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Updated: Jul 5, 2025

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
Recent advances in natural compounds inducing non-apoptotic cell death for anticancer drug resistance
Jia-Wen Chen1,2, Sibao Chen1,2,3,4, Guo-Qing Chen2,3,4
1Institute of Medicinal Plant Development, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100193, China.
Abstract:
The induction of cell death is recognized as a potent strategy for cancer treatment. Apoptosis is an extensively studied form of cell death, and multiple anticancer drugs exert their therapeutic effects by inducing it. Nonetheless, apoptosis evasion is a hallmark of cancer, rendering cancer cells resistant to chemotherapy drugs. Consequently, there is a growing interest in exploring novel non-apoptotic forms of cell death, such as ferroptosis, necroptosis, pyroptosis, and paraptosis. Natural compounds with anticancer properties have garnered significant attention due to their advantages, including a reduced risk of drug resistance. Over the past two decades, numerous natural compounds have been discovered to exert anticancer and anti-resistance effects by triggering these four non-apoptotic cell death mechanisms. This review primarily focuses on these four non-apoptotic cell death mechanisms and their recent advancements in overcoming drug resistance in cancer treatment. Meanwhile, it highlights the role of natural compounds in effectively addressing cancer drug resistance through the induction of these forms of non-apoptotic cell death.
Insights
Cancer cells evade apoptosis, a common drug target. This review explores non-apoptotic cell death pathways like ferroptosis, necroptosis, pyroptosis, and paraptosis, and natural compounds that can overcome drug resistance.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Apoptosis evasion is a key mechanism of cancer drug resistance.
- Novel therapeutic strategies are needed to overcome treatment failures.
- Non-apoptotic cell death pathways offer alternative targets for cancer therapy.
Purpose of the Study:
- To review recent advancements in non-apoptotic cell death mechanisms (ferroptosis, necroptosis, pyroptosis, paraptosis) for cancer treatment.
- To highlight the role of natural compounds in overcoming cancer drug resistance.
- To explore the potential of natural compounds in inducing these alternative cell death pathways.
Main Methods:
- Literature review of studies on non-apoptotic cell death.
- Analysis of research on natural compounds with anticancer properties.
- Synthesis of findings regarding the induction of ferroptosis, necroptosis, pyroptosis, and paraptosis by natural products.
Main Results:
- Natural compounds can effectively induce ferroptosis, necroptosis, pyroptosis, and paraptosis.
- These mechanisms provide alternative routes to eliminate cancer cells resistant to apoptosis.
- Numerous natural compounds demonstrate significant anticancer and anti-resistance effects.
Conclusions:
- Non-apoptotic cell death pathways are promising strategies to combat cancer drug resistance.
- Natural compounds represent a valuable resource for developing novel anti-cancer therapies that bypass resistance.
- Targeting these alternative cell death mechanisms with natural products offers a viable approach to enhance cancer treatment efficacy.
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