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Oncopreventive and Oncotherapeutic Potential of Plant Secondary Metabolites Against Gastric Cancer: A Review
Subhadas Chatterjee1,2, Sankhadip Bose2, Satarupa Acharjee3
1Department of Pharmacy, Sanaka Educational Trust's Group of Institutions, Durgapur, West Bengal, India.
Abstract:
Gastric cancer, the fifth most prevalent cancer globally, presents a significant challenge for effective treatment. Despite advancements, chemotherapy is often hindered by severe side effects and drug resistance, whereas targeted immunotherapy exhibits inconsistent efficacy. Amidst these challenges, plant secondary metabolites or phytochemicals have emerged as promising agents for the prevention and treatment of gastric cancer. The aim of this review is to perform a comprehensive evaluation of the gastric cancer preventive and therapeutic effects of various phytochemicals with an understanding of related mechanisms of action. A structured literature search was followed to collect preclinical and clinical data on the effects of phytochemicals in combating gastric cancer. Results have indicated that alkaloids, glycosides, polyphenols, sulfur-containing compounds, and terpenoids inhibited gastric cancer cell proliferation in vitro and suppressed gastric tumor growth in vivo. These effects are driven by mechanisms such as alterations of pro-apoptotic and anti-apoptotic proteins, induction of cell cycle arrest, and promotion of apoptosis and autophagy. Additionally, alkaloids and terpenoids influence cancer progression through epigenetic modifications, such as alterations in DNA methylation and histone modifications, as well as through regulating inflammatory pathways, such as the nuclear factor-κB pathway. Moreover, glycosides, polyphenols, and sulfur-containing compounds modulate critical signaling pathways related to cancer cell survival, proliferation, progression, and metastasis, including rat sarcoma/mitogen-activated protein kinase, wingless-related integration site/β-catenin, and phosphoinositide 3-kinase/protein kinase B/mammalian target of rapamycin signal transduction pathway. Despite promising preclinical results, further detailed studies, including clinical trials, are crucial to validate the clinical utility of phytochemicals in gastric cancer prevention and therapy.
Insights
Phytochemicals like alkaloids and polyphenols show potential in preventing and treating gastric cancer by inhibiting cell growth and tumor progression. Further clinical trials are needed to confirm their therapeutic benefits.
Area of Science:
- Oncology
- Pharmacology
- Natural Products Chemistry
Background:
- Gastric cancer is a leading global health concern with limited treatment options.
- Chemotherapy and immunotherapy for gastric cancer face challenges like side effects and variable efficacy.
- Phytochemicals, derived from plants, offer a promising avenue for gastric cancer prevention and treatment.
Purpose of the Study:
- To comprehensively review the preventive and therapeutic effects of phytochemicals against gastric cancer.
- To elucidate the mechanisms of action underlying the anti-gastric cancer properties of phytochemicals.
Main Methods:
- A structured literature search was conducted to gather preclinical and clinical data.
- Data on phytochemicals' effects on gastric cancer cell proliferation, tumor growth, and molecular mechanisms were analyzed.
Main Results:
- Alkaloids, glycosides, polyphenols, sulfur-containing compounds, and terpenoids demonstrated inhibition of gastric cancer cell proliferation and tumor growth.
- Mechanisms include apoptosis induction, cell cycle arrest, autophagy promotion, epigenetic modifications, and modulation of key signaling pathways (e.g., NF-κB, MAPK, Wnt/β-catenin, PI3K/Akt/mTOR).
Conclusions:
- Phytochemicals exhibit significant potential for gastric cancer prevention and therapy.
- Further clinical research is essential to validate the efficacy and safety of phytochemicals for clinical application in gastric cancer treatment.
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