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Evidence-based Anticancer Materia Medica for Colorectal Cancer

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Materia Medica for Various Cancers

Part of the book series: Evidence-based Anticancer Complementary and Alternative Medicine ((ACAM,volume 2))

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Abstract

Unfortunately, majority of patients with metastatic colorectal cancer cannot be cured. Current available systemic chemotherapy and targeted agents produce meaningful improvement in median survival and progression free survival. However toxicity associated with these therapies can worsen the quality of life for patients. Therefore there is an interest in looking at alternative medicine to reduce the side effect and possibly enhance the efficacy of cytotoxic chemotherapy. There are a large number of preclinical studies looking at ginseng products as chemopreventive agents. They induce apoptosis and cytotoxicity in multiple colorectal cell lines but lack of definitive clinical studies. Both curcumin and thymoquinone show promising preclinical data in vitro and in vivo but lack of clinical efficacy studies. There is emerging preclinical data that herbal products in combination with chemotherapy can reduce toxicity and enhance the cytotoxicity of chemotherapeutic agents like 5-fluorouracil. However there is discordance between the amount of preclinical data available and what herbal agents are tested in clinical trial setting. In this chapter, we will review the current data available for herbal medicine in the treatment of advanced colorectal cancer.

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References

  • Aggarwal BB, Sung B (2009) Pharmacological basis for the role of curcumin in chronic diseases: an age-old spice with modern targets. Trends Pharmacol Sci 30:85–94

    Article  PubMed  CAS  Google Scholar 

  • Aggarwal BB, Sundaram C, Malani N, Ichikawa H (2007) Curcumin: the Indian solid gold. Adv Exp Med Biol 595:1–75

    Article  PubMed  Google Scholar 

  • Anand P, Thomas SG, Kunnumakkara AB, Sundaram C, Harikumar KB, Sung B et al (2008) Biological activities of curcumin and its analogues (Congeners) made by man and Mother Nature. Biochem Pharmacol 76:1590–1611

    Article  PubMed  CAS  Google Scholar 

  • Arafa el SA, Zhu Q, Shah ZI, Wani G, Barakat BM, Racoma I et al (2011) Thymoquinone up-regulates PTEN expression and induces apoptosis in doxorubicin-resistant human breast cancer cells. Mutat Res 706:28–35

    Google Scholar 

  • Auyeung KK, Ko JK (2010) Novel herbal flavonoids promote apoptosis but differentially induce cell cycle arrest in human colon cancer cell. Invest New Drugs 28:1–13

    Article  PubMed  CAS  Google Scholar 

  • Axelson M, Sjovall J, Gustafsson BE, Setchell KD (1984) Soya–a dietary source of the non-steroidal oestrogen equol in man and animals. J Endocrinol 102:49–56

    Article  PubMed  CAS  Google Scholar 

  • Badary OA, Al-Shabanah OA, Nagi MN, Al-Rikabi AC, Elmazar MM (1999) Inhibition of benzo(a)pyrene-induced forestomach carcinogenesis in mice by thymoquinone. Eur J Cancer Prev 8:435–440

    Article  PubMed  CAS  Google Scholar 

  • Banerjee S, Kaseb AO, Wang ZW, Kong DJ, Mohammad M, Padhye S et al (2009) Antitumor activity of gemcitabine and oxaliplatin is augmented by thymoquinone in pancreatic cancer. Cancer Res 69:5575–5583

    Article  PubMed  CAS  Google Scholar 

  • Banerjee S, Padhye S, Azmi A, Wang Z, Philip PA, Kucuk O et al (2010) Review on molecular and therapeutic potential of thymoquinone in cancer. Nutr Cancer 62:938–946

    Article  PubMed  CAS  Google Scholar 

  • Barnes PM, Bloom B, Nahin RL, National Center for Health Statistics (U.S.) (2008) Complementary and alternative medicine use among adults and children: United States, 2007. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Hyattsville

    Google Scholar 

  • Borras C, Gambini J, Lopez-Grueso R, Pallardo FV, Vina J (2010) Direct antioxidant and protective effect of estradiol on isolated mitochondria. Biochim Biophys Acta 1802:205–211

    PubMed  CAS  Google Scholar 

  • Cheng CC, Yang SM, Huang CY, Chen JC, Chang WM, Hsu SL (2005) Molecular mechanisms of ginsenoside Rh2-mediated G1 growth arrest and apoptosis in human lung adenocarcinoma A549 cells. Cancer Chemother Pharmacol 55:531–540

    Article  PubMed  CAS  Google Scholar 

  • Cheng H, Li S, Fan Y, Gao X, Hao M, Wang J et al (2010) Comparative studies of the antiproli­ferative effects of ginseng polysaccharides on HT-29 human colon cancer cells. Med Oncol 28:175–181

    Article  PubMed  Google Scholar 

  • Choo MK, Sakurai H, Kim DH, Saiki I (2008) A ginseng saponin metabolite suppresses tumor necrosis factor-alpha-promoted metastasis by suppressing nuclear factor-kappaB signaling in murine colon cancer cells. Oncol Rep 19:595–600

    PubMed  CAS  Google Scholar 

  • Chu SF, Zhang JT (2009) New achievements in ginseng research and its future prospects. Chin J Integr Med 15:403–408

    Article  PubMed  CAS  Google Scholar 

  • Collett GP, Campbell FC (2004) Curcumin induces c-jun N-terminal kinase-dependent apoptosis in HCT116 human colon cancer cells. Carcinogenesis 25:2183–2189

    Article  PubMed  CAS  Google Scholar 

  • Correa-Velez I, Clavarino A, Barnett AG, Eastwood H (2003) Use of complementary and alternative medicine and QoL: changes at the end of life. Palliat Med 17:695–703

    PubMed  Google Scholar 

  • Coward L, Smith M, Kirk M, Barnes S (1998) Chemical modification of isoflavones in soyfoods during cooking and processing. Am J Clin Nutr 68:1486S–1491S

    PubMed  CAS  Google Scholar 

  • Cui XL, Jin Y, Poudyal D, Chumanevich AA, Davis T, Windust A et al (2010) Mechanistic insight into the ability of American ginseng to suppress colon cancer associated with colitis. Carcinogenesis 31:1734–1741

    Article  PubMed  CAS  Google Scholar 

  • Das B, Tandon V, Saha N (2004) Anthelmintic efficacy of Flemingia vestita (Fabaceae): alteration in the activities of some glycolytic enzymes in the cestode, Raillietina echinobothrida. Parasitol Res 93:253–261

    Article  PubMed  CAS  Google Scholar 

  • Eng C (2010) Are herbal medicines ripe for the cancer clinic? Sci Transl Med 2:45ps4l

    Article  Google Scholar 

  • Farrell MP, Kummar S (2003) Phase I/IIA randomized study of PHY906, a novel herbal agent, as a modulator of chemotherapy in patients with advanced colorectal cancer. Clin Colorectal Cancer 2:253–256

    Article  PubMed  CAS  Google Scholar 

  • Fishbein AB, Wang CZ, Li XL, Mehendale SR, Sun S, Aung HH et al (2009) Asian ginseng enhances the anti-proliferative effect of 5-fluorouracil on human colorectal cancer: comparison between white and red ginseng. Arch Pharm Res 32:505–513

    Article  PubMed  CAS  Google Scholar 

  • Fukushima S, Wanibuchi H, Li W (2001) Inhibition by ginseng of colon carcinogenesis in rats. J Korean Med Sci 16:S75–S80

    PubMed  Google Scholar 

  • Gali-Muhtasib H, Diab-Assaf M, Boltze C, Al-Hmaira J, Hartig R, Roessner A et al (2004) Thymoquinone extracted from black seed triggers apoptotic cell death in human colorectal cancer cells via a p53-dependent mechanism. Int J Oncol 25:857–866

    PubMed  CAS  Google Scholar 

  • Gali-Muhtasib H, Roessner A, Schneider-Stock R (2006) Thymoquinone: a promising anti-cancer drug from natural sources. Int J Biochem Cell Biol 38:1249–1253

    Article  PubMed  CAS  Google Scholar 

  • Giri B, Gomes A, Sengupta R, Banerjee S, Nautiyal J, Sarkar FH et al (2009) Curcumin synergizes the growth inhibitory properties of Indian toad (Bufo melanostictus Schneider) skin-derived factor (BM-ANF1) in HCT-116 colon cancer cells. Anticancer Res 29:395–401

    PubMed  CAS  Google Scholar 

  • Gupta D, Lis CG, Birdsall TC, Grutsch JF (2005) The use of dietary supplements in a community hospital comprehensive cancer center: implications for conventional cancer care. Support Care Cancer 13:912–919

    Article  PubMed  Google Scholar 

  • Helms S (2004) Cancer prevention and therapeutics: Panax ginseng. Altern Med Rev 9:259–274

    PubMed  Google Scholar 

  • Hwang JT, Ha J, Park OJ (2005) Combination of 5-fluorouracil and genistein induces apoptosis synergistically in chemo-resistant cancer cells through the modulation of AMPK and COX-2 signaling pathways. Biochem Biophys Res Commun 332:433–440

    Article  PubMed  CAS  Google Scholar 

  • Hwang YW, Kim SY, Jee SH, Kim YN, Nam CM (2009) Soy food consumption and risk of prostate cancer: a meta-analysis of observational studies. Nutr Cancer 61:598–606

    Article  PubMed  CAS  Google Scholar 

  • Jafri SH, Glass J, Shi RH, Zhang SL, Prince M, Kleiner-Hancock H (2010) Thymoquinone and cisplatin as a therapeutic combination in lung cancer: in vitro and in vivo. J Exp Clin Cancer Res 29:87

    Article  PubMed  Google Scholar 

  • Kaseb AO, Chinnakannu K, Chen D, Sivanandam A, Tejwani S, Menon M et al (2007) Androgen receptor and E2F-1 targeted thymoquinone therapy for hormone-refractory prostate cancer. Cancer Res 67:7782–7788

    Article  PubMed  CAS  Google Scholar 

  • Kim H, Xu J, Su Y, Xia H, Li L, Peterson G et al (2001) Actions of the soy phytoestrogen genistein in models of human chronic disease: potential involvement of transforming growth factor beta. Biochem Soc Trans 29:216–222

    Article  PubMed  CAS  Google Scholar 

  • Kim JH, Kim HP, Jung CH, Hong MH, Hong MC, Bae HS et al (2006) Inhibition of cell cycle progression via p27Kip1 upregulation and apoptosis induction by an ethanol extract of Rhus verniciflua Stokes in AGS gastric cancer cells. Int J Mol Med 18:201–208

    PubMed  Google Scholar 

  • Kim JH, Jung CH, Jang BH, Go HY, Park JH, Choi YK et al (2009a) Selective cytotoxic effects on human cancer cell lines of phenolic-rich ethyl-acetate fraction from Rhus verniciflua Stokes. Am J Chin Med 37:609–620

    Article  PubMed  CAS  Google Scholar 

  • Kim SH, Kim SH, Kim YB, Jeon YT, Lee SC, Song YS (2009b) Genistein inhibits cell growth by modulating various mitogen-activated protein kinases and Akt in cervical cancer cells. Natural compounds and their role in apoptotic cell signaling pathways. Ann N Y Acad Sci 1171:495–500

    Article  PubMed  CAS  Google Scholar 

  • Kim SM, Lee SY, Yuk DY, Moon DC, Choi SS, Kim Y et al (2009c) Inhibition of NF-kappaB by ginsenoside Rg3 enhances the susceptibility of colon cancer cells to docetaxel. Arch Pharm Res 32:755–765

    Article  PubMed  CAS  Google Scholar 

  • King ML, Murphy LL (2010) Role of cyclin inhibitor protein p21 in the inhibition of HCT116 human colon cancer cell proliferation by American ginseng (Panax quinquefolius) and its constituents. Phytomedicine 17:261–268

    Article  PubMed  CAS  Google Scholar 

  • Kitts DD, Lim KT (2001) Antitumorigenic and cytotoxic properties of an ethanol extract derived from Rhus verniciflua Stokes (RVS). J Toxicol Environ Health A 64:357–371

    Article  PubMed  CAS  Google Scholar 

  • Kunnumakkara AB, Diagaradjane P, Anand P, Kuzhuvelil HB, Deorukhkar A, Gelovani J et al (2009) Curcumin sensitizes human colorectal cancer to capecitabine by modulation of cyclin D1, COX-2, MMP-9, VEGF and CXCR4 expression in an orthotopic mouse model. Int J Cancer 125:2187–2197

    Article  PubMed  CAS  Google Scholar 

  • Lam W, Bussom S, Guan F, Jiang Z, Zhang W, Gullen EA et al (2010) The four-herb Chinese medicine PHY906 reduces chemotherapy-induced gastrointestinal toxicity. Sci Transl Med 2:45ra59

    Article  PubMed  Google Scholar 

  • Lee SD, Lo MJ (2010) Ginsenoside Rb1 promotes PC12 cell cycle kinetics through an adenylate cyclase-dependent protein kinase A pathway. Nutr Res 30:660–666

    Article  PubMed  CAS  Google Scholar 

  • Lee JH, Lee HJ, Choi WC, Yoon SW, Ko SG, Ahn KS et al (2009a) Rhus verniciflua Stokes prevents cisplatin-induced cytotoxicity and reactive oxygen species production in MDCK-I renal cells and intact mice. Phytomedicine 16:188–197

    Article  PubMed  CAS  Google Scholar 

  • Lee SK, Jung HS, Eo WK, Lee SY, Kim SH, Shim BS (2010) Rhus verniciflua Stokes extract as a potential option for treatment of metastatic renal cell carcinoma: report of two cases. Ann Oncol 21:1383–1385, U269

    Article  PubMed  CAS  Google Scholar 

  • Lee SY, Kim GT, Roh SH, Song JS, Kim HJ, Hong SS et al (2009b) Proteome changes related to the anti-cancer activity of HT29 cells by the treatment of ginsenoside R-d. Pharmazie 64:242–247

    PubMed  CAS  Google Scholar 

  • Li J, Ichikawa T, Jin Y, Hofseth LJ, Nagarkatti P, Nagarkatti M et al (2010) An essential role of Nrf2 in American ginseng-mediated anti-oxidative actions in cardiomyocytes. J Ethnopharmacol 130:222–230

    Article  PubMed  Google Scholar 

  • Li W, Wanibuchi H, Salim EI, Wei M, Yamamoto S, Nishino H et al (2000) Inhibition by ginseng of 1,2-dimethylhydrazine induction of aberrant crypt foci in the rat colon. Nutr Cancer 36:66–73

    Article  PubMed  CAS  Google Scholar 

  • Liang QL, Pan DC, Xie JR (2009) Effect of Shenqi Fuzheng injection combined with chemotherapy in treating advanced colorectal carcinoma. Zhongguo Zhong Xi Yi Jie He Za Zhi 29:439–441

    PubMed  CAS  Google Scholar 

  • Lim KT, Hu C, Kitts DD (2001) Antioxidant activity of a Rhus verniciflua Stokes ethanol extract. Food Chem Toxicol 39:229–237

    Article  PubMed  CAS  Google Scholar 

  • Mok TS, Yeo W, Johnson PJ, Hui P, Ho WM, Lam KC et al (2007) A double-blind placebo-controlled randomized study of Chinese herbal medicine as complementary therapy for reduction of chemotherapy-induced toxicity. Ann Oncol 18:768–774

    Article  PubMed  CAS  Google Scholar 

  • Moussavi M, Assi K, Gomez-Munoz A, Salh B (2006) Curcumin mediates ceramide generation via the de novo pathway in colon cancer cells. Carcinogenesis 27:1636–1644

    Article  PubMed  CAS  Google Scholar 

  • Nakamura Y, Yogosawa S, Izutani Y, Watanabe H, Otsuji E, Sakai T (2009) A combination of indol-3-carbinol and genistein synergistically induces apoptosis in human colon cancer HT-29 cells by inhibiting Akt phosphorylation and progression of autophagy. Mol Cancer 8:100

    Article  PubMed  Google Scholar 

  • Ott JJ, Ullrich A, Mascarenhas M, Stevens GA (2011) Global cancer incidence and mortality caused by behavior and infection. J Public Health (Oxf) 33:223–233

    Google Scholar 

  • Padhye S, Banerjee S, Ahmad A, Mohammad R, Sarkar FH (2008) From here to eternity – the secret of Pharaohs: therapeutic potential of black cumin seeds and beyond. Cancer Ther 6:495–510

    PubMed  CAS  Google Scholar 

  • Patel BB, Senguptal R, Qazi S, Vachhani H, Yu YJ, Rishi AK et al (2008) Curcumin enhances the effects of 5-fluorouracil and oxaliplatin in mediating growth inhibition of colon cancer cells by modulating EGFR and IGF-IR. Int J Cancer 122:267–273

    Article  PubMed  CAS  Google Scholar 

  • Patel BB, Gupta D, Elliott AA, Sengupta V, Yu Y, Majumdar AP (2010) Curcumin targets FOLFOX-surviving colon cancer cells via inhibition of EGFRs and IGF-1R. Anticancer Res 30:319–325

    PubMed  CAS  Google Scholar 

  • Piwocka K, Zablocki K, Wieckowski MR, Skierski J, Feiga I, Szopa J et al (1999) A novel apoptosis-like pathway, independent of mitochondria and caspases, induced by curcumin in human lymphoblastoid T (Jurkat) cells. Exp Cell Res 249:299–307

    Article  PubMed  CAS  Google Scholar 

  • Piwocka K, Jaruga E, Skierski J, Gradzka I, Sikora E (2001) Effect of glutathione depletion on caspase-3 independent apoptosis pathway induced by curcumin in Jurkat cells. Free Radic Biol Med 31:670–678

    Article  PubMed  CAS  Google Scholar 

  • Qi LW, Wang CZ, Yuan CS (2010) American ginseng: potential structure-function relationship in cancer chemoprevention. Biochem Pharmacol 80:947–954

    Article  PubMed  CAS  Google Scholar 

  • Rashmi R, Kumar S, Karunagaran D (2004) Ectopic expression of Bcl-XL or Ku70 protects human colon cancer cells (SW480) against curcumin-induced apoptosis while their down-regulation potentiates it. Carcinogenesis 25:1867–1877

    Article  PubMed  CAS  Google Scholar 

  • Saif MW, Lansigan F, Ruta S, Lamb L, Mezes M, Elligers K et al (2010) Phase I study of the botanical formulation PHY906 with capecitabine in advanced pancreatic and other gastrointestinal malignancies. Phytomedicine 17:161–169

    Article  PubMed  CAS  Google Scholar 

  • Sandur SK, Ichikawa H, Pandey MK, Kunnumakkara AB, Sung B, Sethi G et al (2007) Role of pro-oxidants and antioxidants in the anti-inflammatory and apoptotic effects of curcumin (diferuloylmethane). Free Radic Biol Med 43:568–580

    Article  PubMed  CAS  Google Scholar 

  • Sandur SK, Deorukhkar A, Pandey MK, Pabon AM, Shentu S, Guha S et al (2009) Curcumin modulates the radiosensitivity of colorectal cancer cells by suppressing constitutive and inducible NF-kappaB activity. Int J Radiat Oncol Biol Phys 75:534–542

    Article  PubMed  CAS  Google Scholar 

  • Setchell KD (2001) Soy isoflavones–benefits and risks from nature’s selective estrogen receptor modulators (SERMs). J Am Coll Nutr 20:354 S–62 S, discussion 81 S-83 S

    CAS  Google Scholar 

  • Shin JS, Park YM, Choi JH, Park HJ, Shin MC, Lee YS et al (2010) Sulfuretin isolated from heartwood of Rhus verniciflua inhibits LPS-induced inducible nitric oxide synthase, cyclooxygenase-2, and pro-inflammatory cytokines expression via the down-regulation of NF-kappaB in RAW 264.7 murine macrophage cells. Int Immunopharmacol 10:943–950

    Article  PubMed  CAS  Google Scholar 

  • Song G, Guo S, Wang W, Hu C, Mao Y, Zhang B et al (2010) Intestinal metabolite compound K of ginseng saponin potently attenuates metastatic growth of hepatocellular carcinoma by augmenting apoptosis via a Bid-mediated mitochondrial pathway. J Agric Food Chem 58:12753–12760

    Article  PubMed  CAS  Google Scholar 

  • Tachikawa E, Kudo K (2004) Proof of the mysterious efficacy of ginseng: basic and clinical trials: suppression of adrenal medullary function in vitro by ginseng. J Pharmacol Sci 95:140–144

    Article  PubMed  CAS  Google Scholar 

  • Tang YJ, Yang JS, Lin CF, Shyu WC, Tsuzuki M, Lu CC et al (2009) Houttuynia cordata Thunb extract induces apoptosis through mitochondrial-dependent pathway in HT-29 human colon adenocarcinoma cells. Oncol Rep 22:1051–1056

    PubMed  CAS  Google Scholar 

  • Wang CZ, Zhang B, Song WX, Wang A, Ni M, Luo X et al (2006) Steamed American ginseng berry: ginsenoside analyses and anticancer activities. J Agric Food Chem 54:9936–9942

    Article  PubMed  CAS  Google Scholar 

  • Wang CZ, Li XL, Wang QF, Mehendale SR, Fishbein AB, Han AH et al (2009) The mitochondrial pathway is involved in American ginseng-induced apoptosis of SW-480 colon cancer cells. Oncol Rep 21:577–584

    PubMed  CAS  Google Scholar 

  • Zhang SD, Yin YX, Wei Q (2010a) Immunopotentiation on murine spleen lymphocytes induced by polysaccharide fraction of Panax ginseng via upregulating calcineurin activity. APMIS 118:288–296

    Article  PubMed  CAS  Google Scholar 

  • Zhang Y, Guo LL, Zhao SP (2010b) Effect of Shenqi Fuzheng injection combined with chemotherapy in treating colorectal cancer. Zhongguo Zhong Xi Yi Jie He Za Zhi 30:280–282

    PubMed  CAS  Google Scholar 

  • Zheng GQ, Cheng W, Wang Y, Wang XM, Zhao SZ, Zhou Y et al (2010) Ginseng total saponins enhance neurogenesis after focal cerebral ischemia. J Ethnopharmacol 113:724–728

    Google Scholar 

  • Zhou LY, Shan ZZ, You JL (2009) Clinical observation on treatment of colonic cancer with combined treatment of chemotherapy and Chinese herbal medicine. Chin J Integr Med 15:107–111

    Article  PubMed  Google Scholar 

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Correspondence to M. Wasif Saif .

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Choi, M., Mohammad, R., Saif, M.W., Kim, R. (2012). Evidence-based Anticancer Materia Medica for Colorectal Cancer. In: Cho, W. (eds) Materia Medica for Various Cancers. Evidence-based Anticancer Complementary and Alternative Medicine, vol 2. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-1983-5_2

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