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Phytochemicals regulate cancer metabolism through modulation of the AMPK/PGC-1α signaling pathway
Sajad Fakhri1, Seyed Zachariah Moradi2, Seyed Yahya Moradi3
1Pharmaceutical Sciences Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, 6734667149, Iran. sajad.fakhri@kums.ac.ir.
Background:
Due to the complex pathophysiological mechanisms involved in cancer progression and metastasis, current therapeutic approaches lack efficacy and have significant adverse effects. Therefore, it is essential to establish novel strategies for combating cancer. Phytochemicals, which possess multiple biological activities, such as antioxidant, anti-inflammatory, antimutagenic, immunomodulatory, antiproliferative, anti-angiogenesis, and antimetastatic properties, can regulate cancer progression and interfere in various stages of cancer development by suppressing various signaling pathways.
Methods:
The current systematic and comprehensive review was conducted based on Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) criteria, using electronic databases, including PubMed, Scopus, and Science Direct, until the end of December 2023. After excluding unrelated articles, 111 related articles were included in this systematic review.
Results:
In this current review, the major signaling pathways of cancer metabolism are highlighted with the promising anticancer role of phytochemicals. This was through their ability to regulate the AMP-activated protein kinase (AMPK)/peroxisome proliferator-activated receptor-gamma coactivator-1α (PGC-1α) signaling pathway. The AMPK/PGC-1α signaling pathway plays a crucial role in cancer cell metabolism via targeting energy homeostasis and mitochondria biogenesis, glucose oxidation, and fatty acid oxidation, thereby generating ATP for cell growth. As a result, targeting this signaling pathway may represent a novel approach to cancer treatment. Accordingly, alkaloids, phenolic compounds, terpene/terpenoids, and miscellaneous phytochemicals have been introduced as promising anticancer agents by regulating the AMPK/PGC-1α signaling pathway. Novel delivery systems of phytochemicals targeting the AMPK/PGC-1α pathway in combating cancer are also highlighted in this review.
Insights
Phytochemicals show promise in cancer treatment by regulating the AMP-activated protein kinase (AMPK)/peroxisome proliferator-activated receptor-gamma coactivator-1α (PGC-1α) pathway. This review highlights their anticancer potential and novel delivery systems.
Area of Science:
- Oncology
- Pharmacology
- Biochemistry
Background:
- Cancer progression and metastasis involve complex mechanisms, necessitating novel therapeutic strategies beyond current treatments with limited efficacy and adverse effects.
- Phytochemicals offer a promising avenue due to their diverse biological activities, including antioxidant, anti-inflammatory, and antiproliferative properties, which can modulate cancer development by targeting various signaling pathways.
Purpose of the Study:
- To systematically review the role of phytochemicals in cancer treatment.
- To highlight the regulation of key cancer metabolism signaling pathways by phytochemicals.
- To explore novel delivery systems for phytochemicals in cancer therapy.
Main Methods:
- A systematic and comprehensive review adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines.
- Literature search conducted on PubMed, Scopus, and Science Direct databases until December 2023.
- Inclusion of 111 relevant articles after screening for relevance.
Main Results:
- Phytochemicals demonstrate significant anticancer potential by regulating the AMP-activated protein kinase (AMPK)/peroxisome proliferator-activated receptor-gamma coactivator-1α (PGC-1α) signaling pathway.
- The AMPK/PGC-1α pathway is crucial for cancer cell metabolism, regulating energy homeostasis, mitochondrial biogenesis, and substrate oxidation.
- Alkaloids, phenolic compounds, and terpenoids are identified as key phytochemical classes that modulate this pathway for therapeutic benefit.
Conclusions:
- Targeting the AMPK/PGC-1α signaling pathway represents a novel and promising strategy for cancer treatment.
- Phytochemicals, through their ability to modulate this pathway, offer a natural approach to combating cancer.
- Advancements in novel delivery systems can enhance the efficacy of phytochemicals in cancer therapy.
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