Natural products as anticancer agents and enhancing their efficacy by a mechanism-based precision approach

Traditional medicines and their active ingredients and some natural products and derived analogs have been used for treating multiple diseases including cancer. Among these compounds cytotoxic agents such as bleomycin, paclitaxel and vincristine block essential pathways and genes required for cancer...

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Main Author: Stephen Safe
Format: Article
Language:English
Published: Open Exploration 2024-07-01
Series:Exploration of Drug Science
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Online Access:https://www.explorationpub.com/uploads/Article/A100854/100854.pdf
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author Stephen Safe
author_facet Stephen Safe
author_sort Stephen Safe
collection DOAJ
description Traditional medicines and their active ingredients and some natural products and derived analogs have been used for treating multiple diseases including cancer. Among these compounds cytotoxic agents such as bleomycin, paclitaxel and vincristine block essential pathways and genes required for cancer cell growth and these agents have diverse clinical applications. Dietary phenolics including flavonoids and related compounds are associated with multiple health benefits however most individual dietary compounds and other natural products that show promising anticancer activity in preclinical studies exhibit minimal clinical effectiveness and this is particularly true for cancer. Many of the compounds perform poorly in clinical trials due to pharmacokinetic consideration and limited uptake (e.g., curcumin) and these are issues that can be addressed. The clinical effectiveness of flavonoids and many other natural product-derived anticancer compounds can also be enhanced by a more targeted approach. This would include identifying a significant response/gene or target in a specific cancer and then identifying the optimal compound. In this review, I have discussed a limited number of targets including non-oncogene addiction genes such as Sp transcription factors, reactive oxygen species (ROS) or the orphan nuclear receptor 4A (NR4A) sub-family. Thus, the most active compound for these responses could be used only for treating patients that are ROS-inducible or highly express targets such as Sp1 or NR4A sub-family members. A mechanism-based precision medicine approach should enhance the clinical efficacy of dietary and related natural products as anticancer agents and decrease toxic side effects for some combination therapies.
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spelling doaj-art-3a22e640cdc54ea580309c9d6c57259f2025-02-08T03:30:12ZengOpen ExplorationExploration of Drug Science2836-76772024-07-012440842710.37349/eds.2024.00054Natural products as anticancer agents and enhancing their efficacy by a mechanism-based precision approachStephen Safe0https://orcid.org/0000-0002-2115-3060Department of Veterinary Physiology and Pharmacology, College of Veterinary Medicine, Texas A&M University, Bryan, TX 77843, USATraditional medicines and their active ingredients and some natural products and derived analogs have been used for treating multiple diseases including cancer. Among these compounds cytotoxic agents such as bleomycin, paclitaxel and vincristine block essential pathways and genes required for cancer cell growth and these agents have diverse clinical applications. Dietary phenolics including flavonoids and related compounds are associated with multiple health benefits however most individual dietary compounds and other natural products that show promising anticancer activity in preclinical studies exhibit minimal clinical effectiveness and this is particularly true for cancer. Many of the compounds perform poorly in clinical trials due to pharmacokinetic consideration and limited uptake (e.g., curcumin) and these are issues that can be addressed. The clinical effectiveness of flavonoids and many other natural product-derived anticancer compounds can also be enhanced by a more targeted approach. This would include identifying a significant response/gene or target in a specific cancer and then identifying the optimal compound. In this review, I have discussed a limited number of targets including non-oncogene addiction genes such as Sp transcription factors, reactive oxygen species (ROS) or the orphan nuclear receptor 4A (NR4A) sub-family. Thus, the most active compound for these responses could be used only for treating patients that are ROS-inducible or highly express targets such as Sp1 or NR4A sub-family members. A mechanism-based precision medicine approach should enhance the clinical efficacy of dietary and related natural products as anticancer agents and decrease toxic side effects for some combination therapies.https://www.explorationpub.com/uploads/Article/A100854/100854.pdfphenolicsflavonoidscancerprecision medicine
spellingShingle Stephen Safe
Natural products as anticancer agents and enhancing their efficacy by a mechanism-based precision approach
Exploration of Drug Science
phenolics
flavonoids
cancer
precision medicine
title Natural products as anticancer agents and enhancing their efficacy by a mechanism-based precision approach
title_full Natural products as anticancer agents and enhancing their efficacy by a mechanism-based precision approach
title_fullStr Natural products as anticancer agents and enhancing their efficacy by a mechanism-based precision approach
title_full_unstemmed Natural products as anticancer agents and enhancing their efficacy by a mechanism-based precision approach
title_short Natural products as anticancer agents and enhancing their efficacy by a mechanism-based precision approach
title_sort natural products as anticancer agents and enhancing their efficacy by a mechanism based precision approach
topic phenolics
flavonoids
cancer
precision medicine
url https://www.explorationpub.com/uploads/Article/A100854/100854.pdf
work_keys_str_mv AT stephensafe naturalproductsasanticanceragentsandenhancingtheirefficacybyamechanismbasedprecisionapproach