Review Article

Recent Advancement in Anticancer Activity of Clinacanthus nutans (Burm. f.) Lindau

Table 2

Anticancer activity of C. nutans (CN) extract combined with current anticancer drug.

Cancer cellsExtracts (plant parts, solvent, fractionation)Current anticancer drugBiological activitiesReference

A total of 23 human cancer cell lines:(i) Polar leaf extract (LP), nonpolar leaf extract (LN), polar stem extract (SP), and nonpolar stem extract (SN) of CNGemcitabine(i) AsPC1, BxPC3 and SW1990 pancreatic ductal adenocarcinoma (PDAC) cell lines were found to be the most sensitive to SN extractHii et al., 2019
(i) Human breast cancer cells (MCF-7, MDA-MB-231, MDA-MB-468, HCC38)(ii) Addition of SN extract can reduce the dose of gemcitabine in PDAC
(iii) Drug combination can potentiate the killing activity of gemcitabine to PDAC by apoptosis (increase in Bax expression; decrease in Bcl-2, cIAP2, and XIAP expression) in SW1990 and BxPC3 cells
(ii) Colon cancer cells (HCT-116, HT29, SW48, Caco2)(iv) The killing activity is independent of the TRAIL-4 expression
(iii) Lung cancer cells (A549, NCI-H1299, NCI-H23, Calu-1)
(iv) Endometrial cancer cells (AN3-CA, HEC-1-A, HEC-1-B, RL95–2)
(v) Nasopharyngeal, cancer cells (CNE-1, HK1, SUNE1, TWO1)
(vi) Human pancreatic ductal adenoma, PDAC (AsPC1, BxPC3, SW1990, Panc 10.05).

Human breast cancer cells (MCF-7)Methanol extract (MCN) and aqueous extract (WCN) of CNCisplatin(i) Cytotoxicity to MCF-7 : MCN > WCNAbd Mutalib et al., 2019
(ii) Both extracts showed strong antagonism when used in combination with cisplatin
(iii) Only combined treatment of cisplatin with high concentration of MCN is additive (combination index = 1) against cancer cells