Review Article

Biomedical Properties of a Natural Dietary Plant Metabolite, Zerumbone, in Cancer Therapy and Chemoprevention Trials

Table 2

In Vitro biological effects of zerumbone.

OrganCell lineBiological effect of ZER

BloodHuman acute lymphocytic leukemia (CEM-ss) [65]Induces apoptosis and DNA internucleosomal degradation activate caspase-3
Human acute lymphoblastic leukemia (Jurkat) [66]Induces G2/M cell cycle arrest
Induces intrinsic apoptotic pathway via activation of caspase-3 and caspase-9, cytochrome c release from mitochondria, and PARP cleavage
Human chronic myeloid leukemia (KBM-5) [63]Induces cytotoxicity
Human acute promyelocytic leukemia (HL-60) [61, 67]Suppresses TPA-induced superoxide anion generation from NADPH oxidase
Induces G2/M cell cycle arrest in time- and concentration-dependent manner
Decreases cyclin B1/CDK1 protein level
Human acute promyelocytic leukemia (NB4) [67]Induces G2/M cell cycle arrest associated with decline of cyclin B1 protein and phosphorylation of ATM/Chk1, induced apoptosis via expression of Fas (CD95)/Fas ligand (CD95L), with the activation of caspase-8
Human acute myelocytic leukemia (U937) [67]Antagonizes action of DDT and TCDD by upregulating the expressions of COX-2 and VEGF mRNA
Human acute lymphoblastic leukemia (MOLT4), human acute lymphocytic leukemia (OKM-2T), and human chronic myelocytic leukemia (K562 and KT-1) [67] No cytotoxicity at concentration of 10 μM
Human peripheral blood multiple myeloma (U266) [68]Suppresses CXCR4 expression
Murine lymphoid neoplastic (P-388D1) [69]Causes DNA fragmentation and growth inhibition
Murine acute myelocytic leukemia (WEHI-3B) [70]Induces G2/M cell cycle arrest and apoptosis
Normal human umbilical vein endothelial cell (HUVEC) [67]Does not inhibit proliferation at concentration of 10 μM
Normal human primary mononuclear cells (PBMCs) [71, 72]No cytotoxicity (1–100 µg/mL)
Cytotoxic at high doses (40–80 μM)
Mice thymocytes and splenocytes human PBMC [73]Stimulates time- and dose-dependent proliferation of mice cells and human PBMC
Upregulates human cytokine (interleukin, IL-2 and IL-12) immunomodulatory
Human peripheral blood lymphocytes (PBL) Al [74]Cytotoxic but not clastogenic at 40 and 80 μM,
Does not induce chromosomal aberration and micronuclei formation
Lymphoblastoid (Raji) cells Suppresses tumor promoter 12-O-tetradecanoylphorbol 13-acetate- (TPA-) induced activation of Epstein-Barr virus
Human monocyte-like cells (THP-1) [75]Suppresses TPA-induced LOX-1 mRNA expression
Attenuates expression of SR-A, SR-PSOX, and CD-36 and led to block DiI-AcLDL uptake
Inhibits AP-1 and NF-κB transcriptional activity
Normal murine macrophages 9RAW264.7) [68]Markedly diminishes inducible nitric oxide synthase (iNOS) and cyclooxygenase (COX)-2 expression
Suppresses free radical generation and inhibits tumor necrosis factor (TNF)-α release
Induces phase II drug metabolizing enzymes GSTP1 and NQO1 mRNA expressions
Immortalized mouse embryonic fibroblasts (SV40) [76]Not cytotoxic
Human whole blood [31]Inhibits platelet aggregation induced by arachidonic acid (AA), collagen, and ADP
SkinHuman melanoma (WM1552C) [77]Induces apoptosis and autophagy
Murine melanoma (B16-F0) [77]Induces apoptosis and autophagy
Normal human dermal fibroblast (2F0-C25) [77]Not cytotoxic at a concentration of 13 μM
Murine epidermal cells (JB6 Cl41) [78]Induces heme oxygenase-1 expression through activation of Nrf2
LiverHuman liver adenocarcinoma (HepG2) [79]Induces apoptosis via up- and downregulation of Bax/Bcl-2 proteins independent of functional p53 activity
Induces DNA fragmentation
Human hepatoma (HTC) [80, 81]Cytotoxic
Murine hepatoma cells (Hepa1c1c7) [8284]Marked upregulation of multiple HSPs, such as HSP40 and HSP70HSPs
Increases proteasome activity with upregulation of 5, a
major proteasome functional protein
Upregulates expressions of several proautophagic markers, including p62 and microtubule-associated protein 1 light-chain 3 (LC3)-II
Suppresses cellular protein modifications by 4-hydroxy-2-nonenal (HNE)
Confers resistance to toxicity of HNE via p62 induction
Induces ubiquitination and aggregation of cellular proteins
Activates ubiquitin-proteasome system and autophagy
Normal human liver cells (Chang) [79]Inhibits cell growth with an IC50 value of μg/mL
Normal rat liver epithelial cells (RL34) [85]Activates phase II drug metabolizing enzymes, such as GST (glutathione S-transferase), epoxide hydrolase, and hemeoxygenase via the transcription factor Nrf2 dependent pathway
Normal human liver cells (WRL-68) [86]Not cytotoxic
CervicalHuman cervical cancer (HeLa) [8789]Causes growth inhibition and induces apoptosis
Decreased level of IL-6 secretion and membrane bound IL-6 receptor
Induces G2/M cell cycle arrest
ColonHuman colonic adenocarcinoma (Caco-2, Colo320DM, and HT-29) [61]Markedly induces expressions of interleukin (IL)-1α, IL-1β, IL-6, and tumor necrosis factor (TNF)-α
Human colonic adenocarcinoma (LS174T, LS180, COLO205, COLO320DM) [61]Inhibits cell proliferation in dose-dependent manner
Normal human colon fibroblast (CCD-18Co) [61]Not cytotoxic at a concentration of 13 μM
ColorectalHuman colorectal carcinoma (HCT116) [90, 91]Enhances TRAIL-induced apoptosis
Causes activations of caspase-8, caspase-9, caspase-3 and PARP in combination with TRAIL
Induces expression of TRAIL receptors DR4 and DR5
Downregulates expression of antiapoptotic protein c-FLIP
Causes activation of ERK in time-dependent manner
Human colon carcinoma (HCT-116) [76]Induces apoptosis
Bile ductPoorly differentiated adenocarcinoma (KKU-100), squamous cell carcinoma (KKU-M139), moderately differentiated adenocarcinoma (KKU-M156), adenosquamous carcinoma (KKUM213), and moderately differentiated adenocarcinoma (KKU-M214) [92]ZER derivatives (5, 10, 14, and 20) showed antiproliferative activity
BreastHuman breast adenocarcinoma cell lines (MCF-7 and MDA-MB 231) [68, 90]
Human breast benign cell line (MCF-10A) [76]
G2/M phase cell cycle arrest
Downregulates cyclin B1, cyclin-dependent kinase 1, Cdc25C, and Cdc25B and Bax/Bak-mediated apoptosis
Induces significant expression of DR4
Activation of Bax and Bak
Not cytotoxic
OvarianHuman ovarian cancer (Caov-3) [59]Causes growth inhibition and induces apoptosis
Decreases level of IL-6 secretion and membrane bound IL-6 receptor
Induces G2/M cell cycle arrest
Normal Chinese hamster ovarian cells (AS52) [61]Suppresses tumor promoter 12-O-tetradecanoylphorbol-13-acetate- (TPA-) induced superoxide anion ( ) generation from xanthine oxidase (XO)
Normal Chinese hamster ovary cells (CHO) [93]High concentrations produce genotoxic and cytotoxic effects (40–80 µM)
PancreaticHuman pancreatic carcinoma (PaCa) [94]Novel inhibitor of Jak2/Stat3, which inhibits promigratory gene expression, growth, and migration of pancreatic cancer cells
Human pancreatic cancer (PANC-28, MIA PaCa-2, and AsPC-1) [64] Inhibits CXCL12-induced invasion of pancreatic tumor cells
Human pancreatic carcinoma (PANC-1 and SW1990) [95]Time-dependent inhibition of cell viability induces apoptosis
Human pancreatic carcinoma (PaCa) [96]Inhibits PaCa-associated angiogenesis through the inhibition of NF-κB and NF-κB-dependent proangiogenic gene products
LungHuman nonsmall cell lung carcinoma (H1299 cells) [63, 90]Enhances TNF-induced cytotoxicity and potentiates apoptosis
Inhibits TNF-induced IκBα protein degradation and phosphorylation
Inhibits TNF-induced phosphorylation of p65 protein
Suppresses TNF-induced invasion activity
Human small cell lung carcinoma (NCI-H187) [97]Inhibits monomeric form of the HSP 27 protein
ZER derivative (parent alcohol 8) induces strong cytotoxicity
KidneyHuman embryonic kidney carcinoma cell line (A293 cells) [63]Inhibits cell growth
Bovine normal kidney cell line (MDBK) [79]Inhibits cell growth with an IC50 value of μg/mL
Human kidney embryonic cells (HEK 293) [98]ZER derivative (parent alcohol 8) could protect irradiation induced cell apoptosis and DNA damage, at least partly, via activation of Keap1/Nrf2/ARE pathway
Normal African green monkey kidney cells (Vero) [97] Nonsignificant cytotoxicity with IC50 of 30 µM.
BrainHuman brain malignant glioma (GBM8401) [99]Induces human glioblastoma multiforme cell apoptosis via inhibition of the IKKα-Akt FOXO1 cascade and activation of caspase-3
Human brain malignant glioma (U87MG) [99]Significantly decreases cell viability at the concentration of 30 and 50 μM
ProstateHuman adenocarcinoma (DU145) [90]Induces cytotoxicity and significant PARP cleavage
Effectively blocks Jak2/STAT3-mediated signaling pathways
Induces nonsignificant expression of DR4
Human adenocarcinoma (PC3) [90]Induces nonsignificant expression of DR4
StomachHuman gastric adenocarcinoma (AGS) [100]Inhibits tumor angiogenesis via reduction of VEGF production and NF-κB activity
OralHuman oral cancer (KB) [97]ZER derivative (parent alcohol 8) induces strong cytotoxicity
Headand neckHuman squamous cell carcinomas (SCC4) [64]Suppresses CXCR4 expression and cancer invasion and metastasis
Human squamous cell carcinoma (LICR-LONHN5) [63]Inhibits activation of NF-κB and NF-κB regulated
gene expression
Suppresses IκBα kinase activity, phosphorylation, and degradation
Suppresses p65 phosphorylation, nuclear translocation, and acylation
PharynxHuman squamous cell carcinoma (FaDu) [63]Inhibits NF-κB and IκBα kinase activation
Suppresses antiapoptotic and metastatic gene expression
Upregulates apoptosis and downregulates cancer invasion
BoneMouse macrophage (RAW 264.7) [68]Inhibits RANKL-induced NF-κB activation through inhibition of activation of IKBA kinase, IKBA phosphorylation, and IKBA degradation
Suppresses RANKL-induced differentiation of an osteoclast precursor cells to osteoclasts
Inhibits osteoclastogenesis induced by RANKL and tumor (RAW264.7) cells after incubation in the presence of MDA-MB-231 cells or U266 cells for 24 h, then exposed to ZER for 5 days, and finally stained for TRAP expression)
Potential therapeutic agent for osteoporosis and cancer-associated bone loss