Harnessing the anticancer potential of Piper nigrum: a synergistic approach to chemotherapy enhancement and reduced side effects

Abstract Cancer therapy continues to face critical challenges, including drug resistance, recurrence, and severe side effects, which often compromise patient outcomes and quality of life. Exploring novel, cost-effective approaches, this review highlights the potential of Piper nigrum (black pepper)...

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Main Authors: Hesti Lina Wiraswati, Ilma Fauziah Ma’ruf, Nur Akmalia Hidayati, Julia Ramadhanti, Daniela Calina, Javad Sharifi-Rad
Format: Article
Language:English
Published: Springer 2025-01-01
Series:Discover Oncology
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Online Access:https://doi.org/10.1007/s12672-024-01716-4
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author Hesti Lina Wiraswati
Ilma Fauziah Ma’ruf
Nur Akmalia Hidayati
Julia Ramadhanti
Daniela Calina
Javad Sharifi-Rad
author_facet Hesti Lina Wiraswati
Ilma Fauziah Ma’ruf
Nur Akmalia Hidayati
Julia Ramadhanti
Daniela Calina
Javad Sharifi-Rad
author_sort Hesti Lina Wiraswati
collection DOAJ
description Abstract Cancer therapy continues to face critical challenges, including drug resistance, recurrence, and severe side effects, which often compromise patient outcomes and quality of life. Exploring novel, cost-effective approaches, this review highlights the potential of Piper nigrum (black pepper) extract (PNE) as a complementary anticancer agent. Piper nigrum, a widely available spice with a rich history in traditional medicine, contains bioactive compounds such as piperine, which have demonstrated significant anticancer activities including cell cycle arrest, apoptosis induction, and inhibition of tumor growth and metastasis. The review evaluates the recent findings from in vitro, in vivo, and clinical studies, emphasizing PNE's capacity to enhance the efficacy of conventional chemotherapeutic agents while mitigating their side effects. Key mechanisms underlying these effects include oxidative stress modulation, suppression of pro-metastatic factors, and synergistic interactions with established drugs like doxorubicin and paclitaxel. These interactions suggest that PNE could play a pivotal role in overcoming chemoresistance and improving therapeutic outcomes. Furthermore, this review highlights the potential benefits of PNE in resource-limited settings, where the cost of cancer treatments often restricts access. However, challenges such as compositional variability, limited bioavailability, and the need for standardization and clinical validation need to be addressed to advance the integration of PNE into basic oncology. By providing a comprehensive analysis of the anticancer mechanisms of PNE and its potential as a cost-effective adjuvant therapy, this review provides new insight into the exploitation of Piper nigrum to improve cancer treatment efficacy while reducing side effects. Future research directions are discussed to address current limitations and facilitate clinical translation.
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spelling doaj-art-4046051ca79d458ab088225198cdc92c2025-01-12T12:29:14ZengSpringerDiscover Oncology2730-60112025-01-0116112110.1007/s12672-024-01716-4Harnessing the anticancer potential of Piper nigrum: a synergistic approach to chemotherapy enhancement and reduced side effectsHesti Lina Wiraswati0Ilma Fauziah Ma’ruf1Nur Akmalia Hidayati2Julia Ramadhanti3Daniela Calina4Javad Sharifi-Rad5Department of Biomedical Sciences, Faculty of Medicine, Universitas PadjadjaranResearch Center for Pharmaceutical Ingredients and Traditional Medicine, National Research and Innovation AgencyResearch Center for Applied Microbiology, BRINDepartment of Biomedical Sciences, Faculty of Medicine, Universitas PadjadjaranDepartment of Clinical Pharmacy, University of Medicine and Pharmacy of CraiovaUniversidad Espíritu SantoAbstract Cancer therapy continues to face critical challenges, including drug resistance, recurrence, and severe side effects, which often compromise patient outcomes and quality of life. Exploring novel, cost-effective approaches, this review highlights the potential of Piper nigrum (black pepper) extract (PNE) as a complementary anticancer agent. Piper nigrum, a widely available spice with a rich history in traditional medicine, contains bioactive compounds such as piperine, which have demonstrated significant anticancer activities including cell cycle arrest, apoptosis induction, and inhibition of tumor growth and metastasis. The review evaluates the recent findings from in vitro, in vivo, and clinical studies, emphasizing PNE's capacity to enhance the efficacy of conventional chemotherapeutic agents while mitigating their side effects. Key mechanisms underlying these effects include oxidative stress modulation, suppression of pro-metastatic factors, and synergistic interactions with established drugs like doxorubicin and paclitaxel. These interactions suggest that PNE could play a pivotal role in overcoming chemoresistance and improving therapeutic outcomes. Furthermore, this review highlights the potential benefits of PNE in resource-limited settings, where the cost of cancer treatments often restricts access. However, challenges such as compositional variability, limited bioavailability, and the need for standardization and clinical validation need to be addressed to advance the integration of PNE into basic oncology. By providing a comprehensive analysis of the anticancer mechanisms of PNE and its potential as a cost-effective adjuvant therapy, this review provides new insight into the exploitation of Piper nigrum to improve cancer treatment efficacy while reducing side effects. Future research directions are discussed to address current limitations and facilitate clinical translation.https://doi.org/10.1007/s12672-024-01716-4AnticancerApoptosisBlack pepperChemotherapyPiper nigrumSynergistic therapy
spellingShingle Hesti Lina Wiraswati
Ilma Fauziah Ma’ruf
Nur Akmalia Hidayati
Julia Ramadhanti
Daniela Calina
Javad Sharifi-Rad
Harnessing the anticancer potential of Piper nigrum: a synergistic approach to chemotherapy enhancement and reduced side effects
Discover Oncology
Anticancer
Apoptosis
Black pepper
Chemotherapy
Piper nigrum
Synergistic therapy
title Harnessing the anticancer potential of Piper nigrum: a synergistic approach to chemotherapy enhancement and reduced side effects
title_full Harnessing the anticancer potential of Piper nigrum: a synergistic approach to chemotherapy enhancement and reduced side effects
title_fullStr Harnessing the anticancer potential of Piper nigrum: a synergistic approach to chemotherapy enhancement and reduced side effects
title_full_unstemmed Harnessing the anticancer potential of Piper nigrum: a synergistic approach to chemotherapy enhancement and reduced side effects
title_short Harnessing the anticancer potential of Piper nigrum: a synergistic approach to chemotherapy enhancement and reduced side effects
title_sort harnessing the anticancer potential of piper nigrum a synergistic approach to chemotherapy enhancement and reduced side effects
topic Anticancer
Apoptosis
Black pepper
Chemotherapy
Piper nigrum
Synergistic therapy
url https://doi.org/10.1007/s12672-024-01716-4
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