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Tetrandrine and cancer - An overview on the molecular approach
1Department of Applied Botany, Mangalore University, Mangalagangotri, Mangalore 574 199, Karnataka, India.
Abstract:
Tetrandrine has been known in the treatment of tuberculosis, hyperglycemia, negative ionotropic and chronotropic effects on myocardium, malaria, cancer and fever since years together. It has been known that, tetrandrine could modulate multiple signaling molecules such as kinases of cell cycle and rat sarcoma (RAS) pathway along with proteins of tumor suppressor genes, autophagy related, β-catenins, caspases, and death receptors. Moreover, tetrandrine exhibited reversal of drug resistance by modulating P-glyco protein (P-gp) expression levels in different cancers which is an added advantage of this compound compared to other chemotherapy drugs. Though, bioavailability of tetrandrine is a limiting factor, the anticancer activity was observed in animal models without changing any pharmacokinetic parameters. In the present review, role of tetrandrine as kinase inhibitor, inducer of autophagy and caspase pathways and suppressor of RAS mediated cell proliferation were discussed along with inhibition of angiogenesis. It has also been discussed that how tetrandrine potentiate anticancer effect in different types of cancers by modulating multidrug resistance under in vitro and in vivo trials including the available literature on the clinical trials.
Insights
Tetrandrine shows promise in cancer treatment by inhibiting cell proliferation and reversing drug resistance. This natural compound modulates key cancer pathways, offering a potential new therapeutic strategy.
Area of Science:
- Pharmacology
- Molecular Biology
- Oncology
Background:
- Tetrandrine is a known compound with historical applications in treating various diseases.
- It modulates critical cellular signaling pathways involved in cancer progression.
Purpose of the Study:
- To review the multifaceted role of tetrandrine in cancer therapy.
- To explore its mechanisms as a kinase inhibitor, autophagy inducer, and suppressor of RAS-mediated proliferation.
Main Methods:
- Literature review of in vitro, in vivo, and clinical trial data.
- Analysis of tetrandrine's effects on signaling molecules, drug resistance, and angiogenesis.
Main Results:
- Tetrandrine inhibits cell cycle kinases and the rat sarcoma (RAS) pathway.
- It induces autophagy and caspase pathways, promoting cancer cell death.
- Tetrandrine reverses multidrug resistance by modulating P-glycoprotein (P-gp) expression.
Conclusions:
- Tetrandrine exhibits significant anticancer potential through diverse mechanisms.
- Its ability to overcome drug resistance makes it a promising candidate for cancer treatment, despite bioavailability limitations.
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