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Anticancer Mechanism of Flavonoids on High-Grade Adult-Type Diffuse Gliomas
Shu Chyi Wong1, Muhamad Noor Alfarizal Kamarudin1, Rakesh Naidu1
1Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway 47500, Selangor Darul Ehsan, Malaysia.
Abstract:
High-grade adult-type diffuse gliomas are the most common and deadliest malignant adult tumors of the central nervous system. Despite the advancements in the multimodality treatment of high-grade adult-type diffuse gliomas, the five-year survival rates still remain poor. The biggest challenge in treating high-grade adult-type diffuse gliomas is the intra-tumor heterogeneity feature of the glioma tumors. Introducing dietary flavonoids to the current high-grade adult-type diffuse glioma treatment strategies is crucial to overcome this challenge, as flavonoids can target several molecular targets. This review discusses the anticancer mechanism of flavonoids (quercetin, rutin, chrysin, apigenin, naringenin, silibinin, EGCG, genistein, biochanin A and C3G) through targeting molecules associated with high-grade adult-type diffuse glioma cell proliferation, apoptosis, oxidative stress, cell cycle arrest, migration, invasion, autophagy and DNA repair. In addition, the common molecules targeted by the flavonoids such as Bax, Bcl-2, MMP-2, MMP-9, caspase-8, caspase-3, p53, p38, Erk, JNK, p38, beclin-1 and LC3B were also discussed. Moreover, the clinical relevance of flavonoid molecular targets in high-grade adult-type diffuse gliomas is discussed with comparison to small molecules inhibitors: ralimetinib, AMG232, marimastat, hydroxychloroquine and chloroquine. Despite the positive pre-clinical results, further investigations in clinical studies are warranted to substantiate the efficacy and safety of the use of flavonoids on high-grade adult-type diffuse glioma patients.
Insights
Dietary flavonoids show promise in targeting multiple molecular pathways to combat high-grade diffuse gliomas. Further clinical studies are needed to confirm their efficacy and safety for patients.
Area of Science:
- Oncology
- Neuroscience
- Pharmacology
Background:
- High-grade adult-type diffuse gliomas are aggressive central nervous system tumors with poor survival rates.
- Intra-tumor heterogeneity presents a significant challenge in effective glioma treatment.
- Dietary flavonoids offer a potential strategy to target multiple molecular pathways in gliomas.
Purpose of the Study:
- To review the anticancer mechanisms of various dietary flavonoids against high-grade adult-type diffuse gliomas.
- To identify common molecular targets of flavonoids relevant to glioma progression.
- To discuss the clinical relevance of these targets and compare flavonoids with existing small molecule inhibitors.
Main Methods:
- Literature review of preclinical studies on dietary flavonoids and high-grade adult-type diffuse gliomas.
- Analysis of flavonoid mechanisms targeting cell proliferation, apoptosis, oxidative stress, cell cycle, migration, invasion, autophagy, and DNA repair.
- Comparison of flavonoid targets with those of small molecule inhibitors used in glioma treatment.
Main Results:
- Flavonoids like quercetin, rutin, and EGCG exhibit anticancer effects by modulating key molecules (e.g., Bax, Bcl-2, caspases, p53, MMPs).
- These flavonoids target critical cellular processes including apoptosis, cell cycle progression, and invasion pathways.
- Flavonoid targets show clinical relevance and can be compared to pathways affected by small molecule inhibitors.
Conclusions:
- Dietary flavonoids possess multifaceted anticancer properties against high-grade adult-type diffuse gliomas.
- Flavonoids represent a promising avenue for novel therapeutic strategies due to their ability to target tumor heterogeneity.
- Further clinical investigation is essential to validate the therapeutic potential and safety of flavonoids in glioma patients.
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