Silibinin Anticancer Effects Through the Modulation of the Tumor Immune Microenvironment in Triple-Negative Breast

Shubham D Mishra1, Patricia Mendonca1,2, Sukhmandeep Kaur1

  • 1Division of Pharmaceutical Sciences, College of Pharmacy and Pharmaceutical Sciences, Institute of Public Health, Florida A&M University, Tallahassee, FL 32307, USA.

Insights

Silibinin shows promise in overcoming treatment resistance in triple-negative breast cancer (TNBC) by modulating the tumor immune microenvironment and redox pathways. This natural compound may reverse immunosuppression and enhance chemotherapy effectiveness in TNBC.

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • Triple-negative breast cancer (TNBC) presents significant therapeutic challenges due to its aggressive nature and resistance to conventional treatments.
  • Current therapies like chemotherapy and immune checkpoint inhibitors are often ineffective against TNBC because of tumor heterogeneity, immunosuppression, and altered redox pathways.

Purpose of the Study:

  • To explore the potential of silibinin in overcoming therapeutic resistance in TNBC.
  • To investigate silibinin's mechanisms of action in modulating the tumor immune microenvironment (TIME) and redox balance.

Main Methods:

  • Review of preclinical studies on silibinin's effects in TNBC models.
  • Analysis of silibinin's impact on key signaling pathways (JAK/STAT3, NF-κB, Nrf2) and cellular processes (EMT, CSCs).
  • Evaluation of silibinin's interaction with immune cells and its effect on PD-L1 expression.

Main Results:

  • Silibinin suppresses PD-L1, NF-κB-driven inflammation, and tumor-associated macrophage recruitment.
  • It disrupts redox adaptation via the Nrf2-EGFR-MYC-TXNIP axis, enhancing oxidative stress and chemosensitivity.
  • Silibinin inhibits epithelial-mesenchymal transition, reduces cancer stem cells, and synergizes with PD-1 inhibitors.

Conclusions:

  • Silibinin exhibits multifaceted anticancer effects by reshaping the TIME and reversing chemoresistance in TNBC.
  • Its dual antioxidant and immunomodulatory properties make it a promising adjunct therapy for TNBC.
  • Advanced formulations are needed to overcome silibinin's bioavailability limitations for improved clinical efficacy.

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