Journal of Cancer Prevention

eISSN 2288-3657
pISSN 2288-3649

Chemopreventive and anticarcinogenic effects of flavonoids and underlying mechanisms of action

Type of cancer explored with phytochemical flavonoid Mechanism of action Results References
Breast cancer Isoflavone inhibits c-erB-2, MMP-2, and MMP-9 signaling pathways.
Also affects IGF-1R/p-Akt signaling transduction.
Quercetin controls the NF-κB signaling system through modulation of target genes Bcl-2 and Bax.
By controlling the NF-B signaling system and its target genes Bcl-2 and Bax, it causes tumor cell apoptosis.
After 4 weeks of tumor inoculation, a study reveals that quercetin and green tea coupled with a diet exert a stronger inhibition of tumor growth in mice with malignancies than green tea alone, and this combination therapy reduces the tumor growth by 47% compared to control. This cotreatment boosts non-methylated EGCG by 1.8 times while also enhancing tissue concentrations of total green tea polyphenols by 1.5 times.
[6,7]
Prostate cancer Deactivates tumor suppressor gene and oncogene products via cytochrome p450 isozyme inhibition.
DNA methylation of CpG islands via DNMT, histone acetylation via HAT and histone deacetylation via HDAC.
Isoflavones improve the effectiveness of current treatments by sensitizing cells to chemotherapy.
In 2018, a clinical trial on isoflavones where 40 mg of daily purified isoflavones and placebo were monitored for 2-6 weeks. The results showed a change in levels of Ki-67 in prostate tumor cells.
[7,36]
Colon cancer Suppresses K-Ras and β-catenin expression. Flavonoids lutein and zeaxanthin reduce the risk of colon cancer.
Beta-Caroteine inhibits the growth of tumors in the skin, lung, liver, and colon.
[6,41]

c-erB-2, humanized epidermal growth factor receptor 2; MMP, matrix metalloproteinase; IGF-1R, insulin-like growth factor 1 receptor; p-Akt, phosphorylated protein kinase B; Bcl-2, B-cell lymphoma 2; Bax, Bcl-2-associated X protein; EGCG, epigallocatechin-3-gallate; p450, cytochrome p450 enzyme; CpG, cytosine-phosphate-guanine; DNMT, DNA methyltransferase; HAT, histone acetyltransferase; HDAC, histone deacetylase inhibitors; Ki-67, tumor cell proliferation and growth marker; K-Ras, kirsten rat sarcoma virus.

J Cancer Prev 2024;29:58~68 https://doi.org/10.15430/JCP.24.020
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