Sulforaphane’s Role in Osteosarcoma Treatment: A Systematic Review and Meta-Analysis of Preclinical Studies

<b>Background/Objectives</b>: Osteosarcoma (OSA) is the most common bone cancer, characterized by rapid progression and poor prognosis. The isothiocyanate sulforaphane (SFN), has gained scientific interest because of its potent anticancer properties. The aim of this study was to conduct...

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Main Authors: Polymnia Louka, Nuno Ferreira, Antonia Sophocleous
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/13/5/1048
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author Polymnia Louka
Nuno Ferreira
Antonia Sophocleous
author_facet Polymnia Louka
Nuno Ferreira
Antonia Sophocleous
author_sort Polymnia Louka
collection DOAJ
description <b>Background/Objectives</b>: Osteosarcoma (OSA) is the most common bone cancer, characterized by rapid progression and poor prognosis. The isothiocyanate sulforaphane (SFN), has gained scientific interest because of its potent anticancer properties. The aim of this study was to conduct a systematic review of research examining the effectiveness of SFN as a treatment for OSA. <b>Methods</b>: A literature search was conducted using MEDLINE, EMBASE, and Web of Science. Studies evaluating the therapeutic efficacy of SFN on OSA were included, while studies examining the effects of isothiocyanates other than SFN were excluded. The quality of the studies was evaluated using the OHAT risk of bias rating tool, and the meta-analysis was conducted using RevMan. Cancer-related outcomes evaluated included cell viability/migration/invasion, cell cycle arrest, apoptosis induction, antioxidant activity, colony formation, and tumour size. A protocol describing the review plan was registered to INPLASY (INPLASY202530001). <b>Results:</b> Ten articles were considered eligible for qualitative synthesis and meta-analysis. All articles included in vitro studies, with two also incorporating in vivo studies, utilizing a combination of human, canine, and murine OSA cell lines. This review indicates that SFN could be beneficial in the treatment of OSA, particularly by reducing cell viability, inducing apoptosis, arresting the cell cycle, and decreasing invasiveness and migration. It emphasizes dose-dependent effects, the need for human trials, and highlights limitations like study heterogeneity and SFN’s bioavailability challenges. <b>Conclusions:</b> This review explores SFN’s potential in OSA at the preclinical stage, focusing on cell apoptosis and proliferation. It highlights promising evidence but calls for more human trials. This research received no external funding.
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spelling doaj-art-0c2f3f111e7140718c53ed63a56bd1cb2025-08-20T02:33:43ZengMDPI AGBiomedicines2227-90592025-04-01135104810.3390/biomedicines13051048Sulforaphane’s Role in Osteosarcoma Treatment: A Systematic Review and Meta-Analysis of Preclinical StudiesPolymnia Louka0Nuno Ferreira1Antonia Sophocleous2Translational Neuropharmacology Laboratory, Department of Psychology, University of Cyprus, Nicosia 2109, CyprusDepartment of Social Sciences, University of Nicosia, 46, Makedonitissas Avenue, Engomi, Nicosia 2417, CyprusDepartment of Life Sciences, School of Sciences, European University of Cyprus, 6, Diogenes Str., Engomi, Nicosia 2404, Cyprus<b>Background/Objectives</b>: Osteosarcoma (OSA) is the most common bone cancer, characterized by rapid progression and poor prognosis. The isothiocyanate sulforaphane (SFN), has gained scientific interest because of its potent anticancer properties. The aim of this study was to conduct a systematic review of research examining the effectiveness of SFN as a treatment for OSA. <b>Methods</b>: A literature search was conducted using MEDLINE, EMBASE, and Web of Science. Studies evaluating the therapeutic efficacy of SFN on OSA were included, while studies examining the effects of isothiocyanates other than SFN were excluded. The quality of the studies was evaluated using the OHAT risk of bias rating tool, and the meta-analysis was conducted using RevMan. Cancer-related outcomes evaluated included cell viability/migration/invasion, cell cycle arrest, apoptosis induction, antioxidant activity, colony formation, and tumour size. A protocol describing the review plan was registered to INPLASY (INPLASY202530001). <b>Results:</b> Ten articles were considered eligible for qualitative synthesis and meta-analysis. All articles included in vitro studies, with two also incorporating in vivo studies, utilizing a combination of human, canine, and murine OSA cell lines. This review indicates that SFN could be beneficial in the treatment of OSA, particularly by reducing cell viability, inducing apoptosis, arresting the cell cycle, and decreasing invasiveness and migration. It emphasizes dose-dependent effects, the need for human trials, and highlights limitations like study heterogeneity and SFN’s bioavailability challenges. <b>Conclusions:</b> This review explores SFN’s potential in OSA at the preclinical stage, focusing on cell apoptosis and proliferation. It highlights promising evidence but calls for more human trials. This research received no external funding.https://www.mdpi.com/2227-9059/13/5/1048sulforaphaneSFNosteosarcomaOSApreclinical studiessystematic review
spellingShingle Polymnia Louka
Nuno Ferreira
Antonia Sophocleous
Sulforaphane’s Role in Osteosarcoma Treatment: A Systematic Review and Meta-Analysis of Preclinical Studies
Biomedicines
sulforaphane
SFN
osteosarcoma
OSA
preclinical studies
systematic review
title Sulforaphane’s Role in Osteosarcoma Treatment: A Systematic Review and Meta-Analysis of Preclinical Studies
title_full Sulforaphane’s Role in Osteosarcoma Treatment: A Systematic Review and Meta-Analysis of Preclinical Studies
title_fullStr Sulforaphane’s Role in Osteosarcoma Treatment: A Systematic Review and Meta-Analysis of Preclinical Studies
title_full_unstemmed Sulforaphane’s Role in Osteosarcoma Treatment: A Systematic Review and Meta-Analysis of Preclinical Studies
title_short Sulforaphane’s Role in Osteosarcoma Treatment: A Systematic Review and Meta-Analysis of Preclinical Studies
title_sort sulforaphane s role in osteosarcoma treatment a systematic review and meta analysis of preclinical studies
topic sulforaphane
SFN
osteosarcoma
OSA
preclinical studies
systematic review
url https://www.mdpi.com/2227-9059/13/5/1048
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AT nunoferreira sulforaphanesroleinosteosarcomatreatmentasystematicreviewandmetaanalysisofpreclinicalstudies
AT antoniasophocleous sulforaphanesroleinosteosarcomatreatmentasystematicreviewandmetaanalysisofpreclinicalstudies