Polyphyllins in cancer therapy: A systematic review and meta-analysis of animal studies

Yan Bai1, Mengmeng Li1, Dongjie Geng1

  • 1Zhejiang Provincial Key Laboratory of Resources Protection and Innovation of Traditional Chinese Medicine, Hangzhou 311300, China; College of Food and Health, Department of Traditional Chinese Medicine, Zhejiang Agriculture & Forestry University, Hangzhou 311300, China; State Key Laboratory of Subtropical Silviculture, Zhejiang Agriculture and Forestry University, Hangzhou 311300, China.

Abstract

Insights

Polyphyllins demonstrate significant anticancer effects by reducing tumor volume and weight in animal models. Further research is needed due to study heterogeneity, but findings suggest therapeutic potential for these natural compounds.

Area of Science:

  • Pharmacology
  • Natural Products
  • Oncology

Background:

  • Polyphyllins are natural compounds with known antitumor properties.
  • Clinical application of polyphyllins is limited by a lack of clinical trials.
  • This study investigates the efficacy of polyphyllins in preclinical cancer models.

Approach:

  • A systematic review and meta-analysis was conducted.
  • Multiple electronic databases were searched to identify relevant studies.
  • Risk of bias was assessed, and meta-analysis was performed using RevMan and Stata software.

Key Points:

  • Polyphyllins significantly reduced tumor volume (SMD: -3.35; p < 0.00001) and tumor weight (SMD: -3.79; p < 0.00001) in animal models.
  • No significant impact on animal weight was observed, indicating a favorable safety profile within tested doses.
  • Antitumor mechanisms involve modulation of P53, NF-kB, AMPK, and ERK signaling pathways.

Conclusions:

  • Polyphyllins exhibit significant anticancer activity at experimental doses.
  • Heterogeneity in study results necessitates further investigation.
  • Polyphyllins show promise as a potential cancer therapeutic agent.

Related Concept Videos

Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.7K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Cancer Prevention02:59

Cancer Prevention

Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
6.2K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.7K
Drugs that Stabilize Microtubules01:15

Drugs that Stabilize Microtubules

Microtubules are dynamic structures that undergo cycles of catastrophe and rescue. The microtubules play a central role in cell division by forming the spindle apparatus for segregating the chromosomes. This makes them ideal targets for regulating dividing cells in tumors and malignant cancer cells. Microtubule stabilizing drugs help stabilize the microtubule formation and promote its polymerization. Paclitaxel was the first microtubule stabilizing agent used as anticancer drug in chemotherapy...
2.1K
Inhibition of Cdk Activity02:34

Inhibition of Cdk Activity

The orderly progression of the cell cycle depends on the activation of Cdk protein by binding to its cyclin partner. However, the cell cycle must be restricted when undergoing abnormal changes. Most cancers correlate to the deregulated cell cycle, and since Cdks are a central component of the cell cycle, Cdk inhibitors are extensively studied to develop anticancer agents. For instance, cyclin D associates with several Cdks, such as Cdk 4/6, to form an active complex. The cyclin D-Cdk4/6 complex...
4.8K