Review Article

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

Table 2

The anticancer activities of rutin combination with other therapeutically drugs as revealed by recent studies in vitro.

Compound (rutin with other therapeutically drugs)MechanismCancer cell lineReference

Apigenin, tamoxifenInduce apoptosis through a p53-dependent pathwayBreast cancer cell line (MCF-7)[48]
Cisplatin, isoquercetinInducing toxicity, could decrees cell count percentage in G0/G1, S, and G2/M phases in addition to increase it in sub G0 phase in comparison with the single dosesGastric cancer[49]
HyperosideIncrease the expression of regulator positive apoptosis such as Bax, Caspase 3, 8, 9Colon cancer cells (HT-29)[50]
5-FUIncrease of p53 gene expression and decreases Bcl-2 protein expressionProstate cancer cell (PC3)[21]
OxaliplatinInduced apoptosis may be associated with the activation of the p38/caspase signal pathwaySGC-7901 gastric cancer cell line[51]
OrlistatCytotoxic effects and promoting apoptosisBreast cancer (MCF-7) and pancreatic cancer cell line (PANC-1)[5]
Oxidovanadium(IV)Inhibit superoxide, hydroxyl radicals and improved the antioxidant activityLung cancer A549 cell line[52]
5-FU and oxaliplatinAntiproliferative effect and reduce possible adverse effects of these drugsCaco-2 cancer cell line[53]
Zein-co-acrylic acid hybrid hydrogels loaded 5-fluorouracilEnhanced anticancer efficacyMDA-MB-231 and MCF-7 breast cancer cell lines[54, 55]
Doxorubicin (DOX)Anticancer, protective effectsHuman neuroblastoma cell line (IMR32)[56]