Abstract
Glioblastoma, an aggressive brain cancer, demonstrates the least life expectancy among all brain cancers. Because of the regulation of diverse signaling pathways in cancers, the chemotherapeutic approaches used to suppress their multiplication and spread are restricted. Sensitivity towards chemotherapeutic agents has been developed because of the pathological and drug-evading abilities of these diverse mechanisms. As a result, the identification and exploration of strategies or treatments, which can overcome such refractory obstacles to improve glioblastoma response to treatment as well as recovery, is essential. Medicinal herbs contain a wide variety of bioactive compounds, which could trigger aggressive brain cancers, regulate their anti-cancer mechanisms and immune responses to assist in cancer elimination, and cause cell death. Numerous tumor-causing proteins, which facilitate invasion as well as metastasis of cancer, tolerance of chemotherapies, and angiogenesis, are also inhibited by these phytochemicals. Such herbs remain valuable for glioblastoma prevention and its incidence by effectively being used as anti-glioma therapies. This review thus presents the latest findings on medicinal plants using which the extracts or bioactive components are being used against glioblastoma, their mechanism of functioning, pharmacological description, and recent clinical studies conducted on them.
Keywords: Glioblastoma, phytotherapy, phytochemicals, anticancer, herbs, bioactive.
Graphical Abstract
[http://dx.doi.org/10.1016/j.pharmthera.2015.05.005] [PMID: 25944528]
[http://dx.doi.org/10.1093/annonc/mdq187] [PMID: 20555079]
[http://dx.doi.org/10.1007/s12094-019-02227-3] [PMID: 31630356]
[http://dx.doi.org/10.1016/j.cell.2012.02.009] [PMID: 22424236]
[http://dx.doi.org/10.1155/2013/596496] [PMID: 24379902]
[http://dx.doi.org/10.1016/j.mrgentox.2015.06.004] [PMID: 26520377]
[http://dx.doi.org/10.1016/j.pharep.2014.10.003] [PMID: 25712646]
[http://dx.doi.org/10.1371/journal.pone.0072882] [PMID: 24039814]
[http://dx.doi.org/10.1158/1535-7163.MCT-14-0634] [PMID: 25504754]
[http://dx.doi.org/10.1021/acs.jnatprod.5b01055] [PMID: 26852623]
[http://dx.doi.org/10.1007/s11060-013-1230-3] [PMID: 23979682]
[http://dx.doi.org/10.1016/j.gendis.2016.04.007] [PMID: 30258889]
[http://dx.doi.org/10.1021/tx200031q] [PMID: 21466232]
[http://dx.doi.org/10.1093/annonc/mdu050] [PMID: 24782454]
[http://dx.doi.org/10.13040/IJPSR.0975-8232.6(10).4103-12] [PMID: 26594645]
[http://dx.doi.org/10.1007/s40415-015-0135-0]
[http://dx.doi.org/10.1002/ptr.6087] [PMID: 29672977]
[http://dx.doi.org/10.1007/s12032-015-0487-0] [PMID: 25631631]
[http://dx.doi.org/10.21037/tcr.2016.06.12] [PMID: 30680290]
[http://dx.doi.org/10.1172/JCI89587] [PMID: 28145904]
[http://dx.doi.org/10.1158/1535-7163.MCT-13-0791] [PMID: 24435445]
[http://dx.doi.org/10.1016/S1875-5364(17)30084-5] [PMID: 28939019]
[http://dx.doi.org/10.1016/j.jep.2015.05.050] [PMID: 26068430]
[http://dx.doi.org/10.3109/13880209.2015.1126620] [PMID: 26704132]
[http://dx.doi.org/10.3390/ijms17071113] [PMID: 27420050]
[http://dx.doi.org/10.1155/2013/394636] [PMID: 24319475]
[http://dx.doi.org/10.1080/14786419.2018.1478823] [PMID: 29792358]
[http://dx.doi.org/10.1016/B978-0-12-405927-6.00018-7]
[http://dx.doi.org/10.21577/1984-6835.20180035]
[http://dx.doi.org/10.1016/bs.alkal.2014.09.002] [PMID: 25845063]
[http://dx.doi.org/10.1080/15287394.2019.1711476] [PMID: 31906808]
[http://dx.doi.org/10.1016/j.jep.2016.10.072] [PMID: 27989875]
[http://dx.doi.org/10.1080/15287394.2019.1576563] [PMID: 30849290]
[http://dx.doi.org/10.1080/15287394.2019.1683925] [PMID: 31658881]
[http://dx.doi.org/10.1016/j.biopha.2016.12.027] [PMID: 28012393]
[http://dx.doi.org/10.1016/j.fct.2017.12.044] [PMID: 29287791]
[http://dx.doi.org/10.3390/medicines5030081] [PMID: 30065158]
[http://dx.doi.org/10.1016/j.jep.2012.07.035] [PMID: 22877928]
[http://dx.doi.org/10.2174/1871520614666140608150448] [PMID: 24913660]
[http://dx.doi.org/10.1038/nrneph.2015.3] [PMID: 25643664]
[http://dx.doi.org/10.5045/br.2015.50.2.73] [PMID: 26157776]
[http://dx.doi.org/10.3389/fphar.2018.01534] [PMID: 30687096]
[http://dx.doi.org/10.1111/nyas.12160] [PMID: 23855473]
[http://dx.doi.org/10.3390/ijms18122589] [PMID: 29194365]
[http://dx.doi.org/10.1016/j.semcancer.2017.02.009] [PMID: 28254675]
[http://dx.doi.org/10.1016/j.canlet.2018.05.008] [PMID: 29746932]
[http://dx.doi.org/10.1016/j.phymed.2017.11.003] [PMID: 29174651]
[http://dx.doi.org/10.3389/fonc.2019.01257] [PMID: 31803625]
[http://dx.doi.org/10.1080/14786419.2014.976643] [PMID: 25422029]
[http://dx.doi.org/10.1016/j.matpr.2020.10.285]
[http://dx.doi.org/10.1371/journal.pone.0081258] [PMID: 24278406]
[http://dx.doi.org/10.3892/ijmm.2013.1500] [PMID: 24048272]
[http://dx.doi.org/10.3892/mmr.2016.5287] [PMID: 27175997]
[http://dx.doi.org/10.3389/fphar.2018.00246] [PMID: 29706888]
[http://dx.doi.org/10.3390/ijms13056220] [PMID: 22754360]
[http://dx.doi.org/10.1016/j.phymed.2019.152840] [PMID: 31035045]
[http://dx.doi.org/10.1002/cbdv.200800233] [PMID: 19774606]
[http://dx.doi.org/10.1016/j.lfs.2014.06.016] [PMID: 24984215]
[PMID: 25628934]
[http://dx.doi.org/10.1371/journal.pone.0198627] [PMID: 29969452]
[http://dx.doi.org/10.3892/ol.2016.4516] [PMID: 27313764]
[http://dx.doi.org/10.18632/oncotarget.25175] [PMID: 29774132]
[http://dx.doi.org/10.1248/bpb.33.1644] [PMID: 20930370]
[http://dx.doi.org/10.1007/s12263-011-0244-8] [PMID: 21850498]
[http://dx.doi.org/10.1016/j.apjtm.2015.05.014] [PMID: 26194825]
[http://dx.doi.org/10.1155/2013/864892] [PMID: 23554834]
[http://dx.doi.org/10.3390/molecules18022449] [PMID: 23429418]
[http://dx.doi.org/10.1016/j.cbi.2013.07.015] [PMID: 23948132]
[http://dx.doi.org/10.1124/jpet.114.218792] [PMID: 25369797]
[http://dx.doi.org/10.1016/j.dib.2018.05.050] [PMID: 29900385]
[http://dx.doi.org/10.1016/j.cbi.2013.05.005] [PMID: 23707804]
[http://dx.doi.org/10.3390/cells10020340] [PMID: 33562819]
[http://dx.doi.org/10.18632/oncotarget.3895] [PMID: 26008966]
[http://dx.doi.org/10.22159/ajpcr.2018.v11i9.26316]
[http://dx.doi.org/10.1055/s-0035-1565428]
[http://dx.doi.org/10.1155/2020/3626879] [PMID: 32908971]
[http://dx.doi.org/10.1155/2019/6318179] [PMID: 31239863]
[http://dx.doi.org/10.1159/000321397] [PMID: 20980763]
[http://dx.doi.org/10.1201/b10787-14]
[http://dx.doi.org/10.1155/2012/396573] [PMID: 22454662]
[http://dx.doi.org/10.1007/s12017-015-8372-8] [PMID: 26458914]
[http://dx.doi.org/10.3390/nu13030950] [PMID: 33809462]
[http://dx.doi.org/10.1002/mnfr.200900277] [PMID: 20087857]
[http://dx.doi.org/10.1186/s12885-017-3058-2] [PMID: 28160777]
[http://dx.doi.org/10.1016/j.jnutbio.2011.02.015] [PMID: 21775121]
[http://dx.doi.org/10.1155/2017/1459497] [PMID: 29138673]
[http://dx.doi.org/10.1016/j.abb.2020.108412] [PMID: 32445778]
[http://dx.doi.org/10.1515/1553-3840.1614] [PMID: 22944718]
[http://dx.doi.org/10.1590/S0100-40422010001000038]
[http://dx.doi.org/10.1002/bmc.3576] [PMID: 26234655]
[http://dx.doi.org/10.3390/ijms21134713] [PMID: 32630308]
[http://dx.doi.org/10.1590/S0102-695X2012005000131]
[http://dx.doi.org/10.1200/jco.2013.31.15_suppl.e13557]
[http://dx.doi.org/10.1007/s10637-018-0620-y] [PMID: 29931585]
[http://dx.doi.org/10.1159/000493842] [PMID: 30261501]
[http://dx.doi.org/10.1007/s11356-019-06217-4] [PMID: 31444719]
[http://dx.doi.org/10.3390/molecules19044234] [PMID: 24705566]
[http://dx.doi.org/10.1007/s12032-013-0488-9] [PMID: 23397083]
[http://dx.doi.org/10.3390/ijms14011698] [PMID: 23322020]
[http://dx.doi.org/10.3390/molecules17044357] [PMID: 22491683]
[http://dx.doi.org/10.1016/j.jep.2010.08.059] [PMID: 20826204]
[http://dx.doi.org/10.1080/14786419.2018.1534107] [PMID: 30394109]
[http://dx.doi.org/10.4103/0973-1296.108133] [PMID: 23661990]
[http://dx.doi.org/10.21608/jabps.2020.44321.1105]
[http://dx.doi.org/10.1186/s40064-016-3361-4] [PMID: 27730025]
[http://dx.doi.org/10.21767/2321-2748.100329]
[http://dx.doi.org/10.1186/2191-2858-1-14] [PMID: 22373191]
[http://dx.doi.org/10.13002/jafag670]
[http://dx.doi.org/10.5152/eurjther.2021.20085]
[http://dx.doi.org/10.1155/2015/925631] [PMID: 25692148]
[http://dx.doi.org/10.1016/j.phytochem.2012.05.014] [PMID: 22683318]
[http://dx.doi.org/10.17179/excli2019-1063] [PMID: 31217780]
[http://dx.doi.org/10.1111/jphp.12718] [PMID: 28349530]
[http://dx.doi.org/10.1002/biof.1605] [PMID: 31880372]
[http://dx.doi.org/10.3390/molecules25214895] [PMID: 33113890]
[http://dx.doi.org/10.1007/978-3-319-89551-2_19]
[http://dx.doi.org/10.1039/C7FO01964E] [PMID: 29497723]
[http://dx.doi.org/10.1016/j.jff.2017.10.047]
[http://dx.doi.org/10.1016/j.biopha.2017.05.044] [PMID: 28528183]
[http://dx.doi.org/10.1016/j.neuint.2014.12.001] [PMID: 25481090]
[http://dx.doi.org/10.4103/0257-7941.113792] [PMID: 23929988]
[http://dx.doi.org/10.5829/idosi.abr.2015.9.94234]
[http://dx.doi.org/10.1177/1534735411400310] [PMID: 21771822]
[http://dx.doi.org/10.1371/journal.pone.0118864] [PMID: 25785932]
[http://dx.doi.org/10.1002/ptr.3338] [PMID: 21170924]
[http://dx.doi.org/10.3892/ijmm.2020.4499] [PMID: 32124953]
[http://dx.doi.org/10.1517/13543776.2013.736494] [PMID: 23094864]
[http://dx.doi.org/10.1111/jcmm.14539] [PMID: 31293090]
[http://dx.doi.org/10.1002/ptr.6126] [PMID: 29876988]
[http://dx.doi.org/10.17305/bjbms.2017.1800] [PMID: 28485251]
[http://dx.doi.org/10.1016/j.biopha.2018.06.047] [PMID: 30021339]
[http://dx.doi.org/10.5897/AJPP2014.4083]
[http://dx.doi.org/10.1016/j.hermed.2018.04.002]
[http://dx.doi.org/10.1021/np5000445] [PMID: 24779644]
[http://dx.doi.org/10.1155/2016/2018704] [PMID: 27403196]
[http://dx.doi.org/10.2147/CMAR.S163328] [PMID: 30532593]
[http://dx.doi.org/10.1002/cbdv.201900499] [PMID: 31794156]
[http://dx.doi.org/10.1155/2019/9826590] [PMID: 30931334]
[http://dx.doi.org/10.13040/IJPSR.0975-8232.5(4).1138-45]
[http://dx.doi.org/10.4103/0973-1296.153078] [PMID: 25829764]
[http://dx.doi.org/10.4103/0257-7941.107344] [PMID: 23661861]
[PMID: 22557438]
[http://dx.doi.org/10.1177/1534735410387598] [PMID: 21106617]
[http://dx.doi.org/10.1371/journal.pone.0078764] [PMID: 24205314]
[http://dx.doi.org/10.5214/ans.0972.7531.260104] [PMID: 31975767]
[http://dx.doi.org/10.1155/2019/8983752] [PMID: 31016201]
[http://dx.doi.org/10.1111/bph.13492] [PMID: 27058985]
[http://dx.doi.org/10.4103/archms.archms_54_17]
[http://dx.doi.org/10.1016/j.ejr.2019.08.003]
[http://dx.doi.org/10.1186/s41927-018-0036-5] [PMID: 30886977]
[http://dx.doi.org/10.1155/2017/6819281] [PMID: 29109832]
[http://dx.doi.org/10.5772/intechopen.79498]
[http://dx.doi.org/10.3390/cancers5031049] [PMID: 24202333]
[http://dx.doi.org/10.3390/cancers10090297] [PMID: 30200436]
[http://dx.doi.org/10.3171/2016.1.JNS152077] [PMID: 27419830]
[http://dx.doi.org/10.1007/s10557-012-6427-8] [PMID: 23224687]
[http://dx.doi.org/10.1111/jphp.12398] [PMID: 25828061]
[http://dx.doi.org/10.1007/s00018-015-2012-1] [PMID: 26306935]
[http://dx.doi.org/10.1016/j.bcp.2012.08.027] [PMID: 22981382]
[http://dx.doi.org/10.1007/s12017-016-8411-0] [PMID: 27209361]
[http://dx.doi.org/10.1007/s10637-014-0084-7] [PMID: 24718901]
[http://dx.doi.org/10.1007/s12035-015-9320-1] [PMID: 26208698]
[http://dx.doi.org/10.1021/cb200353m] [PMID: 22050377]
[http://dx.doi.org/10.1080/10408391003698669] [PMID: 21929329]
[http://dx.doi.org/10.1186/1423-0127-19-86] [PMID: 23035900]
[http://dx.doi.org/10.4103/0973-7847.79093] [PMID: 22096313]
[http://dx.doi.org/10.1155/2014/260210] [PMID: 25136570]
[http://dx.doi.org/10.1002/cam4.367] [PMID: 25450478]
[http://dx.doi.org/10.1016/j.bcp.2012.07.015] [PMID: 22842489]
[http://dx.doi.org/10.1007/s13277-015-3583-z] [PMID: 26026585]
[http://dx.doi.org/10.1155/2020/3237983] [PMID: 32454937]
[http://dx.doi.org/10.2174/1871520619666191121110848] [PMID: 31755397]
[http://dx.doi.org/10.1155/2015/856349] [PMID: 26557705]
[http://dx.doi.org/10.18632/oncotarget.4957] [PMID: 26286961]
[http://dx.doi.org/10.18632/oncotarget.11396] [PMID: 27557493]
[http://dx.doi.org/10.1007/s11060-016-2303-x] [PMID: 27837436]
[http://dx.doi.org/10.3892/ijmm.2017.2857] [PMID: 28098857]
[http://dx.doi.org/10.1007/s11596-020-2288-8] [PMID: 33428134]
[http://dx.doi.org/10.1586/14737175.2015.1051968] [PMID: 26027432]
[http://dx.doi.org/10.1016/S2221-1691(13)60060-X] [PMID: 23620848]
[http://dx.doi.org/10.1080/17425247.2017.1234452] [PMID: 27606793]
[http://dx.doi.org/10.1039/C9NP00011A] [PMID: 31187844]
[http://dx.doi.org/10.1186/s12957-018-1329-2] [PMID: 29433556]