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  • A lozenge containing lyophilized black raspberry with potential antioxidant, pro-apoptotic and chemopreventive activities. In addition to vitamins, minerals, and phytosterols, black raspberries are rich in flavonols. Of the flavonols present in this agent, the anthocyanins appear to contribute significantly to this agent\'s chemopreventive effects by inhibiting the activation of several signal transduction pathways, including the mitogen-activated protein kinase-mediated pathways, and certain transcription factors, such as nuclear factor kappa B (NF-kB), activator protein-1 (AP-1) complex, and nuclear factor in activated T-cells (NFAT). This in turn modulates the expression of downstream target genes that are upregulated in a variety of cancer cell types, including inducible nitric oxide synthase, cyclooxygenase-2, vascular endothelial growth factor and the anti-apoptotic protein survivin. Check for \'https://www.cancer.gov/about-cancer/treatment/clinical-trials/intervention/C99163\' active clinical trials using this agent. (\'http://ncit.nci.nih.gov/ncitbrowser/ConceptReport.jsp?dictionary=NCI%20Thesaurus&code=C99163\' NCI Thesaurus)
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