Prostate Cancer in Herbs' Points of View

 By Kyle J. Norton (Draft article)

The widespread of prostate cancer, once considered as a disease of aging male, now have become major concerns of governments and scientific community in South East Asian with tendency to spread to younger age population. Suggestions emerged of over consuming bad fats in any time in history accompanied with unhealthy diet and life style may be the possible causes of the disease, linking to the economic prosperity over 2 decades. Herbal medicine for diseases' management have been prescribed in folk medicine over thousands of year as one of best medicine of nature in preventing and treating diseases, including prostate cancer.
Prostate cancer is defined as a condition in which the cells of prostate has become cancerous, causing abnormal cell growth with possibility of spreading to the distant parts of the body. Most prostate cancers are slow growing and enlarged prostate and prostate cancer may be detected during physical (rectum) exams.
1. Aloe vera
Aloe Vera is species of succulent plant in the genus Aloe, belonging to the Family Xanthorrhoeaceae, native to Sudan. It has become very popular for commercial cultivation due to its health benefits. Aloe vera has been used in herbal medicine in treating many kinds of disease, including wound, burn healing, minor skin infections, sebaceous cysts, diabetes, and elevated of cholesterol, etc. It is also one of many popular herb studied in scientific ways with some conflicted results.
Aloe-emodin, a chemical constituent in Aloe vera, inhibited both proliferation and anchorage-independent growth of PC3 cells through activation of the downstream substrates of mTORC2, Akt and PKCα causes of apoptosis, cell proliferation(1). prostate cancer, LNCaP expression of N-acetylated by cytosolic N-acetyltransferase (NAT) activity and mRNA inhibited by aloe-emodin in doses depending mannerthrough its kinase activity in cellular transformation(2)(3).

2. Cascara sagrada
Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and it is thought to have a laxative and natural cleansing, etc., effect.
Emodin, a cemical compoubd found in Cascara sagrada, inhibited cellular migration and invasion in prostate cancer through downregulate CXCR4 expression which is involved in promoting invasion and metastasis in tumors(4). In human prostate cancer cell LNCaP, amodin increased apoptosis and  decreased in cell proliferation through down regualting the expression of expression of androgen receptor (AR) and prostate specific antigen (PSA) and upregulating the expression of p53(Anti tumor antigen) and p21(( regulator of cell cycle progression at G₁ and S phase)(5), In other study, Emodin enhanced the  cytotoxic effectiveness of chemotherapeutic drugs in prostate cancer cells through ROS(reactive oxygen spiecies)-mediated suppression of multidrug resistance and hypoxia inducible factor-1(influence cell metabolism, cell survival and angiogenesis to maintain biological homeostasis)(6).

3. Green tea
Green tea contains more amount of antioxidants than any drinks or food with the same volume, and is the leaves of Camellia sinensis, undergone minimal oxidation during processing, originated from China. Green tea has been a precious drink in traditional Chinese culture and used exceptional in socialization for more than 4000 thousand years. Because of their health benefits, they have been cultivated for commercial purposes all over the world.
Epigallocatechin-3-gallate (Chit-nanoEGCG), a phytochemical in green tea, exerted a significant inhibition of tumor growth and secreted prostate-specific antigen levels compared with EGCG and control groups, trough induction of poly (ADP-ribose) polymerases cleavage, increase in the protein expression of Bax(involved in p53-mediated apoptosis)  with accompanied decrease in Bcl-2(family of regulator proteins that regulate cell death), and activation of caspases(mechanisms of apoptosis) and reduction in Ki-67 and proliferating cell nuclear antigen(7). In androgen-independent prostate cancer, synthetic derivative, EGCG (EGCG-P) and EGCG treatment suppressed the growth of the tumor correlated with the decrease of serum PSA level together with the reduction in tumor angiogenesis and an increase in apoptosis on prostate cancer cells(8). In anticancer drug cisplatin, EGCG ehnaced the effectiveness of the chemo agent in reduction of cell survival of prostate cancer cell line PC3 and induced apoptosis(9).

4. Pomegranate
Pomegranates is a fruit-bearing small tree, genus Punica, belonging to family Lythraceae, native to Iran but has been cultivated in Asian since ancient time.
POMx, a pomegranate extract (PE) fomula, exhibited potent in vitro cytotoxicity in metastatic castration-resistant PCa cells through inhibition of survivin, induced apoptosis, retarded C4-2 tumor growth in skeleton and significantly enhanced the efficacy of docetaxel(Chemodrug) in athymic nude mice(10). Ellagic acid (EA) converted from Ellagitannins (ETs) found in from pomegranate juice (PJ) showed to induce apoptosis in both cell lines, DU-145 and PC-3 through induced  cell cycle arrest in S phase associated with decreased cyclin B1 and cyclin D1 levels in regulation ofcell cycle progression(11). Pomegranate juice (PJ) PJ components luteolin, ellagic acid, and punicic acid together found to inhibit growth of hormone-dependent and hormone-refractory prostate cancer cells and their migration, increase the expression of cell adhesion genes and decrease expression of genes involved in cell cycle control through suppression microRNAs (miRNAs), decrease several oncogenic miRNAs, and inhibit the chemokines receptor type 4 (CXCR4)/SDF1α chemotaxis axis(decreased PSA cell migration)(12).

6. Garlic
Garlic (Allium sativum) is a species in the onion genus, belonging to family Amaryllidaceae, native to central Asia. It has been used popularly in traditional and Chinese medicine in treating common cold and flu to the Plague, blood pressure cholesterol levels, natural antibiotic, etc.
In androgen-independent prostate cancer, garlic-derived organosulfur compound S-allylmercaptocysteinesuppresses invasion and cell motility of androgen-independent prostate cancer cells via the up-regulation of cell-adhesion molecule E-cadherin(Loss of E-cadherin expression has been implicated in cancer progression and metastasis)(16). Garlic compound diallyl disulfid,a oil soluble organosulfur compound of garlic, exerted its antiproliferative and inhibited effect on prostate cancer cells, through induction of DNA damage in a dose dependent manner(17). Garlic constituent diallyl trisulfide (DATS), induced apoptosis in prostate cancer cells is mediated in part by suppression of XIAP(a protein that stops apoptotic cell death) protein expression(18).

7. Chamomile
Chamomile is also known as camomile, common name of many species daisy-like plants in the family Asteraceae. The herb has been used in traditional medicine as antispasmodic and anti-inflammatory constituents and to treat menstrual cramps and sleep disorders, reduce cramping and spastic pain in the bowels, relieve excessive gas and bloating in the intestine, etc.
Phenolic profile of chamomile showed to inhibited the cell proliferation and to reduce IL-8 (an important mediator of the immune reaction in the innate immune system response) levels in PC3 prostate cancer cells(19). Traditional Botanical Supplement-101 (TBS-101), including the extracts of Panax ginseng, cranberry, green tea, grape skin, grape seed, Ganoderma lucidum and chamomile, showed to inhibit in hormone-refractory PC-3 cells and large aggressive PC-3 tumors cell growth in a dose-dependent manner(20). In human cancer cell lines PC-3, A-549 and MCF-7, Chamomile's essential oils, induced cytotoxicity of prostate carcinoma cell (PC-3), significantly stronger than on human lung carcinoma (A549) and human breast cancer (MCF-7) cell lines(21).

8. Onion
The onion is a close relation of garlic plant in the genus Allium, belonging to the family Alliaceae.  It is often called the "king of vegetables" because of its pungent taste and found in a large number of recipes and preparations, spanning almost the totality of the world's cultures. Depending on the variety, an onion can be sharp, spicy, tangy, pungent, mild or sweet.
Data from southern European populations showed intake of allium vegetables, including onion are  inversely associated reduced  risk of several common cancers, including breast cancer(22).
 Fisetin, a chemical constituent found in Onion, in prostate cancer, it exerted anti cell profilerative effect as a dual inhibitor of the PI3K/Akt (anti-apoptosis and increased cell proliferation) and the mTOR(regulates cell growth, cell proliferation, cell motility, cell survival, protein synthesis, and transcription) pathways(23). Quercetin, also found in onion, inhibited the prostate cancer line PC-3 through DNA fragmentation and protein expressions of Bcl-2, Bcl-xL, Bax and caspase-3 (cell apoptosis) pathways(24).

9. Turmeric
Turmeric is a perennial plant in the genus Curcuma, belonging to the family Zingiberaceae, native to tropical South Asia. The herb has been used in traditional medicine as anti-oxidant, hypoglycemic, colorant, antiseptic, wound healing agent, and to treat flatulence, bloating, and appetite loss, ulcers, eczema, inflammations, etc.
In PC-3M prostate cancer cell line, extract from turmeric, showed significant inhibitory effects on anti profilerative ability in PC-3M in clonogenic assays(25). Demethoxycurcumin (DMC), one of mjor chemical constituents found in turmeric, exerted it antitumor effects on prostate cancer cells via AMPK((cellular energy homeostasis))-induced down-regulation of HSP70 (upregulated by and toxic chemicals, particularly heavy metals) and EGFR(over expression of epidermal growth factor receptor  have been associated with a number of cancers)(26)(27). Curcumin, a non-nutritive yellow pigment derived from the turmeric showed a inhibitory effects on the expression of  NF-κB (a transcription factor that has crucial roles in inflammation, immunity, cell proliferation and apoptosis)correlated with their effects on growth inhibition and apoptosis stimulation in PC-3 cells(28).

10. Ginseng
Ginseng is a slow-growing perennial plants with fleshy roots, the genus Panax, belonging to the family Araliaceae. Depending to the climate where it grows, ginseng can be classified mainly into Panax ginseng Asian ginseng (root), Red ginseng, wild ginseng, American ginseng (root).
In a highly metastatic PC-3M prostate cancer cell line,  Ginsenoside Rg3 (Rg3), a bioactive extract from ginseng, suppressed migration of PC-3M cells by down-regulating AQP1(a molecular water channel protein) expression through p38 (highly expressed in aggressive and invasive cancers)MAPK(Increased MAPK expression and activity in primary human carcinoma) pathway and some transcription factors acting on the AQP1 promoter(29). Ginsenoside 20(S)-Rh2  of Ginsenosides, a main component of ginseng, found to be effective in proliferation inhibition on androgen-dependent and -independent prostate cancer cells(30). Formula of Botanical Supplement-101 (TBS-101), containing Panax ginseng, cranberry, green tea, grape skin, grape seed, Ganoderma lucidum and chamomile showed significant inhibition of tumor growth and invasion in a dose-dependent manner(31).

11. Grape Seed Extract
Grape Seed Extract is the commercial extracts from whole grape seeds containing many concentrations, including vitamin E, flavonoids, linoleic acid, oligomeric proanthocyanidins(OPCs), etc.. The herb has been used in traditional medicine as antioxidant, anti-inflammatory agents and to treat skin wounds with less scarring, allergies, macular degeneration, arthritis, enhance circulation of blood vessels, lower cholesterol, etc.
Grape seed extract (GSE), inhibited HAT(HAT mutations are associated to certain cancers), leading to decreased AR(plays roles in prostate development and cancer (PCa))-mediated transcription and cancer cell growth, and implicate GSE as a novel candidate for therapeutic activity against prostate cancer(32). B2G2 from total GSE, derived from Procyanidin B2 3,3″-di-O-gallate, a Biologically Active Constituent of Grape Seed Extract inhibited cell growth, decreased clonogenicity(colony expansion), and induced cell cycle arrest and apoptotic death, in various human PCa cell lines(33).
In a highly metastatic androgen-independent PC3 prostate cancer, Grape seed extract (GSE),  inhibited DNA-binding activity of the transcription factor nuclear factor kappa B (NFkappaB)(a transcription factor that has crucial roles in inflammation, immunity, cell proliferation and apoptosis), which in turn decreased NFkappaB-dependent uPA(in tumor invasion and metastasis) transcription(33).

12. Danshen (Salvia miltiorrhiza Bunge)
Dan Shen is also known as Red Sage Root. The bitter and slightly cold herb has been used in TCM as antithrombotic, antihypertonic (lowering blood pressure), antimicrobial, antipyretic, anti-inflammatory, sedative agent and to treat dysmenorrhea, amenorrhea, palpable tumors, angina,restlessness, insomnia, irritability, etc., by enhancing the functions of heart and liver channels.
Tanshinones, a chemical constituent found in Chinese herb Dan Shen, was found to be effective in inhibition of the growth of growth of prostate cancer sell lines, in a dose-dependent manner through cell cycle arrest and apoptosis induction(34)and specially in LNCaP cells more than several androgen-independent PCa cell, through suppression of  prostate cancer growth and androgen receptor(AR) signaling.(35) or through induction of  G1 arrest via activation of p53(tumor antigen) signaling and inhibition of AR in LNCaP cells(36).

13. Ginkgo biloba
Ginkgo biloba is oldest living tree species, genus Ginkgo, belonging to the family Ginkgoaceae, native to China, from temperate zone to subtropical zone and some parts of north America. It has been used in traditional herbal medicine in treating impotence, memory loss,respiratory diseases, circulatory disorders and deafness as well as preventing drunkenness, and bedwetting.
Ginkgetin, isolated from leaves of Ginkgo biloba L, inhibited PC-3 cells in a concentration-dependent manner, through significantly increased the sub-G1(detection of cumulative apoptosis)  DNA contents of cell cycle by activated caspase-3 (mechanisms of apoptosis) and weakened  the expression of survival genes such as Bcl-2, Bcl-xL,(family of regulator proteins that regulate cell death) Survivin (baculoviral inhibitor), and Cyclin D1(regulating cell cycle progression) at protein and mRNA levels(37). Unfortunately, Some reseachers suggested that There were no associations for use of  ginkgo biloba in reduced risk of prostate cabcer(38)(39)

14. Licorice (Glycyrrhiza Glabra)
Licorice (Glycyrrhiza Glabra) also known as sweetwood, is the genus Glycyrrhiza, belonging to the family Fabaceae, native to the Mediterranean and certain areas of Asia. The herb has been used in traditional medicine to treat skin diseases, coughs, constipation, bronchitis, inflammation.
Licochalcone-A, isolated from licorice, induced modest level of apoptosis of androgen-independent PC-3 prostate cancer cells through the cell cycle progression arresting cells in G2/M, accompanied by suppression of cyclin B1 and cdc2(cell division cycle 2)(40). Isoangustone A (IAA) in licorice,  attenuated the growth of prostate cancer cell cultures and xenograft tumors attributed to inhibition of the G1/S phase cell cycle transition and the accumulation of p27(cell cycle inhibitor)(41). Other chemical compound such as Glycyrrhetinic acid found in licorice, in the experiment of prostate cancer cell line DU-145, inhibited proliferation and growth of these cells by inducing apoptosis, through down regulated expression of NF-κB (p65). (42).

15. Peppermint
Peppermint is a hybrid mint with small purple or white flowers and downy leaves, in the genus Mentha, belonging to the family Lamiaceae, native to  Europe. The herb has been used in folk medicine as analgesic, antiseptic, antispasmodic, decongestant, agent and to relieve gas, nausea, and stomach pain due to an irritable bowel, intestinal cramps, or indigestion, infecttion, etc.
essential oils of peppermint exerted its cytotoxic effect against of  prostate cancer (LNCaP) cell lines(43). Menthol, a naturally isolated from peppermint oil, induces cell death in PC-3 cells independent to Ca(2+) influx pathways(44). When combined with 1alpha,25-dihydroxyvitamin D(3) [1alpha,25(OH)(2)D(3)], the most active form of vitamin D(3), menthol increases an anti-proliferation activity of 1alpha,25(OH)(2)D(3) in LNCaP prostate cancer cells, through evoking the increase in [Ca(2+)](45).

16. Wolfberry
Wolfberry is the common name for the fruit of two very closely related species, the genus of Lycium, belong to family Solanaceae, native to native to southeastern Europe and Asia.
Lycium barbarum polysaccharides (LBPs) in dose and time-dependently inhibited the growth of both PC-3 and DU-145 cells through exhibiting  the breakage of DNA strands of PC-3 and DU-145 cells; and induced apoptosis(46). Extract from Lycium barbarum. showed an inhibited effect against  PC3 cell proliferation(47).

18. Rosemary 
Rosemary is a perennial herb with fragrant, evergreen, needle-like leaves, the genus Rosmarinus, belonging to the family Lamiaceae. Its fresh and dried leaves has been used frequently in traditional Mediterranean cuisine and as flavor foods while barbecuing.
Polyphenols isolated from rosemary, inhibited prostate cancer cell through targeting multiple signaling pathways involved in cell cycle modulation and apoptosis(48). Carnosic acid (CA), a polyphenolic diterpene, isolated from rosemary, inhibited apoptosis of PC-3 cells, by activation of PP2A(play critical roles in cell cycle and apoptosis) through modulation of Akt/IKK/NF-κB pathway(49).

Taking altogether, The above herbs have shown effectively in reduced risk and treatments of prostate cancer, through induced apoptosis, exhibited anti proliferation of prostate cancer cell line in cell cycle arrest, down regulation of pro cell growth pathways, etc.. Please consult with your doctor or related field specialist before applying.
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References
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(2) Effect of inhibition of aloe-emodin on N-acetyltransferase activity and gene expression in human malignant melanoma cells (A375.S2) by Lin SY, Yang JH, Hsia TC, Lee JH, Chiu TH, Wei YH, Chung JG.(PubMed)
(3) Aloe-emodin suppresses prostate cancer by targeting the mTOR complex 2 by Liu K, Park C, Li S, Lee KW, Liu H, He L, Soung NK, Ahn JS, Bode AM, Dong Z, Kim BY, Dong Z.(PubMed)
(4) Emodin inhibits invasion and migration of prostate and lung cancer cells by downregulating the expression of chemokine receptor CXCR4 by Ok S, Kim SM, Kim C, Nam D, Shim BS, Kim SH, Ahn KS, Choi SH, Ahn KS.(PubMed)
(5) Emodin induces apoptosis in human prostate cancer cell LNCaP by Yu CX, Zhang XQ, Kang LD, Zhang PJ, Chen WW, Liu WW, Liu QW, Zhang JY.(PubMed)
(6) Chemosensitization by emodin, a plant-derived anti-cancer agent: mechanism of action by Sun Y.(PubMed)
(7) Oral administration of naturally occurring chitosan-based nanoformulated green tea polyphenol EGCG effectively inhibits prostate cancer cell growth in a xenograft model by Khan N, Bharali DJ, Adhami VM, Siddiqui IA, Cui H, Shabana SM, Mousa SA, Mukhtar H.(PubMed)
(8) Effect of a prodrug of the green tea polyphenol (-)-epigallocatechin-3-gallate on the growth of androgen-independent prostate cancer in vivo by Lee SC, Chan WK, Lee TW, Lam WH, Wang X, Chan TH, Wong YC.(PubMed)
(9) Epigallocatechin-3-gallate promotes apoptosis and expression of the caspase 9a splice variant in PC3 prostate cancer cells by Hagen RM, Chedea VS, Mintoff CP, Bowler E, Morse HR, Ladomery MR.(PubMed)
(10) Pomegranate extract inhibits the bone metastatic growth of human prostate cancer cells and enhances the in vivo efficacy of docetaxel chemotherapy by Wang Y, Zhang S, Iqbal S, Chen Z, Wang X, Wang YA, Liu D, Bai K, Ritenour C, Kucuk O, Wu D.(PubMed)
(11) Pomegranate Juice Metabolites, Ellagic Acid and Urolithin A, Synergistically Inhibit Androgen-Independent Prostate Cancer Cell Growth via Distinct Effects on Cell Cycle Control and Apoptosis by Vicinanza R, Zhang Y, Henning SM, Heber D.(PubMed)
(12) Specific pomegranate juice components as potential inhibitors of prostate cancer metastasis by Wang L, Ho J, Glackin C, Martins-Green M.(PubMed)
(13) Cytotoxic effect of the pentacyclic oxindole alkaloid mitraphylline isolated from Uncaria tomentosa bark on human Ewing's sarcoma and breast cancer cell lines by García Giménez D, García Prado E, Sáenz Rodríguez T, Fernández Arche A, De la Puerta R.(PubMed)
(14) The antiproliferative effects of Uncaria tomentosa extracts and fractions on the growth of breast cancer cell line by Riva L, Coradini D, Di Fronzo G, De Feo V, De Tommasi N, De Simone F, Pizza C.(PubMed)
(15) Anticancer activity of the Uncaria tomentosa (Willd.) DC. preparations with different oxindole alkaloid composition by Pilarski R, Filip B, Wietrzyk J, Kuraś M, Gulewicz K.(PubMed)
(16) Garlic-derived S-allylmercaptocysteine is a novel in vivo antimetastatic agent for androgen-independent prostate cancer by Howard EW, Ling MT, Chua CW, Cheung HW, Wang X, Wong YC.(PubMed)
(17) Growth suppressing effect of garlic compound diallyl disulfide on prostate cancer cell line (PC-3) in vitro by Arunkumar A, Vijayababu MR, Kanagaraj P, Balasubramanian K, Aruldhas MM, Arunakaran J.(PubMed)
(18) Garlic constituent diallyl trisulfide suppresses x-linked inhibitor of apoptosis protein in prostate cancer cells in culture and in vivo by Kim SH, Bommareddy A, Singh SV.(PubMed)
(19) Herbal infusions; their phenolic profile, antioxidant and anti-inflammatory effects in HT29 and PC3 cells by Kogiannou DA, Kalogeropoulos N, Kefalas P, Polissiou MG, Kaliora AC.(PubMed)
(20)The effect of a novel botanical agent TBS-101 on invasive prostate cancer in animal models by Evans S, Dizeyi N, Abrahamsson PA, Persson J.(PubMed)
(21) Activities of ten essential oils towards Propionibacterium acnes and PC-3, A-549 and MCF-7 cancer cells by Zu Y, Yu H, Liang L, Fu Y, Efferth T, Liu X, Wu N.(PubMed)
(22) Onion and garlic use and human cancer by Galeone C, Pelucchi C, Levi F, Negri E, Franceschi S, Talamini R, Giacosa A, La Vecchia C.(PubMed)
(23) Dietary flavonoid fisetin: a novel dual inhibitor of PI3K/Akt and mTOR for prostate cancer management by Adhami VM, Syed DN, Khan N, Mukhtar H.(PubMed)
(24) Effects of quercetin on insulin-like growth factors (IGFs) and their binding protein-3 (IGFBP-3) secretion and induction of apoptosis in human  prostate cancer cells by J. Vijayababu MR, Arunkumar A, Kanagaraj P, Arunakaran (PubMed)
(25) Combinatorial cytotoxic effects of Curcuma longa and Zingiber officinale on the PC-3M prostate cancer cell line by Kurapati KR, Samikkannu T, Kadiyala DB, Zainulabedin SM, Gandhi N, Sathaye SS, Indap MA, Boukli N, Rodriguez JW, Nair MP.(PubMed)
(26) Demethoxycurcumin Modulates Prostate Cancer Cell Proliferation via AMPK-Induced Down-regulation of HSP70 and EGFR by Hung CM, Su YH, Lin HY, Lin JN, Liu LC, Ho CT, Way TD.(PubMed)
(27) Growth factor receptor expression in anal squamous lesions: modifications associated with oncogenic human papillomavirus and human immunodeficiency virus(Human Patholog)
(28) Effects of cyclohexanone analogues of curcumin on growth, apoptosis and NF-κB activity in PC-3 human prostate cancer cells by Wei X, DU ZY, Cui XX, Verano M, Mo RQ, Tang ZK, Conney AH, Zheng X, Zhang K.(PubMed)
(29) Ginsenoside Rg3 attenuates cell migration via inhibition of aquaporin 1 expression in PC-3M prostate cancer cells by Pan XY, Guo H, Han J, Hao F, An Y, Xu Y, Xiaokaiti Y, Pan Y, Li XJ.(PubMed)
(30) Stereospecificity of hydroxyl group at C-20 in antiproliferative action of ginsenoside Rh2 on prostate cancer cells by Liu J, Shimizu K, Yu H, Zhang C, Jin F, Kondo R.(PubMed)
(31) The effect of a novel botanical agent TBS-101 on invasive prostate cancer in animal models by Evans S, Dizeyi N, Abrahamsson PA, Persson J.(PubMed)
(32) Grape seed extract regulates androgen receptor-mediated transcription in prostate cancer cells through potent anti-histone acetyltransferase activity by Park SY, Lee YH, Choi KC, Seong AR, Choi HK, Lee OH, Hwang HJ, Yoon HG.(PubMed)
(32) Procyanidin B2 3,3″-di-O-gallate, a Biologically Active Constituent of Grape Seed Extract, Induces Apoptosis in Human Prostate Cancer Cells Via Targeting NF-κB, Stat3, and AP1 Transcription Factors by Tyagi A, Raina K, Shrestha SP, Miller B, Thompson JA, Wempe MF, Agarwal R, Agarwal C.(PubMed)
(33) NFkappaB-dependent regulation of urokinase plasminogen activator by proanthocyanidin-rich grape seed extract: effect on invasion by prostate cancer cells by Uchino R, Madhyastha R, Madhyastha H, Dhungana S, Nakajima Y, Omura S, Maruyama M.(PubMed)
(34) Bioactive tanshinones in Salvia miltiorrhiza inhibit the growth of prostate cancer cells in vitro and in mice by Gong Y, Li Y, Lu Y, Li L, Abdolmaleky H, Blackburn GL, Zhou JR.(PubMed)
(35) Tanshinones from Chinese medicinal herb Danshen (Salvia miltiorrhiza Bunge) suppress prostate cancer growth and androgen receptor signaling by Zhang Y, Won SH, Jiang C, Lee HJ, Jeong SJ, Lee EO, Zhang J, Ye M, Kim SH, Lü J.(PubMed)
(36) Activation of p53 signaling and inhibition of androgen receptor mediate tanshinone IIA induced G1 arrest in LNCaP prostate cancer cells by Won SH, Lee HJ, Jeong SJ, Lü J, Kim SH.(PubMed)
(37) Ginkgetin induces apoptosis via activation of caspase and inhibition of survival genes in PC-3 prostate cancer cells by You OH, Kim SH, Kim B, Sohn EJ, Lee HJ, Shim BS, Yun M, Kwon BM, Kim SH.(PubMed)
(38) Specialty supplements and prostate cancer risk in the VITamins and Lifestyle (VITAL) cohort by Brasky TM, Kristal AR, Navarro SL, Lampe JW, Peters U, Patterson RE, White E.(PubMed)
(39) Ginkgo biloba and risk of cancer: secondary analysis of the Ginkgo Evaluation of Memory (GEM) Study by Biggs ML, Sorkin BC, Nahin RL, Kuller LH, Fitzpatrick AL.(PubMed)
(40) Licochalcone-A, a novel flavonoid isolated from licorice root (Glycyrrhiza glabra), causes G2 and late-G1 arrests in androgen-independent PC-3 prostate cancer cells by Fu Y, Hsieh TC, Guo J, Kunicki J, Lee MY, Darzynkiewicz Z, Wu JM.(PubMed)
(41) CDK2 and mTOR are direct molecular targets of isoangustone A in the suppression of human prostate cancer cell growth by Lee E, Son JE, Byun S, Lee SJ, Kim YA, Liu K, Kim J, Lim SS, Park JH, Dong Z, Lee KW, Lee HJ.(PubMed)
(42) 18α-glycyrrhetinic acid targets prostate cancer cells by down-regulating inflammation-related genes by Shetty AV, Thirugnanam S, Dakshinamoorthy G, Samykutty A, Zheng G, Chen A, Bosland MC, Kajdacsy-Balla A, Gnanasekar M.(PubMed)
(43) Seasonal variation in content, chemical composition and antimicrobial and cytotoxic activities of essential oils from four Mentha species by Hussain AI, Anwar F, Nigam PS, Ashraf M, Gilani AH.(PubMed)
(44) Menthol regulates TRPM8-independent processes in PC-3 prostate cancer cells by Kim SH, Nam JH, Park EJ, Kim BJ, Kim SJ, So I, Jeon JH.(PubMed)
(45) Menthol Enhances an Antiproliferative Activity of 1alpha,25-Dihydroxyvitamin D(3) in LNCaP Cells by Park EJ, Kim SH, Kim BJ, Kim SY, So I, Jeon JH.(PubMed)
(46) Lycium barbarum polysaccharides induce apoptosis in human prostate cancer cells and inhibits prostate cancer growth in a xenograft mouse model of human prostate cancer by Luo Q, Li Z, Yan J, Zhu F, Xu RJ, Cai YZ.(PubMed)
(47) [Extraction and isolation of active component for inhibiting PC3 cell proliferation in vitro from the fruit of Lycium barbarum L].[Article in Chinese] by Liu XL, Sun JY, Li HY, Zhang L, Qian BC.(PubMed)
(48) Polyphenols from the Mediterranean herb rosemary (Rosmarinus officinalis) for prostate cancer. by Petiwala SM, Puthenveetil AG, Johnson JJ.(PubMed)
(49) Carnosic acid modulates Akt/IKK/NF-κB signaling by PP2A and induces intrinsic and extrinsic pathway mediated apoptosis in human prostate carcinoma PC-3 cells by Kar S, Palit S, Ball WB, Das PK.(PubMed)

Breast Cancer in herbs' Point of View

 By Kyle J. Norton (Draft article)

Epidemiological studies. linking herbal medicine in reduced risk of  breast cancer have produced inconstant results. It may be caused by agendas of the originated sources, length of time or following guide lines loosely.  Breast cancer widespread in women in Southeast Asian as a result of over 2 decades of economic prosperity has caused major concerns in the governments and scientific communities. Emerged suggestions in searching effective treatments in herbal medicine are ongoing, but discover an effective prevention and treatment with little or no side effects has proven difficulty. According to statistic, one in 8 women will be diagnosed to carry some breast cancer tissues sometimes in their life time. Detections of tumor genesis through self observation are still the best approach to cure breast cancer in early stage but reduction of the mortality has not been accounted even with extensively modern technology in the field of diagnosis as well as insurance protection in Western world, needless to say of counties which have little.
Breast cancer (malignant breast neoplasm) is a cancer that starts in the tissues of the breast either from the inner lining of milk ducts (Ductal carcinoma) or the lobules (Lobular carcinoma) that supply the ducts with milk. there is also rare cases that breast cancer starts in other areas of the breast.

1. Anise
Anise is a flowering plant of the species of Pimpinella anisum, genus Pimpinella, belonging to the family Apiaceae native to to Egypt and the Mediterranean region. The popular herb has been used in traditional herbal medicine as fragrance in soaps, oils, and mouth fresheners and stomachic, anti-septic, anti-spasmodic, carminative, digestive, expectorant, stimulant and tonic agent  and to treat head-lice and mites, increase blood pressure, prevent formation of gas in the gastrointestinal tract and menstrual cramps, etc.
Anethole, a major chemical compound in Anise, in MTT and colony formation assays, showed to exhibit anti ER+ and ER breast cancer through suppression of cell survival to cell proliferation and induction of apoptosis in MCF-7 and MDA-MB-231 at an optimal concentration of 1 × 10(-3)M by activating immune response in tumor inhibition(1). Epoxypseudoisoeugenol-2-methyl butyrate isolated from Pimpinella corymbosa, inhibited the proliferation of both MCF-7 and BT-549 cells by blocking NF-kappaB(in inflammation, immunity, cell proliferation and apoptosis) transcriptional activity through induced cell cycle arrest in G(1)/G(0)(Cell cyle) phase and apoptosis(2). Also in the study of selective estrogen receptor modulators or SERMs, Pimpinella anisum in a series of in vitro,  exhibited antiestrogenic effect on breast cancer cells of MCF-7(3).

2. Burdock
Burdock is plant in the group of biennial thistles, genus Arctium, belonging to the family Asteraceae, native to the Euro. It has been used over thousand of years in Chins and other traditional herbal medicine as a diuretic, diaphoretic, and a blood purifying agent and to treat wounds and infections stomach ulcers and other digestive problems.
 Lignin, a chemical constituent in burdock inhibited MDA-MB-231 cell growth by inducing apoptosis through the cell cycle and cell proliferation (ROS/p38 MAPK) pathway and up regulation of (regulator proteins that regulate cell death) Bcl-2 by enhancing antibody antigens(4)lso, in Arctiin, Burdock inhibited the growth of breast caner cells through down-regulation of  cell cycle progression cyclin D1 protein expression(5). Actiin metabolites found in Burdock in the study by the Fourth Military Medical University, in China, showed an inhibited activity on estradiol-mediated proliferation of MCF-7 cells at a concentration of 10 microM(6).

3. Cascara sagrada
Cascara sagrada is a species of buckthorn, genus Rhamnus, belonging to the family Rhamnaceae, native to western North America, it's bark has been used in traditional medicine for gastrointestinal support. and it is thought to have a laxative and natural cleansing, etc..
Emodin, a chemical compound in Cascara sagrada, showed either to reverse the multi-drug resistance in MCF-7/Adr cells and down-regulate ERCC1(the repair of DNA) protein expression(7) and suppress  the proliferation of BCap-37 cells, through the decreased Bcl-2 level(regulate cell death), or induced apoptosis of breast cancer cells by increased expression Bax(involved in p53-mediated apoptosis) and cytosolic(liquid found inside cells) cytochrome c(Protein in the inner membrane of mitochondrial)), on a concentration-and time-dependent manner(8), or through disruption (bad translocation) of the mitochondrial signaling pathway in BCap-37 cells(9).

4. Turmeric
Turmeric is a perennial plant in the genus Curcuma, belonging to the family Zingiberaceae, native to tropical South Asia. The herb has been used in trditional medicine as anti-oxidant, hypoglycemic, colorant, antiseptic, wound healing agent, and to treat flatulence, bloating, and appetite loss, ulcers, eczema, inflammations, etc.
Curcumin a common spicy and the well-known chemopreventive agent in Turmeric, inhibited the level of telomerase gene expression(produces vulnerability of cancer cells) in breast cells treated(10).  It synthetic version, an ortho-hydroxy substituted analog of curcumin (BDMC-A) inhibited MCF-7 at a dose equivalent to that of curcumin (30μM) on the modulation of selective anti tumorenegtic markers (intrinsic pathway: p53, Bcl-2, Bax, cyt c, Apaf-1, caspase-9, 3, PARP; extrinsic pathway: FasL, caspase 8) and ROS (reactive oxygen species) mediation(11). In MDA-MB-231 and BT-483 breast cancer cells, curcumin exhibited the anti-proliferation effect, through lowering the expression of cyclin D1(involved in regulating cell cycle progression) and MMP1 mRNA(involved in the breakdown of extracellular matrix in normal physiological processes and disease processes)(12).

5. Basil
Basil is a species of Ocimum basilicumm, belongong to the family Lamiaceae. It has been used in traditinal medicine to treat cold and flu, coughing, calming the stomach, headache, etc..
Hydrophobic and hydrophilic fractions (HB and HL) exhibited anti tumor growth by decreased in basement membrane disintegration, angiogenesis and MMP-2 and MMP-9 activities in in multiple stages of cancer progression(13).Aqueous OG leaf extract in other study, inhibited proliferation, migration, anchorage independent growth, 3D growth and morphogenesis(the biological process of breast cancer) and induction of COX-2 protein(overexpression in breast cancer cells results in increased cell motility and invasion) in breast cancer cells(14).

6. Green Tea
Green tea contains more amount of antioxidants than any drinks or food with the same volume, and is the leaves of Camellia sinensis, undergone minimal oxidation during processing, originated from China. Green tea has been a precious drink in traditional Chinese culture and used exceptional in socialization for more than 4000 thousand years. Because of their health benefits, they have been cultivated for commercial purposes all over the world.
Mushoom G. lucidum extract (GLE) has been used for the promotion of health, longevity and treatment of cancer. Combination of green tea (GTE) enhanced the effect of G. lucidum extract (GLE) in anti breast cancer cells proliferation (anchorage-dependent growth) through  the down-regulation of expression of oncogene c-myc (frequently altered in human cancers) in MDA-MB-231 cells(15). in green tea polyphenols (GTPs), epigallocatechin-3-gallate (EGCG) induced apoptosis, cell cycle arrest and suppresses metastasis in tumor cells(16). In the study of Green tea consumption and breast caner risk in Japanese women, showed a green tea consumption is not associated with a decreased risk of breast cancer(17).

7. Red clover
Red Clover is a short-lived perennial plant, in the genus Trifolium, belonging to the family Fabaceae, native to to Europe, Western Asia and northwest Africa. The herb has been used in traditional medicine as diuretic and liver cleansing agent and to treat cancer, whooping cough, respiratory problems, and skin inflammations, etc.
Formononetin, a major compound in Red clover, inactivated IGF1/IGF1R-PI3K/Akt (tumorenegtic) pathways and decreased cyclin D1 mRNA(regulating cell cycle progression) and protein expression in human breast cancer cells in vitro and in vivo(18) and through Ras inhibited p38MAPK pathway(19). Unfortunately, study of  Soy, red clover, and isoflavones and breast cancer, suggest that red clover may not possess breast cancer-promoting effects(20).

8. Black cohosh
Black cohosh (known as both Actaea racemosa and Cimicifuga racemosa), a member of is a perennial plant, belonging to the family buttercup, native to North America. The herb has been ised ti herbal medicine to treat symptoms of menopause, premenstrual syndrome (PMS), painful menstruation, acne, osteoporosis, and for starting labor in pregnant women.
Triterpene glycoside actein from black cohoch showed to inhibit the growth of human breast cancer cells and induced a dose dependent release of calcium into the cytoplasm(fluid protoplasm) by altering the activity of the ER(endoplasmic reticulum) IP3(messenger) receptor and Na,K-ATPase(enzyme pumps sodium out of cells)(21). In Female Sprague-Dawley rats treated with an extract of black cohosh enriched in triterpene glycosides (27%), showed an inhibition of fibroadenomas by reduced Ki-67 and cyclin D1 protein expression.(22).

9. Echinacea
Enchinanea also known as purple coneflowers, is a flowering plant of the genus Enchinanea, belonging to the family Asteraceae, native to eastern and central North America. The herb has been used in traditional and herbal medicine to treat or prevent colds, flu, infections by stimulating the immune function, etc..
Cynarine, a chemical compound in Enchinanen affected cell proliferation with properties of proliferative activity on HeLa cells, but antiproliferative activity on MCF-7 cells(23).

10. Parsley
Parsley (Petroselinum crispum) is a biennial flowering plant, genus Petroselinum, belonging to the family Apiaceae, native to the Mediterranean region of southern Europe. The herb has been used in traditional medicine as diuretic agent, and to release spasms, reduce inflammation, clear toxins, enhance the digestion and stimulate uterus, regulate menstrual cycle, treat edema, etc..
Parley alcoholic seed extract (PSA) and seed oil (PSO) of Petroselinum sativum significantly reduced cell viability, and altered the cellular morphology of MCF-7 cells in a concentration dependent manner(24). Carnosol found in parsley, and others herbs such as rosemary, sage, targeted multiple deregulated pathways associated with inflammation and cancer(25). 

11. Rosemary
Rosemary is a perennial herb with fragrant, evergreen, needle-like leaves, the genus Rosmarinus, belonging to the family Lamiaceae. Its fresh and dried leaves has been used frequently in traditional Mediterranean cuisine and as flavor foods while barbecuing. Rosnary has been used in traditional medicine as an antiseptic, antioxidant, and antispasmodic agent to treat circulatory problem, eczema, rheumatism, muscle pain, etc.
Carnosic acid, showed to inhibit proliferation of ER-negative human breast cancer cells and induces G1 cell cycle arrest(26). Other in the study of rosemary extract, carnosol, carnosic acid, ursolic acid, and rosmarinic acid suppressed the development of tumors in several organs including breasts(27). In MDA-MB-231, Rosmarinus officinalis had superior antiproliferative effect without induced toxicity(28).

12. Peppermint
Peppermint is a hybrid mint with small purple or white flowers and downy leaves, in the genus Mentha, belonging to the family Lamiaceae, native to to Europe. The herb has been used in folk medicine as analgesic, antiseptic, antispasmodic, decongestant, agent and to relieve gas, nausea, and stomach pain due to an irritable bowel, intestinal cramps, or indigestion, infecttion, etc.
Dried aqueous extractsform Mentha piperita (ExMp) showed cytotoxicity, against MCF-7 with the least toxicity(29).

13. Thyme
Thyme is a  genus of Thymus, belonging to the family Lamiaceae, native to Europe and North Africa. The herb has been used in flok nedicine to treat  bronchitis, whooping cough, sore throat, colic, arthritis, upset stomach, stomach pain (gastritis), diarrhea, bedwetting, etc..
Thyme extract exhibited significant cytotoxicity and apoptopsis in breast cancer cells (MCF-7 and MDA-MB-231)(30)(31). In the study in comparison of some herbs for their effects in human prostate carcinoma cell (PC-3), human lung carcinoma (A549) and human breast cancer (MCF-7) cell lines, thyme essential oil exhibited the strongest cytotoxicity towards the above three human cancer cells(32).

14. Garlic
Garlic (Allium sativum) is a species in the onion genus, belonging to family Amaryllidaceae, native to central Asia. It has been used popularly in traditional and Chinese medicine in treating common cold and flu to the Plague, blood pressure cholesterol levels, natural antibiotic, etc..
In a case-control study of 345 patients with dietary history questionnaire consisted of a self-administered food frequency questionnaire, showed breast cancer risk was shown to decrease as increased consumption of  garlic and onions(33). Aged garlic extract (AGE) and two of its components, S-allylcysteine (SAC), and S-allyl-mercaptocysteine (SAMC) and breast cancer cells MCF-7 and MCF-7(ras), showed anti-proliferative response due to the alteration in glutathione(antioxidants) level without significant concurrent changes in the glutathione metabolizing enzymes(34). In a breast-cancer cell line (MCF-7), Diallyl disulphide (DADS), a chemical component in garlic, induced phosphatidylserine translocation from the inner to the outer leaflet of the plasma membrane and activates caspase(mechanisms of apoptosis)-3. DADS also modulated the cellular levels of Bax, Bcl-2, Bcl-xL, and Bcl-w (induced apoptosis), in a dose-dependent manner(35).

15. Ginkgo biloba
Ginkgo biloba is oldest living tree species, genus Ginkgo, belonging to the family Ginkgoaceae, native to China, from temperate zone to subtropical zone and some parts of north America. It Has been used in traditional herbal medicine in treating impotence, memory loss,respiratory diseases, circulatory disorders and deafness as well as preventing drunkenness, and bedwetting.
Ginkgo biloba extract (GbE) used conjunction with Tamoxifen (TAM) in GbE in female Sprague-Dawley (SD) rats, showed a slightly beneficial effect on the therapeutic efficacy of TAM in female SD breast cancer bearing rats(36). In the experiment of Ginkgo biloba extract (GBE) effected against MDA-MB-231 (ER-negative) human breast cancer cell line, showed that cytotoxicity effects of GBE in MDA-MB-231 lead to DNA fragmentation at high concentrations (500 and 1,000 μg/ml). activated the Caspase-3 and mRNA levels of apoptosis-related genes (Bcl-2 and Bax)(37). In the study of Antiestrogenic activities of extract of Ginkgo biloba, showed an reduced E2 levels by stimulating the E2 metabolism and inhibiting E2 synthesis and may be considered as a potential alternative to HRT with chemopreventive effects on breast cancer(38).

16. Reishi Mushroom
Reishi mushroom or Lingzhi is a fungal species in the genus Ganoderma, belonging to the family Ganodermataceae, native to Asia. The herb has been use in traditional medicine as anti-caners and anti inflammatory, antioxdant agent and to enhance immune function, treat hepatitis B virus, protect against neuron degeneration, etc..
In Inflammatory Breast Cancer (IBC), with overexpress E-cadherin (plays an important role in the growth, development and the intercellular adhesion of epithelial cells) and the eukaryotic initiation factor 4GI (eIF4GI)(an essential protein that is the target for translational regulation in many cellular processes), Reishi  showed reduced expression of E-cadherin, mTOR(cell proliferation), eIF4G, and p70S6K(cell growth and G1 cell cycle progression) and cell regulation activities(activity of extracellular regulated kinase (ERK1/2))(39). In the study of the same, Reishi showed to inhibited the expression of genes involved in cancer cell survival and proliferation (BCL-2, TERT, PDGFB) of  invasion and metastasis breast cancer cells(MMP-9)(40). An ethanol-soluble and acidic component (ESAC) prepared from Reishi reduced the cell viability of MCF-7 and MDA-MB-231 cells in a concentration-dependent manner with IC(50) of about 100 μg/mL and 60 μg/mL, respectively through effectively mediated G1 cell cycle arrest and exhibited apoptosis(41).

17. Grape Seed Extract
Grape Seed Extract is the commercial extracts from whole grape seeds that contains many concentrations, including vitamin E, flavonoids, linoleic acid, oligomeric proanthocyanidins(OPCs), etc..The herb has been used in traditional medicine as antioxidant, anti-inflammatory agents and to treat skin wounds with less scarring, allergies, macular degeneration, arthritis, enhance circulation of blood vessels, lower cholesterol, etc.
In highly metastatic MDA-MB231 breast cancer cell line, grape seed extract (GSE)showed the effectiveness in cell proliferation and apoptosis through decreased cell migration and invasion, likely by suppressing the β-catenin((plays an important role in the growth, development and the intercellular adhesion of epithelial cells) expression and localization, fascin(cell motility and migration) and NF-κB((a transcription factor that has crucial roles in inflammation, immunity, cell proliferation and apoptosis) expression(42). Proanthocyanidin, a chemical constituent in grape seeds, showed to suppress  precancerous cellular carcinogenesis through down regulated gene expression of cytochrome-P450 enzymes CYP1A1 and CYP1B1(carcinogenic intermediates)(43). Inbreast cancer cell MCF-7, Grape seed extract inhibited the proliferation and downregulated the gene expression of survivin(baculoviral inhibitor)through through arresting the cell cycle in S phase((synthesis phase for DNA reduplication))(44)

18. Dandelion
Dandelion is a herbaceous perennial plant, genus Taraxacum, beloning to the family Asteraceae, native to temperate regions of the world. It has been used in traditional and herbal medicine to treat gout, eczema, acne, gall bladder, kidney, liver and urinary disorders, hypoglycemia, dyspepsia with constipation, edema, blood pressure and heart weakness, chronic joint, skin diseases, etc.
Aqueous extracts  extracts (DRE), from the mature leaves, flowers and roots of dandelion were investigated for the effects in tumor progression in related processes such as proliferation and invasion, only the crude extract of dandelion leaf (DLE) showed to decrease the growth of MCF-7/AZ breast cancer cells in an ERK(transmits signals from many extracellular agents to regulate cellular processes such as proliferation, differentiation and cell cycle progression)(45)-dependent manner(46).

19. Ginseng
Ginseng is a slow-growing perennial plants with fleshy roots, the genus Panax, belonging to the family Araliaceae. Depending to the climate where it grows, ginseng can be classified mainly into Panax ginseng Asian ginseng (root), Red ginseng, wild ginseng, American ginseng (root). The investigation of Ginseng effects in a cohort of 1,455 breast cancer patients recruited to the Shanghai Breast Cancer Study between August 1996 and March 1998 in Shanghai, China showed that Ginseng use after cancer diagnosis, particularly current use, improved quality of life and reduced risk of death(47). In breast cancer cell line MCF-7 cells, Korean red ginseng (KRG) extracts activated the ERα and ERβ (Estrogen receptor alpha and Beta) through regulating the mRNA levels of estrogen-responsive genes such as pS2 and ESR1 to decreased the protein level of ERα. Also Ginsenoside from Panax notoginseng decreased the survival of breast cancer cells by induction of apoptosis and G1(cell cycle) phase arrest and inhibited the growth of breast cancer xenografts(a graft obtained from breast cancer cells of one species and transplanted to a member of another species) in vivo(49) and inhibited MDM2(an oncoprotein that controls tumorigenesis) expression at both transcriptional(gene expression at the RNA) and post-translational levels in human breast cancer cells with various p53(cellular tumor antigen) statuses(49).

20. Hawthorn
Hawthorn is a shrubs and trees of the genus Crataegus, belonging to the family Rosaceae, native to temperate regions of the Northern Hemisphere in Europe, Asia and North America. The herb has been used in traditional medicine to treat heart disease and symptoms of heart diseases such as irregular heartbeat, high blood pressure, chest pain, hardening of the arteries, etc., circulatory disorders and respiratory illnesses.
In in human MCF-7 breast carcinoma cells, peel polyphenolic extract (HPP) and flesh polyphenolic extract (HFP) from hawthorn fruit although HPP was more effective against MCF-7 cells than HFP, both HPP and HFP interfereed the cell-cycle arrest at the S-phase, and also dose-dependently led to apoptosis of MCF-7 cells via the mitochondrial pathway(inner mitochondrial membrane), by the mechanism of apoptosis of caspase-3 and caspase-9  and the elevation of intracellular ROS(reactive oxygen species) production(50).

21. Licorice (Glycyrrhiza Glabra)
Licorice (Glycyrrhiza Glabra) also known as sweetwood, is the genus Glycyrrhiza, belonging to the family Fabaceae, native to the Mediterranean and certain areas of Asia. The herb has been used in traditional medicine to treat treat skin diseases, coughs, constipation, bronchitis, inflammation, arthritis, etc..
Isoliquiritigenin, a flavonoid phytoestrogen from licorice, induced growth inhibition and apoptosis through downregulating multiple key enzymes in AA metabolic network(inflammatory mediators) and the deactivation of anti-apoptosis and increased cell proliferation(PI3K/Akt)  in human breast cancer(51). Licochalcone E (LicE), a phenolic constituent of licorice, in MDA-MB-231 cells inhibited cell migration and invasion and downregulated the expression of proliferative and anti apoptotic pathways and unregulated secretion of cell proliferation inhibitor(52). Ethanol extract of roasted licorice (rLE) found to be effective in inhibition of breast cancer-mediated bone destruction  by suppressing receptor activator of nuclear factor κB ligand (RANKL)-induced osteoclast formation in BMMs(bone marrow-derived macrophages (BMMs)(53).

22, Oregano
Oregano is a perennial herb with aromatic and balsamic flavor, of the genus Origanum in the family Lamiaceae, native to western and southwestern Eurasia and the Mediterranean. The herb has been used in traditional medicine as anti-bacterial, anti-fungal, and anti-viral agent and to treat skin burns, cuts and bruises, sore throat, asthma, colds, coughs and flu, etc.
Carvacrol, a chemical constituent in Oregano showed the anti-tumor effects on human metastatic breast cancer cells, MDA-MB 231 through down regulated the function of mitochondrial membrane potential of the cells(54). In breast cancer cell lines MCF-7, MDA-MB-468 and MDA-MB-231, Origanum acutidens (OA) extracts showed cytotoxicity on all 3 cancer cell lines through expression of Annexin-positive cells level in OA-treated cell lines and caspase-7 (transduction pathways of apoptosis, necrosis and inflammation) protein and TUNEL-positive (indication of apoptosis and accidental cell death) cells(55). In the investigation of essential oil from oregano leaves (Origanum compactum), showed that ethyl acetate extract (30 mg/L) and ethanol extract (56 mg/L) are effective in ambition against human breast cancer cells (MCF7)(56).

23. Rhubarb
Rhubarb is a small flower grouped with large compound leafy in the the genus Rheum, belonging to the family Polygonaceae. The herb has been used in traditional medicine as laxative agent, reduce inflammation and treat diarrhea, dysentery blood clots, tumor red and painful eyes abdominal-distention and/or pain blood in stool hemorrhoidal bleeding urination: burning sensation, absence of menses, etc.
Anthraquinones emodin and aloe-emodin chemical constituents in rhubarb, both inhibited breast cancer cell proliferation by downregulating ER α protein levels in suppressing ER α transcriptional activation(57). Study of combined curcumin and emodin administration showed the inhibition of proliferation (MTT assay), survival (flow cytometry), and invasion (transwell migration assay) of breast cancer cells(58). Rhein, a anthraquinone derivatives, showed antiproliferative and apoptotic effects on both HER2-overexpressing MCF-7 (MCF-7/HER2) and control vector MCF-7 (MCF-7/VEC) cells(59).

24. Cat's claw
Cat's claw found in in the tropical jungles of South and Central America, is a genus Uncaria, belonging to the family Rubiaceae. It has been used in traditional medicine over two thousand years as a tonic, contraceptive, anti-inflammatory and infectious agent, and to treat diarrhea, rheumatic disorders, acne, diabetes, cancer and diseases of the urinary tract, etc..
Extracts and their chromatographic fractions of the Cat's claw, exerted a direct antiproliferative activity on MCF7, with an IC50 of 10 mg/ml and 20 mg/ml, respectively and an antiproliferative effect, with about 90% of inhibition at a concentration of 100 mg/ml(60). Also, pentacyclic oxindole alkaloid mitraphylline isolated from Uncaria tomentosa bark, using cyclophosphamide and vincristine as reference controls, showed to inhibit the growth of both human sarcoma and breast cancer cell lines in a dose-dependent manner(60).

Epidemiologically, the list above has been proven to be effective in reducing risk and treatment of breast cancer through lowering the gene expression of protein in mitochondrial activation of proliferative and anti apoptotic, down regulating tumorgenic and up regulating anticancer pathways. Regardless to their effectiveness, over doses of herbal medicine cause more harm than good. Once again, please consult your herbal specialist before applying and inform your doctor, if you are currently taking any prescribed medicine.
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References
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(40) Ganoderma lucidum (Reishi) inhibits cancer cell growth and expression of key molecules in inflammatory breast cancer by Martínez-Montemayor MM, Acevedo RR, Otero-Franqui E, Cubano LA, Dharmawardhane SF.(PubMed)
(41) Ganoderma lucidum extract induces G1 cell cycle arrest, and apoptosis in human breast cancer cells by Wu G, Qian Z, Guo J, Hu D, Bao J, Xie J, Xu W, Lu J, Chen X, Wang Y.(PubMed)
(42)Grape seed extract suppresses MDA-MB231 breast cancer cell migration and invasion by Dinicola S, Pasqualato A, Cucina A, Coluccia P, Ferranti F, Canipari R, Catizone A, Proietti S, D'Anselmi F, Ricci G, Palombo A, Bizzarri M.(PubMed)
(43)Grape seed proanthocyanidin suppression of breast cell carcinogenesis induced by chronic exposure to combined 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone and benzo[a]pyrene by Song X, Siriwardhana N, Rathore K, Lin D, Wang HC.(PubMed)
(44)[Grape seed extract inhibit proliferation of breast cancer cell MCF-7 and decrease the gene expression of survivin].[Article in Chinese] by Chen C, Liu C, Zhang J, Yang Q, Teng F.(PubMed)
(45) The extracellular signal-regulated kinase: multiple substrates regulate diverse cellular functions by Yoon S, Seger R.(PubMed)
(46) Evaluation of aqueous extracts of Taraxacum officinale on growth and invasion of breast and prostate cancer cells by Sigstedt SC, Hooten CJ, Callewaert MC, Jenkins AR, Romero AE, Pullin MJ, Kornienko A, Lowrey TK, Slambrouck SV, Steelant WF.(PubMed)
(47) Association of ginseng use with survival and quality of life among breast cancer patients by Cui Y, Shu XO, Gao YT, Cai H, Tao MH, Zheng W.(PubMed)
(48) Estrogen receptor is activated by korean red ginseng in vitro but not in vivo by Shim MK, Lee YJ.(PubMed)
(49)Natural product ginsenoside 25-OCH3-PPD inhibits breast cancer growth and metastasis through down-regulating MDM2 by Wang W, Zhang X, Qin JJ, Voruganti S, Nag SA, Wang MH, Wang H, Zhang R.(PubMed)
(50) Differential effects of polyphenols-enriched extracts from hawthorn fruit peels and fleshes on cell cycle and apoptosis in human MCF-7 breast carcinoma cells by Li T, Zhu J, Guo L, Shi X, Liu Y, Yang X.(PubMed)
(51) Isoliquiritigenin induces growth inhibition and apoptosis through downregulating arachidonic acid metabolic network and the deactivation of PI3K/Akt in human breast cancer by Li Y, Zhao H, Wang Y, Zheng H, Yu W, Chai H, Zhang J, Falck JR, Guo AM, Yue J, Peng R, Yang J.(PubMed)
(52) Licochalcone E present in licorice suppresses lung metastasis in the 4T1 mammary orthotopic cancer model. by Kwon SJ, Park SY, Kwon GT, Lee KW, Kang YH, Choi MS, Yun JW, Jeon JH, Jun JG, Park JH.(PubMed)
(53)The Inhibitory Effect of Roasted Licorice Extract on Human Metastatic Breast Cancer Cell-Induced Bone Destruction by Lee SK, Park KK, Park JH, Lim SS, Chung WY.(PubMed)
(54)Anti-proliferative effects of carvacrol on a human metastatic breast cancer cell line, MDA-MB 231 by Arunasree KM(PubMed)
(55) Antitumor effects of Origanum acutidens extracts on human breast cancer by Tuncer E, Unver-Saraydin S, Tepe B, Karadayi S, Ozer H, Karadayi K, Inan D, Elagoz S, Polat Z, Duman M, Turan M.(PubMed)
(56)Oregano: chemical analysis and evaluation of its antimalarial, antioxidant, and cytotoxic activities by El Babili F, Bouajila J, Souchard JP, Bertrand C, Bellvert F, Fouraste I, Moulis C, Valentin A.(PubMed).
(57)Emodin and Aloe-Emodin Suppress Breast Cancer Cell Proliferation through ER α Inhibition by Huang PH, Huang CY, Chen MC, Lee YT, Yue CH, Wang HY, Lin H.(PubMed)
(58) Synergistic effects of curcumin with emodin against the proliferation and invasion of breast cancer cells through upregulation of miR-34a by Guo J, Li W, Shi H, Xie X, Li L, Tang H, Wu M, Kong Y, Yang L, Gao J, Liu P, Wei W, Xie X.(PubMed)
(59)Rhein induces apoptosis in human breast cancer cells by Chang CY, Chan HL, Lin HY, Way TD, Kao MC, Song MZ, Lin YJ, Lin CW.(PubMed)
(60)The antiproliferative effects of Uncaria tomentosa extracts and fractions on the growth of breast cancer cell line by Riva L, Coradini D, Di Fronzo G, De Feo V, De Tommasi N, De Simone F, Pizza C(PubMed)
(60)Cytotoxic effect of the pentacyclic oxindole alkaloid mitraphylline isolated from Uncaria tomentosa bark on human Ewing's sarcoma and breast cancer cell lines by García Giménez D, García Prado E, Sáenz Rodríguez T, Fernández Arche A, De la Puerta R.(PubMed).

Hair Loss in herbs' Points of View

By Kyle J. Norton (Draft article)

Decreased hormonal secretions due to aging stimulates the production of the enzyme 5-alpha reductase to converse testosterone to gihydro-testosterones DHT, affecting hair to grow back thinner or not grown back at all.  DHT shrinks the follicles, causing hair thins and hair receded at the forehead, crown and temple for men and thins over the entire scalp for women. Herbal treatment for hair loss has existed throughout human history, but epidemiological studies, linking herbs effectiveness in treating hair loss has produced inconsistent results.
A. Androgenetic alopecia 
Androgenetic alopecia is a common hair loss in men and women. In men, it causes baldness patterns, receding at the forehead. In women, the hair becomes thinner all over the head, and the hairline does not recede.
1. Thujae occidentalis
Thujae occidentalis is an evergreen coniferous tree, belonging to the cypress family, native to the United States and the southeast of Canada. the herb has been used in folk medicine in treating warts, ringworm and thrush.
In HEK 293 cell line derived from human embryonic kidney cells grown in tissue culture, with expressing human 5alpha-reductase (type 2), Thujae occidentalis semen (TOS) extract in comparison with gamma-linolenic acid and finasteride (a synthetic drug used to be for the treatment of benign prostatic hyperplasia), topically applied to fuzzy rat and androchronogenetic alopecia (AGA) mouse, showed  effectiveness in treating male pattern baldness by dictating androgen conversion with higher inhibition activity of 5alpha-reductase type 2 than that of gamma-linolenic acid, but lower than that of finasteride. These result indicated that the extract may be a potent agent for treating male baldness(1).

2. Cuscuta reflexa Roxb(Dodder)
Cuscuta reflexa Roxb is a Perennial tree, belonging to the family Cuscutaceae, native to the Eastern Asia. Petroleum ether extract of C. reflexa, in the experiment used as a topical application, showed the Inhibition of 5alpha-reductase activity, exhibited hair growth-promoting activity, by blocking conversion of testosterone to dihydrotestosterone which causes hair receded,(2).

3. Citrullus colocynthis Schrad
Citrullus colocynthis is a desert viny plant native to the Mediterranean Basin and Asia. The herb has been used in folk medicine for treatments of cancer, carcinoma, endothelioma, leukemia, corns, tumors, etc. In androgen-induced alopecia mice, the petroleum ether extract of C. colocynthis showed an effectiveness in enhancing follicular density, exhibited hair growth-promoting activity in anagenic phase than the standard finasteride(3).

4. Eclipta alba(false daisy)
Eclipta alba is a species of E. prostrata , belonging to the family Asteraceae, native to India, China, Thailand, and Brazil. The herb has been used in folk medicine for treatments of com­bat­ing swelling, inflam­ma­tion, skin con­di­tions, etc.. Petroleum ether and ethanol extract of E. alba Hassk in comparison with minoxidil 2% in rat study, exhibit hair growth pattern better than the positive control minoxidil 2% with significantly reduced time for complete hair growth.(4)

5. Garlic
Garlic (Allium sativum) is a species in the onion genus, belonging to family Amaryllidaceae, native to central Asia. It has been used popularly in traditional and Chinese medicine in treating common cold and flu to the Plague, blood pressure cholesterol levels, natural antibiotic, etc., Experiment of garlic gel in promoting hair growth showed a positive response in enhancing the application of topical betamethasone valerate(5).

6. Onion
The onion is a plants in the genus Allium, belongs to the family Alliaceae, a close relation of garlic. It It is often called the "king of vegetables" because of its pungent taste and found in a large number of recipes and preparations spanning almost the totality of the world's cultures. Depending on the variety, an onion can be sharp, spicy, tangy, pungent, mild or sweet. Topical crude onion juice in the study against hair loss, exhibited Re-growth of terminal coarse hairs after two weeks of application, in significantly higher among males compared to females, after 4 weeks(6).

7. Polygonum multiflorum
He Shou wu is also known as Chinese Knotweed, genus Fallopia, belonging to Polygonaceae, native to central and southern China. It has been used in traditional Chinese medicine in treating hyperlipemia, neurasthenia, split personality, premature white hair, nerve injuries, skin wind rash, constipation, etc.. Ethanol extract from Polygonum multiflorum roots in the experiment using dermal papilla cells (DPCs), showed to increase the proliferation of DPCs which plays an impotant role in enhancing hair growth and hair-fiber length significantly(7). In topically applied to the shaved dorsal skin of telogenic C57BL6/N mice, the extract stimulated hair growth by inducing anagen phase and the number and the size of hair follicles(8).

8. Platycladus
Thuja orientalis is a  evergreen coniferous tree belonging to the  family Cupressaceae, native to northwestern China. The herbs has been used in traditional medicine in treating baldness and hair loss in East Asia. T. orientalis extract, in the experiment of topically applied to the shaved dorsal skin of telogenic C57BL/6 N mice, induced an earlier anagen phase and prolonged the mature anagen phase, reduced earlier induction of β-catenin and Shh proteins in hair follicles. These result indicated that Thuja orientalis may be beneficiary as a potential hair growth-promoting agent.(9).

9. Asiasari radix(Chinese wild ginger root)
Asiasari radix has been used in Asian traditionally medicine for treating hair loss in to stimulate hair growth. In female C57BL/6 and C3H mice, Topical application onto the backs of Asiasari radix extract showed an effectiveness in promoting  hair growth and increased  protein synthesis in vibrissae follicle cultures and the proliferation of both HaCaT and human DP cells in vitro.(10)

10. Sophora flavescens
Sophora flavescens is a species of  genus Sophora, belonging to family Fabaceae. The herb has been used in traditional medicine for treatments of viral hepatitis, enteritis, cancer, viral myocarditis, gastrointestinal hemorrhage etc. In the experiment of topical application of Sophora flavescens extract in C57BL/6 mice, enhanced on hair growth may be mediated through the regulation of  growth factors in dermal papilla cells and inhibited the type II 5alpha-reductase activity(11).

11. Crinum asiaticum
Crinum asiaticum is a genus of Crimum, belonging to the family Amaryllidaceae, native to Jeju Island, Korea. The herb has been used in habal medicne for treatments of injury and inflamed joints, swellings, swollen joints, lumbago, pains and in cases of headache, fever, etc. Topical application of the EtOH extract of C. asiaticum onto the back of C57BL/6, increased the proliferation of immortalized vibrissa dermal papilla cells, cell nuclear antigen (PCNA) in the bulb region and the hair-fiber lengths of vibrissa(12). Norgalanthamine, a chemical constituent of Crinum asiaticum, also induced anagen progression of the hair shaft, increased the proliferation of immortalized vibrissa dermal papilla cells(16)

12. Ishige sinicola
Ishige sinicola is a genus of brown algae (class Phaeophyceae), belonging to the family Ishigeaceae native to native to Jeju Island, Korea. Topical application of I. sinicola extract onto the back of C57BL/6 mice inhibit anagen progression of the hair shaft and activity of the activity of 5α-reductase, increased cell proliferation vibrissa dermal papilla cells (DPCs), downregulated p27kip1 in stopping or slowing down the cell division cycle(13).

13. Acenthopanax koreanum
 Acanthopanax koreanum Nakai (Araliaceae), a well-known herbal medicine in Jeju Island, Korea, has been used as a tonic agent in treating stress-related states(14). In the experiment of immortalized rat vibrissa dermal papilla cells treated with extract of A. koreanum leaves, showed an enhacement of the proliferation of dermal papilla cells, of the hair-fiber lengths of the vibrissa follicles by  increasing the nuclear β-catenin level, and up-regulation of cyclin D1, cyclin E (regulating cell cycle progression) and CDK2(Cells decide at the end of mitosis to either start the next cell cycle and downregulation of the expression of p27(kip1)(Cyclin-dependent kinase inhibitor) in the dermal papilla cells(15). 

14. Schisandra nigra
Schisandra nigra, a plant native to Jeju Island, South Korea. The herb has been used in traditional medicine for liver protection and treatments of  nervous, respiratory system. Topical application of the EtOH extract of S. nigra onto the back of C57BL/6 mice nigra, exhibited the increased hair-fiber lengths of the vibrissa follicles, induced anagen progression of the hair shaft and increased both the expression of proliferating cell nuclear antigen (PCNA) in the bulb matrix region and the proliferation of immortalized vibrissa dermal papilla cells(17).

The enhancment of herbal medicine for treatments of hair loss, linking to inhibit anagen progression of the hair shaft and activity of 5α-reductase, increased cell proliferation vibrissa dermal papilla cells with little or no side effects has produced a promissing result. In somedays, they may be considered as approval prominent treatments, in  improving the appearance as well as quality of life by reducing the psychological stress with affordable cost. Once again, please consult you doctor or related field specialist before applying.

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References
(1) The extract of Thujae occidentalis semen inhibited 5alpha-reductase and androchronogenetic alopecia of B6CBAF1/j hybrid mouse by Park WS, Lee CH, Lee BG, Chang IS.(PubMed)
(2) Effect of Cuscuta reflexa Roxb on androgen-induced alopecia by Pandit S, Chauhan NS, Dixit VK.(PubMed)
(3) Effect of Citrullus colocynthis Schrad fruits on testosterone-induced alopecia by Dhanotia R, Chauhan NS, Saraf DK, Dixit VK.(PubMed)
(4) Hair growth promoting activity of Eclipta alba in male albino rats by Roy RK, Thakur M, Dixit VK.(PubMed)
(5) Combination of topical garlic gel and betamethasone valerate cream in the treatment of localized alopecia areata: a double-blind randomized controlled study by Hajheydari Z, Jamshidi M, Akbari J, Mohammadpour R.(PubMed)
(6) Onion juice (Allium cepa L.), a new topical treatment for alopecia areata by Sharquie KE, Al-Obaidi HK.(PubMed)
(7) Promotion effect of constituents from the root of Polygonum multiflorum on hair growth by Sun YN, Cui L, Li W, Yan XT, Yang SY, Kang JI, Kang HK, Kim YH.(PubMed)
(8) Topical application of Polygonum multiflorum extract induces hair growth of resting hair follicles through upregulating Shh and β-catenin expression in C57BL/6 mice by Park HJ, Zhang N, Park DK.(PubMed)
(9) Hair growth-promoting activity of hot water extract of Thuja orientalis by Zhang NN, Park DK, Park HJ.(PubMed)
(10) The hair growth promoting effect of Asiasari radix extract and its molecular regulation. ho SS, Park SJ, Hwang SL, Lee MH, Kim CD, Lee IH, Chang SY, Rang MJ.(PubMed)
(11) The hair growth promoting effect of Sophora flavescens extract and its molecular regulation by Roh SS, Kim CD, Lee MH, Hwang SL, Rang MJ, Yoon YK.(PubMed)
(12) Promotion effect of norgalanthamine, a component of Crinum asiaticum, on hair growth by Kim SC, Kang JI, Kim MK, Hyun JH, Boo HJ, Park DB, Lee YJ, Yoo ES, Kim YH, Kim YH, Kang HK.(PubMed).
(13) The promoting effect of Ishige sinicola on hair growth by Kang JI, Kim EJ, Kim MK, Jeon YJ, Kang SM, Koh YS, Yoo ES, Kang HK.(PubMed)
(14) The effects of a standardized Acanthopanax koreanum extract on stress-induced behavioral alterations in mice by Jung JM, Park SJ, Lee YW, Lee HE, Hong SI, Lew JH, Hong E, Shim JS, Cheong JH, Ryu JH.(PubMed)
(15)Promotion effect of acankoreoside J, a lupane-triterpene in Acanthopanax koreanum, on hair growth by Kim SC, Kang JI, Park DB, Lee YK, Hyun JW, Koh YS, Yoo ES, Kim JA, Kim YH, Kang HK.(PubMed)
(16) Promotion effect of norgalanthamine, a component of Crinum asiaticum, on hair growth by Kim SC, Kang JI, Kim MK, Hyun JH, Boo HJ, Park DB, Lee YJ, Yoo ES, Kim YH, Kim YH, Kang HK.(PubMed)
(17) Promotion effect of Schisandra nigra on the growth of hair by Kang JI, Kim SC, Hyun JH, Kang JH, Park DB, Lee YJ, Yoo ES, Kang HK.(PubMed)