Planta Med 2010; 76(11): 1118-1131
DOI: 10.1055/s-0030-1250186
Cancer Therapy
Reviews
© Georg Thieme Verlag KG Stuttgart · New York

The Role of Traditional Chinese Herbal Medicines in Cancer Therapy – from TCM Theory to Mechanistic Insights

W. L. Wendy Hsiao1 , Liang Liu1
  • 1Center for Cancer & Inflammation Research, School of Chinese Medicine, Hong Kong Baptist University, Hong Kong, China
Further Information

Publication History

received May 3, 2010 revised July 1, 2010

accepted July 5, 2010

Publication Date:
15 July 2010 (online)

Abstract

Traditional Chinese medicine-based herbal medicines have gained increasing acceptance worldwide in recent years and are being pursued by pharmaceutical companies as rich resources for drug discovery. For many years, traditional Chinese medicines (TCM) have been applied for the treatment of cancers in China and beyond. Herbal medicines are generally low in cost, plentiful, and show very little toxicity or side effects in clinical practice. However, despite the vast interest and ever-increasing demand, the absence of strong evidence-based research and the lack of standardization of the herbal products are the main obstacles toward the globalization of TCM. In recent years, TCM research has greatly accelerated with the advancement of analytical technologies and methodologies. This review of TCM specifically used in the treatment of cancer is divided into two parts. Part one provides an overview of the philosophy, approaches and progress in TCM-based cancer therapy. Part two summarizes the current understanding of how TCM-derived compounds function as anticancer drugs.

References

  • 1 Jemal A, Siegel R, Ward E, Hao Y, Xu J, Thun M J. Cancer statistics, 2009.  CA Cancer J Clin. 2009;  59 225-249
  • 2 Macek C. East meets West to balance immunologic yin and yang.  JAMA. 1984;  251 433-435 439
  • 3 Sagar S M, Wong R K. Chinese medicine and biomodulation in cancer patients – part one.  Curr Oncol. 2008;  15 42-48
  • 4 Farrell M P, Kummar S. 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. 2003;  2 253-256
  • 5 Yen Y, So S, Rose M, Saif M W, Chu E, Liu S H, Foo A, Jiang Z, Su T, Cheng Y C. Phase I/II study of PHY906/capecitabine in advanced hepatocellular carcinoma.  Anticancer Res. 2009;  29 4083-4092
  • 6 Yang Y F, Chen Z X, Xu Y, Wu Y, Wu X W, Zhu Y W, Li P H, Gao S L. Randomized controlled study on effect of Quxie capsule on the median survival time and qualify of life in patients with advanced colorectal carcinoma.  Zhongguo Zhong Xi Yi Jie He Za Zhi. 2008;  28 111-114
  • 7 Tan K Y, Liu C B, Chen A H, Ding Y J, Jin H Y, Seow-Choen F. The role of traditional Chinese medicine in colorectal cancer treatment.  Tech Coloproctol. 2008;  12 1-6
  • 8 Wu P, Dugoua J J, Eyawo O, Mills E J. Traditional Chinese medicines in the treatment of hepatocellular cancers: a systematic review and meta-analysis.  J Exp Clin Cancer Res. 2009;  28 112
  • 9 Xu Z Y, Jin C J, Shen D Y. Clinical study on treatment of advanced non-small-cell lung cancer with Chinese herbal medicine in different stages combined with chemotherapy.  Zhongguo Zhong Xi Yi Jie He Za Zhi. 2007;  27 874-878
  • 10 Cheng J H, Liu W S, Li Z M, Wang Z G. A clinical study on global TCM therapy in treating senile advanced non-small cell lung cancer.  Chin J Integr Med. 2007;  13 269-274
  • 11 Huang Z F, Wei J S, Li H Z, Tan Z O, Zhang Z J, Chen C. Effect of Shenqi Fuzheng injection combined with chemotherapy on thirty patients with advanced breast cancer.  Zhongguo Zhong Xi Yi Jie He Za Zhi. 2008;  28 152-154
  • 12 Cho W C, Chen H Y. Clinical efficacy of traditional Chinese medicine as a concomitant therapy for nasopharyngeal carcinoma: a systematic review and meta-analysis.  Cancer Invest. 2009;  27 334-344
  • 13 Liu X, Hua B J. Effect of traditional Chinese medicine on quality of life and survival period in patients with progressive gastric cancer.  Zhongguo Zhong Xi Yi Jie He Za Zhi. 2008;  28 105-107
  • 14 Wei X, Chen Z, Yang X, Wu T. Chinese herbal medicines for esophageal cancer.  Cochrane Database Syst Rev. 2009;  (4) CD004520
  • 15 Liu N L, Chien L Y, Tai C J, Lin K C, Tai C J. Effectiveness of traditional Chinese medicine for liver protection and chemotherapy completion among cancer patients.  eCAM. 2009;  1-8
  • 16 Taixiang W, Munro A J, Guanjian L. Chinese medical herbs for chemotherapy side effects in colorectal cancer patients.  Cochrane Database Syst Rev. 2005;  (1) CD004540
  • 17 Xu L, Lao L X, Ge A, Yu S, Li J, Mansky P J. Chinese herbal medicine for cancer pain.  Integr Cancer Ther. 2007;  6 208-234
  • 18 Wang B, Tian H Q, Liang G W. Effect of ganji recipe combined with Fructus Bruceae oil emulsion intervention on quality of life in patients with advanced primary hepatic cancer.  Zhongguo Zhong Xi Yi Jie He Za Zhi. 2009;  29 257-260
  • 19 Zhang T. Effect of TCM therapy for removing toxic substance and unblocking meridians on post-radiation quality of life in 55 patients with lung cancer.  Zhongguo Zhong Xi Yi Jie He Za Zhi. 2008;  28 154-157
  • 20 Tang W, Hemm I, Bertram B. Recent development of antitumor agents from Chinese herbal medicines; part I. Low molecular compounds.  Planta Med. 2003;  69 97-108
  • 21 Tang W, Hemm I, Bertram B. Recent development of antitumor agents from Chinese herbal medicines. Part II. High molecular compounds.  Planta Med. 2003;  69 193-201
  • 22 Hsiang Y H, Hertzberg R, Hecht S, Liu L F. Camptothecin induces protein-linked DNA breaks via mammalian DNA topoisomerase I.  J Biol Chem. 1985;  260 14873-14878
  • 23 Wall M E. Camptothecin and taxol: discovery to clinic.  Med Res Rev. 1998;  18 299-314
  • 24 Oberlies N H, Kroll D J. Camptothecin and taxol: historic achievements in natural products research.  J Nat Prod. 2004;  67 129-135
  • 25 Zhang X W, Qing C, Xu B. Apoptosis induction and cell cycle perturbation in human hepatoma hep G2 cells by 10-hydroxycamptothecin.  Anticancer Drugs. 1999;  10 569-576
  • 26 Kaufmann S H, Earnshaw W C. Induction of apoptosis by cancer chemotherapy.  Exp Cell Res. 2000;  256 42-49
  • 27 Fulda S, Debatin K M. Targeting inhibitor of apoptosis proteins (IAPs) for diagnosis and treatment of human diseases.  Recent Pat Anticancer Drug Discov. 2006;  1 81-89
  • 28 Ji Y B, Gao S Y, Ji C F, Zou X. Induction of apoptosis in HepG2 cells by solanine and Bcl-2 protein.  J Ethnopharmacol. 2008;  115 194-202
  • 29 Peng C C, Chen K C, Peng R Y, Chyau C C, Su C H, Hsieh-Li H M. Antrodia camphorata extract induces replicative senescence in superficial TCC, and inhibits the absolute migration capability in invasive bladder carcinoma cells.  J Ethnopharmacol. 2007;  109 93-103
  • 30 Tin M M, Cho C H, Chan K, James A E, Ko J K. Astragalus saponins induce growth inhibition and apoptosis in human colon cancer cells and tumor xenograft.  Carcinogenesis. 2007;  28 1347-1355
  • 31 Efferth T. Willmar Schwabe Award 2006: antiplasmodial and antitumor activity of artemisinin – from bench to bedside.  Planta Med. 2007;  73 299-309
  • 32 Tang J, Feng Y, Tsao S, Wang N, Curtain R, Wang Y. Berberine and Coptidis rhizoma as novel antineoplastic agents: a review of, traditional use and biomedical investigations.  J Ethnopharmacol. 2009;  126 5-17
  • 33 Pandey M K, Sung B, Kunnumakkara A B, Sethi G, Chaturvedi M M, Aggarwal B B. Berberine modifies cysteine 179 of IkappaBalpha kinase, suppresses nuclear factor-kappaB-regulated antiapoptotic gene products, and potentiates apoptosis.  Cancer Res. 2008;  68 5370-5379
  • 34 Dai Z, Gao J, Ji Z, Wang X, Ren H, Liu X, Wu W, Kang H, Guan H. Matrine induces apoptosis in gastric carcinoma cells via alteration of Fas/FasL and activation of caspase-3.  J Ethnopharmacol. 2009;  123 91-96
  • 35 Kiviharju T M, Lecane P S, Sellers R G, Peehl D M. Antiproliferative and proapoptotic activities of triptolide (PG490), a natural product entering clinical trials, on primary cultures of human prostatic epithelial cells.  Clin Cancer Res. 2002;  8 2666-2674
  • 36 Yang M, Huang J, Pan H Z, Jin J. Triptolide overcomes dexamethasone resistance and enhanced PS-341-induced apoptosis via PI3k/Akt/NF-kappaB pathways in human multiple myeloma cells.  Int J Mol Med. 2008;  22 489-496
  • 37 Baumann S, Fas S C, Giaisi M, Muller W W, Merling A, Gulow K, Edler L, Krammer P H, Li-Weber M. Wogonin preferentially kills malignant lymphocytes and suppresses T-cell tumor growth by inducing PLCgamma1- and Ca2+-dependent apoptosis.  Blood. 2008;  111 2354-2363
  • 38 Sun G P, Wang H, Xu S P, Shen Y X, Wu Q, Chen Z D, Wei W. Anti-tumor effects of paeonol in a HepA-hepatoma bearing mouse model via induction of tumor cell apoptosis and stimulation of IL-2 and TNF-alpha production.  Eur J Pharmacol. 2008;  584 246-252
  • 39 Wang Y, Dawson V L, Dawson T M. Poly(ADP-ribose) signals to mitochondrial AIF: a key event in parthanatos.  Exp Neurol. 2009;  218 193-202
  • 40 Hsu Y L, Yen M H, Kuo P L, Cho C Y, Huang Y T, Tseng C J, Lee J P, Lin C C. San-Zhong-Kui-Jian-Tang, a traditional Chinese medicine prescription, inhibits the proliferation of human breast cancer cell by blocking cell cycle progression and inducing apoptosis.  Biol Pharm Bull. 2006;  29 2388-2394
  • 41 Hsu Y L, Kuo P L, Tzeng T F, Sung S C, Yen M H, Lin L T, Lin C C. Huang-lian-jie-du-tang, a traditional Chinese medicine prescription, induces cell-cycle arrest and apoptosis in human liver cancer cells in vitro and in vivo.  J Gastroenterol Hepatol. 2008;  23 e290-e299
  • 42 Yao Z, Shulan Z. Inhibition effect of Guizhi-Fuling-decoction on the invasion of human cervical cancer.  J Ethnopharmacol. 2008;  120 25-35
  • 43 Kang S, Jeong S, Kwon H, Yun S, Kim J, Lee H, Lee E, Ahn K S, Kim S. Protective effect of Bojungbangdocktang on cisplatin-induced cytotoxicity and apoptosis in MCF-10A breast endothelial cells.  Environ Toxicol Pharmacol. 2009;  28 430-438
  • 44 Lee H J, Kim K H, Jang Y S. Protective effect of ethanol extract of Bojungbangamtang on cisplatin induced toxicity.  J Oriental Pathol. 2007;  21 1-5
  • 45 Jang Y S, Lee H J, Lee H J, Kim K H, Won S H, Lee J D, Ahn K S, Kim J H, Yu Y B, Kim S H. Bojungbangdocktang inhibits vascular endothelial growth factor induced angiogenesis via blocking the VEGF/VEGFR2 signaling pathway in human umbilical vein endothelial cells.  Chin Sci Bull. 2009;  54 227-233
  • 46 Wang L, Zhou G B, Liu P, Song J H, Liang Y, Yan X J, Xu F, Wang B S, Mao J H, Shen Z X, Chen S J, Chen Z. Dissection of mechanisms of Chinese medicinal formula Realgar-Indigo naturalis as an effective treatment for promyelocytic leukemia.  Proc Natl Acad Sci U S A. 2008;  105 4826-4831
  • 47 Hu K, Yao X. Protodioscin (NSC-698 796): its spectrum of cytotoxicity against sixty human cancer cell lines in an anticancer drug screen panel.  Planta Med. 2002;  68 297-301
  • 48 Hsiao W L, Li Y Q, Lee T L, Li N, You M M, Chang S T. Medicinal mushroom extracts inhibit ras-induced cell transformation and the inhibitory effect requires the presence of normal cells.  Carcinogenesis. 2004;  25 1177-1183
  • 49 Wu P K, Chi Shing Tai W, Liang Z T, Zhao Z Z, Hsiao W L. Oleanolic acid isolated from Oldenlandia diffusa exhibits a unique growth inhibitory effect against ras-transformed fibroblasts.  Life Sci. 2009;  85 113-121
  • 50 Chiu J, Yau T, Epstein R J. Complications of traditional Chinese/herbal medicines (TCM) – a guide for perplexed oncologists and other cancer caregivers.  Support Care Cancer. 2009;  17 231-240
  • 51 Efferth T, Li P C, Konkimalla V S, Kaina B. From traditional Chinese medicine to rational cancer therapy.  Trends Mol Med. 2007;  13 353-361
  • 52 O'Leary J, Muggia F M. Camptothecins: a review of their development and schedules of administration.  Eur J Cancer. 1998;  34 1500-1508
  • 53 Pastor N, Cortes F. Bufalin influences the repair of X-ray-induced DNA breaks in Chinese hamster cells.  DNA Repair (Amst). 2003;  2 1353-1360
  • 54 Mizushina Y, Akihisa T, Ukiya M, Murakami C, Kuriyama I, Xu X, Yoshida H, Sakaguchi K. A novel DNA topoisomerase inhibitor: dehydroebriconic acid, one of the lanostane-type triterpene acids from Poria cocos.  Cancer Sci. 2004;  95 354-360
  • 55 Li C H, Chen P Y, Chang U M, Kan L S, Fang W H, Tsai K S, Lin S B. Ganoderic acid X, a lanostanoid triterpene, inhibits topoisomerases and induces apoptosis of cancer cells.  Life Sci. 2005;  77 252-265
  • 56 Zhang S, Li X, Zhang F, Yang P, Gao X, Song Q. Preparation of yuanhuacine and relative daphne diterpene esters from Daphne genkwa and structure-activity relationship of potent inhibitory activity against DNA topoisomerase I.  Bioorg Med Chem. 2006;  14 3888-3895
  • 57 Meng L H, Ding J. Salvicine, a novel topoisomerase II inhibitor, exerts its potent anticancer activity by ROS generation.  Acta Pharmacol Sin. 2007;  28 1460-1465
  • 58 Liang C H, Shiu L Y, Chang L C, Sheu H M, Tsai E M, Kuo K W. Solamargine enhances HER2 expression and increases the susceptibility of human lung cancer H661 and H69 cells to trastuzumab and epirubicin.  Chem Res Toxicol. 2008;  21 393-399
  • 59 Li-Weber M. New therapeutic aspects of flavones: the anticancer properties of Scutellaria and its main active constituents wogonin, baicalein and baicalin.  Cancer Treat Rev. 2009;  35 57-68
  • 60 Lopez-Lazaro M. Distribution and biological activities of the flavonoid luteolin.  Mini Rev Med Chem. 2009;  9 31-59
  • 61 Chow L W, Lo C S, Loo W T, Hu X C, Sham J S. Polysaccharide peptide mediates apoptosis by up-regulating p 21 gene and down-regulating cyclin D1 gene.  Am J Chin Med. 2003;  31 1-9
  • 62 Yin X, Zhou J, Jie C, Xing D, Zhang Y. Anticancer activity and mechanism of Scutellaria barbata extract on human lung cancer cell line A549.  Life Sci. 2004;  75 2233-2244
  • 63 Liu J J, Huang R W, Lin D J, Wu X Y, Peng J, Pan X L, Song Y Q, Lin Q, Hou M, Wang D N, Chen F, Zhang M H. Oridonin-induced apoptosis in leukemia K562 cells and its mechanism.  Neoplasma. 2005;  52 225-230
  • 64 Chan J Y, Tang P M, Hon P M, Au S W, Tsui S K, Waye M M, Kong S K, Mak T C, Fung K P. Pheophorbide a, a major antitumor component purified from Scutellaria barbata, induces apoptosis in human hepatocellular carcinoma cells.  Planta Med. 2006;  72 28-33
  • 65 Cheah Y H, Azimahtol H L P, Abdullah N R. Xanthorrhizol exhibits antiproliferative activity on MCF-7 breast cancer cells via apoptosis induction.  Anticancer Res. 2006;  26 4527-4534
  • 66 Chiu L C, Ho T S, Wong E Y, Ooi V E. Ethyl acetate extract of Patrinia scabiosaefolia downregulates anti-apoptotic Bcl-2/Bcl-X(L) expression, and induces apoptosis in human breast carcinoma MCF-7 cells independent of caspase-9 activation.  J Ethnopharmacol. 2006;  105 263-268
  • 67 Huang Y T, Huang D M, Chueh S C, Teng C M, Guh J H. Alisol B acetate, a triterpene from Alismatis rhizoma, induces Bax nuclear translocation and apoptosis in human hormone-resistant prostate cancer PC-3 cells.  Cancer Lett. 2006;  231 270-278
  • 68 Liu J, Huang R, Lin D, Peng J, Zhang M, Pan X, Hou M, Wu X, Lin Q, Chen F. Ponicidin, an ent-kaurane diterpenoid derived from a constituent of the herbal supplement PC-SPES, Rabdosia rubescens, induces apoptosis by activation of caspase-3 and mitochondrial events in lung cancer cells in vitro.  Cancer Invest. 2006;  24 136-148
  • 69 Liu X S, Jiang J. Molecular mechanism of matrine-induced apoptosis in leukemia K562 cells.  Am J Chin Med. 2006;  34 1095-1103
  • 70 Panichakul T, Intachote P, Wongkajorsilp A, Sripa B, Sirisinha S. Triptolide sensitizes resistant cholangiocarcinoma cells to TRAIL-induced apoptosis.  Anticancer Res. 2006;  26 259-265
  • 71 Perabo F G E, Frossler C, Landwehrs G, Schmidt D H, Von Rucker A, Wirger A, Muller S C. Indirubin-3′-monoxime, a CDK inhibitor induces growth inhibition and apoptosis-independent up-regulation of survivin in transitional cell cancer.  Anticancer Res. 2006;  26 2129-2135
  • 72 Rajasingh J, Raikwar H P, Muthian G, Johnson C, Bright J J. Curcumin induces growth-arrest and apoptosis in association with the inhibition of constitutively active JAK-STAT pathway in T cell leukemia.  Biochem Biophys Res Commun. 2006;  340 359-368
  • 73 Su C L, Huang L L, Huang L M, Lee J C, Lin C N, Won S J. Caspase-8 acts as a key upstream executor of mitochondria during justicidin A-induced apoptosis in human hepatoma cells.  FEBS Lett. 2006;  580 3185-3191
  • 74 Tan T W, Tsai H R, Lu H F, Lin H L, Tsou M F, Lin Y T, Tsai H Y, Chen Y F, Chung J G. Curcumin-induced cell cycle arrest and apoptosis in human acute promyelocytic leukemia HL-60 cells via MMP changes and caspase-3 activation.  Anticancer Res. 2006;  26 4361-4371
  • 75 Tang W, Liu J W, Zhao W M, Wei D Z, Zhong J J. Ganoderic acid T from Ganoderma lucidum mycelia induces mitochondria mediated apoptosis in lung cancer cells.  Life Sci. 2006;  80 205-211
  • 76 Wang X, Matta R, Shen G, Nelin L D, Pei D, Liu Y. Mechanism of triptolide-induced apoptosis: Effect on caspase activation and Bid cleavage and essentiality of the hydroxyl group of triptolide.  J Mol Med. 2006;  84 405-415
  • 77 Won H J, Han C H, Kim Y H, Kwon H J, Kim B W, Choi J S, Kim K. Induction of apoptosis in human acute leukemia Jurkat T cells by Albizzia julibrissin extract is mediated via mitochondria-dependent caspase-3 activation.  J Ethnopharmacol. 2006;  106 383-389
  • 78 Yadav S K, Lee S C. Evidence for Oldenlandia diffusa-evoked cancer cell apoptosis through superoxide burst and caspase activation.  J Chin Integr Med. 2006;  4 485-489
  • 79 Yang H L, Chen C S, Chang W H, Lu F J, Lai Y C, Chen C C, Hseu T H, Kuo C T, Hseu Y C. Growth inhibition and induction of apoptosis in MCF-7 breast cancer cells by Antrodia camphorata.  Cancer Lett. 2006;  231 215-227
  • 80 Jin S, Pang R P, Shen J N, Huang G, Wang J, Zhou J G. Grifolin induces apoptosis via inhibition of PI3K/AKT signalling pathway in human osteosarcoma cells.  Apoptosis. 2007;  12 1317-1326
  • 81 Huang X, Kojima-Yuasa A, Norikura T, Kennedy D O, Hasuma T, Matsui-Yuasa I. Mechanism of the anti-cancer activity of Zizyphus jujuba in HepG2 cells.  Am J Chin Med. 2007;  35 517-532
  • 82 Ko J K S, Leung W C, Ho W K, Chiu P. Herbal diterpenoids induce growth arrest and apoptosis in colon cancer cells with increased expression of the nonsteroidal anti-inflammatory drug-activated gene.  Eur J Pharmacol. 2007;  559 1-13
  • 83 Kuo P L, Hsu Y L, Sung S C, Ni W C, Lin T C, Lin C C. Induction of apoptosis in human breast adenocarcinoma MCF-7 cells by pterocarnin A from the bark of Pterocarya stenoptera via the Fas-mediated pathway.  Anticancer Drugs. 2007;  18 555-562
  • 84 Li H, Wang L J, Qiu G F, Yu J Q, Liang S C, Hu X M. Apoptosis of Hela cells induced by extract from Cremanthodium humile.  Food Chem Toxicol. 2007;  45 2040-2046
  • 85 Li J, Xia X, Ke Y, Nie H, Smith M A, Zhu X. Trichosanthin induced apoptosis in HL-60 cells via mitochondrial and endoplasmic reticulum stress signaling pathways.  Biochim Biophys Acta Gen Subj. 2007;  1770 1169-1180
  • 86 Li Z, Sturm S, Stuppner H, Schraml E, Moser V A, Siegl V, Pfragner R. The dichloromethane fraction of Stemona tuberosa Lour inhibits tumor cell growth and induces apoptosis of human medullary thyroid carcinoma cells.  Biologics. 2007;  1 455-463
  • 87 Lin J, Chen L Y, Lin Z X, Zhao M L. The effect of triptolide on apoptosis of glioblastoma multiforme (GBM) cells.  J Int Med Res. 2007;  35 637-643
  • 88 Mu D, Chen W, Yu B, Zhang C, Zhang Y, Qi H. Calcium and survivin are involved in the induction of apoptosis by dihydroartemisinin in human lung cancer SPC-A-1 cells.  Methods Find Exp Clin Pharmacol. 2007;  29 33-38
  • 89 Nishimura R, Tabata K, Arakawa M, Ito Y, Kimura Y, Akihisa T, Nagai H, Sakuma A, Kohno H, Suzuki T. Isobavachalcone, a chalcone constituent of Angelica keiskei, induces apoptosis in neuroblastoma.  Biol Pharm Bull. 2007;  30 1878-1883
  • 90 Roy M K, Nakahara K, Na Thalang V, Trakoontivakorn G, Takenaka M, Isobe S, Tsushida T. Baicalein, a flavonoid extracted from a methanolic extract of Oroxylum indicum inhibits proliferation of a cancer cell line in vitro via induction of apoptosis.  Pharmazie. 2007;  62 149-153
  • 91 Tao Z, Zhou Y, Lu J, Duan W, Qin Y, He X, Lin L, Ding J. Caspase-8 preferentially senses the apoptosis-inducing action of NG-18, a gambogic acid derivative, in human leukemia HL-60 cells.  Cancer Biol Ther. 2007;  6 691-696
  • 92 Tian Z, Xu L, Zhou L, Yang M, Chen S, Xiao P, Wu E. Cytotoxic activity of schisandrolic and isoschisandrolic acids involves induction of apoptosis.  Chemotherapy. 2007;  53 257-262
  • 93 Wang J, Wang X, Jiang S, Yuan S, Lin P, Zhang J, Lu Y, Wang Q, Xiong Z, Wu Y, Ren J, Yang H. Growth inhibition and induction of apoptosis and differentiation of tanshinone IIA in human glioma cells.  J Neurooncol. 2007;  82 11-21
  • 94 Xiao Y, Yang F, Li S, Gao J, Hu G, Lao S, Conceicao E L, Fung K, Wang Y, Lee S M. Furanodiene induces G2/M cell cycle arrest and apoptosis through MAPK signaling and mitochondria-caspase pathway in human hepatocellular carcinoma cells.  Cancer Biol Ther. 2007;  6 1044-1050
  • 95 Yang L, Wu S, Zhang Q, Liu F, Wu P. 23,24-Dihydrocucurbitacin B induces G2/M cell-cycle arrest and mitochondria-dependent apoptosis in human breast cancer cells (Bcap37).  Cancer Lett. 2007;  256 267-278
  • 96 Yu Z Y, Liang Y G, Xiao H, Shan Y J, Dong B, Huang R, Fu Y L, Zhao Z H, Liu Z Y, Zhao Q S, Wang S Q, Chen J P, Mao B Z, Cong Y W. Melissoidesin G, a diterpenoid purified from Isodon melissoides, induces leukemic-cell apoptosis through induction of redox imbalance and exhibits synergy with other anticancer agents.  Int J Cancer. 2007;  121 2084-2094
  • 97 Zhu J Y, Lavrik I N, Mahlknecht U, Giaisi M, Proksch P, Krammer P H, Li-Weber M. The traditional Chinese herbal compound rocaglamide preferentially induces apoptosis in leukemia cells by modulation of mitogen-activated protein kinase activities.  Int J Cancer. 2007;  121 1839-1846
  • 98 Carter B Z, Mak D H, Schober W D, Dietrich M F, Pinilla C, Vassilev L T, Reed J C, Andreeff M. Triptolide sensitizes AML cells to TRAIL-induced apoptosis via decrease of XIAP and p53-mediated increase of DR5.  Blood. 2008;  111 3742-3750
  • 99 Chen T H, Pan S L, Guh J H, Chen C C, Huang Y T, Pai H C, Teng C M. Denbinobin induces apoptosis by apoptosis-inducing factor releasing and DNA damage in human colorectal cancer HCT-116 cells.  Naunyn Schmiedebergs Arch Pharmacol. 2008;  378 447-457
  • 100 Eom K S, Hong J M, Youn M J, So H S, Park R, Kim J M, Kim T Y. Berberine induces G1 arrest and apoptosis in human glioblastoma T98G cells through mitochondrial/caspases pathway.  Biol Pharm Bull. 2008;  31 558-562
  • 101 Hahm E R, Arlotti J A, Marynowski S W, Singh S V. Honokiol, a constituent of oriental medicinal herb magnolia officinalis, inhibits growth of PC-3 xenografts in vivo in association with apoptosis induction.  Clin Cancer Res. 2008;  14 1248-1257
  • 102 Ho C M, Huang C C, Huang C J, Cheng J S, Chen I S, Tsai J Y, Jiann B P, Tseng P L, Kuo S J, Jan C R. Effects of Antrodia camphorata on viability, apoptosis, and [Ca2+]i in PC3 human prostate cancer cells.  Chin J Physiol. 2008;  51 78-84
  • 103 Jin C Y, Kim G Y, Choi Y H. Induction of apoptosis by aqueous extract of Cordyceps militaris through activation of caspases and inactivation of Akt in human breast cancer MDA-MB-231 cells.  J Microbiol Biotechnol. 2008;  18 1997-2003
  • 104 Kim D C, Ramachandran S, Baek S H, Kwon S H, Kwon K Y, Cha S D, Bae I, Cho C H. Induction of growth inhibition and apoptosis in human uterine leiomyoma cells by isoliquiritigenin.  Reprod Sci. 2008;  15 552-558
  • 105 Kim E J, Lim S S, Park S Y, Shin H K, Kim J S, Park J H. Apoptosis of DU145 human prostate cancer cells induced by dehydrocostus lactone isolated from the root of Saussurea lappa.  Food Chem Toxicol. 2008;  46 3651-3658
  • 106 Kuo C T, Hsu M J, Chen B C, Chen C C, Teng C M, Pan S L, Lin C H. Denbinobin induces apoptosis in human lung adenocarcinoma cells via Akt inactivation, Bad activation, and mitochondrial dysfunction.  Toxicol Lett. 2008;  177 48-58
  • 107 Lau S T, Lin Z X, Zhao M, Leung P S. Brucea javanica fruit induces cytotoxicity and apoptosis in pancreatic adenocarcinoma cell lines.  Phytother Res. 2008;  22 477-486
  • 108 Lee S M, Kwon J I, Choi Y H, Eom H S, Chi G Y. Induction of G2/M arrest and apoptosis by water extract of Strychni Semen in human gastric carcinoma AGS cells.  Phytother Res. 2008;  22 752-758
  • 109 Lin S, Fujii M, Hou D. Molecular mechanism of apoptosis induced by schizandrae-derived lignans in human leukemia HL-60 cells.  Food Chem Toxicol. 2008;  46 590-597
  • 110 Liu W K, Cheung F W, Liu B P, Li C, Ye W, Che C T. Involvement of p21 and FasL in induction of cell cycle arrest and apoptosis by neochamaejasmin A in human prostate LNCaP cancer cells.  J Nat Prod. 2008;  71 842-846
  • 111 Min R, Tong J, Wenjun Y, Wenhu D, Xiaojian Z, Jiacai H, Jian Z, Wantao C, Chenping Z. Growth inhibition and induction of apoptosis in human oral squamous cell carcinoma Tca-8113 cell lines by shikonin was partly through the inactivation of NF-kappaB pathway.  Phytother Res. 2008;  22 407-415
  • 112 Mu D, Zhang W, Chu D, Liu T, Xie Y, Fu E, Jin F. The role of calcium, P38 MAPK in dihydroartemisinin-induced apoptosis of lung cancer PC-14 cells.  Cancer Chemother Pharmacol. 2008;  61 639-645
  • 113 Sagawa M, Nakazato T, Uchida H, Ikeda Y, Kizaki M. Cantharidin induces apoptosis of human multiple myeloma cells via inhibition of the JAK/STAT pathway.  Cancer Sci. 2008;  99 1820-1826
  • 114 Yan S S, Li Y, Wang Y, Shen S S, Gu Y, Wang H B, Qin G W, Yu Q. 17-Acetoxyjolkinolide B irreversibly inhibits IkappaB kinase and induces apoptosis of tumor cells.  Mol Cancer Ther. 2008;  7 1523-1532
  • 115 Yang H L, Chen S C, Chen C S, Wang S Y, Hseu Y C. Alpinia pricei rhizome extracts induce apoptosis of human carcinoma KB cells via a mitochondria-dependent apoptotic pathway.  Food Chem Toxicol. 2008;  46 3318-3324
  • 116 Yang M, Huang J, Pan H, Jin J. Triptolide overcomes dexamethasone resistance and enhanced PS-341-induced apoptosis via PI3k/Akt/NF-kappaB pathways in human multiple myeloma cells.  Int J Mol Med. 2008;  22 489-496
  • 117 Abdel Wahab S I, Abdul A B, Alzubairi A S, Mohamed Elhassan M, Mohan S. In vitro ultramorphological assessment of apoptosis induced by Zerumbone on (HeLa).  J Biomed Biotechnol. 2009;  2009 769568
  • 118 Chan J Y, Tan B K H, Lee S C. Scutellarin sensitizes drug-evoked colon cancer cell apoptosis through enhanced caspase-6 activation.  Anticancer Res. 2009;  29 3043-3047
  • 119 Dai Z J, Gao J, Ji Z Z, Wang X J, Ren H T, Liu X X, Wu W Y, Kang H F, Guan H T. Matrine induces apoptosis in gastric carcinoma cells via alteration of Fas/FasL and activation of caspase-3.  J Ethnopharmacol. 2009;  123 91-96
  • 120 Hou Y Y, Wu M L, Hwang Y C, Chang F R, Wu Y C, Wu C C. The natural diterpenoid ovatodiolide induces cell cycle arrest and apoptosis in human oral squamous cell carcinoma Ca9-22 cells.  Life Sci. 2009;  85 26-32
  • 121 Lai W W, Yang J S, Lai K C, Kuo C L, Hsu C K, Wang C K, Chang C Y, Lin J J, Tang N Y, Chen P Y, Huang W W, Chung J G. Rhein induced apoptosis through the endoplasmic reticulum stress, caspase- and mitochondria-dependent pathways in SCC-4 human tongue squamous cancer cells.  In Vivo. 2009;  23 309-316
  • 122 Lee D H, Rhee J G, Lee Y J. Reactive oxygen species up-regulate p53 and Puma; a possible mechanism for apoptosis during combined treatment with TRAIL and wogonin.  Br J Pharmacol. 2009;  157 1189-1202
  • 123 Li D D, Wu X Q, Tang J, Wei X Y, Zhu X F. ON-III inhibits erbB-2 tyrosine kinase receptor signal pathway and triggers apoptosis through induction of Bim in breast cancer cells.  Cancer Biol Ther. 2009;  8 739-743
  • 124 Liu W, Mu R, Nie F F, Yang Y, Wang J, Dai Q S, Lu N, Qi Q, Rong J J, Hu R, Wang X T, You Q D, Guo Q L. MAC-related mitochondrial pathway in oroxylin-A-induced apoptosis in human hepatocellular carcinoma HepG2 cells.  Cancer Lett. 2009;  284 198-207
  • 125 Lu Y Y, Chen T S, Qu J L, Pan W L, Sun L, Wei X B. Dihydroartemisinin (DHA) induces caspase-3-dependent apoptosis in human lung adenocarcinoma ASTC-a-1 cells.  J Biomed Sci. 2009;  16 16
  • 126 Luo Q, Li Z, Yan J, Zhu F, Xu R J, Cai Y Z. Lycium barbarum polysaccharides induce apoptosis in human prostate cancer cells and inhibits prostate cancer growth in a xenograft mouse model of human prostate cancer.  J Med Food. 2009;  12 695-703
  • 127 Park S C, Yoo H S, Park C, Cho C K, Kim G, Kim W, Lee Y, Choi Y H. Induction of apoptosis in human lung carcinoma cells by the water extract of Panax notoginseng is associated with the activation of caspase-3 through downregulation of Akt.  Int J Oncol. 2009;  35 121-127
  • 128 Sanchez-Duffhues G, Calzado M A, de Vinuesa A G, Appendino G, Fiebich B L, Loock U, Lefarth-Risse A, Krohn K, Munoz E. Denbinobin inhibits nuclear factor-kappaB and induces apoptosis via reactive oxygen species generation in human leukemic cells.  Biochem Pharmacol. 2009;  77 1401-1409
  • 129 Shen J K, Du H P, Yang M, Wang Y G, Jin J. Casticin induces leukemic cell death through apoptosis and mitotic catastrophe.  Ann Hematol. 2009;  88 743-752
  • 130 Shin D Y, Kim G Y, Li W, Choi B T, Kim N D, Kang H S, Choi Y H. Implication of intracellular ROS formation, caspase-3 activation and Egr-1 induction in platycodon D-induced apoptosis of U937 human leukemia cells.  Biomed Pharmacother. 2009;  63 86-94
  • 131 Tang Y J, Yang J S, Lin C F, Shyu W C, Tsuzuki M, Lu C C, Chen Y F, Lai K C. Houttuynia cordata Thunb extract induces apoptosis through mitochondrial-dependent pathway in HT-29 human colon adenocarcinoma cells.  Oncol Rep. 2009;  22 1051-1056
  • 132 Tsang C M, Lau E P W, Di K, Cheung P Y, Hau P M, Ching Y P, Wong Y C, Cheung A L M, Wan T S K, Tong Y, Tsao S W, Feng Y. Berberine inhibits Rho GTPases and cell migration at low doses but induces G2 arrest and apoptosis at high doses in human cancer cells.  Int J Mol Med. 2009;  24 131-138
  • 133 Wang Y, Ma X, Yan S, Shen S, Zhu H, Gu Y, Wang H, Qin G, Yu Q. 17-Hydroxy-jolkinolide B inhibits signal transducers and activators of transcription 3 signaling by covalently cross-linking Janus kinases and induces apoptosis of human cancer cells.  Cancer Res. 2009;  69 7302-7310
  • 134 Wong B Y Y, Nguyen D L, Lin T, Wong H H L, Cavalcante A, Greenberg N M, Hausted R P, Zheng J. Chinese medicinal herb Scutellaria barbata modulates apoptosis and cell survival in murine and human prostate cancer cells and tumor development in TRAMP mice.  Eur J Cancer Prev. 2009;  18 331-341
  • 135 Xiao X, Bai P, Bui Nguyen T M, Xiao J, Liu S, Yang G, Hu L, Chen X, Zhang X, Liu J, Wang H. The antitumoral effect of Paris Saponin I associated with the induction of apoptosis through the mitochondrial pathway.  Mol Cancer Ther. 2009;  8 1179-1188
  • 136 Xie H, Qin Y X, Zhou Y L, Tong L J, Lin L P, Geng M Y, Duan W H, Ding J. GA3, a new gambogic acid derivative, exhibits potent antitumor activities in vitro via apoptosis-involved mechanisms.  Acta Pharmacol Sin. 2009;  30 346-354
  • 137 Xu X, Liu Y, Wang L, He J, Zhang H, Chen X, Li Y, Yang J, Tao J. Gambogic acid induces apoptosis by regulating the expression of Bax and Bcl-2 and enhancing caspase-3 activity in human malignant melanoma A375 cells.  Int J Dermatol. 2009;  48 186-192
  • 138 Yun H R, Yoo H S, Shin D Y, Hong S H, Kim J H, Cho C K, Choi Y H. Apoptosis induction of human lung carcinoma cells by Chan Su (Venenum bufonis) through activation of caspases.  JAMS J Acupunct Meridian Stud. 2009;  2 210-217
  • 139 Zhou Y, Yiliang E L, Cao J, Zeng G, Shen C, Li Y, Zhou M, Chen Y, Pu W, Potters L, Shi Y E. Vitexins, nature-derived lignan compounds, induce apoptosis and suppress tumor growth.  Clin Cancer Res. 2009;  15 5161-5169
  • 140 Jing Y, Watabe M, Hashimoto S, Nakajo S, Nakaya K. Cell cycle arrest and protein kinase modulating effect of bufalin on human leukemia ML1 cells.  Anticancer Res. 1994;  14 1193-1198
  • 141 Woo J H, Li D, Wilsbach K, Orita H, Coulter J, Tully E, Kwon T K, Xu S, Gabrielson E. Coix seed extract, a commonly used treatment for cancer in China, inhibits NFkappaB and protein kinase C signaling.  Cancer Biol Ther. 2007;  6 2005-2011
  • 142 Que H F, Chen H F, Gao S P, Lu D M, Tang H J, Jia X H, Xu J N. Effect on runing II on the growth of metastasis of transplanted tumor in mammary cancer-bearing mice and its mechanism.  J Tradit Chin Med. 2008;  28 293-298
  • 143 Lu Q, Zhang P, Zhang X, Chen J. Experimental study of the anti-cancer mechanism of tanshinone IIA against human breast cancer.  Int J Mol Med. 2009;  24 773-780
  • 144 Tao J, Zhang P, Liu G, Yan H, Bu X, Ma Z, Wang N, Jia W. Cytotoxicity of Chinese motherwort (YiMuCao) aqueous ethanol extract is, non-apoptotic and estrogen receptor independent on human breast cancer cells.  J Ethnopharmacol. 2009;  122 234-239
  • 145 Yo Y T, Shieh G S, Hsu K F, Wu C L, Shiau A L. Licorice and licochalcone-A induce autophagy in LNCaP prostate cancer cells by suppression of Bcl-2 expression and the mTOR pathway.  J Agric Food Chem. 2009;  57 8266-8273

Prof. W. L. Wendy Hsiao

School of Chinese Medicine
Hong Kong Baptist University

Kowloon Tong

Kowloon

Hong Kong

People's Republic of China

Phone: + 852 34 11 29 59

Fax: + 852 34 11 24 61

Email: bowhsiao@hkbu.edu.hk

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