# Dietary Phenolic Compounds as Anticancer Natural Drugs: Recent Update on Molecular Mechanisms and Clinical Trials

**Authors:** Saad Bakrim, Nasreddine El Omari, Naoufal El Hachlafi, Youssef Bakri, Learn-Han Lee, Abdelhakim Bouyahya

PMC · DOI: 10.3390/foods11213323 · Foods · 2022-10-23

## TL;DR

This paper reviews how dietary phenolic compounds can fight cancer by various mechanisms and their potential in clinical settings.

## Contribution

The paper provides an updated overview of molecular mechanisms and clinical evidence for dietary phenolic compounds as anticancer agents.

## Key findings

- Phenolic compounds induce apoptosis, autophagy, and cell cycle arrest in cancer cells.
- They inhibit telomerase and angiogenesis, showing anti-cancer effects in vivo.
- Clinical trials demonstrate their efficacy alone or in combination with chemotherapy drugs.

## Abstract

Given the stochastic complexity of cancer diseases, the development of chemotherapeutic drugs is almost limited by problems of selectivity and side effects. Furthermore, an increasing number of protective approaches have been recently considered as the main way to limit these pathologies. Natural bioactive compounds, and particularly dietary phenolic compounds, showed major protective and therapeutic effects against different types of human cancers. Indeed, phenolic substances have functional groups that allow them to exert several anti-cancer mechanisms, such as the induction of apoptosis, autophagy, cell cycle arrest at different stages, and the inhibition of telomerase. In addition, in vivo studies show that these phenolic compounds also have anti-angiogenic effects via the inhibition of invasion and angiogenesis. Moreover, clinical studies have already highlighted certain phenolic compounds producing clinical effects alone, or in combination with drugs used in chemotherapy. In the present work, we present a major advance in research concerning the mechanisms of action of the different phenolic compounds that are contained in food medicinal plants, as well as evidence from the clinical trials that focus on them.

## Linked entities

- **Diseases:** cancer (MONDO:0004992)

## Full-text entities

- **Genes:** AHRR (aryl hydrocarbon receptor repressor) [NCBI Gene 57491] {aka AHH, AHHR, bHLHe77}, NT5E (5'-nucleotidase ecto) [NCBI Gene 4907] {aka CALJA, CD73, E5NT, NT, NT5, NTE}, HGF (hepatocyte growth factor) [NCBI Gene 3082] {aka DFNB39, F-TCF, HGFB, HPTA, SF}, Mmp2 (matrix metallopeptidase 2) [NCBI Gene 17390] {aka Clg4a, GelA, MMP-2}, ATF4 (activating transcription factor 4) [NCBI Gene 468] {aka CREB-2, CREB2, TAXREB67, TXREB}, MYC (MYC proto-oncogene, bHLH transcription factor) [NCBI Gene 4609] {aka MRTL, MYCC, bHLHe39, c-Myc}, Foxo1 (forkhead box O1) [NCBI Gene 56458] {aka Afxh, FKHR, Fkhr1, Foxo1a}, PPARG (peroxisome proliferator activated receptor gamma) [NCBI Gene 5468] {aka CIMT1, FPLD3, GLM1, NR1C3, PPARG1, PPARG2}, CCL2 (C-C motif chemokine ligand 2) [NCBI Gene 6347] {aka GDCF-2, HC11, HSMCR30, MCAF, MCP-1, MCP1}, TICAM1 (TIR domain containing adaptor molecule 1) [NCBI Gene 148022] {aka IIAE6, MyD88-3, PRVTIRB, TICAM-1, TRIF}, IGF1R (insulin like growth factor 1 receptor) [NCBI Gene 3480] {aka CD221, IGFIR, IGFR, JTK13}, ATM (ATM serine/threonine kinase) [NCBI Gene 472] {aka AT1, ATA, ATC, ATD, ATDC, ATE}, SHH (sonic hedgehog signaling molecule) [NCBI Gene 6469] {aka HHG1, HLP3, HPE3, MCOPCB5, SMMCI, ShhNC}, NFKBIA (NFKB inhibitor alpha) [NCBI Gene 4792] {aka EDAID2, IKBA, MAD-3, NFKBI}, CDK1 (cyclin dependent kinase 1) [NCBI Gene 983] {aka CDC2, CDC28A, P34CDC2}, SKP2 (S-phase kinase associated protein 2) [NCBI Gene 6502] {aka FBL1, FBXL1, FLB1, p45}, Trp53-ps (transformation related protein 53, pseudogene) [NCBI Gene 22060], AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, COMT (catechol-O-methyltransferase) [NCBI Gene 1312] {aka HEL-S-98n}, BIRC2 (baculoviral IAP repeat containing 2) [NCBI Gene 329] {aka API1, HIAP2, Hiap-2, IAP-2, MIHB, RNF48}, EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) [NCBI Gene 2146] {aka ENX-1, ENX1, EZH2b, KMT6, KMT6A, WVS}, EREG (epiregulin) [NCBI Gene 2069] {aka EPR, ER, Ep}, ATR (ATR checkpoint kinase) [NCBI Gene 545] {aka FCTCS, FRP1, MEC1, SCKL, SCKL1}, Mtor (mechanistic target of rapamycin kinase) [NCBI Gene 56717] {aka 2610315D21Rik, FRAP, FRAP2, Frap1, RAFT1, RAPT1}, RPS6KA1 (ribosomal protein S6 kinase A1) [NCBI Gene 6195] {aka HU-1, MAPKAPK1, MAPKAPK1A, RSK, RSK1, p90Rsk}, BCL2L10 (BCL2 like 10) [NCBI Gene 10017] {aka BCL-B, Boo, Diva, bcl2-L-10}, MAP2K1 (mitogen-activated protein kinase kinase 1) [NCBI Gene 5604] {aka CFC3, MAPKK1, MEK1, MEL, MKK1, PRKMK1}, MMP9 (matrix metallopeptidase 9) [NCBI Gene 4318] {aka CLG4B, GELB, MANDP2, MMP-9}, Nqo1 (NAD(P)H dehydrogenase, quinone 1) [NCBI Gene 18104] {aka Dia4, Dtd, Nmo-1, Nmo1, Nmor1, Ox-1}, Bcl2 (B cell leukemia/lymphoma 2) [NCBI Gene 12043] {aka Bcl-2, C430015F12Rik, D630044D05Rik, D830018M01Rik}, VEGFA (vascular endothelial growth factor A) [NCBI Gene 7422] {aka L-VEGF, MVCD1, VEGF, VPF}, TRIB3 (tribbles pseudokinase 3) [NCBI Gene 57761] {aka C20orf97, NIPK, SINK, SKIP3, TRB3}, CASP9 (caspase 9) [NCBI Gene 842] {aka APAF-3, APAF3, ICE-LAP6, MCH6, PPP1R56}, Hpgds (hematopoietic prostaglandin D synthase) [NCBI Gene 54486] {aka H-PGDS, Ptgds2}, PARP1 (poly(ADP-ribose) polymerase 1) [NCBI Gene 142] {aka ADPRT, ADPRT 1, ADPRT1, ARTD1, PARP, PARP-1}, IGF1 (insulin like growth factor 1) [NCBI Gene 3479] {aka IGF, IGF-I, IGFI, MGF}, TNFRSF25 (TNF receptor superfamily member 25) [NCBI Gene 8718] {aka APO-3, DDR3, DR3, LARD, TNFRSF12, TR3}, CCNE1 (cyclin E1) [NCBI Gene 898] {aka CCNE, pCCNE1}, MMP2 (matrix metallopeptidase 2) [NCBI Gene 4313] {aka CLG4, CLG4A, MMP-2, MMP-II, MONA, TBE-1}, HDAC9 (histone deacetylase 9) [NCBI Gene 9734] {aka HD7, HD7b, HD9, HDAC, HDAC7B, HDAC9B}, FUT4 (fucosyltransferase 4) [NCBI Gene 2526] {aka CD15, ELFT, FCT3A, FUC-TIV, FUTIV, LeX}, CDC25C (cell division cycle 25C) [NCBI Gene 995] {aka CDC25, PPP1R60}, RPS6KB1 (ribosomal protein S6 kinase B1) [NCBI Gene 6198] {aka PS6K, S6K, S6K-beta-1, S6K1, STK14A, p70 S6KA}, PTK2B (protein tyrosine kinase 2 beta) [NCBI Gene 2185] {aka CADTK, CAKB, FADK2, FAK2, PKB, PTK}, Pcna (proliferating cell nuclear antigen) [NCBI Gene 18538], KLK3 (kallikrein related peptidase 3) [NCBI Gene 354] {aka APS, KLK2A1, PSA, hK3}, CCNH (cyclin H) [NCBI Gene 902] {aka CAK, CycH, p34, p37}, Pik3r1 (phosphoinositide-3-kinase regulatory subunit 1) [NCBI Gene 18708] {aka PI3K, p50alpha, p55alpha, p85alpha}, GSK3A (glycogen synthase kinase 3 alpha) [NCBI Gene 2931], CASP3 (caspase 3) [NCBI Gene 836] {aka CPP32, CPP32B, SCA-1}, BID (BH3 interacting domain death agonist) [NCBI Gene 637] {aka FP497}, SLC2A1 (solute carrier family 2 member 1) [NCBI Gene 6513] {aka CSE, DYT17, DYT18, DYT9, EIG12, GLUT}, CCND1 (cyclin D1) [NCBI Gene 595] {aka BCL1, D11S287E, PRAD1, U21B31}, LY96 (lymphocyte antigen 96) [NCBI Gene 23643] {aka ESOP-1, MD-2, MD2, ly-96}, TYR (tyrosinase) [NCBI Gene 7299] {aka ATN, CMM8, OCA1, OCA1A, OCAIA, SHEP3}, Ccne1 (cyclin E1) [NCBI Gene 12447] {aka CycE1}, IFIT2 (interferon induced protein with tetratricopeptide repeats 2) [NCBI Gene 3433] {aka G10P2, GARG-39, IFI-54, IFI-54K, IFI54, IFIT-2}, TLR4 (toll like receptor 4) [NCBI Gene 7099] {aka ARMD10, CD284, TLR-4, TOLL}, Casp3 (caspase 3) [NCBI Gene 12367] {aka A830040C14Rik, AC-3, CASP-3, CC3, CPP-32, CPP32}, TIMP1 (TIMP metallopeptidase inhibitor 1) [NCBI Gene 7076] {aka CLGI, EPA, EPO, HCI, TIMP, TIMP-1}
- **Diseases:** RA (MESH:D011015), CRC Colorectal Carcinoma (MESH:D015179), Melanoma (MESH:D008545), adenoma (MESH:D000236), small-cell lung cancer (MESH:D055752), bone tumors (MESH:D001859), prostate cancer (MESH:D011471), Lewis lung cancer (MESH:D008175), epithelial (MESH:D009375), B-CLL (MESH:D015451), osteosarcoma (MESH:D012516), death (MESH:D003643), cytotoxic (MESH:D064420), Hepatocellular carcinoma (MESH:D006528), prostate carcinoma (MESH:D011472), B (MESH:D006509), MM (MESH:D009101), Breast (MESH:D061325), injury (MESH:D014947), skin cancer (MESH:D012878), tumor suppressor protein (OMIM:601308), leukemic (MESH:D007938), colitis (MESH:D003092), OC Ovarian Cancer (MESH:D010051), Lymphoma (MESH:D008223), Chronic inflammation (MESH:D007249), cerebral ischemia (MESH:D002545), gastric cancer (MESH:D013274), ileal and rectal adenomas (MESH:D007077), Pancreatic ductal adenocarcinoma (MESH:D021441), colon carcinogenesis (MESH:D063646), Pancreatic cancer (MESH:D010190), reperfusion injuries (MESH:D015427), hepatic metastases (MESH:D009362), prostate adenocarcinoma (MESH:D000230), bladder cancer (MESH:D001749), Mesothelioma (MESH:D008654), hyperplasia (MESH:D006965), Ehrlich solid tumors (MESH:D002286), negative (MESH:D064726), glioblastoma (MESH:D005909), oral cancer (MESH:D009062), bacterial and viral infections (MESH:D014777), NSCLC (MESH:D002289), laryngeal carcinoma (MESH:D007822), hematological malignancy (MESH:D019337), ALF (MESH:D017114), PEL (MESH:D054685), promyelocytic leukemia (MESH:D015473), Cancer (MESH:D009369), FAP (MESH:D011125), epidermoid carcinoma (MESH:D002294), Breast cancer (MESH:D001943), Oral squamous cell carcinoma (MESH:D000077195), Cervical (MESH:D002575), radiation dermatitis (MESH:D011855), Lung adenocarcinoma (MESH:D000077192)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Glycine max (soybean, species) [taxon 3847], Pyrus communis (pear, species) [taxon 23211], Apterygiformes (kiwis, order) [taxon 8819], Allium cepa (onion, species) [taxon 4679], Curcuma longa (turmeric, species) [taxon 136217], Brassica oleracea var. viridis (collards, varietas) [taxon 3713], Malus domestica (apple, species) [taxon 3750], Brassica oleracea var. italica (asparagus broccoli, varietas) [taxon 36774], Homo sapiens (human, species) [taxon 9606], Salvia rosmarinus (rosemary, species) [taxon 39367], Dovyalis caffra (species) [taxon 77055], Rattus norvegicus (brown rat, species) [taxon 10116]
- **Mutations:** P13K
- **Cell lines:** KB — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_0372), GBM 8401 — Homo sapiens (Human), Glioblastoma, Cancer cell line (CVCL_W447), B16 — Mus musculus (Mouse), Hybridoma (CVCL_U043), FaDu — Homo sapiens (Human), Hypopharyngeal squamous cell carcinoma, Cancer cell line (CVCL_1218), HaCaT — Homo sapiens (Human), Spontaneously immortalized cell line (CVCL_0038), SW480 — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0546), U266 — Homo sapiens (Human), Plasma cell myeloma, Cancer cell line (CVCL_0566), HeLa — Homo sapiens (Human), Induced pluripotent stem cell (CVCL_EE38), HELA — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_0030), H1299 — Homo sapiens (Human), Lung large cell carcinoma, Cancer cell line (CVCL_0060), HEP3B — Homo sapiens (Human), Childhood hepatocellular carcinoma, Cancer cell line (CVCL_0326), B16- F0 — Mus musculus (Mouse), Mouse melanoma, Cancer cell line (CVCL_0604), MCF10A — Homo sapiens (Human), Spontaneously immortalized cell line (CVCL_0598), A549 — Homo sapiens (Human), Lung adenocarcinoma, Cancer cell line (CVCL_0023), TOV112D — Homo sapiens (Human), Ovarian endometrioid adenocarcinoma, Cancer cell line (CVCL_3612), CT- — Homo sapiens (Human), Telomerase immortalized cell line (CVCL_AQ45), CAOV3 — Homo sapiens (Human), High grade ovarian serous adenocarcinoma, Cancer cell line (CVCL_0201), F0 — Mus musculus (Mouse), Mouse multiple myeloma, Cancer cell line (CVCL_6972), HEp-2 — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_1906), SNU449 — Homo sapiens (Human), Adult hepatocellular carcinoma, Cancer cell line (CVCL_0454), MM — Homo sapiens (Human), Plasma cell myeloma, Cancer cell line (CVCL_M492), B164A5 — Mus musculus (Mouse), Mouse melanoma, Cancer cell line (CVCL_4612), SMMC-7721 — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_0534), Prostatic cancer-3 — Homo sapiens (Human), Benign prostatic hyperplasia, Transformed cell line (CVCL_1091), SK-MEL-5 — Homo sapiens (Human), Cutaneous melanoma, Cancer cell line (CVCL_0527), SK-MEL-28 — Homo sapiens (Human), Cutaneous melanoma, Cancer cell line (CVCL_0526), LLC — Mus musculus (Mouse), Malignant tumors of the mouse pulmonary system, Cancer cell line (CVCL_5653), DU145 — Homo sapiens (Human), Prostate carcinoma, Cancer cell line (CVCL_0105), COS7 — Chlorocebus aethiops (Green monkey), Transformed cell line (CVCL_0224), ME-180 — Homo sapiens (Human), Human papillomavirus-related cervical squamous cell carcinoma, Cancer cell line (CVCL_1401), dRLh-84 — Rattus norvegicus (Rat), Rat hepatocellular carcinoma, Cancer cell line (CVCL_6536), SK-Hep-1 — Homo sapiens (Human), Liver and intrahepatic bile duct epithelial neoplasm, Cancer cell line (CVCL_0525), MCF-7 — Homo sapiens (Human), Invasive breast carcinoma of no special type, Cancer cell line (CVCL_0031), P388- D1 — Mus musculus (Mouse), Mouse lymphoma, Cancer cell line (CVCL_0477), MDA-MB-453 — Homo sapiens (Human), Breast adenocarcinoma, Cancer cell line (CVCL_0418), U2OS — Homo sapiens (Human), Osteosarcoma, Cancer cell line (CVCL_0042), B16 melanoma — Mus musculus (Mouse), Mouse melanoma, Cancer cell line (CVCL_F936), HT-29 — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0320), OVCAR5 — Homo sapiens (Human), High grade ovarian serous adenocarcinoma, Cancer cell line (CVCL_1628), MG63 osteosarcoma — Homo sapiens (Human), Osteosarcoma, Cancer cell line (CVCL_0426), Lewis lung cancer — Mus musculus (Mouse), Malignant tumors of the mouse pulmonary system, Cancer cell line (CVCL_4358), A2058 — Homo sapiens (Human), Amelanotic melanoma, Cancer cell line (CVCL_1059), -MB-231 — Homo sapiens (Human), Breast adenocarcinoma, Cancer cell line (CVCL_0062), PLC/PRF/5 — Homo sapiens (Human), Adult hepatocellular carcinoma, Cancer cell line (CVCL_0485), A549 lung adenocarcinoma — Homo sapiens (Human), Lung adenocarcinoma, Cancer cell line (CVCL_WN45), CRL1790 — Sigmodon hispidus (Hispid cotton rat), Spontaneously immortalized cell line (CVCL_YD58), UMR-106 — Rattus norvegicus (Rat), Rat osteosarcoma, Cancer cell line (CVCL_3617), OVCAR3 — Homo sapiens (Human), High grade ovarian serous adenocarcinoma, Cancer cell line (CVCL_0465), ML-1a — Homo sapiens (Human), Acute myelomonocytic leukemia, Cancer cell line (CVCL_0435), -MB-468 — Homo sapiens (Human), Breast adenocarcinoma, Cancer cell line (CVCL_0419), A375 — Homo sapiens (Human), Amelanotic melanoma, Cancer cell line (CVCL_0132), LNCaP — Homo sapiens (Human), Prostate carcinoma, Cancer cell line (CVCL_0395), SW620 — Homo sapiens (Human), Colon adenocarcinoma, Cancer cell line (CVCL_0547), AGS — Homo sapiens (Human), Gastric adenocarcinoma, Cancer cell line (CVCL_0139), Cal33 — Homo sapiens (Human), Tongue squamous cell carcinoma, Cancer cell line (CVCL_1108), K562 — Homo sapiens (Human), Blast phase chronic myelogenous leukemia, BCR-ABL1 positive, Cancer cell line (CVCL_0004), HL60RG — Homo sapiens (Human), Adult acute myeloid leukemia with maturation, Cancer cell line (CVCL_2945), PC-3 — Homo sapiens (Human), Prostate carcinoma, Cancer cell line (CVCL_LE06), HepG2 — Homo sapiens (Human), Hepatoblastoma, Cancer cell line (CVCL_0027), B16F10 — Mus musculus (Mouse), Mouse melanoma, Cancer cell line (CVCL_0159)

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## References

138 references — full list in the complete paper: https://tomesphere.com/paper/PMC9657352/full.md

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Source: https://tomesphere.com/paper/PMC9657352