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    NATURALPLANTRESOURCESINANTI-CANCER

    THERAPY-AREVIEW

    PURVI H. KAKRANI & Dr. HARISH KAKRANI

    Cancer isoneof te!ost co!!on"e#astatin$"iseaseaffectin$!i%%ionsof&eo&%e&er

    'ear.Canceras(eenesti!ate"as tesecon" %ea"in$ ca)seof"eat in)!ans.So tere

    as(eenanintensesearcon#ario)s(io%o$ica%so)rcesto"e#e%o&ano#e%anti-cancer"r)$

    toco!(attis"isease.P%antsa#e&ro#e" to(ean i!&ortantnat)ra%so)rceofanti*cancer

    tera&'forse#era%'ears.A(o)t+,&%ant"eri#e"co!&o)n"sa#e(eeniso%ate"sofaran"

    are c)rrent%' )n"er c%inica% tria%s. Tese anti*cancer co!&o)n"s a#e (een fo)n" to (e

    c%inica%%'acti#ea$ainst#ario)s t'&esofcancerce%%s.-)rterresearcintisarea!a' %ea"

    to(ettertreat!entofcancer.

    Ke'.or"s/anti-cancer,apoptosis,clinicaltrials,plantderivative.

    I!&ortanceof&%antsecon"ar'!eta(o%ites 0.Vincaa%1a%oi"s

    Plant secondary metabolites have Vinca alkaloids belong to an

    proved to be an excellent reservoir of new important class of anti-cancer drugs. The

    medical compounds. Many anti-cancer mechanism of action of Vinca alkaloids is

    agentshavebeenisolatedfromvariousplant that they inhibit the cell proliferation by

    sources like Catharanthus roseus,Podophyllum affecting the microtubular dynamics during

    species, Taxus brevifolia, Camptotheca mitosis, and this causes a characteristic

    blockacuminate, Betula alba, Cephalotaxus species, during mitosis leading to apoptosis.

    CertainErythroxylum pervillei, Curcuma longa, semi-synthetic analogues have

    beenIpomoeca batatas, Centaurea schischkinii and developed to increasethetherapeutic

    index.

    manyothers.Scientistsarestillattemptingto

    explore the bioavailability of anti-cancerous

    compoundsinunexploredplantspecies.

    Anti*cancero)s"r)$s)n"erc%inica%tria%s

    There are four maor structural

    classifications of plant-derived anti-

    cancerous compounds viz., Vinca

    alkaloids,!pipodophyllotoxin lignans,Taxane diterpenoids and Camptothecin

    "uinoline alkaloid derivatives. #ifferent

    anti-cancer compounds that have been

    identified and reported by scientists have

    been reviewed

    under.

    Vinblastine $V%&' and Vincristine

    $VC(' are the two maor naturally occurring

    active compounds obtained from the

    Madagascar periwinkle, Catharanthus roseus

    ). #on. $*pocynaceae'+ These compounds

    reported potential activity

    againstlymphocytic leukemia in mice.

    Vinorelbine$V(%&' and Vindesine $V#S'

    are the twosemi synthetic analogsobtained from theactive compounds.

    They showed potentialactivity against

    leukemia,s, lymphomas,advanced

    testicular cancer, breast cancer,

    lung cancer and aposi,s sarcoma when

    PURVI H. KAKRANI & Dr. HARISH KAKRANIPage 1

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    treated in combination with other action is that these active agentsbind to the

    chemotherapeutic drugs $Cragg and polymeri.edmicrotubuleswhichpreventthe

    /ewman, 0112'+ Vinflunine, a bifluorinated

    derivative of vinorelbine exhibits a superior

    anti-tumor activity compared to other vinca

    alkaloids. This novel Vinca alkaloid is

    currently under Phase 33 clinical trials. &othVinflunine and Vinorelbine exhibits reduced

    toxicity in animal models $4kouneva et al.,

    01056Simeonsetal.,0117'+

    2.Po"o&'%%oto3in

    normal mitosis to occur and thus they are

    calledanti-mitoticdrugs$8aitetal.,0019'+

    4.Ca!&totecin5CPT6

    Camptothecin is a cytotoxic alkaloid isolatedmainly from the bark and stem of the

    Chinese ornamental tree, Camptotheca

    acuminate. 3t showed poor solubility and

    severe toxicity, and, because of this reason,

    certainanaloguesofCPTweresynthesi.edto

    Podophyllotoxinisobtainedfromtherootsof overcome these disadvantages. They are

    Podophyllum species, namely, Podophyllum topotecan, irinotecan $CPT-::';

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    S/-57 shows increased cytotoxic effects in

    various cancer cell lines $Ehang et al.,010>'+

    cells.TheyworkbyinhibitingTopoisomerase

    3 and 33 $#e *lmeida, 011 cellsby the survivin-mediated

    pathway$Dieetal.,001

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    00.Co!(retastatinA*4

    Combretastatin *-> is a naturally occurring

    stilbene compound obtained from the South

    *fricanbush willow tree, Combretum caffrum

    unt.e. This vascular targeting agent

    disruptsthetubulinstructureandthechange

    in morphology of endothelial cells causes

    deprivation of nutrients to tumor cells by

    impeding theblood flow through capillaries.

    #ue to its poor solubility, a water-soluble

    prodrug called Combretastatin *->disodium

    phosphatehas been formulated for

    experimental purpose which is currently

    underphase 33 clinical trials $Thomsonetal.,

    010@6%eyetal.,0119'+

    02.C)c)r(itacin

    Cucurbitacin, a tetracyclic triterpenoid

    compound is predominantly obtained from

    the Cucurbitaceae plants. They possess

    antiproliferative behavior against various

    cancer cell lines. (eports show that

    Cucurbitacin-3and&selectivelyinhibitboth

    Curcumin is involved in modulating the cell

    cycle pathway and induces apoptosis of

    variouscancercells.&uttheexactmechanism

    of action is yet tobe studied clearly. Phase

    3G33 trials are ongoing on the effects of

    curcumin on colorectal cancer, multiple

    myeloma and pancreatic cancer. Curcuminused at a high dosage level is reported tobe

    safe by phase 3 clinical trials $Sa et al.,

    00:16)oeletal.,0117'+

    04.Da&noretin

    #aphnoretin, a bis-coumarin derivative,

    extractedingoodamountsfromtherootbark

    of "ikstroemia indica $Thymelaeaceae' was

    foundtohavegoodanti-canceractivity$%uet

    al., 01::'+#aphnoretincausessuppressionof

    protein and #/* synthesis in !hrlich ascitescarcinomas. 3t is also seen to suppress the

    hepatitis & surface antigen expression on

    human hepatoma 8ep5& cells $#iogo et al.,

    010K, 9- #ihydroxyisoflavone' and

    activity and activator of transcription 5 )enistein $>K, 2; 9-Trihydroxyisoflavone' are

    $ST*T5' pathways. ST*T5 is activated in the two aglyconespresent abundantly in the

    many cancer cell types likeprostate cancer, Soy 3soflavones. Maor sources include

    breastcancerandalsocarcinomaofthehead, important legumes like lupine $%upinus

    neck and nasopharynx. (eports show that spp+'; fava bean, $Vicia faba'; soybeans

    inhibition of this oncogenic signaling $)lycine max'; kud.u $Pueraria lobata'; and

    pathway, ST*T5; causes tumor cell growth psoralea $Psoralea corylifolia' $aufman et

    inhibition and leads to apoptosis of cancer al., :

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    0+.C)rc)!in

    Curcumin $diferuloylmethane', apolyphenolic compound is isolated from the 3ndian

    plant spices, Curcuma longa $commonly called turmeric', now finds its

    application as potential anti-cancercompound. *bout 5L2 of this yellow

    pigment of turmeric contains curcuminoids.cancers. They also inhibit chemically induced cancers in stomach, bladder, lung, prostate,

    colon and blood $#ixon and erreira et al.,0100'.

    0:.E%%i&ticine

    *plant alkaloid, !llipticine $2; ::-dimethyl-@8-pyrido I>; 5-bJ carba.ole' and

    its

    derivatives were isolated from *pocynaceae

    plantspecies$eg.#chrosiaborbonica,Excavatia Topoisomerase 33 activity. 3t is also reported

    coccinea, #chrosia elliptica'. They exhibit thatthisdrug,inhibitscellgrowthandcauses

    significant anti-tumor properties against apoptosisofhumanhepatocellularcarcinoma

    various cancer cell types. The primary 8ep)0cells$aoetal.,001@'+

    function of this drug is that it intercalates

    with #/* and also causes inhibition ofTa(%e0.Listof%ant"eri#ati#es)se"incancertera'

    S. Se!is'ntetic

    No ana%o$sof

    %ant

    "eri#ati#es

    : Vindesineand

    Vinorelbine

    0 Vinflunine

    5 !toposideand

    Teniposide

    > TaxolA

    2 TaxotereA

    @ Topotecan

    9 3rinotecan

    7 !xatecan

    < %!-S/-57

    :1 &erbamine

    :: &erberine

    :0 &eta-

    lapac

    hone

    Seciesan">en)s

    na!e

    Catharanthusroseus

    Catharanthusroseus

    PodophyllumpeltatumandPodophyllumemodi

    Taxusbrevifolia/utt,

    Taxusbaccata

    Taxusbrevifolia/utt,

    Taxusbaccata

    Camptothecaacuminate

    Camptothecaacuminate

    Camptothecaacuminate

    Ca

    mpto

    the

    caa

    cumina

    te

    Berberisamarensis

    Hvdrastiscanadensis%+;

    BerberineerisspN

    rcungelisiaflaw

    Tabebuiaavellanedae

    E3eri!entson

    #ario)scancer

    ce%%s

    %eukemias;

    lymphomas;

    advancedtesticular

    cancer; breastcancer;

    lungcancerand

    -aposi,ssarcoma.

    (educedtoxicityin

    animalmodels

    %ymphomas,

    bronchialand

    testicularcancers.

    Metastatic; breast;

    ovarian; lung;

    prostatecancerand

    lymphoidmalignancies

    Osedinpatients

    resistantto

    Paclitaxel

    !pithelialovarian

    cancerandsmallcell

    lungcancer

    Metastatic and

    colorectalcancer

    Potentialanti-tumor

    activitybothinvitroand

    invivo

    Variouscancercelllines

    Chronic myeloid

    leukemia

    4steosarc

    oma;

    lung;

    liver; prostate and

    breastcancer

    breastcancer; prostate

    cancer; lungcancer;

    pancreatic cancerand

    promyelocytic

    leukemia.

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    ?ecanis!ofaction

    mitoticblock

    mitotic block

    -

    *nti-mitotic

    *nti-mitotic

    #/*

    topoisomerase3

    inhibition

    #/*

    topoisomerase3

    inhibition

    #/*

    topoisomerase3inhibition

    #/*

    topoisomerase3

    inhibition

    Caspase-5-

    dependent

    apoptosis

    /otknown

    3nhibitionof

    topoisomerase3and33

    Reference

    Craggand

    /ewman,

    0112

    4kouneva etal+; 01156

    Simeons et

    al.,0117

    Shoeb,011@

    -ingston,0119

    8aitetal+; 0119

    Creemersetal+;

    :

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    :5 &etulinic acid

    :> Colchicine

    :2 Combretastati

    n*->

    :@ Cucurbitacin

    :9 Curcumin

    :7 #aphnoretin

    :< #iad.einand

    )enistein

    01 !llipticine

    0: !modin

    00 Clavopiridol

    05 8arringtonineand

    8omoharring-

    tonine

    0> 3ndirubin

    Betulaalba

    Colchicum

    autumnaleand

    !loriosasuperba

    %+

    Combretum

    caffrum-unt.e

    Cucurbitaceae

    species

    Curcumalonga

    "ikstroemia

    indica

    $upinusspecies;

    %iciafaba,

    !lycinemax,

    Psoralea

    corylifolia

    #chrosia

    borbonica,

    Excavatiacoccinea,

    #chrosiaelliptica

    (hi.omeof

    rhubarb

    moorarohituka

    and&ysoxylum

    binectariferum

    Cephalotaxusharrintonia,C'

    hainanensisand

    C'(inensis

    Chineseherb;

    #anggui

    %onghui=an

    !xhibitsanti-cancer

    activityinhumans

    %eukemic andsolidtumors

    Phase33clinicaltrials

    Variouscancercelllines

    colorectalcancer,multiple

    myelomaandpancreatic

    cancer.

    a'!hrlichascites

    carcinomasandb'humanhepatoma

    8ep5&cells.

    )enisteininhibitsovarian

    andbreastcancersandalso

    chemicallyinducedcancers

    ofstomach; bladder; lung;

    prostate; colonandblood.

    Variouscancercelltypes

    lung; liver; ovarianand

    bloodcancer

    colorectal; non-smallcell

    lungcancer,renalcell

    carcinoma,non-8odgkin,s

    lymphoma; chronic

    lymphocytic leukemia,and

    alsosolidtumors

    *cutemyeloidleukemiaandchronic myeloid

    leukemia.

    Chronic myeloidleukemia

    Triggers

    mitochondrial

    pathwayofapoptosis

    *nti-mitotic

    Tubulinstructure

    disruption

    3nhibitssignal

    transducerGF*- 0

    activityandactivates

    ST*T5 pathway

    !xactmechanismof

    actionisstill

    unknown

    a'suppressionof

    proteinand#/*synthesis

    b'suppresses

    8epatitis&surface

    antigenexpression

    3nhibits5*>-

    mediatedmetabolism

    andoxidative

    metabolism

    #/*intercalation

    andinhibitionof

    topoisomerase33

    *poptosisofcancer

    cellsbyseveral

    pathways

    3nhibitscellcycle

    progressionat): or

    )0 phase

    3nhibitionofproteinsynthesisandchain

    elongationduring

    translation

    3nhibitscyclin-

    dependentkinases

    Culda,0117

    #ubeyetal+; 0117

    Thomsonetal+;

    011@6%eyetal+;

    0119

    Molavietal.,

    01176&ernardand

    4layinkaetal+;

    01:1

    Saetal.,00:06

    )oeletal.,0117

    %uetal+ 01::6

    #iogoetal+; 001-3pomeanol

    09 3ris"uinone

    07 Phenoxodiol

    0< PandimexTM

    51 Perillylalcohol

    5: Pervilleines

    50 Salvicine

    55 Schischkinnin

    5> Montamine

    52 Silvestrol

    5@ P)>21-

    mediatedconversion

    into#/*-binding

    metabolites

    *ctsasa

    chemosensiti.er

    inhibitplasma

    membraneelectron

    transportandcell

    proliferation

    Cellcyclearrestand

    actsasP-glycoprotein

    blocker

    !xactmechanismisyettobeidentified

    3nhibitorsofP-

    glycoprotein

    3nhibitionof

    topoisomerase33

    /otknown

    /otknown

    apoptosomeGmitocho

    ndrialpathwaywas

    involvedintriggering

    extrinsic pathwayof

    programmedcell

    deathoftumorcells

    !nhancestheanti-

    tumoreffectsof

    cytotoxic and

    chemotherapeutic

    agents; thereby

    inducesapoptosis.

    8ampsonetal+;

    0112

    *ncuceanuand

    3studor,011>

    8a.raetal+; 011>

    8erstetal+; 011'.

    phaseandcausesinhibitionofcancerouscell

    growth.&uttheexactmechanismofactionis

    2+.Iris@)inone

    3ris"uinone, aben.o"uinonewith anti-tumor

    activity is obtained from plant species like

    Iridaceaelatea pallasii and Iris k umaoensis$3ridaceae'+ 3ris"uinoneshowed goodactivity

    against transplantable rodent tumors and

    also acts as a chemosensiti.er $8a.ra et al.,

    010>'.

    24.Peno3o"io%an"Proto&ana3a"io%

    Phenoxodiol $08-:-ben.opyran-9-0, :; 5-

    I>-hydroxyphenylJ; PD#' is a synthetic

    analogof naturally occurring plant

    isoflavone,genistein. (eports of

    phenoxodioldemonstrated that theyinhibit plasma membrane electron

    transport and cell proliferation and

    leads to apoptosis of many cancer cell

    lines. This anti-cancer drug is being

    developed as a Pchemosensiti.erQ and is

    currently under Phase 333 clinical trials for

    treatingovariancancerandalso intheinitial

    yettobeidentified.3nvestigationisstillbeing

    done on the effectiveness of

    chemotherapeutic activity against human

    cancers like non small cell lung cancer,

    prostate cancer and colon cancer.Combination therapies were used in treating

    breast cancer cells $Pan et al., 01:16&ardona

    etal.,01106Beruvaetal.,0019'+

    2:.Per#i%%eines

    Pervilleines*,&,C,andareobtainedfrom

    therootsofErythroxylumpervillei.Theyactas

    good inhibitors of P-glycoprotein which

    causes a multidrug resistance related to low

    response for cancer therapy. urther

    investigation on clinical trials is yet to bedone $Mi et al., 011:6 Mi et al., 01106 Mi et

    al.,0105'.

    2;.Sa%#icine

    Salvicine, a diterpenoid "uinone is obtained

    asaderivativeofthenaturallyoccurringlead

    stages of clinical trial for treating prostate saprortho"uinone compound. This lead

    andcervicalcancer$8erstetal.,011

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    potential against CaCo0 colon cancer cells 8omoharringtonine showed potential

    $Shoebetal.,011@'+ activity against various leukemic cells6

    2'+ Pharmacologically

    active naturalcompounds

    for lung cancer. ltern )ed,ev.,10-

    >:

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    Cao, E., o.ielski, *., %iu, D., =ang,B.,

    Vardeman, #., )iovanella, &., $010

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    Crystalline camptothecin-01$s'-o- uchs, C., Mitchell, !.P., 8off, P.M.,

    $010@'+propionate hydrate a novel anticancer 3rinotecan in the treatment of

    colorectalagent with strong activity against :0->9

    #eng, +; %u,F.F., %iu, 8.B., %in, %+P., #ing,

    F.,Ehang, F.S., $00::'+

    Synthesis and antitumor

    activity of novel salvicine analogues.

    ChinChem$ett.,22/02-07+

    #iogo,C.V+;elix,%+;Vilela,S.,&urgeiro,

    *.,&arbosa,3.*.,Carvalho,M.F.M.,

    4liveira,P.F., Peixoto, .P., $011'+Separation methods

    of "uinonoid

    constituents of plants used in oriental

    traditional medicines. -

    ChromatogrB.,902/02

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    aina, &., $0109'+ rom traditional

    Chinese medicine to rational cancer

    therapy.Trends)ol)ed.,0+/525-@:+

    aufman, P.&., #uke, F.*., &rielmann,

    8., &oik, F., 8oyt, F.!., $:

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    of the isoflavones, genistein and proteinsynthesis.)olPharmacol.,02/:@9-

    daid.ein implications for human :9@+

    nutritionandhealth.-lternComplement

    )edSpring.,+/9-:0+

    im, S., 8wang, &.B., Su, &/., Chai, 8.,

    Mi, U., inghorn, *.#., =ild, (.,

    Swanson,S.M., $0119'+ Silvestrol, a

    potentialanticancer rocaglate

    derivative from glaia

    foveolata, induces apoptosis in%/CaP

    cells through the

    mitochondrialGapoptosome pathway

    without activation of

    executioner caspase-5 or -9+ nticancer

    ,es.,2;/ 0:92-0:75+

    inghorn, #., de &lanco, !.F.C., Chai,

    8.&.,4rala, F., arnsworth, /+(+;Soearto,#.#., 4berlies,/,8., =ani,

    M.C., roll,#.F., Pearce, C.F., et al.

    $000>-:72>.

    uo, BC., uo, P%+; 8su, B%., Cho, CB.,

    %in, CC., $011@'+ !llipticine induces

    apoptosisthrough p25-

    dependent pathway in

    human hepatocellular carcinoma 8ep)0

    cells.$ifeSciences.,;9/0220-0229+

    %iu, U., $01::'+ Triptolide and its expanding

    multiple pharmacological functions. Int

    Immunopharmacol.,00/599-575.

    %iu,D.M.,=ung,%+).,%i,8.B.,Fi,D.F.,

    $:

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    8ollingshead,compound bruceantin, an inhibitor of M.)., Mayo, F.)., inghorn,

    *.#., et al.$010:'+ Pervilleine *, a novel tropane

    :0

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    alkaloid that reverses the multidrug- Christensen, T.&., Pink, #., #augaard,

    S.,resistance phenotype. Cancer ,es.,:0/ Marreaud,

    S., )labbeke, V.M., et al.>050-9+ $0119'+

    !xatecan in pretreated adult

    Mineko, 3., Michio, 3., 3kuo, M., Megumi,

    M., Setsuko, 3., *kiko, T+; *kio, !+;

    $0111'+ )rowth inhibitory effect of

    a newcamptothecin analog,

    #D-7

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    important leads. Bioorg )ed Chem.,0+/ compounds for anti-leukemia activity.

    27'.Ehang, %+; Du, (+; Bu, B., $011

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    :>