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Anticancer therapeutic effect of ginsenosides through mediating reactive oxygen species
Xiaonan Li1, Donghui Cao2, Siming Sun2
1Department of Geriatrics, The First Hospital of Jilin University, Changchun, China.
Abstract:
Dysregulation of reactive oxygen species (ROS) production and ROS-regulated pathways in cancer cells leads to abnormal accumulation of reactive oxygen species, displaying a double-edged role in cancer progression, either supporting transformation/proliferation and stimulating tumorigenesis or inducing cell death. Cancer cells can accommodate reactive oxygen species by regulating them at levels that allow the activation of pro-cancer signaling pathways without inducing cell death via modulation of the antioxidant defense system. Therefore, targeting reactive oxygen species is a promising approach for cancer treatment. Ginsenosides, their derivatives, and related drug carriers are well-positioned to modulate multiple signaling pathways by regulating oxidative stress-mediated cellular and molecular targets to induce apoptosis; regulate cell cycle arrest and autophagy, invasion, and metastasis; and enhance the sensitivity of drug-resistant cells to chemotherapeutic agents of different cancers depending on the type, level, and source of reactive oxygen species, and the type and stage of the cancer. Our review focuses on the pro- and anticancer effects of reactive oxygen species, and summarizes the mechanisms and recent advances in different ginsenosides that bring about anticancer effects by targeting reactive oxygen species, providing new ideas for designing further anticancer studies or conducting more preclinical and clinical studies.
Insights
Reactive oxygen species (ROS) have a dual role in cancer, promoting or inhibiting tumor growth. Ginsenosides offer a promising strategy for cancer treatment by targeting ROS to induce apoptosis and enhance chemotherapy sensitivity.
Area of Science:
- Oncology
- Biochemistry
- Pharmacology
Background:
- Reactive oxygen species (ROS) dysregulation in cancer cells presents a double-edged sword, influencing proliferation and cell death.
- Cancer cells adapt to ROS by modulating antioxidant defenses, enabling pro-cancer signaling without triggering apoptosis.
- Targeting ROS is a viable strategy for developing novel cancer therapeutics.
Purpose of the Study:
- To review the dual role of ROS in cancer progression.
- To summarize the anticancer mechanisms of ginsenosides targeting ROS.
- To highlight recent advances and future directions in ginsenoside-based cancer research.
Main Methods:
- Literature review of studies on ROS, oxidative stress, and ginsenosides in cancer.
- Analysis of signaling pathways modulated by ROS and ginsenosides.
- Synthesis of information on ginsenosides' effects on apoptosis, cell cycle, autophagy, invasion, metastasis, and drug resistance.
Main Results:
- ROS can promote or inhibit cancer depending on cellular context and levels.
- Ginsenosides demonstrate multifaceted anticancer effects by modulating ROS.
- Ginsenosides can induce apoptosis, cell cycle arrest, and autophagy, while inhibiting invasion, metastasis, and overcoming drug resistance.
Conclusions:
- Ginsenosides represent a promising class of compounds for cancer therapy through ROS modulation.
- Understanding the complex interplay between ROS and cancer is crucial for therapeutic development.
- Further preclinical and clinical studies are warranted to explore ginsenosides' full therapeutic potential in various cancers.
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