer cells. Nutrition and Cancer, 65(sup1), 88-97. [CrossRef]
  • 46. Ghasemi, A., Soleimanjahi, H., Razeghi, S., Gorji, A., Tabaraei, A., Moradi, A., Alizadeh, A., Vakili, M.A. (2012). Genistein induces a protective immunomodulatory effect in a mouse model of cervical cancer. Iranian Journal of Immunology, 9(2), 119-127.
  • 47. Mahata, S., Maru, S., Shukla, S., Pandey, A., Mugesh, G., Das, B.C., Bharti, A.C. (2012). Anticancer property of Bryophyllum pinnata (Lam.) Oken. leaf on human cervical cancer cells. BMC Complementary and Alternative Medicine, 12(1), 1-11. [CrossRef]
  • 48. Li, G.L., Jiang, W., Xia, Q., Chen, S.H., Ge, X.R., Gui, S.Q., Xu, C.J. (2010). HPV E6 down-regulation and apoptosis induction of human cervical cancer cells by a novel lipid-soluble extract (PE) from Pinellia pedatisecta Schott in vitro. Journal of ethnopharmacology, 132(1), 56-64. [CrossRef]
  • 49. Yarnell, E. (2015). Herbs against human papillomavirus. Alternative and Complementary Therapies, 21(2), 71-76. [CrossRef]
  • 50. Kenner, D. (2001). The Japanese Medicinal Mushroom Immune Enhancer: AHCC®, UT:Woodland Publishing, Pleasant Grove, pp.1-32.
  • 51. Ali, H.Z., Mubarak, R. (2012). Active hexose correlated compound improved the gingival integrity of albino rats. Journal of American Science, 8(6), 69-78.
  • 52. Fujii, H., Nishioka, N., Simon, R.R., Kaur, R., Lynch, B., Roberts, A. (2011). Genotoxicity and subchronic toxicity evaluation of active hexose correlated compound (AHCC®). Regulatory Toxicology and Pharmacology, 59(2), 237-250. [CrossRef]
  • 53. Shin, M.S., Park, H.J., Maeda, T., Nishioka, H., Fujii, H., Kang, I. (2019). The effects of AHCC®, a standardized extract of cultured Lentinura edodes mycelia, on natural killer and T cells in health and disease: Reviews on human and animal studies. Journal Of Immunology Research, 2019, 1-7. [CrossRef]
  • 54. Smith, J.A., Gaikwad, A.A., Mathew, L., Rech, B., Faro, J.P., Lucci III, J.A., Bai, Y., Olsen, R.J., Byrd, T.T. (2022). AHCC® supplementation to support immune function to clear persistent human papillomavirus infections. Frontiers in Oncology, 12, 881902. [CrossRef]
  • 55. Singh, A., Adam, A., Rodriguez, L., Peng, B.H., Wang, B., Xie, X., Shi, P.Y., Homma, K., Wang, T. (2023). Oral supplementation with AHCC®, a standardized extract of cultured lentinula edodes mycelia, enhances host resistance against SARS-CoV-2 infection. Pathogens, 12(4), 554, 1-13. [CrossRef]
  • 56. Daddaoua, A., Martinez-Plata, E., Lopez-Posadas, R., Vieites, J.M., González, M., Requena, P., Zarzuelo, A., Suárez, M.D., Medina F.S., Martinez-Augustin, O. (2007). Active hexose correlated compound acts as a prebiotic and is antiinflammatory in rats with hapten-induced colitis. The Journal of Nutrition, 137(5), 1222-1228. [CrossRef]
  • 57. Ritz, B. (2011). Active hexose correlated compound (AHCC®) and immune outcomes in humans: A review. Natural Medicine Journal, 3(1), 3-7.
  • 58. Nogusa, S., Gerbino, J., Ritz, B.W. (2009). Low-dose supplementation with active hexose correlated compound improves the immune response to acute influenza infection in C57BL/6 mice. Nutrition Research, 29(2), 139–143. [CrossRef]
  • 59. Nishioka, H., Fujii, H., Wakame, K., Sun, B. (2007). Preventive effect of AHCC for avian influenza virus. In 15th International Symposium of the AHCC Research Association, Saporro, Japan.
  • 60. Wang, S., Welte, T., Fang, H., Chang, G.J., Born, W.K., O'Brien, R.L., Sun, B., Fujii, H., Kosuna, K., Wang, T. (2009). Oral administration of active hexose correlated compound enhances host resistance to West Nile encephalitis in mice. The Journal of Nutrition, 139(3), 598-602. [CrossRef]
  • 61. Ulbricht, C., Brigham, A., Bryan, J.K., Catapang M., Chowdary, D., Costa, D., Culwell, S., D'Auria, D., Giese, N., Iovin, R., Isaac, R., Juturu, V., Liu, A., Mintzer, M., Rusie, E., Shaffer, M., Windsor, R.C. (2013). An evidence-based systematic review of active hexose correlated compound (AHCC) by the natural standard research collaboration. Journal of Dietary Supplements, 10(3), 264-308. [CrossRef]
  • 62. Fernández, J., Redondo-Blanco, S., Gutiérrez-del-Río, I., Miguélez, E.M., Villar, C.J., Lombo, F. (2016). Colon microbiota fermentation of dietary prebiotics towards short-chain fatty acids and their roles as anti-inflammatory and antitumour agents: A review. Journal of Functional Foods, 25, 511-522. [CrossRef]
  • 63. López-Cauce, B., Urquía, A., Menchén, L., Homma, K., Bolás-Fernández, F., García-Rodriguez, J.J., Puerto, M. (2022). Lentinula edodes extract increases goblet cell number and Muc2 expression in an intestinal inflammatory model of Trichinella spiralis infection. Biomedicine & Pharmacotherapy, 150, 112937. [CrossRef]
  • 64. Yanagimoto, H., Satoi, S., Toyokawa, H., Yamamoto, T., Hirooka, S., Yamao, J., Matsui, Y., Kwon, A.H. (2009). P059 the benefıcıal effect of actıve hexose correlated compound (AHCC®), a health food component, in patients with pancreatic or biliary tract cancer who underwent chemotherapy. Clinical Nutrition Supplements, 2(4), 49-50. [CrossRef]
  • 65. Sun, B., Wakame, K., Sato, E., Nishioka, H., Aruoma, O.I., Fujii, H. (2009). The effect of active hexose correlated compound in modulating cytosine arabinoside-induced hair loss, and 6-mercaptopurine-and methotrexate-induced liver injury in rodents. Cancer Epidemiology, 33(3-4), 293-299. [CrossRef]
  • 66. Hirose, A., Sato, E., Fujii, H., Sun, B., Nishioka, H., Aruoma, O.I. (2007). The influence of active hexose correlated compound (AHCC®) on cisplatin-evoked chemotherapeutic and side effects in tumor-bearing mice. Toxicology and Applied Pharmacology, 222(2), 152-158. [CrossRef]
  • 67. Shigama, K., Nakaya, A., Wakame, K., Nishioka, H., Fujii, H. (2009). Alleviating effect of active hexose correlated compound (AHCC®) for anticancer drug-induced side effects in non-tumor-bearing mice. Journal of Experimental Therapeutics & Oncology, 8(1), 43-51.
  • 68. Choi, J.Y., Lee, S., Yun, S.M., Suh, D.H., Kim, K., No, J.H., Jeong, E.H., Kim, Y.B. (2018). Active hexose correlated compound (AHCC®) inhibits the proliferation of ovarian cancer cells by suppressing signal transducer and activator of transcription 3 (STAT3) activation. Nutrition and Cancer, 70(1), 109-115. [CrossRef]
  • 69. Smith, J.A., Mathew, L., Gaikwad, A., Jaffari, M., Julius, J.M., Julius, J.M., Frumovitz, M., Dalrymple, J.L. (2011). Abstract B79: Evaluation of active hexose correlated compound (AHCC®) for the prevention or delay of tumor growth in human cervical cancer xenograft model. Cancer Prevention Research, 16(3), 300-307. [CrossRef]
  • 70. Gao, Y., Zhang, D., Sun, B., Fujii, H., Kosuna, K.I., Yin, Z. (2006). Active hexose correlated compound enhances tumor surveillance through regulating both innate and adaptive immune responses. Cancer Immunology, Immunotherapy, 55, 1258-1266.
  • 71. Terakawa, N., Matsui, Y., Satoi, S., Yanagimoto, H., Takahashi, K., Yamamoto, T., Yamao, J., Takai, S., Kwon, A.H., Kamiyama, Y. (2008). Immunological effect of active hexose correlated compound (AHCC) in healthy volunteers: A double-blind, placebo-controlled trial. Nutrition and Cancer, 60(5), 643-651. [CrossRef]
  • 72. Smith, J.A., Mathew, L., Gaikwad. A., Rech. B., Burney, M.N., Faro, J.P., Lucci III, J.A., Bai, Y., Olsen, R.J., Byrd, T.T. (2019). From bench to bedside: Evaluation of AHCC supplementation to modulate the host immunity to clear high-risk human papillomavirus infections. Frontiers in Oncology, 9, 173. [CrossRef]
Toplam 72 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Temel Farmakoloji, Eczacılık ve İlaç Bilimleri (Diğer)
Bölüm Derleme
Yazarlar

Zehra Keçeci 0009-0000-7551-1022

Cansu Bölükbaş 0009-0007-8021-017X

Hazal Eken 0000-0003-2360-511X

Erken Görünüm Tarihi 18 Şubat 2024
Yayımlanma Tarihi 20 Mayıs 2024
Gönderilme Tarihi 21 Eylül 2023
Kabul Tarihi 9 Şubat 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 48 Sayı: 2

Kaynak Göster

APA Keçeci, Z., Bölükbaş, C., & Eken, H. (2024). İNSAN PAPİLLOMA VİRÜSÜ (HPV) TEDAVİSİNDE YENİ YAKLAŞIMLAR: AKTİF HEKSOZ İLİŞKİLİ BİLEŞİK (AHCC®). Journal of Faculty of Pharmacy of Ankara University, 48(2), 714-726. https://doi.org/10.33483/jfpau.1364203
AMA Keçeci Z, Bölükbaş C, Eken H. İNSAN PAPİLLOMA VİRÜSÜ (HPV) TEDAVİSİNDE YENİ YAKLAŞIMLAR: AKTİF HEKSOZ İLİŞKİLİ BİLEŞİK (AHCC®). Ankara Ecz. Fak. Derg. Mayıs 2024;48(2):714-726. doi:10.33483/jfpau.1364203
Chicago Keçeci, Zehra, Cansu Bölükbaş, ve Hazal Eken. “İNSAN PAPİLLOMA VİRÜSÜ (HPV) TEDAVİSİNDE YENİ YAKLAŞIMLAR: AKTİF HEKSOZ İLİŞKİLİ BİLEŞİK (AHCC®)”. Journal of Faculty of Pharmacy of Ankara University 48, sy. 2 (Mayıs 2024): 714-26. https://doi.org/10.33483/jfpau.1364203.
EndNote Keçeci Z, Bölükbaş C, Eken H (01 Mayıs 2024) İNSAN PAPİLLOMA VİRÜSÜ (HPV) TEDAVİSİNDE YENİ YAKLAŞIMLAR: AKTİF HEKSOZ İLİŞKİLİ BİLEŞİK (AHCC®). Journal of Faculty of Pharmacy of Ankara University 48 2 714–726.
IEEE Z. Keçeci, C. Bölükbaş, ve H. Eken, “İNSAN PAPİLLOMA VİRÜSÜ (HPV) TEDAVİSİNDE YENİ YAKLAŞIMLAR: AKTİF HEKSOZ İLİŞKİLİ BİLEŞİK (AHCC®)”, Ankara Ecz. Fak. Derg., c. 48, sy. 2, ss. 714–726, 2024, doi: 10.33483/jfpau.1364203.
ISNAD Keçeci, Zehra vd. “İNSAN PAPİLLOMA VİRÜSÜ (HPV) TEDAVİSİNDE YENİ YAKLAŞIMLAR: AKTİF HEKSOZ İLİŞKİLİ BİLEŞİK (AHCC®)”. Journal of Faculty of Pharmacy of Ankara University 48/2 (Mayıs 2024), 714-726. https://doi.org/10.33483/jfpau.1364203.
JAMA Keçeci Z, Bölükbaş C, Eken H. İNSAN PAPİLLOMA VİRÜSÜ (HPV) TEDAVİSİNDE YENİ YAKLAŞIMLAR: AKTİF HEKSOZ İLİŞKİLİ BİLEŞİK (AHCC®). Ankara Ecz. Fak. Derg. 2024;48:714–726.
MLA Keçeci, Zehra vd. “İNSAN PAPİLLOMA VİRÜSÜ (HPV) TEDAVİSİNDE YENİ YAKLAŞIMLAR: AKTİF HEKSOZ İLİŞKİLİ BİLEŞİK (AHCC®)”. Journal of Faculty of Pharmacy of Ankara University, c. 48, sy. 2, 2024, ss. 714-26, doi:10.33483/jfpau.1364203.
Vancouver Keçeci Z, Bölükbaş C, Eken H. İNSAN PAPİLLOMA VİRÜSÜ (HPV) TEDAVİSİNDE YENİ YAKLAŞIMLAR: AKTİF HEKSOZ İLİŞKİLİ BİLEŞİK (AHCC®). Ankara Ecz. Fak. Derg. 2024;48(2):714-26.

Kapsam ve Amaç

Ankara Üniversitesi Eczacılık Fakültesi Dergisi, açık erişim, hakemli bir dergi olup Türkçe veya İngilizce olarak farmasötik bilimler alanındaki önemli gelişmeleri içeren orijinal araştırmalar, derlemeler ve kısa bildiriler için uluslararası bir yayım ortamıdır. Bilimsel toplantılarda sunulan bildiriler supleman özel sayısı olarak dergide yayımlanabilir. Ayrıca, tüm farmasötik alandaki gelecek ve önceki ulusal ve uluslararası bilimsel toplantılar ile sosyal aktiviteleri içerir.