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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.
Abstract:
Triple-negative breast cancer (TNBC), characterized by the absence of estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2), remains a therapeutic challenge due to its aggressive nature, limited treatment options, and high recurrence rates. Current therapies, including chemotherapy and immune checkpoint inhibitors, face resistance driven by tumor heterogeneity, immunosuppressive signaling, and dysregulated redox pathways. This review explores silibinin's potential to modulate the tumor immune microenvironment (TIME) and overcome therapeutic resistance in TNBC. Silibinin exerts multifaceted anticancer effects by suppressing PD-L1 expression through the inhibition of JAK/STAT3 signaling and MUC1-C interaction, attenuating NF-κB-driven inflammation, and downregulating CCL2-mediated recruitment of tumor-associated macrophages (TAMs). Additionally, silibinin disrupts redox adaptation by targeting the Nrf2-EGFR-MYC-TXNIP axis, enhancing oxidative stress and chemosensitivity. Preclinical studies highlight its ability to inhibit epithelial-mesenchymal transition (EMT), reduce cancer stem cell (CSC) populations, and synergize with existing therapies like PD-1 inhibitors. Despite its low bioavailability, advanced formulations such as liposomes and nanoparticles show promise in improving delivery and efficacy. By reshaping TIME through dual antioxidant and immunomodulatory mechanisms, silibinin emerges as a viable adjunct therapy to reverse immunosuppression and chemoresistance in TNBC.
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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