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. 2023 Aug 15;12(9):2393–2404. doi: 10.21037/tcr-23-267

Table 2. Anti-tumor effect and mechanism of sinomenine and its derivatives.

Cancers Real modules (animal/cell) Possible mechanisms References
Cervical cancer Hela BALB/c nude mice Inhibited Trx/TrxR and glutathione/glutaraldehyde toxin systems to promote oxidative stress, deplete mercaptan content, and active caspase-3 (8)
Breast cancer MCF-7, MDA-MB-231; BALB/c nude mice Inhibited cell stemness mediated by the Wnt/β-catenin pathway and inhibit the expression of CD44, MMP7, Cyclin D1, MET, MYC and JUN (9)
Breast cancer MDA-MB-231 Increased miR-340-5p and suppresses the SIAH2/HIF-1α pathway, thereby inhibiting epithelial-mesenchymal transition (10)
Glioblastoma U87, U251; BALB/c nude mice Increased p53/p21 and Aurora A/PLK1/CDC25C pathway and the expression of p-CDC2 and CCNB1. Inhibited PI3K/AKT/mTOR and upregulate of AMPK/mTOR signaling pathway (11)
Bladder cancer T24, SW78 Inhibited the level of lncRNA-HEIH and up-regulated the expression of Bax, caspase-3 (12)
Hepatocellular carcinoma HepG2 Exo-sinomenine showed a significantly stronger inhibitory effect in HepG 2 cells (7)
Hepatocellular carcinoma HepG2; Sprague Dawley rat Sinomenine and 5-FU exhibited a synergistic inhibitory effect on HepG 2 cells (13)
Lung cancer A549; C57BL/6 mice Inhibited the expression of p-ERK1/2, α7-nAChR, SP-1, TTF-1, and increase the expression of EGR1 (14)
Ovarian cancer HeyA8-MDR Inhibited P-CDK1 (Thr161) and P-H3 (Ser 10), downregulated CDK1, PLK1 and BUB1, and inhibited G2/M transition (15)
Breast cancer MDA-MB-231, MCF-71 Inhibited the activation of PI3K/Akt/mTOR signaling pathway and inhibited the express of MMP-2 and MMP-9 (16)
Lung cancer A549, H1299 Inhibited the expression of miR-21, MMP-2, MMP-9, EMMPRIN/CD147, and Vimentin, increase the express of RECK, TIMP-1/-2 and E-cadherin (17)
Non-small cell lung cancer HCC827, H460, H23, H1650, H1299, H1975; female athymic nude mice Inhibited AKT, kinase S6, and thus inhibited HK2-mediated glycolysis, and increase the expression of cleaved-caspase-3, cleaved-PARP, increase the expression of Cytochrome C and Bax (18)
Ovarian cancer HOEpiC, A2780, Caov3, Hey, OVCAR3, SKOV3 Down-regulated HOST2, Cyclin D1, CDK4, CDK6, Bcl-2, and Bax caspase-3 was up-regulated to induce G0/G1 stagnation (19)
Breast cancer MDA-MB-231, MCF-7 Increased the expression of miR-29/PDCD4, thereby blocking the JNK and MEK/ERK pathways. Increased the expression of caspase-3/-9, p16. Inhibited the expression of PCNA, Cyclin D1, and CDK4 (20)
Breast cancer BALB/c nude mice Regulated IL-8/CXCR1 and c-Fos/NFATc1 signaling to inhibit osteolysis in breast cancer (21)
Cervical cancer HeLa; female BALB/c nude mice Suppressed the expression of Ku80 and Rad51 and enhanced radiotherapy sensitivity (22)
Breast cancer MDA-MB-231; BALB/C male nude mice Inhibited NF-κB/SHh signaling pathway and inhibited the expression of Cyclin D1, Bcl-2, MMP-2 and IL-11 (23)
Breast cancer Virgin female Sprague Dawley rats Inhibited the microglial JAK2/STAT3 signaling pathway and neuronal CAMKII/CREB cascade in the rat model to alleviate cancer-induced bone pain (24)
Renal carcinoma Human renal cell adenocarcinoma Inhibited PI3K/AKT/mTOR signaling pathway to promoted autophagy and inhibited the expression of Ki-67 and PCNA (25)
Renal carcinoma Clear cell renal cell carcinoma Inhibited the expression of TGF-β, Snail1, Twist and Smad signaling pathways and then inhibit epithelial-mesenchymal transition (26)
Breast cancer MDA-MB-231, RAW246.7, 4T1; female BALB/c nude mice Inhibited the expression of IL-6, MMP9, CD44, and Sox-2; increased the expression of TIMP-1, TIMP-2, and inhibited epithelial-mesenchymal transition (27)
Hepatocellular carcinoma HepG2, Hep3B Arrested hepatocellular carcinoma cell cycle at G0/G1 phase, induces cell death and growth inhibition through AMPK/STAT3 signaling pathway (28)
Multiple myeloma Multiple myeloma cells YL064 may prevent the interaction of STAT3 with phosphorylated tyrosine residues on cytoplasmic receptor kinases through targeting the SH 2 domain of STAT3 (29)
Hepatocellular carcinoma SK-Hep1, Hepa1-6p1 Inhibited ERK1/2/MMP2/9 signaling pathway and inhibit the growth and invasion of oncocytes (30)
Colon cancer LoVo Sinomenine enhanced the inhibitory effect of 5-FU on the proliferation and apoptosis of colon cancer cells, and did not increase the side effects of chemotherapy (31)
Gastric cancer MKN-28, SGC-709, BGC823, HGC-27; male BALB/c-nu/nu mice Sinomenine reduced thymidylate synthase mRNA accumulation and enhances the 5-FU-mediated mitochondrial apoptosis pathway (32)
Hepatic carcinoma Hep3B, SMMC7721, HepG2, and so on; male BALB/c athymic nude mice Increased survivin, p21, cytochrome C and increase the release of Omi/HtrA2 from mitochondria into cytoplasm to induce apoptosis (33)
Esophagus cancer Eca109 and EC9706; BALB/c nude mice Induced G2/M arrest, promoting radiation-induced apoptosis and inhibited DNA double-strand break repair (34)
Glioblastoma U87, U251 Promoted p53 expression and its acetylation, reduced sirtuin 1 expression, and induced G0/G1 cell cycle arrest and apoptosis (35)
Mantle cell lymphoma Jeko-1 Inhibited Akt/mTOR/P70S6K pathway and promote cell apoptosis (36)
Osteosarcoma Human osteosarcoma cells, U2OS Inhibited CXCR4-STAT3 pathway and osteoclastgenesis mediated bone destruction and inhibit invasion and metastasis (37)
Esophagus cancer Eca-109 Promoted the progression of mitochondrial apoptosis induced by 5-FU, and the drug combination does not increase the side effects of chemotherapy (38)
Myeloma U266, MM1.S, BMSCs HS-5, Hela Suppressed the nuclear translocation of STAT3 between its target gene Cyclin D1 and Mcl-1 (39)
Thyroid cancer HTori-3, BCPAP, TPC-1 Enhanced the sensitivity of radiotherapy. Inhibited the ratio of Bcl-2 to Bax, and increase the expression of Fas, p21, p-ATM, p-Chk1, p-Chk2 and p53 (40)