Greco Giulia, Catanzaro Elena, Fimognari Carmela
Dipartimento di Scienze per la Qualità della Vita, Alma Mater Studiorum-Università di Bologna, Corso d'Augusto 237, 47921 Rimini, Italy.
Cancers (Basel). 2021 Jan 15;13(2):304. doi: 10.3390/cancers13020304.
Apoptosis has been considered the main mechanism induced by cancer chemotherapeutic drugs for a long time. This paradigm is currently evolving and changing, as increasing evidence pointed out that antitumor agents could trigger various non-canonical or non-apoptotic cell death types. A considerable number of antitumor drugs derive from natural sources, both in their naturally occurring form or as synthetic derivatives. Therefore, it is not surprising that several natural compounds have been explored for their ability to induce non-canonical cell death. The aim of this review is to highlight the potential antitumor effects of natural products as ferroptosis, necroptosis, or pyroptosis inducers. Natural products have proven to be promising non-canonical cell death inducers, capable of overcoming cancer cells resistance to apoptosis. However, as discussed in this review, they often lack a full characterization of their antitumor activity together with an in-depth investigation of their toxicological profile.
长期以来,细胞凋亡一直被认为是癌症化疗药物诱导的主要机制。随着越来越多的证据表明抗肿瘤药物可引发各种非典型或非凋亡性细胞死亡类型,这一范式目前正在不断演变和改变。相当数量的抗肿瘤药物来源于天然物质,既有其天然存在的形式,也有合成衍生物。因此,探索几种天然化合物诱导非典型细胞死亡的能力也就不足为奇了。本综述的目的是强调天然产物作为铁死亡、坏死性凋亡或焦亡诱导剂的潜在抗肿瘤作用。天然产物已被证明是很有前景的非典型细胞死亡诱导剂,能够克服癌细胞对凋亡的抗性。然而,正如本综述中所讨论的,它们往往缺乏对其抗肿瘤活性的全面表征以及对其毒理学特征的深入研究。