# Signaling pathways and molecular mechanisms of lupeol in colorectal cancer: A comprehensive review

**Authors:** Mohd Asad Farooqi, Kantrol Kumar Sahu

PMC · DOI: 10.1016/j.jaim.2025.101270 · 2026-01-29

## TL;DR

Lupeol, a natural compound, shows promise in treating colorectal cancer by targeting key inflammatory pathways and improving with new delivery methods.

## Contribution

This paper reviews lupeol's mechanisms in CRC and highlights novel nano-based delivery systems that enhance its bioavailability and efficacy.

## Key findings

- Lupeol modulates key signaling pathways like NF-κB and IL-6/STAT3 to inhibit CRC progression.
- Nano-based delivery systems improve lupeol's solubility and bioavailability, enhancing its therapeutic potential.
- Lupeol induces apoptosis in CRC cells through mitochondrial pathways and suppresses tumor growth.

## Abstract

Colorectal cancer (CRC) is a serious worldwide health concern associated with chronic inflammation and dysregulation of numerous signaling pathways, including IL-6/STAT3, NF-κB, COX-2/PGE2, and IL-23/Th17. These pathways aid in tumour development and progression by increasing the manufacture of inflammatory mediators, anti-apoptotic gene expression, cell proliferation, and angiogenesis. Lupeol, a naturally occurring lupine-type pentacyclic triterpenoid, has sparked widespread interest due to its several pharmacological qualities, which include antioxidant, anti-inflammatory, anticancer, and antibacterial capabilities. Despite its enormous medicinal promise, low water solubility and bioavailability have hampered its clinical use. Recent advances in nano-based delivery systems and the invention of lupeol derivatives have increased its bioavailability and bioactivity, making it a promising candidate for CRC treatment. This study seeks to inspire additional research into lupeol's significance as a nutraceutical intervention in CRC by integrating current knowledge and investigating novel techniques to increase its clinical efficacy.

•Lupeol, a pentacyclic triterpenoid, exhibits potent anticancer, anti-inflammatory, and antioxidant properties, making it a promising candidate for colorectal cancer (CRC) treatment.•Colorectal cancer progression is linked to dysregulated signalling pathways such as NF-κB, IL-6/STAT3, COX-2/PGE2, and IL-23/Th17, which lupeol effectively modulates.•Lupeol induces apoptosis in CRC cells by influencing mitochondrial pathways, suppressing tumour growth, and inhibiting cell proliferation and angiogenesis.•Challenges such as low water solubility and bioavailability have hindered clinical applications, but advancements in nano-based delivery systems have improved its therapeutic potential.•Further research, including preclinical and clinical studies, is essential to validate lupeol's efficacy as a nutraceutical intervention for colorectal cancer treatment.

Lupeol, a pentacyclic triterpenoid, exhibits potent anticancer, anti-inflammatory, and antioxidant properties, making it a promising candidate for colorectal cancer (CRC) treatment.

Colorectal cancer progression is linked to dysregulated signalling pathways such as NF-κB, IL-6/STAT3, COX-2/PGE2, and IL-23/Th17, which lupeol effectively modulates.

Lupeol induces apoptosis in CRC cells by influencing mitochondrial pathways, suppressing tumour growth, and inhibiting cell proliferation and angiogenesis.

Challenges such as low water solubility and bioavailability have hindered clinical applications, but advancements in nano-based delivery systems have improved its therapeutic potential.

Further research, including preclinical and clinical studies, is essential to validate lupeol's efficacy as a nutraceutical intervention for colorectal cancer treatment.

## Linked entities

- **Proteins:** IL6 (interleukin 6), STAT3 (signal transducer and activator of transcription 3), NFKB1 (nuclear factor kappa B subunit 1), COX2 (cytochrome c oxidase subunit II), ptges2.L (prostaglandin E synthase 2 L homeolog), IL37 (interleukin 37)
- **Chemicals:** lupeol (PubChem CID 259846)
- **Diseases:** colorectal cancer (MONDO:0005575)

## Full-text entities

- **Genes:** CD4 (CD4 molecule) [NCBI Gene 920] {aka CD4mut, IMD79, Leu-3, OKT4D, T4}, FOXO3 (forkhead box O3) [NCBI Gene 2309] {aka AF6q21, FKHRL1, FKHRL1P2, FOXO2, FOXO3A}, IL12RB1 (interleukin 12 receptor subunit beta 1) [NCBI Gene 3594] {aka CD212, IL-12R-BETA1, IL12RB, IMD30}, IL17C (interleukin 17C) [NCBI Gene 27189] {aka CX2, IL-17C}, P2RX7 (purinergic receptor P2X 7) [NCBI Gene 5027] {aka P2X7}, MAPK1 (mitogen-activated protein kinase 1) [NCBI Gene 5594] {aka ERK, ERK-2, ERK2, ERT1, MAPK2, NS13}, IL6R (interleukin 6 receptor) [NCBI Gene 3570] {aka CD126, HIES5, IL-1Ra, IL-6R, IL-6R-1, IL-6RA}, BAK1 (BCL2 antagonist/killer 1) [NCBI Gene 578] {aka BAK, BAK-LIKE, BCL2L7, CDN1}, RELB (RELB proto-oncogene, NF-kB subunit) [NCBI Gene 5971] {aka I-REL, IMD53, IREL, REL-B}, BAX (BCL2 associated X, apoptosis regulator) [NCBI Gene 581] {aka BCL2L4}, CXCL1 (C-X-C motif chemokine ligand 1) [NCBI Gene 2919] {aka FSP, GRO1, GROa, MGSA, MGSA-a, NAP-3}, MTOR (mechanistic target of rapamycin kinase) [NCBI Gene 2475] {aka FRAP, FRAP1, FRAP2, RAFT1, RAPT1, SKS}, PTGER1 (prostaglandin E receptor 1) [NCBI Gene 5731] {aka EP1}, NFKB1 (nuclear factor kappa B subunit 1) [NCBI Gene 4790] {aka CVID12, EBP-1, KBF1, NF-kB, NF-kB1, NF-kappa-B1}, PTK2B (protein tyrosine kinase 2 beta) [NCBI Gene 2185] {aka CADTK, CAKB, FADK2, FAK2, PKB, PTK}, PTGER4 (prostaglandin E receptor 4) [NCBI Gene 5734] {aka EP4, EP4R}, CYCS (cytochrome c, somatic) [NCBI Gene 54205] {aka CYC, HCS, THC4}, TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, IL22 (interleukin 22) [NCBI Gene 50616] {aka IL-21, IL-22, IL-D110, IL-TIF, ILTIF, TIFIL-23}, EGFR (epidermal growth factor receptor) [NCBI Gene 1956] {aka ERBB, ERBB1, ERRP, HER1, NISBD2, NNCIS}, CXCL8 (C-X-C motif chemokine ligand 8) [NCBI Gene 3576] {aka GCP-1, GCP1, IL8, LECT, LUCT, LYNAP}, IKBKB (inhibitor of nuclear factor kappa B kinase subunit beta) [NCBI Gene 3551] {aka IKK-2, IKK-beta, IKK2, IKKB, IMD15, IMD15A}, IL1A (interleukin 1 alpha) [NCBI Gene 3552] {aka IL-1 alpha, IL-1A, IL1, IL1-ALPHA, IL1F1}, GADD45B (growth arrest and DNA damage inducible beta) [NCBI Gene 4616] {aka GADD45BETA, MYD118}, IL23A (interleukin 23 subunit alpha) [NCBI Gene 51561] {aka IL-23, IL-23A, IL23P19, P19, SGRF}, TP53 (tumor protein p53) [NCBI Gene 7157] {aka BCC7, BMFS5, LFS1, P53, TRP53}, PTGS2 (prostaglandin-endoperoxide synthase 2) [NCBI Gene 5743] {aka COX-2, COX2, GRIPGHS, PGG/HS, PGHS-2, PHS-2}, GSK3B (glycogen synthase kinase 3 beta) [NCBI Gene 2932], ATP8A2 (ATPase phospholipid transporting 8A2) [NCBI Gene 51761] {aka ATP, ATPIB, CAMRQ4, IB, ML-1}, KRAS (KRAS proto-oncogene, GTPase) [NCBI Gene 3845] {aka 'C-K-RAS, C-K-RAS, CFC2, K-RAS2A, K-RAS2B, K-RAS4A}, IL12B (interleukin 12B) [NCBI Gene 3593] {aka CLMF, CLMF2, IL-12B, IMD28, IMD29, NKSF}, APC (APC regulator of Wnt signaling pathway) [NCBI Gene 324] {aka BTPS2, DESMD, DP2, DP2.5, DP3, GS}, COX2 (cytochrome c oxidase subunit II) [NCBI Gene 4513] {aka COII, MTCO2}, BSG (basigin (Ok blood group)) [NCBI Gene 682] {aka 5F7, CD147, EMMPRIN, EMPRIN, HAb18G, OK}, STAT3 (signal transducer and activator of transcription 3) [NCBI Gene 6774] {aka ADMIO, ADMIO1, APRF, HIES}, IL17A (interleukin 17A) [NCBI Gene 3605] {aka CTLA-8, CTLA8, IL-17, IL-17A, IL17, ILA17}, SRC (SRC proto-oncogene, non-receptor tyrosine kinase) [NCBI Gene 6714] {aka ASV, SRC1, THC6, c-SRC, p60-Src}, BCL2L1 (BCL2 like 1) [NCBI Gene 598] {aka BCL-XL/S, BCL2L, BCLX, Bcl-X, PPP1R52}, BATF (basic leucine zipper ATF-like transcription factor) [NCBI Gene 10538] {aka B-ATF, BATF1, SFA-2, SFA2}, PTEN (phosphatase and tensin homolog) [NCBI Gene 5728] {aka 10q23del, BZS, CWS1, DEC, GLM2, MHAM}, BCL2A1 (BCL2 related protein A1) [NCBI Gene 597] {aka ACC-1, ACC-2, ACC1, ACC2, BCL2L5, BFL1}, IL23R (interleukin 23 receptor) [NCBI Gene 149233] {aka PSORS7}, PKM (pyruvate kinase M1/2) [NCBI Gene 5315] {aka CTHBP, HEL-S-30, OIP3, PK3, PKM2, TCB}, BCL2 (BCL2 apoptosis regulator) [NCBI Gene 596] {aka Bcl-2, PPP1R50}, CYP4F3 (cytochrome P450 family 4 subfamily F member 3) [NCBI Gene 4051] {aka CPF3, CYP4F, CYPIVF3, LTB4H}, IL9 (interleukin 9) [NCBI Gene 3578] {aka HP40, IL-9, P40}, CTNNB1 (catenin beta 1) [NCBI Gene 1499] {aka CTNNB, EVR7, MRD19, NEDSDV, armadillo}, CHUK (component of inhibitor of nuclear factor kappa B kinase complex) [NCBI Gene 1147] {aka BPS2, IKBKA, IKK-1, IKK-alpha, IKK1, IKKA}, CASP3 (caspase 3) [NCBI Gene 836] {aka CPP32, CPP32B, SCA-1}, CXCL3 (C-X-C motif chemokine ligand 3) [NCBI Gene 2921] {aka CINC-2b, GRO3, GROg, MIP-2b, MIP2B, SCYB3}, IL6 (interleukin 6) [NCBI Gene 3569] {aka BSF-2, BSF2, CDF, HGF, HSF, IFN-beta-2}, CXCL2 (C-X-C motif chemokine ligand 2) [NCBI Gene 2920] {aka CINC-2a, GRO2, GROb, MGSA-b, MIP-2a, MIP2}, RELA (RELA proto-oncogene, NF-kB subunit) [NCBI Gene 5970] {aka AIF3BL3, CMCU, NFKB3, p65}, IL37 (interleukin 37) [NCBI Gene 27178] {aka FIL1, FIL1(ZETA), FIL1Z, IL-1F7, IL-1H, IL-1H4}, IL6ST (interleukin 6 cytokine family signal transducer) [NCBI Gene 3572] {aka CD130, CDW130, GP130, HIES4, HIES4A, HIES4B}, CASP9 (caspase 9) [NCBI Gene 842] {aka APAF-3, APAF3, ICE-LAP6, MCH6, PPP1R56}, PTGER2 (prostaglandin E receptor 2) [NCBI Gene 5732] {aka COX-2, EP2}, PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, PTGER3 (prostaglandin E receptor 3) [NCBI Gene 5733] {aka EP3, EP3-I, EP3-II, EP3-III, EP3-IV, EP3-VI}
- **Diseases:** metastasis (MESH:D009362), chronic (MESH:D002908), Dysbiosis (MESH:D064806), Chronic tissue (MESH:D020208), leukaemia (MESH:D015458), immune dysfunction (MESH:D007154), weight loss (MESH:D015431), deaths (MESH:D003643), stomach damage (MESH:D013272), CRC (MESH:D015179), necrosis (MESH:D009336), chronic inflammation (MESH:D007249), diarrhoea (MESH:D003967), carcinogenesis (MESH:D063646), breast cancer (MESH:D001943), hypercholesterolemia (MESH:D006937), carcinogenic (MESH:D011230), infection (MESH:D007239), bladder, colorectal, and osteosarcoma (MESH:D012516), dysplasia (MESH:D015792), colon tumours (MESH:D003110), obesity (MESH:D009765), colitis-related tumours (MESH:D000083023), colitis (MESH:D003092), Cancer (MESH:D009369), UC (MESH:D003093), invasive carcinoma (MESH:D009361), lymphomas (MESH:D008223), adenocarcinomas (MESH:D000230), IBD (MESH:D015212), cytotoxic (MESH:D064420), adenoma (MESH:D000236)
- **Chemicals:** ursanes (MESH:C000606873), cisplatin (MESH:D002945), ROS (MESH:D017382), tyrosine (MESH:D014443), piperine (MESH:C008922), hematoxylin (MESH:D006416), alcohol (MESH:D000438), water (MESH:D014867), 5-FU (MESH:D005472), lipid (MESH:D008055), oxaliplatin (MESH:D000077150), DSS (MESH:D016264), PGE2 (MESH:D015232), 1H (-), (3-Beta)-Lup-20(29)-en-3-ol (MESH:C010480), doxorubicin (MESH:D004317), triterpene (MESH:D014315), hopanes (MESH:D053978), AOM (MESH:D001397)
- **Species:** Rattus norvegicus (brown rat, species) [taxon 10116], Olea (olives, genus) [taxon 4145], Escherichia coli (E. coli, species) [taxon 562], Mus musculus (house mouse, species) [taxon 10090], Bacteroides fragilis (species) [taxon 817], Psidium guajava (guava, species) [taxon 120290], Homo sapiens (human, species) [taxon 9606], Aloe vera (acibar, species) [taxon 34199], Tamarindus indica (tamarind, species) [taxon 58860], Crateva adansonii (species) [taxon 190806], gut metagenome (species) [taxon 749906], Brassica oleracea (wild cabbage, species) [taxon 3712], Bacteria Latreille et al. 1825 (Bacteria stick insect, genus) [taxon 629395], Alstonia scholaris (milky pine, species) [taxon 52822], Olea europaea (common olive, species) [taxon 4146], Mangifera indica (mango, species) [taxon 29780]
- **Mutations:** C-216  C
- **Cell lines:** SCC-131 — Homo sapiens (Human), Floor of mouth squamous cell carcinoma, Cancer cell line (CVCL_2229), HepG2 — Homo sapiens (Human), Hepatoblastoma, Cancer cell line (CVCL_0027), HeLa — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_0030), HEp-2 — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_1906), UPCI — Homo sapiens (Human), Laryngeal squamous cell carcinoma, Cancer cell line (CVCL_C758), MDA-MB-231 — Homo sapiens (Human), Breast adenocarcinoma, Cancer cell line (CVCL_0062), A431 — Homo sapiens (Human), Skin squamous cell carcinoma, Cancer cell line (CVCL_0037), SMMC7721 — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_0534), LNCaP — Homo sapiens (Human), Prostate carcinoma, Cancer cell line (CVCL_0395), HCT116 — Homo sapiens (Human), Colon carcinoma, Cancer cell line (CVCL_0291), SW480 — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0546), MCF-7 — Homo sapiens (Human), Invasive breast carcinoma of no special type, Cancer cell line (CVCL_0031)

## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12873599/full.md

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Source: https://tomesphere.com/paper/PMC12873599