Abstract
Background: Centilla asiatica L is a medicinal herb that has been widely used in folk medicine to treat various diseases. Asiatic Acid (AA), a triterpene and a known component of this herb, has been shown to display important biological activities, including anti-inflammatory, antibacterial, antidiabetic and antihyperlipidemic, neuroprotective, anxiolytic and antidepressant, hepatoprotective, pancreas protective, and cardio- protective.
Objective: This review focuses on AA’s anti-cancer effects on the basis of published literature found in a number of databases such as PubMed and Science Direct. Emphasis has been given to the mechanisms of action of its anti-cancer effect.
Methods: A literature survey was conducted using known databases such as PubMed and Science Direct using the keywords ‘Asiatic acid’, pairing with ‘cancer’, ‘tumor’, ‘anti-cancer effect’, ‘cytotoxic effect’, ‘anti-tumor activity’, ‘cell line’, ‘animal cancer’, and ‘human cancer’.
Results: Findings suggest that AA exerts anti-cancer effects in several test systems through various pathways, including oxidative/antioxidant, anti-inflammatory, cytotoxicity, apoptotic cell death, necrosis, anti-angiogenesis, inhibition of proliferation and cell migration, and chemoprevention.
Conclusion: AA may be an effective plant-based cancer chemotherapeutic agent and a promising lead for the development of potent anticancer drugs.
Keywords: Asiatic acid, Centilla asiatica, cancer, mechanisms of action, chemotherapeutic agent, anticancer drugs.
Graphical Abstract
[http://dx.doi.org/10.1021/acs.jafc.5b05993] [PMID: 26758628]
[http://dx.doi.org/10.1177/153537020623100201] [PMID: 16446487]
[http://dx.doi.org/10.1016/j.eplepsyres.2017.11.003] [PMID: 29156327]
[http://dx.doi.org/10.18632/oncotarget.24542] [PMID: 29599924]
[http://dx.doi.org/10.7603/s40681-015-0016-7] [PMID: 26280399]
[http://dx.doi.org/10.1016/j.phymed.2013.08.027] [PMID: 24075211]
[http://dx.doi.org/10.1016/S1875-5364(15)30047-9] [PMID: 26233843]
[http://dx.doi.org/10.2741/s514] [PMID: 28930532]
[http://dx.doi.org/10.1039/C7FO01442B] [PMID: 29354820]
[PMID: 26016167]
[http://dx.doi.org/10.1016/j.taap.2017.11.023] [PMID: 29196105]
[http://dx.doi.org/10.3892/ol.2018.8412] [PMID: 29805609]
[PMID: 28861174]
[http://dx.doi.org/10.7150/ijbs.14213] [PMID: 27313499]
[http://dx.doi.org/10.1007/s11010-017-3199-2] [PMID: 28993954]
[PMID: 29467846]
[http://dx.doi.org/10.1080/1028415X.2015.1135559] [PMID: 26856988]
[http://dx.doi.org/10.1016/j.biopha.2017.01.067] [PMID: 28110191]
[http://dx.doi.org/10.1016/j.intimp.2007.11.003] [PMID: 18279797]
[http://dx.doi.org/10.3389/fphar.2018.00892] [PMID: 30233358]
[http://dx.doi.org/10.1016/j.intimp.2014.12.009] [PMID: 25523461]
[http://dx.doi.org/10.1016/j.intimp.2017.07.005] [PMID: 28738247]
[http://dx.doi.org/10.1016/j.biopha.2017.03.005] [PMID: 28320097]
[http://dx.doi.org/10.1016/j.cbi.2017.10.024] [PMID: 29108773]
[http://dx.doi.org/10.1016/S0014-2999(03)02177-0] [PMID: 12969763]
[http://dx.doi.org/10.1007/BF02980124] [PMID: 15202556]
[http://dx.doi.org/10.1080/10286020.2012.699961] [PMID: 22924623]
[http://dx.doi.org/10.1080/10286020.2012.741124] [PMID: 23227815]
[http://dx.doi.org/10.3892/or.2014.3319] [PMID: 25016979]
[http://dx.doi.org/10.1016/j.ejmech.2016.02.057] [PMID: 26974379]
[http://dx.doi.org/10.3109/13880209.2016.1156709] [PMID: 26984021]
[http://dx.doi.org/10.2147/OTT.S98849] [PMID: 27073325]
[http://dx.doi.org/10.1016/j.ymthe.2018.06.016] [PMID: 30017880]
[http://dx.doi.org/10.1016/j.ejphar.2016.06.010] [PMID: 27288117]
[http://dx.doi.org/10.1016/j.apjtb.2017.01.012]
[http://dx.doi.org/10.1007/s11010-017-2965-5] [PMID: 28205096]
[http://dx.doi.org/10.1016/S0304-3835(02)00260-4] [PMID: 12183079]
[http://dx.doi.org/10.1007/s10495-006-9086-z] [PMID: 16820960]
[http://dx.doi.org/10.2152/jmi.52.65] [PMID: 15751275]
[http://dx.doi.org/10.1124/jpet.104.078808] [PMID: 15626723]
[http://dx.doi.org/10.1016/j.canlet.2004.06.039] [PMID: 15639343]
[http://dx.doi.org/10.1248/bpb.32.1399] [PMID: 19652380]
[http://dx.doi.org/10.1038/aps.2012.3] [PMID: 22447225]
[http://dx.doi.org/10.1016/j.ejphar.2012.01.006] [PMID: 22296759]
[http://dx.doi.org/10.1016/j.ejmech.2014.08.003] [PMID: 25151580]
[http://dx.doi.org/10.1002/mc.22220] [PMID: 25252179]
[http://dx.doi.org/10.3892/mmr.2015.3534] [PMID: 25815462]
[http://dx.doi.org/10.1016/j.ijpharm.2016.01.018] [PMID: 26775062]
[http://dx.doi.org/10.1016/j.apsb.2016.04.003] [PMID: 28119810]
[http://dx.doi.org/10.3892/ol.2018.8417] [PMID: 29805556]
[http://dx.doi.org/10.1002/iub.1648] [PMID: 28686797]
[http://dx.doi.org/10.1007/s10565-006-0104-2] [PMID: 16897440]
[http://dx.doi.org/10.14715/cmb/2018.64.10.5] [PMID: 30084792]
[http://dx.doi.org/10.1371/journal.pone.0022745] [PMID: 21826202]
[http://dx.doi.org/10.3390/molecules20047309] [PMID: 25905607]
[http://dx.doi.org/10.1248/cpb.c13-00328] [PMID: 23924616]
[http://dx.doi.org/10.1371/journal.pone.0180650] [PMID: 28700628]
[http://dx.doi.org/10.1080/15376516.2016.1273422] [PMID: 28004603]
[http://dx.doi.org/10.3390/nu10081053] [PMID: 30096914]
[http://dx.doi.org/10.1248/bpb.30.176] [PMID: 17202682]
[http://dx.doi.org/10.7150/ijbs.7273] [PMID: 24250248]
[http://dx.doi.org/10.3892/ol.2013.1597] [PMID: 24260073]
[http://dx.doi.org/10.7603/s40681-014-0019-9] [PMID: 25520932]
[http://dx.doi.org/10.7314/APJCP.2014.15.2.963] [PMID: 24568526]
[http://dx.doi.org/10.2147/OTT.S121619] [PMID: 28053540]
[http://dx.doi.org/10.1016/j.phymed.2015.11.019] [PMID: 26926181]
[http://dx.doi.org/10.1080/10286020.2017.1405940] [PMID: 29304559]
[http://dx.doi.org/10.1159/000489806] [PMID: 29768255]
[http://dx.doi.org/10.1038/s41401-018-0038-2] [PMID: 29921887]
[http://dx.doi.org/10.12659/MSM.909606] [PMID: 30076700]
[http://dx.doi.org/10.3892/ol.2019.10140] [PMID: 30988806]
[http://dx.doi.org/10.1016/j.chemosphere.2018.04.021] [PMID: 29656158]
[http://dx.doi.org/10.4103/0973-1482.187289] [PMID: 29893335]
[http://dx.doi.org/10.1016/j.biopha.2018.04.186] [PMID: 29864924]
[http://dx.doi.org/10.3389/fimmu.2018.00977] [PMID: 29780393]
[http://dx.doi.org/10.2174/18715206113136660370] [PMID: 24237225]
[http://dx.doi.org/10.1089/154065804322966315] [PMID: 15090210]
[http://dx.doi.org/10.2174/18715206113139990088] [PMID: 23855335]
[http://dx.doi.org/10.1016/S0014-4827(02)00027-7] [PMID: 12565815]
[http://dx.doi.org/10.1016/j.ceca.2011.03.003] [PMID: 21459443]
[http://dx.doi.org/10.1016/j.canlet.2018.05.049] [PMID: 29879497]
[http://dx.doi.org/10.1186/s13000-015-0255-7] [PMID: 25890121]
[http://dx.doi.org/10.12688/f1000research.6684.1] [PMID: 27006756]