Review Article

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

Table 3

In Vivo biological effects of zerumbone.

OrganAnimal modelZER routeBiological effect of ZER

Cervix Female BALB/c mice [88, 89]Intraperitoneal injectionSuppresses cervical intraepithelial neoplasia in female Balb/c mice prenatally exposed to diethylstilbestrol (DES)
Reduces the expression of cell proliferation marker PCNA in dose dependent manner
Causes overexpression of proapoptotic protein Bax
Suppresses Bcl-2 specific mRNA expression
Inhibits progression of cervical dysplasia from becoming more severe dysplasia (CIN 3) and suppresses level of serum IL-6
Colon Male Sprague Dawley rats [101]Oral doseSuppresses azoxymethane- (AOM-) induced colon cancer using aberrant crypt foci (ACFs) as a preneoplastic marker
Male ICR mice [102]Oral dose
Inhibits multiplicity of colonic adenocarcinomas induced by azoxymethane (AOM)
Suppresses colonic inflammation in dose-dependent manner
Inhibits cancer proliferation, potentiates apoptosis, and suppresses NF-κB and HO-1 expressions
Female ICR mice [103] Oral doseSuppresses acute ulcerative colitis (UC) induced by dextran sodium sulfate (DSS)
Significantly lowers levels of inflammatory biomarkers IL-1 , TNF-α, and PGE2 in colonic mucosa
Suppresses expression of inflammatory cytokines, TNF, and IL-1 in LPS/IFN-γ
Male F344 rats [104] Oral doseReduces development AOM-induced colonic aberrant crypt foci
Reduces expression of COX-2 and prostaglandins in colonic mucosa
Reduces number of AgNORs in colonic crypt cell nuclei
LiverMale Sprague Dawley rats [105] Intraperitoneal injectionProtects rat liver from carcinogenic effects of DEN and AAF
Lowers serum ALT, AST, AP, and AFP concentrations
Lowers concentration of GSH in hepatic tissue
Lowers expression of PCNA in the rat liver
Increases Bax and decreases Bcl-2 protein expression in the liver
Male Sprague Dawley rats [106, 107]Oral doseSuppresses fatty liver formation induced by overdosage of ethanol
Prevents necrosis of liver tissues after administration of overdosage of paracetamol
Reduces levels of liver ALT, AST, and ALP at 24 h after administration of overdosage of paracetamol
Male golden Syrian hamsters [108]Oral doseAttenuates nonalcoholic fatty liver disease
Improves insulin sensitivity, decreases lipogenesis, and increases lipid oxidation
Male Sprague Dawley rats [82]Oral doseUpregulates heat shock protein expressions in the liver
Confers thermoresistant phenotype
LungFemale A/J mice [102]Oral dose
Significantly inhibits multiplicity of lung adenomas induced by 4-(Nmethyl-N-nitrosamino)-1-(3-pyridyl)-1-butanone (NNK)
Inhibits cancer proliferation, potentiates apoptosis, and suppresses NF-κB and HO-1 expressions
BreastFemale Sprague Dawley rats [109]Intraperitoneal injectionInhibits tumor growth via Wnt pathway in LA-7 bearing rats
Female severe combined immune deficient (SCID) mice [76]Intraperitoneal injectionRetards growth of orthotopic MDA-MB-231 xenografts in association with apoptosis induction and suppression of cell proliferation (Ki-67 expression)
Female BALB/c nu/nu mice [68]Intraperitoneal injectionDecreases osteolytic bone metastasis in MDA-MB-231 bearing athymic nude mice dose dependently
BloodWEHI-3B bearing male BALB/c mice [70]Oral doseInduces apoptosis via the mitochondrial intrinsic pathway
Increases expression of Bax, Cyt-c, and PARP and decreases the expression of Bcl-2
CDF mice [69]Intraperitoneal injectionSignificantly prolongs life of P-388D1-bearing CDF mice
SkinC57 BL/6 male mice [77]Intraperitoneal injectionSignificantly reduces tumor mass and lung metastasis in B16-F0 bearing mice through the activation of Akt and MAPK and inhibition of NF-κB activity
ICR mice [110] Topical application Suppresses 7,12-dimethylbenz[α]anthracene (DMBA) and TPA-induces initiation and promotion of skin tumor formation
Enhances expression of antioxidative and phase II xenobiotics metabolizing enzymes manganese superoxide dismutase (MnSOD), glutathione peroxidise-1 (GPx-1), glutathione S-transferase-P1 (GST-P1), and NAD (P) H quinine oxidoreductase (NQO1) mRNA in the epidermis
Suppresses TPA-induced COX-2 expression and phosphorylation of ERK1/2
Suppresses TPA-induced leukocyte maturation and dermal infiltration as well as activation stages of skin tumors
Female HR-1 hairless mice [78] Topical applicationInduces HO-1 expression through activation of Nrf2
PawMice [24]Intraperitoneal injection Inhibits carrageenan-induced paw edema dose dependently
Suppresses granulomatous tissue formation in cotton pellet-induced granuloma test
EyeICR mice [111, 112]Oral doseProtects mouse cornea from ultraviolet B- (UVB-)
induced inflammatory photokeratitis
Inhibits NF-κB, iNOS, and TNF-α expressions
Abrogates nuclear translocation of NF-κB
Reduces malonyldialdehyde (MDA) accumulation and increases GSH and glutathione reductase levels
Protects mice cornea from UVB-induced cataractogenesis
PancreasMale Wistar rats [113]Oral doseSuppresses cholecystokinin octapeptide- (CCK-8-) induced acute pancreatitis
Significantly reduces serum amylase and lipase activities
Reduces cytosolic IL-6 and TNF-a and increases cytosolic IBα concentration
Reduces iNOS and Mn- and Cu/Zn-superoxide dismutase activities
Significantly reduces pancreatic weight to body weight ratio
Male SPF Wistar rats [114]Intravenous injectionAttenuates severity of acute necrotizing pancreatitis induced by sodium taurocholate and pancreatitis-induced hepatic injury, via inhibition of NF-κB activity and downregulation of ICAM-1 and IL-1 expressions
Bone Male Sprague Dawley rats [115]Oral doseReduces inflammatory process in collagen-induced osteoarthritis (OA)
Significantly reduces number of major histocompatibility complex type II cells (MHC) expression in the affected synovial membrane
Reduces the number of antigen presenting type A cells presented during arthritis
Male Sprague Dawley rats [116, 117]Oral doseProduces chondroprotective effects in MIA-induced knee osteoarthritis
Improved immunoreactivity of neuropeptides
Improves density of protein gene products (PGP), calcitonin gene-related peptide (CGRP), and neuropeptides-Y (NPY) immunoreactive nerve fibers
Reduces the level of PGE2Produces induction of cytochrome P450 and cytosolic GST
MiscellaneousMale ICR mice [118]Intraperitoneal injectionProduces pronounced antinociception against chemical models of nociception through L-arginine-nitric oxide-cGMP-PKC-K+ ATP channel pathways, the TRPV1, and kinin B2 receptors
Male BALB/c mice [119]Intraperitoneal injectionProduces significant peripheral and central antinociceptive effects when assessed in acetic acid-induced abdominal writhing and hot-plate test models
Female and male BALB/c mice [120]Oral dose No toxic effects to liver and renal tissues
Does not cause significant change in hematological and serum biochemical parameters
Female and male ICR mice [121]Intraperitoneal injectionDoes not cause mortality or change in the general condition, growth, organ weights, hematology, serum biochemistry, or histopathology after a single dosage of 500 mg/kg or multiple dosage of f 5, 25, and 50 mg/kg for a period of 28 days
Female Sprague Dawley rats [122]Single intraperitoneal injectionNot toxic to liver and renal tissues at dose of 100–200 mg/kg
Produces severe renal and hepatic damage at a dose of 500 mg/kg with increased serum creatinine, BUN, liver enzymes (ALT, ALP, and GGT), and MDA concentrations
Does not cause mortality at 100, 200, 500, and 1000 mg/kg
Causes 20 and 40% death for animals receiving 1500 and 2000 mg/kg, respectively
Causes 100% death in animals receiving 2500 and 3000 mg/kg
Male Sprague Dawley rats [71, 74]Intraperitoneal injection Induces significant increase in the frequency of micronuclei in polychromatic erythrocytes (PCEs) at dose 1000 mg/kg after 24-hour injection
Inhibits cell proliferation and causes cytotoxicity in the rat bone marrow
Female Sprague Dawley rats [123]Intraperitoneal injectionBeneficial in cisplatin-induced renal dysfunction, toxicity, and organ damage via preservation of antioxidant glutathione and prevention of lipid peroxidation
Attenuates cisplatin, decreases renal GSH, and increased MDA levels
Male New Zealand white rabbits [124]Oral doseSignificantly averts and decreases early atheroma plague formation and development via reduction in monocytes and/or macrophages migration, aggregation, and smooth muscle cells proliferation in rabbits fed on cholesterol-rich diet
Repairs endothelial dysfunction resulting from hyperlipidemia in rabbit atherosclerosis model
Male golden Syrian hamsters [125]Oral doseImproves dyslipidemia by modulating the genes expression involved in the lipolytic and lipogenic pathways of lipids metabolism
Decreases hepatic mRNA levels of fatty acid synthase, malic enzyme, sterol-regulatory element binding protein, and 3-hydroxy-3-methyl-glutaryl-CoA reductase
Male Wistar rats [20] Oral doseAmeliorates streptozotocin-induced diabetic nephropathy (DN) by reducing the hyperglycemia-induced inflammatory response
Decreases infiltration of macrophages, IL-1, IL-6, and TNF-α produced by p38 mitogen-activated protein kinase activation