Review Article

Rutin: A Flavonoid as an Effective Sensitizer for Anticancer Therapy; Insights into Multifaceted Mechanisms and Applicability for Combination Therapy

Table 1

The anticancer activities of rutin combination with other antioxidants or herbal ingredients.

Compound (rutin with other agents)MechanismCancer cell lineReference

Quercetin, myricetinProtection of cancer cells against hydrogen peroxideCaco-2 and HepG2[35, 36]
QuercetinDecrease the activity of oxygen radicalHuman hepatocellular carcinoma (HepG2)[3739]
AgNPs and natural bioactive compoundsRepresent novel therapeutics fighting and synergistic, antimicrobial effectsEpithelioma papulosum cyprini (EPC) cell lines[40]
Dietary polyphenolsInducing cell cycle arrest or apoptosis, metastasis, and angiogenesisColorectal cancer cell lines[41]
FucoidanNuclear fragmentation, and mitochondrial potential loss, ROS generationHaCaT (immortal noncancerous keratinocyte), HeLa (epithelial adenocarcinoma cells of the cervix)[27]
Liquid crystalline nanoparticlesInhibited the genes, namely, Nox2B and Nox4, which caused oxidative stress, upregulation in the expression of the antioxidant genes Gclc and Nqo-1Human bronchial epithelial cells (BEAS-2B)[36, 42]
QuercetinReduce the enzymes precarcinogenic compounds such as CYP1AIntestinal HCT‐8 Cells[38, 42]
Diosmin and TangeretinAntimetastatic effectsMelanoma B16F10 cancer cells[43]
Zinc(II) flavonoid-metal complexModulated expression of genes related to angiogenesis, cell cycle progressionLeukaemia (KG1, K562, and Jurkat), melanoma (B16F10 and SK-Mel-28), and multiple myeloma (RPMI8226) cell lines[44]
Ionic liquids nanoparticlesCaused a significant increase in the sub-G1 population, a significant decrease in cell viabilityHuman renal cancer cell line (786-O)[45]
SilibininAnticancer, apoptosis effects regulating the expressions of genes apoptosis, inflammation, and MAPK pathway proteinsHuman colon cancer cell line[46]
Poly (D, L-lactic-co-glycolic acid) (PLGA) nanospheres, BenzamideCell cycle disruption and apoptotic inductionMDA-MB-231[47]