Tetrandrine and cancer – An overview on the molecular approach - 31/12/17
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Graphical abstract |
Highlights |
• | Tetrandrine is an anticancer compound extracted from Stephania tetrandra. |
• | Tetrandrine modulates signaling molecules of cell cycle, RAS, autophagy, β-catenin and caspase pathways. |
• | Tetrandrine helps in reversal of multi drug resistance without affecting the pharmacokinetic parameters. |
Abstract |
Tetrandrine has been known in the treatment of tuberculosis, hyperglycemia, negative ionotropic and chronotropic effects on myocardium, malaria, cancer and fever since years together. It has been known that, tetrandrine could modulate multiple signaling molecules such as kinases of cell cycle and rat sarcoma (RAS) pathway along with proteins of tumor suppressor genes, autophagy related, β-catenins, caspases, and death receptors. Moreover, tetrandrine exhibited reversal of drug resistance by modulating P-glyco protein (P-gp) expression levels in different cancers which is an added advantage of this compound compared to other chemotherapy drugs. Though, bioavailability of tetrandrine is a limiting factor, the anticancer activity was observed in animal models without changing any pharmacokinetic parameters. In the present review, role of tetrandrine as kinase inhibitor, inducer of autophagy and caspase pathways and suppressor of RAS mediated cell proliferation were discussed along with inhibition of angiogenesis. It has also been discussed that how tetrandrine potentiate anticancer effect in different types of cancers by modulating multidrug resistance under in vitro and in vivo trials including the available literature on the clinical trials.
Le texte complet de cet article est disponible en PDF.Abbreviations : ADAM, AKT, APAF 1, APC, ATG, BAK, BAX, Bcl-2, Bcl-xl, BID, CD 31, CDK, CHK, CIP/KIP, c-MET, Cyc, Cyt C, DR, EGFR, ERK, FADD, FAS, FASL, FDA, FGF, FLIP, GEF, GF, GSK 3β, HAI-1, HGF, HRAS, IAP, ICAM-1, IFN, IL, INK, KRAS, LC3, MDM 2, MEK, MKK, MMP, mTOR, NF-KB, NRAS, p27, p21, p53, p38, PI3K, PTEN, RB-P, ROS, RAF, RAS, RB, tBID, TNF, TNFR, TRADD, TRAIL, VEGF, WEE
Keywords : Tetrandrine, Cyclin dependant kinase inhibitor, Apoptosis, Multi drug resistance, Bioavailability
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