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Phytochemicals as Innovative Therapeutic Tools against Cancer Stem Cells
Emanuele-Salvatore Scarpa1, Paolino Ninfali2
1Department of Biomolecular Sciences, University of Urbino Carlo Bo, Urbino (PU) 61029, Italy. emanuele.scarpa@uniurb.it.
Abstract:
The theory that several carcinogenetic processes are initiated and sustained by cancer stem cells (CSCs) has been validated, and specific methods to identify the CSCs in the entire population of cancer cells have also proven to be effective. This review aims to provide an overview of recently acquired scientific knowledge regarding phytochemicals and herbal extracts, which have been shown to be able to target and kill CSCs. Many genes and proteins that sustain the CSCs' self-renewal capacity and drug resistance have been described and applications of phytochemicals able to interfere with these signaling systems have been shown to be operatively efficient both in vitro and in vivo. Identification of specific surface antigens, mammosphere formation assays, serial colony-forming unit assays, xenograft transplantation and label-retention assays coupled with Aldehyde dehydrogenase 1 (ALDH1) activity evaluation are the most frequently used techniques for measuring phytochemical efficiency in killing CSCs. Moreover, it has been demonstrated that EGCG, curcumin, piperine, sulforaphane, β-carotene, genistein and the whole extract of some plants are able to kill CSCs. Most of these phytochemicals act by interfering with the canonical Wnt (β-catenin/T cell factor-lymphoid enhancer factor (TCF-LEF)) pathway implicated in the pathogenesis of several cancers. Therefore, the use of phytochemicals may be a true therapeutic strategy for eradicating cancer through the elimination of CSCs.
Insights
Phytochemicals and herbal extracts can target cancer stem cells (CSCs), which drive cancer growth and drug resistance. These natural compounds show promise in eradicating cancer by eliminating CSCs, offering a new therapeutic strategy.
Area of Science:
- Oncology
- Pharmacology
- Natural Products Chemistry
Background:
- Cancer stem cells (CSCs) are validated drivers of cancer initiation and progression.
- CSCs possess self-renewal capacity and drug resistance, making them therapeutic targets.
- Phytochemicals and herbal extracts are increasingly recognized for their anti-cancer properties.
Purpose of the Study:
- To review current scientific knowledge on phytochemicals and herbal extracts targeting cancer stem cells (CSCs).
- To explore the mechanisms by which phytochemicals interfere with CSC survival pathways.
- To highlight the therapeutic potential of phytochemicals in cancer eradication via CSC elimination.
Main Methods:
- Review of scientific literature on phytochemicals and cancer stem cells.
- Analysis of in vitro and in vivo studies demonstrating phytochemical efficacy.
- Identification of common assays used to measure phytochemical effects on CSCs (e.g., ALDH1 activity, xenografts).
Main Results:
- Numerous phytochemicals (EGCG, curcumin, piperine, sulforaphane, beta-carotene, genistein) and plant extracts demonstrate CSC-killing activity.
- Phytochemicals interfere with key CSC pathways, notably the Wnt/beta-catenin signaling pathway.
- Established methods like mammosphere assays and xenograft transplantation are used to evaluate CSC-targeting efficacy.
Conclusions:
- Phytochemicals represent a viable therapeutic strategy for cancer treatment by targeting and eliminating cancer stem cells.
- Interference with CSC-sustaining pathways, particularly the Wnt pathway, is a primary mechanism of action for effective phytochemicals.
- Further research into phytochemicals offers a promising avenue for developing novel cancer eradication therapies.
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