Parama Dey, Rana Varsha, Girisa Sosmitha, Verma Elika, Daimary Uzini Devi, Thakur Krishan Kumar, Kumar Aviral, Kunnumakkara Ajaikumar B
Cancer Biology Laboratory and DBT-AIST International Center for Translational and Environmental Research (DAICENTER), Department of Biosciences and Bioengineering, Indian Institute of Technology Guwahati, Assam 781039, India.
Explor Target Antitumor Ther. 2021;2(4):323-354. doi: 10.37349/etat.2021.00049. Epub 2021 Aug 30.
In spite of the immense advancement in the diagnostic and treatment modalities, cancer continues to be one of the leading causes of mortality across the globe, responsible for the death of around 10 million patients every year. The foremost challenges faced in the treatment of this disease are chemoresistance, adverse effects of the drugs, and the high cost of treatment. Though scientific studies over the past few decades have foreseen and are focusing on the cancer-preventive and therapeutic potential of natural products and their underlying mechanism of action, many more of these agents are not still explored. Piperlongumine (PL), or piplartine, is one such alkaloid isolated from Linn., which is shown to be safe and has significant potential in the prevention and therapy of cancer. Numerous shreds of evidence have established the ability of this alkaloid and its analogs and nanoformulations in modulating various complex molecular pathways such as phosphatidylinositol-3-kinase/protein kinase B/mammalian target of rapamycin, nuclear factor-kappa B, Janus kinases/signal transducer and activator of transcription 3, etc. and inhibit different hallmarks of cancer such as cell survival, proliferation, invasion, angiogenesis, epithelial-mesenchymal-transition, metastases, etc. In addition, PL was also shown to inhibit radioresistance and chemoresistance and sensitize the cancer cells to the standard chemotherapeutic agents. Therefore, this compound has high potential as a drug candidate for the prevention and treatment of different cancers. The current review briefly reiterates the anti-cancer properties of PL against different types of cancer, which permits further investigation by conducting clinical studies.
尽管在诊断和治疗方式上取得了巨大进展,但癌症仍然是全球主要的死亡原因之一,每年导致约1000万患者死亡。治疗这种疾病面临的首要挑战是化疗耐药性、药物的不良反应以及治疗成本高昂。尽管过去几十年的科学研究已经预见并专注于天然产物的癌症预防和治疗潜力及其潜在作用机制,但仍有许多此类药物尚未得到探索。胡椒碱(PL),即荜茇酰胺,是从荜茇中分离出的一种生物碱,已证明其安全且在癌症预防和治疗方面具有巨大潜力。大量证据表明,这种生物碱及其类似物和纳米制剂能够调节各种复杂的分子途径,如磷脂酰肌醇-3-激酶/蛋白激酶B/雷帕霉素哺乳动物靶点、核因子-κB、Janus激酶/信号转导子和转录激活子3等,并抑制癌症的不同特征,如细胞存活、增殖、侵袭、血管生成、上皮-间质转化、转移等。此外,PL还被证明能抑制放射抗性和化疗耐药性,并使癌细胞对标准化疗药物敏感。因此,这种化合物作为预防和治疗不同癌症的候选药物具有很高的潜力。本综述简要重申了PL对不同类型癌症的抗癌特性,这有助于通过开展临床研究进行进一步调查。