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The Therapeutic Effects of Bioactive Compounds on Colorectal Cancer via PI3K/Akt/mTOR Signaling Pathway: A Critical
Kübra Demir1,2, Rana Turgut1, Selcen Şentürk1
1Institute of Graduate Education Istanbul Health and Technology University Istanbul Türkiye.
Abstract:
Understanding the molecular signaling pathways of colorectal cancer (CRC) can be accepted as the first step in treatment strategy. Permanent mTOR signaling activation stimulates the CRC process via various biological processes. It supplies the survival of CRC stem cells, tumorigenesis, morbidity, and decreased response to drugs in CRC pathogenesis. Therefore, inhibition of the mTOR signaling by numerous bioactive components may be effective against CRC. The study aims to discuss the therapeutic capacity of various polyphenols, terpenoids, and alkaloids on CRC via the PI3K/Akt/mTOR pathway. The potential molecular effects of bioactive compounds on the mTOR pathway's upstream and downstream targets are examined. Each bioactive component causes various physiological processes, such as triggering free radical production, disruption of mitochondrial membrane potential, cell cycle arrest, inhibition of CRC stem cell migration, and suppression of glycolysis through mTOR signaling inhibition. As a result, carcinogenesis is inhibited by inducing apoptosis and autophagy. However, it should be noted that studies are primarily in vitro dose-dependent treatment researchers. This study raises awareness about the role of phenolic compounds in treating CRC, contributing to their future use as anticancer agents. These bioactive compounds have the potential to be developed into food supplementation to prevent and treat various cancer types including CRC. This review has the potential to lead to further development of clinical studies. In the future, mTOR inhibition by applying several bioactive agents using advanced drug delivery systems may contribute to CRC treatment with 3D cell culture and in vivo clinical studies.
Insights
Natural compounds like polyphenols can inhibit mTOR signaling, offering a new strategy against colorectal cancer (CRC) by targeting cancer stem cells and promoting apoptosis. Further research may lead to food supplementation for CRC prevention and treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Persistent activation of the mechanistic target of rapamycin (mTOR) signaling pathway is a key driver in colorectal cancer (CRC) pathogenesis.
- mTOR signaling promotes CRC stem cell survival, tumorigenesis, metastasis, and resistance to therapies.
- Targeting the PI3K/Akt/mTOR pathway presents a promising therapeutic strategy for CRC.
Purpose of the Study:
- To review the therapeutic potential of natural bioactive compounds, including polyphenols, terpenoids, and alkaloids, against CRC.
- To examine the molecular mechanisms by which these compounds modulate the PI3K/Akt/mTOR pathway and its targets.
- To highlight the potential of these compounds as anticancer agents and for CRC prevention.
Main Methods:
- Literature review of studies investigating the effects of natural compounds on CRC.
- Analysis of research focusing on the modulation of the PI3K/Akt/mTOR pathway by polyphenols, terpenoids, and alkaloids.
- Examination of in vitro studies detailing the molecular effects of these compounds on CRC cells.
Main Results:
- Bioactive compounds inhibit mTOR signaling, leading to reduced CRC stem cell survival, suppressed glycolysis, and cell cycle arrest.
- These compounds induce apoptosis and autophagy, key processes for eliminating cancer cells.
- Observed effects include free radical production and disruption of mitochondrial membrane potential in cancer cells.
Conclusions:
- Natural compounds targeting the mTOR pathway show significant potential for CRC treatment.
- Phenolic compounds, in particular, warrant further investigation for their anticancer properties.
- Development of these compounds into food supplements or therapeutic agents, supported by clinical studies, is a promising future direction.
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