Current Status, Distribution, and Future Directions of Natural Products against Colorectal Cancer in Indonesia: A

Didi Nurhadi Illian1, Ihsanul Hafiz2, Okpri Meila1

  • 1Department of Pharmacy, Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, Banda Aceh 23111, Indonesia.

Insights

Natural products show potential as alternative colorectal cancer treatments in Indonesia. This review highlights terpenoids and other compounds, suggesting future co-chemotherapy applications and aiding drug discovery.

Area of Science:

  • Natural Product Chemistry
  • Oncology
  • Pharmacology

Background:

  • Colorectal cancer is a significant global health burden, with millions diagnosed and dying annually.
  • Conventional treatments like chemotherapy and radiation have limitations, driving interest in alternative therapies.
  • Natural products are increasingly explored for their potential therapeutic benefits in cancer treatment.

Purpose of the Study:

  • To review the current status and distribution of natural products in Indonesia with potential activity against colorectal cancer.
  • To identify promising natural compounds and assess their potential as alternative or complementary treatments.
  • To explore future implications for colorectal cancer management in Indonesia.

Main Methods:

  • A systematic review of 38 studies was conducted.
  • Data on natural products, their distribution in Indonesia, and cytotoxic activity against colorectal cancer cell lines were extracted.
  • Commonly used methods included MTT assays and other in vitro/in vivo analyses.

Main Results:

  • Terpenoids were the predominant class of natural products with activity against colorectal cancer cells, followed by phytosterols, phenolics, alkaloids, and polyisoprenoids.
  • WiDr, HT-29, and HCT-116 were frequently used cell lines for cytotoxicity testing.
  • MTT assays were the most common method for evaluating cytotoxic activity.

Conclusions:

  • Several Indonesian natural products, particularly terpenoids, show promise as alternative treatments for colorectal cancer.
  • These compounds may serve as future co-chemotherapy agents, requiring further research on safety, quality, and standardization.
  • Computational methods are advancing drug discovery for natural product-based therapies.

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