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Oxidative Medicine and Cellular Longevity
Volume 2016 (2016), Article ID 3685671, 15 pages
Review Article

Phytochemicals and Biogenic Metallic Nanoparticles as Anticancer Agents

1Biotechnology Program, Faculty of Agro-Based Industry, Universiti Malaysia Kelantan, Campus Jeli, 17600 Jeli, Malaysia
2Department of Biochemistry, Sri Venkateswara Medical College, Tirupati, Andhra Pradesh 517502, India
3Department of Parasitology, Graduate School of Health Sciences, Kobe University, Kobe 654-0142, Japan
4Department of Fundamental and Applied Sciences, Universiti Teknologi Petronas, 32610 Tronoh, Malaysia
5Human Genome Centre, Universiti Sains Malaysia, 16150 Kubang Kerian, Malaysia

Received 30 November 2015; Revised 5 January 2016; Accepted 24 January 2016

Academic Editor: Shreesh Ojha

Copyright © 2016 Pasupuleti Visweswara Rao et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Cancer is a leading cause of death worldwide. Several classes of drugs are available to treat different types of cancer. Currently, researchers are paying significant attention to the development of drugs at the nanoscale level to increase their target specificity and to reduce their concentrations. Nanotechnology is a promising and growing field with multiple subdisciplines, such as nanostructures, nanomaterials, and nanoparticles. These materials have gained prominence in science due to their size, shape, and potential efficacy. Nanomedicine is an important field involving the use of various types of nanoparticles to treat cancer and cancerous cells. Synthesis of nanoparticles targeting biological pathways has become tremendously prominent due to the higher efficacy and fewer side effects of nanodrugs compared to other commercial cancer drugs. In this review, different medicinal plants and their active compounds, as well as green-synthesized metallic nanoparticles from medicinal plants, are discussed in relation to their anticancer activities.

1. Introduction

Cancer is one of the leading causes of death in the world. According to the 2014 World Cancer Report, approximately 14 million new cancer cases and 8.2 million cancer-related deaths were reported in 2012. Among the different types of cancer, lung cancer is associated with the greatest mortality (1.5 million deaths), followed by liver (745 000 deaths), stomach (723 000 deaths), colorectal (694 000 deaths), breast (521 000 deaths), and esophageal cancer (400 000 deaths) [1]. The number of new cancer cases is expected to increase by 70%, from 14 million to 22 million, in the next 2 decades [2]. The populations of Africa, Asia, and Central and South America represent 70% of all cancer deaths and 60% of the total new annual cancer cases worldwide [3].

Several therapies are available to treat various types of cancer. Chemotherapy in combination with cytotoxic agents is the most commonly utilized therapy to control many types of cancer [4]. Nevertheless, these therapeutic approaches are linked to severe side effects, especially multidrug resistance (MDR) [5, 6]. There are various undesirable side effects of chemotherapy alone or in combination with cytotoxic drug therapy or radiation therapy [7]. Based on these undesirable side effects, the National Cancer Institute (USA) has encouraged the investigation of the potential antitumor activities of plant extracts [8, 9].

Natural compounds isolated from medicinal plants are believed to be promising leads in the development of anticancer drugs. Screening of medicinal plants and their active constituents for various biological activities, such as anticancer activity, has been a major interest since the 1960s [8]. Medicinal plants have shown activity against various metabolic diseases and cancers. However, because of their minimal size, green-synthesized nanoparticles from medicinal plants have become a keen interest of researchers.

Nanoparticles play a critical role in refining the compatibility and bioavailability of natural products in the treatment of several chronic diseases, including cancer. Among the metallic nanoparticles, silver nanoparticles (AgNPs) are a popular choice in disease management because of their specific interaction with and disruption of the mitochondrial respiratory chain. AgNPs disrupt mitochondrial function by inducing the generation of reactive oxygen species and suppressing ATP synthesis, which lead to DNA damage. In this context, the present review focuses on medicinal plants and green-synthesized nanoparticles from medicinal plants with potential anticancer activities and their future applications.

2. Role of Phytochemicals in Cancer

Since ancient times, numerous medicinal plants extracts and their active components have been reported to have potential uses as anticancer agents. Numerous studies have reported that medicinal plants display anticancer and cytotoxic activities [10]. Polyphenols, such as phenolic acids, flavonoids, terpenes, and alkaloids, possess the biological potential of medicinal plants [1113]. Triterpenoids such as ursolic acid, oleanolic acid, boswellic acids, pomolic acid, avicins, oleanolic acids, and fomitellic acids have been reported to exert cytotoxic effects [14]. Furthermore, flavonoids such as kaempherol, myricetin, quercetin, and rutin have been reported to display anticancer properties [12]. Additionally, several alkaloids such as matrine and sanguinarine have been reported to possess anticancer activities [15]. Researchers have demonstrated the possible mechanisms of action of medicinal plants and their active ingredients or active compounds, which may exert these mechanisms individually or in combination with other compounds present in the plants. One major potential mechanism of action for reducing damage caused by disease is antioxidation [16]. Liu reported the various potential activities of phytochemicals in cancer [17]. Another review detailed the biological efficacies, especially the potential activities, of flavonoids against cancer [18]. Numerous phytochemicals present in medicinal plants can induce cytotoxicity against various types of cancerous cells. Some of the plants and their phytochemicals that have been reported to possess anticancer activity are listed in Table 1. In Table 2, the isolated compounds and their anticancer activities are presented.

Table 1: List of medicinal plants and phytochemicals and their anticancer activities.
Table 2: The isolated compounds from different medicinal plants and their anticancer activities.

3. Nanotechnology in Cancer Treatment

The field of nanotechnology holds potential to transform cancer diagnostic methods and therapeutic technologies. Advances in materials science and protein engineering have given rise to novel nanoscale targeting approaches that may increase safety and therapeutic efficacy in cancer patients. Nanotechnology involves the application of structures, characterization, design, devices, production, and systems at the nanometer scale. The common challenges associated with existing cancer treatments are localization of the therapy to tumor sites, drug resistance by tumors, and short drug circulation times. In addition, cancer drug toxicity leads to major complications, such as heart problems and low white-blood-cell counts. There are several modes for delivery of nanoparticles to tumors, such as liposome-mediated drug delivery (doxorubicin and daunorubicin), biodegradable and biocompatible polymeric nanoparticle delivery [polycaprolactone (PCL) and poly(lactic-co-glycolic acid) (PLGA)], and drug delivery of dendrimers [(poly-l-lysine)-octa(3-aminopropyl) silsesquioxane] surface-altered with cyclo(RGDFK) [19, 20].

4. Green Synthesis of Nanoparticles

Various classes of alkaloids and flavonoids have been isolated from several medicinal plants and have shown cytotoxic efficacy against numerous types of cancerous cells both in vitro and in vivo. Some of these compounds exert their cytotoxic effect by inhibiting cancer cell growth (Figure 1).

Figure 1: Structures of compounds isolated from medicinal plants used as anticancer agents.

Nanotechnology is one of the most prominent and promising fields for the development of new applications in medicine. Unfortunately, there are only a few nano-based products that are currently used in medical applications. To date, researchers have mainly focused on metallic nanoparticles because of their rapid actions. Metallic nanoparticles have been recognized to have unique physical and chemical properties based on their quantum size, which lead to a range of interesting biomedical applications. Silver, gold, zinc oxide, iron oxide, copper oxide, and aluminum oxide are the most commonly used metallic nanoparticles. Silver and gold are among the most important, flexible, reliable, and prominent ions in use in the green synthesis of nanoparticles from medicinal plants and their components. The formation of nanoparticles and their biological efficacies, including anticancer activities, are shown in Figure 2.

Figure 2: Biogenic synthesis of nanoparticles and their biological activities, including anticancer activity. The figure describes the formation of metallic nanoparticles [silver nanoparticles (AgNPs)] using plant materials. The functional groups in plant materials act as reductants by donating electrons to reduce silver ions in silver nitrate, which leads to the synthesis of AgNPs. Biogenically synthesized AgNPs have several biological efficacies. Other types of metallic nanoparticle formation are not shown in this figure.

5. AgNPs

Silver has the highest electrical and thermal conductivity of any metal. AgNPs play an important role in the field of nanotechnology because of their extraordinary properties, including chemical stability, conductivity, catalytic activity, and biological activities such as antibacterial, antifungal, antiviral, and anti-inflammatory activities. Because of their cytotoxic potential, AgNPs have been extensively investigated in cancer research. The biological synthesis of nanoparticles using several components of medicinal plants has become a new trend because of the reduced side effect profiles of the resulting nanoparticles compared to other commercial drugs. Currently, many researchers are focusing on green-synthesized nanoparticles from medicinal plants to investigate various biological efficacies, such as their antimicrobial [21], anticancer [22], antidiabetic [23], and antimalarial [24] properties.

According to Prabhu et al. [25], green-synthesized AgNPs from methanolic extracts of Vitex negundo L. showed 50% inhibition of the cell viability of human colon cancer cell lines (HCT 15) when administered at 20 μg/mL. Overall, the concentration, size, and shape of the AgNP are important in their biological efficacy. The increased cytotoxic efficacy of AgNPs at increasing concentrations has also been reported in HeLa cell lines. A recent study of biologically synthesized AgNPs from Acalypha indica reported cytotoxic properties against MDA-MB-231 cells, that is, human breast tumor cells [26].

Generally, the cytotoxicity of AgNPs and gold nanoparticles (AuNPs) against cancerous cells tends to increase with their concentration. In 2014, Jeyaraj et al. deduced that (50 g/mL) AgNPs induced 100% cell death of MCF-7 human breast tumor cells [27]. However, AgNPs derived from mushrooms showed significant cytotoxicity against MDA-MB-231 cell lines at a comparatively low concentration (6 mg/mL) [28]. AgNPs from Andrographis echioides inhibited the growth of MCF-7 cells, an extensively used human breast adenocarcinoma cell line, at 31.5 μg/mL [29]. Additionally, biofunctionalized green-synthesized AgNPs exhibited potential cytotoxic activity against HT29 human colon adenocarcinoma cells [30].

AgNPs biosynthesized from Premna serratifolia leaves displayed significant anticancer activity in carbon tetrachloride- (CCl4-) induced liver cancer in Swiss albino (BALB/c) mice [91]. A recent study by Sre et al. (2015) reported the cytotoxic activity of biologically synthesized AgNPs from Erythrina indica on MCF-7 (breast cancer) cells and HepG2 (hepatocellular carcinoma) cells [92]. This study also clearly indicated that the viability of cancerous cells decreases with increasing AgNP concentrations. Another research group reported the biocompatibility of AgNPs with the stem latex of Euphorbia nivulia. AgNPs that were synthesized using the latex of Euphorbia nivulia exhibited potentially cytotoxic effects against human lung carcinoma (A549) cells in a dose-dependent manner [93].

Annona squamosa seed extract is reported to display good anticancer activities against human hepatoma and breast cancer cells both in vitro and in vivo [94, 95]. Another study reported the cytotoxic effects of various solvent extracts of the Annona squamosa fruit pericarp against Dalton’s lymphoma cells and HeLa cells. The chloroform extract of Annona squamosa pericarp exerted good cytotoxic effects against different cell lines used in one study [96]. AgNPs synthesized from Annona squamosa leaf extracts were also reported to possess potential cytotoxicity against breast cancer (MCF-7) cells. The cytotoxic capacity of metallic nanoparticles against various types of cancer cell lines is mediated by necrosis, stimulation of signaling pathways, lysosomal damage, caspase-mediated signal transduction, and apoptosis (Figures 3 and 4). Several factors, such as particle shape, size, and surface chemistry, influence the cytotoxicity of AgNPs. Apoptosis is characterized by nuclear shrinkage, blebbing, and loss of membrane integrity in dying cells following treatment with AgNPs. The formation of apoptotic nuclei, that is, condensed chromatin structures, was observed in MCF-7 cells treated with AgNPs but not in untreated cells.

Figure 3: A simplified diagram of anticancer activities triggered by nanoparticles in tumor cells.
Figure 4: The mechanisms of apoptosis and necrosis mediated by nanoparticles in tumor cells.

Medicinal plants have been used widely in anticancer studies due to their high efficacy and limited side effects. The anticancer efficacy of medicinal plants has been studied in clinical trials and has shown positive results. According to Fleischauer et al. [97], Allium sativum (garlic) exerted a protective effect against gastrointestinal cancers based on epidemiologic studies [97]. Administration of garlic enhanced the efficacy of natural killer cells in patients with advanced digestive system cancer [98]. In addition, curcumin, a polyphenol (diferuloylmethane) derived from the rhizome of turmeric (Curcuma longa Linn), displays anticancer efficacy through its multiple actions on apoptosis, cell cycle, mutagenesis, metastasis, and oncogene expression [99]. According to a nonrandomized open-label study by Dhillon et al. (2008), curcumin showed positive results in two pancreatic bladder cancer patients by prolonging the disease for more than 18 months and inducing tumor regression [100].

Camptothecin is another natural alkaloid that can be extracted from several plants, such as Mappia foetida and Canzptotheca acirminata. This compound displays potent antitumor efficacy by targeting topoisomerase I, an enzyme involved in the relaxation of DNA supercoils [101]. A phase 1 clinical trial showed that 20-(S)-camptothecin and 20-(S)-9-nitrocamptothecin exerted significant antitumor effects in patients with breast cancer, prostate cancer, and melanoma. Paclitaxel is a member of the class of taxanes, which are highly hydrophobic molecules with low solubility in water. Albumin-coated paclitaxel (Abraxane) was approved by the FDA in 2005 for metastatic breast cancer treatment and showed good efficacy against advanced pancreatic cancer. Nanospheres of albumin-coated paclitaxel can be used to transport an insoluble drug [102].

The root of ginseng (Panax ginseng) is a popular traditional medicine in Asia. Consumption of ginseng before a cancer diagnosis increased the overall survival rate among breast cancer patients [103]. In another randomized placebo-controlled trial, P. ginseng consumption enhanced certain aspects of physical and mental functioning in gynecologic or hepatobiliary cancer patients [104]. In addition, Viscum album, also known as European mistletoe, is another very frequently suggested cancer therapy. Approximately 23 clinical trials were performed on this plant extract up to 2003, and 19 of these trials showed positive results on quality of life, survival, and tumor suppression in cancer patients [105].

6. AuNPs

AuNPs also exhibit special properties, such as surface plasmon resonance (SPR) and the ability to bind to thiol and amine groups, thus permitting surface modifications and use in biomedical applications. The in vivo and in vitro cytotoxic effects of AuNPs have been reported in several studies, some of which showed that AuNPs exhibit anticancer properties through the induction of oxidative stress [106]. Mechanistically, AuNP-treated HeLa cervical carcinoma cells displayed increased generation of reactive oxygen species, leading to the oxidation of several molecules such as lipids and proteins, and enhanced mitochondrial activity, ultimately leading to the death of the cancerous cells. In addition, exposure to 20 nm AuNPs was reported to cause oxidative stress in MRC-5 fetal human lung fibroblasts.

A recent study reported that AuNPs synthesized from A. leptopus exhibit good anticancer activity against MCF-7 breast cancer cells at 257.8 μg/mL [107]. Another study demonstrated the cytotoxic efficacy of Cassia tora against colon cancer cell lines. The study revealed that the activity of C. tora at three different doses (25, 50, and 75 μg/mL) was dose-dependent; the 75 μg/mL dose showed the highest activity against the colon cancer cell lines [108]. Green-synthesized AuNPs from Gymnema sylvestre leaf extracts (G. sylvestre) were also investigated for their anticancer effects against hepatocellular carcinoma (HepG2) cells. The study revealed that these AuNPs exerted significant cytotoxic effects against HepG2 cancer cells at a maximal concentration of 250 μg/mL [30]. Another study reported that Moringa oleifera flower aqueous extract-synthesized AuNPs showed anticancer activity against A549 lung cancer cells. A dose of 50 μg/mL AuNPs showed potential activity against this lung cancer cell line [109].

7. Iron Oxide Nanoparticles

Iron oxide nanoparticles induce antitumor activity directly and indirectly via nontoxic wavelength radiation (near-infrared (NIR), oscillating magnetic fields) that is readily absorbed by toxic stimuli of reactive oxygen species production. The particulate nature of iron oxides enables them to bind covalently to the tumor site. In addition, iron oxide can transform radiant energy into reactive oxygen species, which ultimately reduces the adverse damage to healthy tissues and cells. Spherically shaped iron oxide nanoparticles were endorsed by the EU to be used as an agent to treat prostate cancer and to induce magnetic tumor hyperthermia in the brain in combination with chemotherapy or radiotherapy. Hyperthermic therapy using iron oxide nanoparticles tends to kill tumor cells at a temperature at 150–400°C. Nanomaterials receive energy from external sources, such as magnetic fields and near-infrared (NIR) radiation, and transform it into heat, which can kill the tumor cells [110, 111]. The generation of biologically green-synthesized iron oxide (Fe3O4) nanoparticles from seaweed (Sargassum muticum) has also been reported recently [112].

8. Titanium Dioxide Nanoparticles

Titanium oxide is an inorganic nanoparticle that can be surface-engineered to inhibit tumor growth. According to Thevenot et al. (2008), titanium oxide nanoparticles were incorporated into the cytoplasm and the cell membrane of T-24, HeLa, and U937 cancer cells [113]. In another study, NIR light-stimulated titanium dioxide nanoparticles appeared to be more effective than UV-stimulated nanoparticles in inducing antitumor activity in HeLa cells in vitro and in BALB/c nude mice in vivo [114].

9. Cerium Oxide Nanoparticles

Cerium oxide nanoparticles have “smart” capability to specifically inhibit the growth of irradiated cancer cells without harming the surrounding tissue due to oxidative stress and radiation-induced damage. These nanoparticles can selectively induce apoptosis and high levels of oxidative stress in cancer cells without damaging normal tissues. A recent study revealed that cerium oxide nanoparticles potently kill L.3.6pl pancreatic cancer cells while protecting normal cells. A similar result in which cerium oxide nanoparticles showed low inhibitory potential on normal human cell lines compared to cancer cell lines has been reported [115]. In addition, administration of cerium oxide nanoparticles can lead to DNA damage, resulting in tumor cell death. Cerium oxide nanoparticles increase the levels of reactive oxygen species in tumor cells, leading to apoptosis, but do not exert genotoxic effects. The antitumor activity of cerium oxide nanoparticles is greatly dependent on their size and shape, although both small- and large-sized nanoparticles induce DNA damage in tumor cell lines [116].

10. Bimetallic Nanoparticles

In addition to single metal nanoparticles, a mixture of different metals, especially two metals (bimetallic), may elicit significant cytotoxic effects against breast cancer cells. Silver–selenium (Ag-Se) bimetallic nanoparticles synthesized using quercetin and gallic acid displayed potential antitumor activity against Dalton’s lymphoma cells [117]. Another study revealed that silver–gold bimetallic nanostructures exhibited significant cytotoxic effects against MCF-7 breast cancer cells [118, 119]. A recent study reported the potential cytotoxic efficacy of gold-platinum (Au-Pt) bimetallic nanoparticles in cervical cancer. The gold and platinum ions were efficaciously condensed together at room temperature to produce Au-Pt nanostructures. The findings of that study revealed various approaches for the advancement of extremely valuable bimetallic nanostructures with cytotoxic activities [120].

11. Importance of Nanoparticle Size and Shape to Disease Treatment

Current studies deduced that the shape, size, and surface properties of nanoparticles are important for achieving targeted anticancer activity with minimal side effects, as these characteristics influence the circulation time, cellular uptake, biodistribution, and cancer drug delivery of nanoparticles. For instance, nanoparticles with a diameter of less than 100 nm are able to penetrate tumor cells easily through a retention effect and through enhanced vascular permeation. Nanoparticles are predominantly designed to be spherical due to their ease of manufacture [121].

According to van de Ven et al., 400 nm disc-shaped nanoparticles more readily bind to melanoma cells than spheroid nanoparticles in a mouse model [122]. The researchers also reported that the 400 nm discs were less likely to end up in the liver. Moreover, disk-shaped nanoparticles (nanodisks) attached to the tumor surface longer than spherical nanoparticles. This property enhances the efficiency of transfer of therapeutic drugs to the tumor [123]. Another report stated that rod-shaped nanoparticles more effectively delivered chemotherapy drugs to breast cancer cells than spherical nanoparticles [124]. In addition, another group of researchers deduced the first application of needle-like shaped polystyrene or PLGA nanoparticles: the successful penetration of the endothelial cell membrane to deliver siRNA into the cytoplasm [125]. Needle-like shaped nanoparticles induced high gene-expression efficiency, indicating that nanoparticle shape is a key parameter for successful siRNA therapy. Studies showed that nanodiamonds can be bound to chemotherapy drugs to treat brain tumors, as the nanodiamond and chemotherapy drug combination remains in the tumor longer than the chemotherapy drug alone, which should increase its effectiveness [126].

Different sizes of AuNPs promote anticancer activity via distinct mechanisms. For instance, 9 nm or smaller spherically shaped AuNPs could cross the nuclear pore complex of tumor cells, whereas 39 nm AuNPs carrying a nuclear transport signal can be delivered to the nucleus [127].

The anticancer activity of nanoparticles is size-dependent; in general, the smaller the nanoparticles, the greater the inhibition of cancer cell proliferation. Small-sized nanoparticles can penetrate deeply into tumor tissue more effectively and easily than large-sized nanoparticles. Based on previous studies, gold nanoparticles have gained much attention due to their easy fabrication, controllable size and shape, tunable surface functionalization, and good biocompatibility in cancer treatment [128]. Some of the reported nanoparticles with anticancer activity at different sizes and shapes are listed in Table 3.

Table 3: Metallic nanoparticles at different sizes and shapes with anticancer activity.

12. Mechanisms of Action of Nanoparticles

Necrosis and apoptosis induce cell death in tumor cells, and these forms of cell death can be quantitatively differentiated via morphology. The nuclear contents and the cytoplasm of necrotic cells appear to leach from the cells, whereas the nuclei of apoptotic cells appear shrunken with heavily condensed chromatin [129]. AgNPs are promising antitumor agents. Based on a report by Govender et al., 2012, biogenically synthesized AgNPs using Albizia adianthifolia induced significant apoptosis of % and necrosis of % of human lung carcinoma cells [130]. Apoptosis can be further divided into two pathways, intrinsic and extrinsic. Mitochondria play a vital role in intrinsic apoptosis via the depolarization of the mitochondrial membrane due to mitochondrial permeability transition (PT) pore opening. This process eventually causes a low ATP concentration and induces the intrinsic apoptosis pathway. The extrinsic apoptotic pathway is mediated by the CD95 death receptor, which recruits the adapter protein Fas-associated death domain (FADD). The adapter protein FADD binds to and activates caspase-8 via the formation of a death-inducing signaling complex.

Necrosis occurs as a result of the disruption of cellular and nuclear membranes under extreme physiological conditions. Rupture of the cellular membrane differentiates necrosis from apoptosis. Based on a report by Qi et al., 2005, chitosan nanoparticles induced morphological features of necrosis, such as disruption of the cytoplasm and appearance of remnants of swollen organelles, in MGC803 cells. Administration of chitosan nanoparticles to MGC803 cells caused complete disruption of the plasma membrane, and the contents of the cells leaked out within 24 hours [83].

In addition, AuNPs induced cancer activity via several mechanisms, such as phytothermal ablation, mechanical damage, and delivery of anticancer agents (tumor necrosis factor or doxorubicin), with minimal injury to healthy cells [131]. Zinc oxide nanoparticles induce tumor cell death by NADPH-dependent oxidative burst and apoptotic signaling. In a recent study, four representative ZnONP samples of different size and specific surface area showed a remarkably similar impact on cytotoxicity and DNA fragmentation in macrophages of mice in an ap47phox- and Nrf2-independent manner. ZnONP induced necrosis and apoptosis in these macrophages due to their important role in the regulation of immune responses during inflammation and clearance of inhaled particulates. ZnONP enhanced a rapid induction of nuclear condensation, DNA fragmentation, and the formation of hypodiploid DNA-containing nuclei and apoptotic bodies [132].

In a recent study, carbon-based nanoparticles showed significant antitumor activity on human monocyte-derived macrophages. Both single-walled carbon nanotubes and multiwalled carbon nanotubes induced tumor growth by penetrating the nuclear and plasma membranes. These results were supported by the Neutral Red assay and ultrastructural analysis, which indicated increases in cell death. Carbon nanoparticles induced toxicity to human monocyte-derived macrophages in the concentration range from 0.31 to 10 μg/mL. The proportion of necrotic cells was higher than that of apoptotic cells. Administration of carbon nanoparticles to macrophages induced lipid peroxidation and the internal release of digestive enzymes, which caused cell death. Several other factors, such as reduced membrane integrity, ion exchange, DNA damage, and hampered phagocytosis, could lead to cell death [129].

13. Future Prospects of Nanotechnological Approach of Phytochemicals

Currently, various clinical researches focused on the effectiveness of nanoscale phytochemicals on biological systems with more than 20 nanoparticle therapeutics available for various clinical applications. Albumin-bound paclitaxel (Abraxane®, described in patents WO2014105644 and WO2008057562) and liposomal daunorubicin (Daunoxome®, described as patented products EP0004467 and US20070286897) are two examples of successful inventions of natural products formulations based on nanotechnological approach [133].

The advancement of innovative nanotechnological approaches may provide a solution to limitations faced by many of phytochemicals’ physicochemical and pharmacokinetics properties. One of the ways is via the implementation of suitable nanorange carriers which may permit a slow, sustained but controlled release of the encapsulated phytochemicals [133]. Other examples include effective delivery of nutrients, rapid sampling of chemical and biological impurities, bioseparation of proteins, and nanoencapsulation of nutraceutical, DNA microarrays, microelectromechanical systems, and microfluidics [134]. Apart from this, combination of nanotechnology and phytochemicals leads to advancement in the field of cosmetics. For example, the incorporation of ZnO and titanium dioxide (TiO2) nanoparticles provides higher protection from the sun. Liposome-based Aloe vera extracts of less than 200 nm diameter have been confirmed to allow higher proliferation and lead to enhanced collagenase in vitro using fibroblast and epidermal keratinocytes [135].

The interrelationship of phytochemicals and nanotechnology technologies brings wide future perspective in the food industry due to the availability of many simpler forms of food-grade lipids, multiple emulsions, and solid lipid nanoparticles. Nanoemulsion-based delivery systems have promised to be a good solution to improve the biological efficacies of different phytochemicals and their oral bioavailabilities. In the same manner, polymer micelles also exhibit potential to enhance water dispersibility of many crystalline phytochemicals including β-carotene and curcumin while providing improved in vitro anticancer activities. Additionally, many efforts have been devoted to the development and design of different nutraceutical delivery systems with significant progresses seen [136]. Besides that, nanoparticles generated using plant phytochemicals can be used in the discovery of biomarkers and refinement of diagnosis, thus forming the basis of new drugs for neurological disorders where new methods for delivery across the blood-brain barrier can be developed. Barriers to cancer fighting phytochemicals in various plant species and their future utility in the development of tumor-specific gold nanoparticles can provide remarkable opportunities towards better design and development of functional gold nanoparticles that can be safely synthesized and applied in oncological studies [137]. In addition, nanotechnology-based implants could facilitate the regeneration in the nervous system while femtolasers, nanorobots, and nanotechnology-derived devices will bring advancement in neurosurgery sector [138].

In summary, the factors that contribute to the successful nanotechnology-based phytochemicals delivery are improved solubility and bioavailability, less toxicity and side effects of phytochemicals, and enhanced biocompatibility. Future research efforts should focus on the development of new technologies for nanotoxicology, generation of the bases of nanobiomonitoring, and recognition of biological impacts of nanoparticles in the environment [139]. Based on these scenarios, it is an undeniable fact that the incorporation of phytochemicals and nanotechnology will be a new frontier in biomedicine field.

14. Conclusion

The present review focused on the anticancer activity of medicinal plants and the green synthesis of nanoparticles. Medicinal plants are the major sources of extremely active conventional drugs for the treatment of various types of disorders and diseases, including numerous forms of cancer. The active compounds isolated from medicinal plants may not specifically function as anticancer agents or drugs but may provide alternatives for the advancement of prospective cytotoxic agents. As research progresses, new technologies will aid in the improvement of the anticancer activities of drugs. Nanotechnology is a booming field related to nanoparticles, which have greater potential than normal-sized compounds. Metallic nanoparticles formed using plant extracts show enhanced tumor specificity, promising activity, and reduced toxic effects to healthy cells. The cytotoxic efficacy of nanoparticles is predominantly due to their large surface area, which enables efficient drug delivery, and some nanoparticles exhibit anticancer activity. However, most of the studies using medicinal plants and metallic nanoparticles have been conducted in vitro, and little in vivo data are available. Therefore, it is important to conduct research on medicinal plant extracts and metallic nanoparticles in in vivo models to extend these in vitro findings and to elucidate the mechanisms of action of active compounds and metallic nanoparticles for the advancement of anticancer drugs.

Conflict of Interests

The authors declare that they have no conflict of interests concerning this paper.


The authors acknowledge the financial supports from FRGS (R/FRGS/A07.00/00295A/002/2014/000183) and RUT Grant (1001/PPSP/853005).


  1. International Agency for Research on Cancer, “World cancer report 2014,” WHO, Geneva, Switzerland.
  2. World Health Organization, Global Battle against Cancer Won't Be Won with Treatment Alone. Effective Prevention Measures Urgently Needed to Prevent Cancer Crisis, International Agency for Research on Cancer, London, UK, 2014.
  3. A. Moten, D. Schafer, P. Farmer, J. Kim, and M. Ferrari, “Redefining global health priorities: improving cancer care in developing settings,” Journal of Global Health, vol. 4, no. 1, Article ID 010304, 2014. View at Publisher · View at Google Scholar
  4. H. L. Wong, R. Bendayan, A. M. Rauth, H. Y. Xue, K. Babakhanian, and X. Y. Wu, “A mechanistic study of enhanced doxorubicin uptake and retention in multidrug resistant breast cancer cells using a polymer-lipid hybrid nanoparticle system,” Journal of Pharmacology and Experimental Therapeutics, vol. 317, no. 3, pp. 1372–1381, 2006. View at Publisher · View at Google Scholar
  5. M. M. Gottesman, T. Fojo, and S. E. Bates, “Multidrug resistance in cancer: role of ATP-dependent transporters,” Nature Reviews Cancer, vol. 2, no. 1, pp. 48–58, 2002. View at Publisher · View at Google Scholar · View at Scopus
  6. G. Szakács, J. K. Paterson, J. A. Ludwig, C. Booth-Genthe, and M. M. Gottesman, “Targeting multidrug resistance in cancer,” Nature Reviews Drug Discovery, vol. 5, no. 3, pp. 219–234, 2006. View at Publisher · View at Google Scholar · View at Scopus
  7. P. G. Komarov, E. A. Komarova, R. V. Kondratov et al., “A chemical inhibitor of p53 that protects mice from the side effects of cancer therapy,” Science, vol. 285, no. 5434, pp. 1733–1737, 1999. View at Publisher · View at Google Scholar · View at Scopus
  8. Y. Cai, Q. Luo, M. Sun, and H. Corke, “Antioxidant activity and phenolic compounds of 112 traditional Chinese medicinal plants associated with anticancer,” Life Sciences, vol. 74, no. 17, pp. 2157–2184, 2004. View at Publisher · View at Google Scholar · View at Scopus
  9. T. M. de Almeida Alves, A. Fonseca Silva, M. Brandão et al., “Biological screening of Brazilian medicinal plants,” Memórias do Instituto Oswaldo Cruz, vol. 95, no. 3, pp. 367–373, 2000. View at Publisher · View at Google Scholar · View at Scopus
  10. G. M. Cragg and D. J. Newman, “Plants as a source of anti-cancer agents,” Journal of Ethnopharmacology, vol. 100, no. 1-2, pp. 72–79, 2005. View at Publisher · View at Google Scholar · View at Scopus
  11. M. J. Balunas and A. D. Kinghorn, “Drug discovery from medicinal plants,” Life Sciences, vol. 78, no. 5, pp. 431–441, 2005. View at Publisher · View at Google Scholar · View at Scopus
  12. W. Ren, Z. Qiao, H. Wang, L. Zhu, and L. Zhang, “Flavonoids: promising anticancer agents,” Medicinal Research Reviews, vol. 23, no. 4, pp. 519–534, 2003. View at Publisher · View at Google Scholar · View at Scopus
  13. M.-L. Hu, “Dietary polyphenols as antioxidants and anticancer agents: more questions than answers,” Chang Gung Medical Journal, vol. 34, no. 5, pp. 449–460, 2011. View at Google Scholar · View at Scopus
  14. P. Dzubak, M. Hajduch, D. Vydra et al., “Pharmacological activities of natural triterpenoids and their therapeutic implications,” Natural Product Reports, vol. 23, no. 3, pp. 394–411, 2006. View at Publisher · View at Google Scholar · View at Scopus
  15. J.-J. Lu, J.-L. Bao, X.-P. Chen, M. Huang, and Y.-T. Wang, “Alkaloids isolated from natural herbs as the anticancer agents,” Evidence-Based Complementary and Alternative Medicine, vol. 2012, Article ID 485042, 2012. View at Publisher · View at Google Scholar · View at Scopus
  16. P. V. Rao, P. Sujana, T. Vijayakanth, and M. D. Naidu, “Rhinacanthus nasutus—its protective role in oxidative stress and antioxidant status in streptozotocin induced diabetic rats,” Asian Pacific Journal of Tropical Disease, vol. 2, no. 4, pp. 327–330, 2012. View at Publisher · View at Google Scholar · View at Scopus
  17. R. H. Liu, “Potential synergy of phytochemicals in cancer prevention: mechanism of action,” The Journal of Nutrition, vol. 134, no. 12, pp. 3479S–3485S, 2004. View at Google Scholar · View at Scopus
  18. L. Le Marchand, “Cancer preventive effects of flavonoids—a review,” Biomedicine & Pharmacotherapy, vol. 56, no. 6, pp. 296–301, 2002. View at Publisher · View at Google Scholar · View at Scopus
  19. E. A. Murphy, B. K. Majeti, L. A. Barnes et al., “Nanoparticle-mediated drug delivery to tumor vasculature suppresses metastasis,” Proceedings of the National Academy of Sciences of the United States of America, vol. 105, no. 27, pp. 9343–9348, 2008. View at Publisher · View at Google Scholar · View at Scopus
  20. C.-M. J. Hu, S. Aryal, and L. Zhang, “Nanoparticle-assisted combination therapies for effective cancer treatment,” Therapeutic Delivery, vol. 1, no. 2, pp. 323–334, 2010. View at Publisher · View at Google Scholar · View at Scopus
  21. V. R. Pasupuleti, T. N. V. K. V. Prasad, R. A. Shiekh et al., “Biogenic silver nanoparticles using Rhinacanthus nasutus leaf extract: synthesis, spectral analysis, and antimicrobial studies,” International Journal of Nanomedicine, vol. 8, no. 1, pp. 3355–3364, 2013. View at Publisher · View at Google Scholar · View at Scopus
  22. R. Sukirtha, K. M. Priyanka, J. J. Antony et al., “Cytotoxic effect of Green synthesized silver nanoparticles using Melia azedarach against in vitro HeLa cell lines and lymphoma mice model,” Process Biochemistry, vol. 47, no. 2, pp. 273–279, 2012. View at Publisher · View at Google Scholar · View at Scopus
  23. P. Daisy and K. Saipriya, “Biochemical analysis of Cassia fistula aqueous extract and phytochemically synthesized gold nanoparticles as hypoglycemic treatment for diabetes mellitus,” International Journal of Nanomedicine, vol. 7, pp. 1189–1202, 2012. View at Publisher · View at Google Scholar · View at Scopus
  24. T. Santhoshkumar, A. A. Rahuman, G. Rajakumar et al., “Synthesis of silver nanoparticles using Nelumbo nucifera leaf extract and its larvicidal activity against malaria and filariasis vectors,” Parasitology Research, vol. 108, no. 3, pp. 693–702, 2011. View at Publisher · View at Google Scholar · View at Scopus
  25. D. Prabhu, C. Arulvasu, G. Babu, R. Manikandan, and P. Srinivasan, “Biologically synthesized green silver nanoparticles from leaf extract of Vitex negundo L. induce growth-inhibitory effect on human colon cancer cell line HCT15,” Process Biochemistry, vol. 48, no. 2, pp. 317–324, 2013. View at Publisher · View at Google Scholar · View at Scopus
  26. C. Krishnaraj, P. Muthukumaran, R. Ramachandran, M. Balakumaran, and P. Kalaichelvan, “Acalypha indica Linn: Biogenic synthesis of silver and gold nanoparticles and their cytotoxic effects against MDA-MB-231, human breast cancer cells,” Biotechnology Reports, vol. 4, pp. 42–49, 2014. View at Publisher · View at Google Scholar
  27. M. Jeyaraj, G. Sathishkumar, G. Sivanandhan et al., “Biogenic silver nanoparticles for cancer treatment: an experimental report,” Colloids and Surfaces B: Biointerfaces, vol. 106, pp. 86–92, 2013. View at Publisher · View at Google Scholar · View at Scopus
  28. S. Gurunathan, J. Raman, S. N. A. Malek, P. A. John, and S. Vikineswary, “Green synthesis of silver nanoparticles using Ganoderma neo-japonicum Imazeki: a potential cytotoxic agent against breast cancer cells,” International Journal of Nanomedicine, vol. 8, pp. 4399–4413, 2013. View at Publisher · View at Google Scholar · View at Scopus
  29. K. Elangovan, D. Elumalai, S. Anupriya, R. Shenbhagaraman, P. Kaleena, and K. Murugesan, “Phyto mediated biogenic synthesis of silver nanoparticles using leaf extract of Andrographis echioides and its bio-efficacy on anticancer and antibacterial activities,” Journal of Photochemistry and Photobiology B: Biology, vol. 151, pp. 118–124, 2015. View at Publisher · View at Google Scholar
  30. K. D. Arunachalam, L. B. Arun, S. K. Annamalai, and A. M. Arunachalam, “Potential anticancer properties of bioactive compounds of Gymnema sylvestre and its biofunctionalized silver nanoparticles,” International Journal of Nanomedicine, vol. 10, pp. 31–41, 2014. View at Publisher · View at Google Scholar · View at Scopus
  31. L. Nahar, R. Zahan, A. Mosaddik et al., “Antioxidant and antitumor activity of chloroform extract of Alangium salvifolium flowers,” Phytopharmacology, vol. 2, no. 1, pp. 123–134, 2012. View at Google Scholar
  32. T. Pecere, M. V. Gazzola, C. Mucignat et al., “Aloe-emodin is a new type of anticancer agent with selective activity against neuroectodermal tumors,” Cancer Research, vol. 60, no. 11, pp. 2800–2804, 2000. View at Google Scholar · View at Scopus
  33. T. Kikuchi, K. Ishii, T. Noto et al., “Cytotoxic and apoptosis-inducing activities of limonoids from the seeds of Azadirachta indica (neem),” Journal of Natural Products, vol. 74, no. 4, pp. 866–870, 2011. View at Publisher · View at Google Scholar · View at Scopus
  34. C. Zidorn, K. Jöhrer, M. Ganzera et al., “Polyacetylenes from the apiaceae vegetables carrot, celery, fennel, parsley, and parsnip and their cytotoxic activities,” Journal of Agricultural and Food Chemistry, vol. 53, no. 7, pp. 2518–2523, 2005. View at Publisher · View at Google Scholar · View at Scopus
  35. W. Xu, T. Li, J. Qiu et al., “Anti-proliferative activities of terpenoids isolated from Alisma orientalis and their structure-activity relationships,” Anti-Cancer Agents in Medicinal Chemistry, vol. 15, no. 2, pp. 228–235, 2015. View at Publisher · View at Google Scholar
  36. C. Wiart, Lead Compounds from Medicinal Plants for the Treatment of Cancer, Academic Press, 2013.
  37. T.-S. Wu, A. G. Damu, C.-R. Su, and P.-C. Kuo, “Terpenoids of Aristolochia and their biological activities,” Natural Product Reports, vol. 21, no. 5, pp. 594–624, 2004. View at Publisher · View at Google Scholar · View at Scopus
  38. A. E. Abd El-Wahab, D. A. Ghareeb, E. E. M. Sarhan, M. M. Abu-Serie, and M. A. El Demellawy, “In vitro biological assessment of berberis vulgaris and its active constituent, berberine: antioxidants, anti-acetylcholinesterase, anti-diabetic and anticancer effects,” BMC Complementary and Alternative Medicine, vol. 13, no. 1, article 218, 2013. View at Publisher · View at Google Scholar · View at Scopus
  39. U. Songsiang, T. Thongthoom, P. Zeekpudsa et al., “Antioxidant activity and cytotoxicity against cholangiocarcinoma of carbazoles and coumarins from Clausena harmandiana,” ScienceAsia, vol. 38, no. 1, pp. 75–81, 2012. View at Publisher · View at Google Scholar · View at Scopus
  40. H. Zhang, S.-P. Yang, C.-Q. Fan, J. Ding, and J.-M. Yue, “Daphniyunnines A-E, alkaloids from Daphniphyllum yunnanense,” Journal of Natural Products, vol. 69, no. 4, pp. 553–557, 2006. View at Publisher · View at Google Scholar · View at Scopus
  41. J. Lei, J. Yu, H. Yu, and Z. Liao, “Composition, cytotoxicity and antimicrobial activity of essential oil from Dictamnus dasycarpus,” Food Chemistry, vol. 107, no. 3, pp. 1205–1209, 2008. View at Publisher · View at Google Scholar · View at Scopus
  42. K. Khan, “Roles of Emblica officinalis in medicine—a review,” Botany Research International, vol. 2, no. 4, pp. 218–228, 2009. View at Google Scholar
  43. J. K. Jose, G. Kuttan, and R. Kuttan, “Antitumour activity of Emblica officinalis,” Journal of Ethnopharmacology, vol. 75, no. 2-3, pp. 65–69, 2001. View at Publisher · View at Google Scholar · View at Scopus
  44. M. T. H. Khan, I. Lampronti, D. Martello et al., “Identification of pyrogallol as an antiproliferative compound present in extracts from the medicinal plant Emblica officinalis: effects on in vitro cell growth of human tumor cell lines,” International Journal of Oncology, vol. 21, no. 1, pp. 187–192, 2002. View at Google Scholar · View at Scopus
  45. G. F. Liu, “Isolation and identification of antitumor constituents of diterpenoids lactone in Euphorbia fischeriana Steud,” Zhong Yao Tong Bao, vol. 13, no. 5, pp. 35–63, 1981. View at Google Scholar
  46. H. Itokawa, N. Totsuka, K. Nakahara, K. Takeya, J. P. Lepoittevin, and Y. Asakawa, “Antitumor principles from Ginkgo biloba L.,” Chemical and Pharmaceutical Bulletin, vol. 35, no. 7, pp. 3016–3020, 1987. View at Publisher · View at Google Scholar · View at Scopus
  47. F. V. DeFeudis, V. Papadopoulos, and K. Drieu, “Ginkgo biloba extracts and cancer: a research area in its infancy,” Fundamental & Clinical Pharmacology, vol. 17, no. 4, pp. 405–417, 2003. View at Publisher · View at Google Scholar · View at Scopus
  48. E. Pretner, H. Amri, W. Li et al., “Cancer-related overexpression of the peripheral-type benzodiazepine receptor and cytostatic anticancer effects of Ginkgo biloba extract (EGb 761),” Anticancer Research, vol. 26, no. 1, pp. 9–22, 2006. View at Google Scholar · View at Scopus
  49. X. Li and C.-J. Chang, “Antitumor cytotoxicity and stereochemistry of polyketides from Goniothalamus amuyon,” Natural Product Letters, vol. 8, no. 3, pp. 207–215, 1996. View at Publisher · View at Google Scholar · View at Scopus
  50. D. Sajuthi, “Extraction, fractionation, and in vitro biological tested on Gynura pseudochina (Linn.) DC.) as anticancer, second phase,” Buletin Kimia, vol. 1, no. 2, 2001. View at Google Scholar
  51. X. Ding, D. Bai, and J. Qian, “Novel cyclotides from Hedyotis biflora inhibit proliferation and migration of pancreatic cancer cell in vitro and in vivo,” Medicinal Chemistry Research, vol. 23, no. 3, pp. 1406–1413, 2014. View at Publisher · View at Google Scholar · View at Scopus
  52. L. Miao, N. Han, Z. Liu, D. Hu, and J. Yin, “Investigation of the chemical constituents and pharmacological functions of Ixeris sonchifolia (Bge.) Hance,” Journal of Traditional Medicines, vol. 6, no. 5, 2011. View at Google Scholar
  53. Z.-B. Li, J.-Y. Wang, B. Jiang, X.-L. Zhang, L.-J. An, and Y.-M. Bao, “Benzobijuglone, a novel cytotoxic compound from Juglans mandshurica, induced apoptosis in HeLa cervical cancer cells,” Phytomedicine, vol. 14, no. 12, pp. 846–852, 2007. View at Publisher · View at Google Scholar · View at Scopus
  54. A.-J. Deng and H.-L. Qin, “Cytotoxic dihydrobenzophenanthridine alkaloids from the roots of Macleaya microcarpa,” Phytochemistry, vol. 71, no. 7, pp. 816–822, 2010. View at Publisher · View at Google Scholar · View at Scopus
  55. I. Z. Matić, Z. Juranić, K. Šavikin, G. Zdunić, N. Nadvinski, and D. Goddevac, “Chamomile and marigold tea: chemical characterization and evaluation of anticancer activity,” Phytotherapy Research, vol. 27, no. 6, pp. 852–858, 2013. View at Publisher · View at Google Scholar · View at Scopus
  56. J. Sichaem, S. Surapinit, P. Siripong, S. Khumkratok, J. Jong-Aramruang, and S. Tip-Pyang, “Two new cytotoxic isomeric indole alkaloids from the roots of Nauclea orientalis,” Fitoterapia, vol. 81, no. 7, pp. 830–833, 2010. View at Publisher · View at Google Scholar · View at Scopus
  57. D. S. Moirangthem, N. C. Talukdar, U. Bora, N. Kasoju, and R. K. Das, “Differential effects of Oroxylum indicum bark extracts: antioxidant, antimicrobial, cytotoxic and apoptotic study,” Cytotechnology, vol. 65, no. 1, pp. 83–95, 2013. View at Publisher · View at Google Scholar · View at Scopus
  58. G. C. L. Ee, C. M. Lim, M. Rahmani, K. Shaari, and C. F. J. Bong, “Pellitorine, a potential anti-cancer lead compound against HL60 and MCT-7 cell lines and microbial transformation of piperine from piper nigrum,” Molecules, vol. 15, no. 4, pp. 2398–2404, 2010. View at Publisher · View at Google Scholar · View at Scopus
  59. Y. Liu, V. R. Yadev, B. B. Aggarwal, and M. G. Nair, “Inhibitory effects of black pepper (Piper nigrum) extracts and compounds on human tumor cell proliferation, cyclooxygenase enzymes, lipid peroxidation and nuclear transcription factor-kappa-B,” Natural Product Communications, vol. 5, no. 8, pp. 1253–1257, 2010. View at Google Scholar · View at Scopus
  60. P. Siripong, J. Yahuafai, K. Shimizu et al., “Antitumor activity of liposomal naphthoquinone esters isolated from Thai medicinal plant: rhinacanthus nasutus Kurz,” Biological and Pharmaceutical Bulletin, vol. 29, no. 11, pp. 2279–2283, 2006. View at Publisher · View at Google Scholar · View at Scopus
  61. J. K. Son, S. J. Jung, J. H. Jung et al., “Anticancer constituents from the roots of Rubia cordifolia L.,” Chemical and Pharmaceutical Bulletin, vol. 56, no. 2, pp. 213–216, 2008. View at Publisher · View at Google Scholar · View at Scopus
  62. S. Ghosh, M. Das Sarma, A. Patra, and B. Hazra, “Anti-inflammatory and anticancer compounds isolated from Ventilagomadraspatana Gaertn., Rubia cordifolia Linn. and Lantana camara Linn.,” Journal of Pharmacy and Pharmacology, vol. 62, no. 9, pp. 1158–1166, 2010. View at Publisher · View at Google Scholar · View at Scopus
  63. K. Takeya, T. Yamamiya, H. Morita, and H. Itokawa, “Two antitumour bicyclic hexapeptides from Rubia cordifolia,” Phytochemistry, vol. 33, no. 3, pp. 613–615, 1993. View at Publisher · View at Google Scholar · View at Scopus
  64. Y.-G. Chen, Z.-C. Wu, Y.-P. Lv et al., “Triterpenoids from Schisandra henryi with cytotoxic effect on leukemia and Hela cells in vitro,” Archives of Pharmacal Research, vol. 26, no. 11, pp. 912–916, 2003. View at Publisher · View at Google Scholar · View at Scopus
  65. W. G. Ko, T. H. Kang, S. J. Lee et al., “Polymethoxyflavonoids from Vitex rotundifolia inhibit proliferation by inducing apoptosis in human myeloid leukemia cells,” Food and Chemical Toxicology, vol. 38, no. 10, pp. 861–865, 2000. View at Publisher · View at Google Scholar · View at Scopus
  66. K.-J. Jo, M.-Y. Yoon, M.-R. Lee, M.-R. Cha, and H.-R. Park, “The anticancer effect of extracts from Vitex rotundifolia on human colon carcinoma cell lines,” Journal of the Korean Society for Applied Biological Chemistry, vol. 50, no. 3, pp. 228–232, 2007. View at Google Scholar
  67. L.-S. Gan, S.-P. Yang, Y. Wu, J. Ding, and J.-M. Yue, “Terpenoid indole alkaloids from Winchia calophylla,” Journal of Natural Products, vol. 69, no. 1, pp. 18–22, 2006. View at Publisher · View at Google Scholar · View at Scopus
  68. A. J. M. Christina, D. G. Joseph, M. Packialakshmi et al., “Anticarcinogenic activity of Withania somnifera Dunal against Dalton's ascitic lymphoma,” Journal of Ethnopharmacology, vol. 93, no. 2-3, pp. 359–361, 2004. View at Publisher · View at Google Scholar · View at Scopus
  69. J. S. de Bono, S. Oudard, M. Ozguroglu et al., “Prednisone plus cabazitaxel or mitoxantrone for metastatic castration-resistant prostate cancer progressing after docetaxel treatment: a randomised open-label trial,” The Lancet, vol. 376, no. 9747, pp. 1147–1154, 2010. View at Publisher · View at Google Scholar
  70. J. M. Atkinson, R. A. Falconer, D. R. Edwards et al., “Development of a novel tumor-targeted vascular disrupting agent activated by membrane-type matrix metalloproteinases,” Cancer Research, vol. 70, no. 17, pp. 6902–6912, 2010. View at Publisher · View at Google Scholar · View at Scopus
  71. G. G. Dark, S. A. Hill, V. E. Prise, G. M. Tozer, G. R. Pettit, and D. J. Chaplin, “Combretastatin A-4, an agent that displays potent and selective toxicity toward tumor vasculature,” Cancer Research, vol. 57, no. 10, pp. 1829–1834, 1997. View at Google Scholar · View at Scopus
  72. S. K. Jung, M. Lee, D. Y. Lim et al., “Isoliquiritigenin induces apoptosis and inhibits xenograft tumor growth of human lung cancer cells by targeting both wild type and L858R/T790M Mutant EGFR,” The Journal of Biological Chemistry, vol. 289, no. 52, pp. 35839–35848, 2014. View at Publisher · View at Google Scholar
  73. V. Diéras, S. Limentani, G. Romieu et al., “Phase II multicenter study of larotaxel (XRP9881), a novel taxoid, in patients with metastatic breast cancer who previously received taxane-based therapy,” Annals of Oncology, vol. 19, no. 7, pp. 1255–1260, 2008. View at Publisher · View at Google Scholar · View at Scopus
  74. A. L. Risinger, F. J. Giles, and S. L. Mooberry, “Microtubule dynamics as a target in oncology,” Cancer Treatment Reviews, vol. 35, no. 3, pp. 255–261, 2009. View at Publisher · View at Google Scholar · View at Scopus
  75. B. F. Issell, “The podophyllotoxin derivatives VP16-213 and VM26,” Cancer Chemotherapy and Pharmacology, vol. 7, no. 2-3, pp. 73–80, 1982. View at Publisher · View at Google Scholar · View at Scopus
  76. N. Latruffe, D. Delmas, B. Jannin, M. C. Malki, P. Passilly-Degrace, and J.-P. Berlot, “Molecular analysis on the chemopreventive properties of resveratrol, a plant polyphenol microcomponent,” International Journal of Molecular Medicine, vol. 10, no. 6, pp. 755–760, 2002. View at Google Scholar · View at Scopus
  77. A. Maiti, M. Cuendet, V. L. Croy, D. C. Endringer, J. M. Pezzuto, and M. Cushman, “Synthesis and biological evaluation of (±)-abyssinone II and its analogues as aromatase inhibitors for chemoprevention of breast cancer,” Journal of Medicinal Chemistry, vol. 50, no. 12, pp. 2799–2806, 2007. View at Publisher · View at Google Scholar · View at Scopus
  78. M. C. Chamberlain, S. Grimm, S. Phuphanich et al., “A phase 2 trial of verubulin for recurrent glioblastoma: a prospective study by the brain tumor investigational consortium (BTIC),” Journal of Neuro-Oncology, vol. 118, no. 2, pp. 335–343, 2014. View at Publisher · View at Google Scholar · View at Scopus
  79. K. F. Grossmann, H. Colman, W. A. Akerley et al., “Phase i trial of verubulin (MPC-6827) plus carboplatin in patients with relapsed glioblastoma multiforme,” Journal of Neuro-Oncology, vol. 110, no. 2, pp. 257–264, 2012. View at Publisher · View at Google Scholar · View at Scopus
  80. K. Mahal, M. Resch, R. Ficner, R. Schobert, B. Biersack, and T. Mueller, “Effects of the tumor-vasculature-disrupting agent verubulin and two heteroaryl analogues on cancer cells, endothelial cells, and blood vessels,” ChemMedChem, vol. 9, no. 4, pp. 847–854, 2014. View at Publisher · View at Google Scholar · View at Scopus
  81. F. Delgado, L. Canobbio, F. Boccardo, F. Brema, and V. Fosser, “Phase-II pilot-study of navelbine in advanced breast-cancer,” in Navelbine (Vinorelbine): Update and New Trade, pp. 199–207, 1991. View at Google Scholar
  82. K. Huang, H. Ma, J. Liu et al., “Size-dependent localization and penetration of ultrasmall gold nanoparticles in cancer cells, multicellular spheroids, and tumors in vivo,” ACS Nano, vol. 6, no. 5, pp. 4483–4493, 2012. View at Publisher · View at Google Scholar · View at Scopus
  83. L.-F. Qi, Z.-R. Xu, Y. Li, X. Jiang, and X.-Y. Han, “In vitro effects of chitosan nanoparticles on proliferation of human gastric carcinoma cell line MGC803 cells,” World Journal of Gastroenterology, vol. 11, no. 33, pp. 5136–5141, 2005. View at Google Scholar · View at Scopus
  84. B. D. Chithrani, A. A. Ghazani, and W. C. W. Chan, “Determining the size and shape dependence of gold nanoparticle uptake into mammalian cells,” Nano Letters, vol. 6, no. 4, pp. 662–668, 2006. View at Publisher · View at Google Scholar · View at Scopus
  85. B. Ankamwar, T. C. Lai, J. H. Huang et al., “Biocompatibility of Fe3O4 nanoparticles evaluated by in vitro cytotoxicity assays using normal, glia and breast cancer cells,” Nanotechnology, vol. 21, no. 7, Article ID 075102, 2010. View at Publisher · View at Google Scholar · View at Scopus
  86. J. Pan and S.-S. Feng, “Targeting and imaging cancer cells by folate-decorated, quantum dots (QDs)-loaded nanoparticles of biodegradable polymers,” Biomaterials, vol. 30, no. 6, pp. 1176–1183, 2009. View at Publisher · View at Google Scholar · View at Scopus
  87. H. Takahashi, Y. Niidome, T. Niidome, K. Kaneko, H. Kawasaki, and S. Yamada, “Modification of gold nanorods using phosphatidylcholine to reduce cytotoxicity,” Langmuir, vol. 22, no. 1, pp. 2–5, 2006. View at Publisher · View at Google Scholar · View at Scopus
  88. G. Wei, M. Yan, L. Ma, and H. Zhang, “The synthesis of highly water-dispersible and targeted CdS quantum dots and it is used for bioimaging by confocal microscopy,” Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy, vol. 85, no. 1, pp. 288–292, 2012. View at Publisher · View at Google Scholar · View at Scopus
  89. R. Abbasalipourkabir, A. Salehzadeh, and R. Abdullah, “Antitumor activity of tamoxifen loaded solid lipid nanoparticles on induced mammary tumor gland in Sprague-Dawley rats,” African Journal of Biotechnology, vol. 9, no. 43, pp. 7337–7345, 2010. View at Google Scholar · View at Scopus
  90. H. Çiftçi, M. Türk, U. Tamer, S. Karahan, and Y. Menemen, “Silver nanoparticles: cytotoxic, apoptotic, and necrotic effects on MCF-7 cells,” Turkish Journal of Biology, vol. 37, no. 5, pp. 573–581, 2013. View at Publisher · View at Google Scholar · View at Scopus
  91. J. A. J. Paul, B. K. Selvi, and N. Karmegam, “Biosynthesis of silver nanoparticles from Premna serratifolia L. leaf and its anticancer activity in CCl4-induced hepato-cancerous Swiss albino mice,” Applied Nanoscience, vol. 5, no. 8, pp. 937–944, 2015. View at Publisher · View at Google Scholar
  92. P. R. R. Sre, M. Reka, R. Poovazhagi, M. A. Kumar, and K. Murugesan, “Antibacterial and cytotoxic effect of biologically synthesized silver nanoparticles using aqueous root extract of Erythrina indica lam,” Spectrochimica Acta Part A: Molecular and Biomolecular Spectroscopy, vol. 135, pp. 1137–1144, 2015. View at Publisher · View at Google Scholar · View at Scopus
  93. U. K. Sukumar, B. Bhushan, P. Dubey, I. Matai, A. Sachdev, and G. Packirisamy, “Emerging applications of nanoparticles for lung cancer diagnosis and therapy,” International Nano Letters, vol. 3, no. 1, article 45, 17 pages, 2013. View at Publisher · View at Google Scholar
  94. B. V. V. Pardhasaradhi, M. Reddy, A. M. Ali, A. L. Kumari, and A. Khar, “Antitumour activity of Annona squamosa seed extracts is through the generation of free radicals and induction of apoptosis,” Indian Journal of Biochemistry and Biophysics, vol. 41, no. 4, pp. 167–172, 2004. View at Google Scholar · View at Scopus
  95. Y. Chen, S.-S. Xu, J.-W. Chen et al., “Anti-tumor activity of Annona squamosa seeds extract containing annonaceous acetogenin compounds,” Journal of Ethnopharmacology, vol. 142, no. 2, pp. 462–466, 2012. View at Publisher · View at Google Scholar · View at Scopus
  96. B. Joy and P. Remani, “Antitumor constituents from Annona squamosa fruit pericarp,” Medicinal Chemistry Research, vol. 17, no. 2–7, pp. 345–355, 2008. View at Publisher · View at Google Scholar · View at Scopus
  97. A. T. Fleischauer, C. Poole, and L. Arab, “Garlic consumption and cancer prevention: meta-analyses of colorectal and stomach cancers,” The American Journal of Clinical Nutrition, vol. 72, no. 4, pp. 1047–1052, 2000. View at Google Scholar · View at Scopus
  98. H. Ishikawa, T. Saeki, T. Otani et al., “Aged garlic extract prevents a decline of NK cell number and activity in patients with advanced cancer,” The Journal of Nutrition, vol. 136, no. 3, pp. 816S–820S, 2006. View at Google Scholar · View at Scopus
  99. R. Wilken, M. S. Veena, M. B. Wang, and E. S. Srivatsan, “Curcumin: a review of anti-cancer properties and therapeutic activity in head and neck squamous cell carcinoma,” Molecular Cancer, vol. 10, no. 12, pp. 1–19, 2011. View at Publisher · View at Google Scholar · View at Scopus
  100. N. Dhillon, B. B. Aggarwal, R. A. Newman et al., “Phase II trial of curcumin in patients with advanced pancreatic cancer,” Clinical Cancer Research, vol. 14, no. 14, pp. 4491–4499, 2008. View at Publisher · View at Google Scholar · View at Scopus
  101. E. A. Natelson, B. C. Giovanella, C. F. Verschraegen et al., “Phase I clinical and pharmacological studies of 20-(S)-camptothecin and 20-(S)-9-nitrocamptothecin as anticancer agents,” Annals of the New York Academy of Sciences, vol. 803, pp. 224–230, 1996. View at Publisher · View at Google Scholar · View at Scopus
  102. V. Guarneri, M. V. Dieci, and P. Conte, “Enhancing intracellular taxane delivery: current role and perspectives of nanoparticle albumin-bound paclitaxel in the treatment of advanced breast cancer,” Expert Opinion on Pharmacotherapy, vol. 13, no. 3, pp. 395–406, 2012. View at Publisher · View at Google Scholar · View at Scopus
  103. Y. Cui, X.-O. Shu, Y.-T. Gao, H. Cai, M.-H. Tao, and W. Zheng, “Association of ginseng use with survival and quality of life among breast cancer patients,” American Journal of Epidemiology, vol. 163, no. 7, pp. 645–653, 2006. View at Publisher · View at Google Scholar · View at Scopus
  104. J.-H. Kim, Y. P. Chan, and S.-J. Lee, “Effects of sun ginseng on subjective quality of life in cancer patients: a double-blind, placebo-controlled pilot trial,” Journal of Clinical Pharmacy and Therapeutics, vol. 31, no. 4, pp. 331–334, 2006. View at Publisher · View at Google Scholar · View at Scopus
  105. G. S. Kienle, F. Berrino, A. Büssing, E. Portalupi, S. Rosenzweig, and H. Kiene, “Mistletoe in cancer—a systematic review on controlled clinical trials,” European Journal of Medical Research, vol. 8, no. 3, pp. 109–119, 2003. View at Google Scholar · View at Scopus
  106. Y. Pan, A. Leifert, D. Ruau et al., “Gold nanoparticles of diameter 1.4 nm trigger necrosis by oxidative stress and mitochondrial damage,” Small, vol. 5, no. 18, pp. 2067–2076, 2009. View at Publisher · View at Google Scholar · View at Scopus
  107. G. Balasubramani, R. Ramkumar, N. Krishnaveni et al., “Structural characterization, antioxidant and anticancer properties of gold nanoparticles synthesized from leaf extract (decoction) of Antigonon leptopus Hook. & Arn.,” Journal of Trace Elements in Medicine and Biology, vol. 30, pp. 83–89, 2015. View at Publisher · View at Google Scholar
  108. E. E. Abel, P. R. J. Poonga, and S. G. Panicker, “Characterization and in vitro studies on anticancer, antioxidant activity against colon cancer cell line of gold nanoparticles capped with Cassia tora SM leaf extract,” Applied Nanoscience, vol. 6, no. 1, pp. 121–129, 2016. View at Publisher · View at Google Scholar
  109. K. Anand, R. M. Gengan, A. Phulukdaree, and A. Chuturgoon, “Agroforestry waste Moringa oleifera petals mediated green synthesis of gold nanoparticles and their anti-cancer and catalytic activity,” Journal of Industrial and Engineering Chemistry, vol. 21, pp. 1105–1111, 2015. View at Publisher · View at Google Scholar · View at Scopus
  110. M. P. Vinardell and M. Mitjans, “Antitumor activities of metal oxide nanoparticles,” Nanomaterials, vol. 5, no. 2, pp. 1004–1021, 2015. View at Publisher · View at Google Scholar
  111. T. K. Jain, M. A. Morales, S. K. Sahoo, D. L. Leslie-Pelecky, and V. Labhasetwar, “Iron oxide nanoparticles for sustained delivery of anticancer agents,” Molecular Pharmaceutics, vol. 2, no. 3, pp. 194–205, 2005. View at Publisher · View at Google Scholar · View at Scopus
  112. M. Mahdavi, F. Namvar, M. B. Ahmad, and R. Mohamad, “Green biosynthesis and characterization of magnetic iron oxide (Fe3O4) nanoparticles using seaweed (Sargassum muticum) aqueous extract,” Molecules, vol. 18, no. 5, pp. 5954–5964, 2013. View at Publisher · View at Google Scholar · View at Scopus
  113. P. Thevenot, J. Cho, D. Wavhal, R. B. Timmons, and L. Tang, “Surface chemistry influences cancer killing effect of TiO2 nanoparticles,” Nanomedicine: Nanotechnology, Biology, and Medicine, vol. 4, no. 3, pp. 226–236, 2008. View at Publisher · View at Google Scholar · View at Scopus
  114. Z. Hou, Y. Zhang, K. Deng et al., “UV-emitting upconversion-based TiO2 photosensitizing nanoplatform: near-infrared light mediated in vivo photodynamic therapy via mitochondria-involved apoptosis pathway,” ACS Nano, vol. 9, no. 3, pp. 2584–2599, 2015. View at Publisher · View at Google Scholar
  115. M. Pešić, A. Podolski-Renić, S. Stojković et al., “Anti-cancer effects of cerium oxide nanoparticles and its intracellular redox activity,” Chemico-Biological Interactions, vol. 232, pp. 85–93, 2015. View at Publisher · View at Google Scholar
  116. M. S. Wason, J. Colon, S. Das et al., “Sensitization of pancreatic cancer cells to radiation by cerium oxide nanoparticle-induced ROS production,” Nanomedicine: Nanotechnology, Biology, and Medicine, vol. 9, no. 4, pp. 558–569, 2013. View at Publisher · View at Google Scholar · View at Scopus
  117. A. K. Mittal, S. Kumar, and U. C. Banerjee, “Quercetin and gallic acid mediated synthesis of bimetallic (silver and selenium) nanoparticles and their antitumor and antimicrobial potential,” Journal of Colloid and Interface Science, vol. 431, pp. 194–199, 2014. View at Publisher · View at Google Scholar · View at Scopus
  118. S. M. Roopan, T. V. Surendra, G. Elango, and S. H. S. Kumar, “Biosynthetic trends and future aspects of bimetallic nanoparticles and its medicinal applications,” Applied Microbiology and Biotechnology, vol. 98, no. 12, pp. 5289–5300, 2014. View at Publisher · View at Google Scholar · View at Scopus
  119. P. Wu, Y. Gao, H. Zhang, and C. Cai, “Aptamer-guided silver–gold bimetallic nanostructures with highly active surface-enhanced Raman scattering for specific detection and near-infrared photothermal therapy of human breast cancer cells,” Analytical Chemistry, vol. 84, no. 18, pp. 7692–7699, 2012. View at Publisher · View at Google Scholar · View at Scopus
  120. A. A. Alshatwi, J. Athinarayanan, and V. S. Periasamy, “Green synthesis of bimetallic Au@Pt nanostructures and their application for proliferation inhibition and apoptosis induction in human cervical cancer cell,” Journal of Materials Science: Materials in Medicine, vol. 26, no. 3, article 148, 9 pages, 2015. View at Google Scholar
  121. F. Alexis, E. Pridgen, L. K. Molnar, and O. C. Farokhzad, “Factors affecting the clearance and biodistribution of polymeric nanoparticles,” Molecular Pharmaceutics, vol. 5, no. 4, pp. 505–515, 2008. View at Publisher · View at Google Scholar · View at Scopus
  122. A. L. van de Ven, P. Kim, O. Haley et al., “Rapid tumoritropic accumulation of systemically injected plateloid particles and their biodistribution,” Journal of Controlled Release, vol. 158, no. 1, pp. 148–155, 2012. View at Publisher · View at Google Scholar · View at Scopus
  123. N. P. Truong, M. R. Whittaker, C. W. Mak, and T. P. Davis, “The importance of nanoparticle shape in cancer drug delivery,” Expert Opinion on Drug Delivery, vol. 12, no. 1, pp. 129–142, 2015. View at Publisher · View at Google Scholar · View at Scopus
  124. D. S. Spencer, A. S. Puranik, and N. A. Peppas, “Intelligent nanoparticles for advanced drug delivery in cancer treatment,” Current Opinion in Chemical Engineering, vol. 7, pp. 84–92, 2015. View at Publisher · View at Google Scholar · View at Scopus
  125. N. Doshi and S. Mitragotri, “Needle-shaped polymeric particles induce transient disruption of cell membranes,” Journal of the Royal Society Interface, vol. 7, no. 4, pp. S403–S410, 2010. View at Publisher · View at Google Scholar · View at Scopus
  126. K. M. El-Say, “Nanodiamond as a drug delivery system: applications and prospective,” Journal of Applied Pharmaceutical Science, vol. 1, no. 6, pp. 29–39, 2011. View at Google Scholar
  127. Y. Liu, Nanoparticle-based delivery vectors: design, preparation, characterization, cellular internalization and nuclear targeting [Ph.D. thesis], ProQuest, 2007.
  128. R. Arvizo, R. Bhattacharya, and P. Mukherjee, “Gold nanoparticles: opportunities and challenges in nanomedicine,” Expert Opinion on Drug Delivery, vol. 7, no. 6, pp. 753–763, 2010. View at Publisher · View at Google Scholar · View at Scopus
  129. C. Cheng, A. Porter, K. Muller et al., “Imaging carbon nanoparticles and related cytotoxicity,” Journal of Physics: Conference Series, vol. 151, no. 1, Article ID 012030, 2009. View at Publisher · View at Google Scholar
  130. R. Govender, A. Phulukdaree, R. M. Gengan, K. Anand, and A. A. Chuturgoon, Silver Nanoparticles of Albizia Adianthifolia: The Induction of Apoptosis in a Human Lung Carcinoma Cell Line, University of KwaZulu-Natal, Durban, South Africa, 2012.
  131. M. Z. Ahmad, S. Akhter, Z. Rahman et al., “Nanometric gold in cancer nanotechnology: current status and future prospect,” Journal of Pharmacy and Pharmacology, vol. 65, no. 5, pp. 634–651, 2013. View at Publisher · View at Google Scholar · View at Scopus
  132. V. Wilhelmi, U. Fischer, H. Weighardt et al., “Zinc oxide nanoparticles induce necrosis and apoptosis in macrophages in a p47phox- and Nrf2-independent manner,” PLoS ONE, vol. 8, no. 6, Article ID e65704, 2013. View at Publisher · View at Google Scholar · View at Scopus
  133. I. A. Siddiqui, V. Sanna, N. Ahmad, M. Sechi, and H. Mukhtar, “Resveratrol nanoformulation for cancer prevention and therapy,” Annals of the New York Academy of Sciences, vol. 1348, no. 1, pp. 20–31, 2015. View at Publisher · View at Google Scholar
  134. N. Sozer and J. L. Kokini, “Nanotechnology and its applications in the food sector,” Trends in Biotechnology, vol. 27, no. 2, pp. 82–89, 2009. View at Publisher · View at Google Scholar · View at Scopus
  135. A. N. Sahu, “Nanotechnology in herbal medicines and cosmetics,” International Journal of Research in Ayurveda & Pharmacy, vol. 4, no. 3, pp. 472–474, 2013. View at Publisher · View at Google Scholar · View at Scopus
  136. Q. Huang, H. Yu, and Q. Ru, “Bioavailability and delivery of nutraceuticals using nanotechnology,” Journal of Food Science, vol. 75, no. 1, pp. R50–R57, 2010. View at Publisher · View at Google Scholar · View at Scopus
  137. K. Katti, N. Chanda, R. Shukla et al., “Green nanotechnology from cumin phytochemicals: generation of biocompatible gold nanoparticles,” International Journal of Green Nanotechnology: Biomedicine, vol. 1, no. 1, pp. B39–B52, 2009. View at Publisher · View at Google Scholar · View at Scopus
  138. K. K. Jain, “Current status and future prospects of nanoneurology,” Journal of Nanoneuroscience, vol. 1, no. 1, pp. 56–64, 2009. View at Publisher · View at Google Scholar · View at Scopus
  139. F. Odeh, H. Al-Jaber, and D. Khater, “Nanoflora—how nanotechnology enhanced the use of active phytochemicals,” in Application of Nanotechnology in Drug Delivery, InTech, 2014. View at Google Scholar