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. 2019 Apr 27;76(14):2697–2718. doi: 10.1007/s00018-019-03107-3

Table 1.

A summary of anti-cancer activities of chitosan and its derivatives

CS/CS-derived products In vitro/in vivo Reported results MW/DA References Year
COS MDA-MB-231 (in vitro) Reduction in MMP-9 secretion and activities 1 kDa < MW < 3 kDa Kyung et al. [196] 2009
COS

LLC (in vitro)

HepG2 (in vivo)

Inhibition of MMP-9 secretion

Inhibition of the tumor growth

MW = 23.99 kDa Shen et al. [103] 2009
COS PC-3, A549 (in vitro) Suppression of cancer cell growth

DD = 85–100%

MW = 360–2625 m/z

Park et al. [25] 2011
CSO–SA MCF-7, A549, Bel-7402 (in vitro) Discovered anti-cancer activities of podophyllotoxin loaded on CSO–SA micelles

DD = 95%

MW = 15.0 kDa

Huang et al. [197] 2012
Sulfated polysaccharide SKOV3 and ECV304 cells (in vitro) Inhibition of MMP-2 expression MW = 11.3 kDa Zong et al. [198] 2013
O-Carboxymethyl-chitosan Human normal liver cell L02, human hepatoma cell Bel-7402, human gastric cancer cell SGC-7901 and human cervical carcinoma cell Hela Cytokine levels were compatible in vitro. In vivo, nontoxic to body and enhanced body immune response, serum levels of IL-2 and TNF-α in sarcoma-180-bearing mouse

DD = 78.0%

MW = 340 kDa

Zheng et al. [199] 2011
CSOSA-g-PEI Hela and MCF-7 Comparable transfection efficiency level of CSOSA-g-PEI to lipofectamine 2000

DD = 95.0%

MW = 17.5 kDa

Hu et al. [200] 2013
CSOAA (conjugate for doxorubicin (DOX) delivery) FaDu cells (in vitro) and FaDu tumor xenografted mouse model (in vivo) Control drug release profile. In addition, cellular uptake

DD = > 90%

MW = 5 kDa

Termsarasab et al. [201] 2013
FA–PEG–COL BALB/c mice bearing OVK18 #2 tumor xenograft (in vivo) Showing much potential for effective ovarian cancer treatment via gene therapy

DD = > 90%

MW = 3–5 kDa

Li et al. [202] 2014
CTS RT112 bladder cancer cell lines (In vitro) CS exhibited a remarkable reduction in proliferation of RT112 cell line. CTS with lower MW found to be more effective than higher MW ones

DD = 70–90%

MW = 5800 and 19,800 g/mol

Younes et al. [203] 2014
CTS (LMWC) Ca922 cells (in vitro) G1/S cell cycle arrest subtle increases of caspase activity

DD = 75–85%

MW = 50–190 kDa

Wimardhani et al. [98] 2014
CS Bladder carcinoma cells (RT112 and RT112cp)

Cytotoxic effect of chitosan increased with increasing DA and decreasing pH

MW had no effect on toxicity of CS

DD = 39–98%

MW = 75,000–110,000 g/mol

Younes et al. [96] 2015
CS IMR 32/Hep G2 cells (in vitro) Moderate anti-proliferative effect

DD = 90.2–93.3%

MW = 382.73–423.43 kDa

212.93–548.75 kDa

Chien et al. [204] 2016
COS

10 tumor cell lines (In vitro)

S180-bearing mice (in vivo)

HCT-116 cells were the least sensitive to COS

MCF-7 cells were the most sensitive to COS

Stimulation of M1 type macrophage and production of TNF-α

DD = 90–93%

MW = 1–2 kDa

Zou et al. [97] 2016
COS HeLa cells (in vitro) At concentration of 40 mg/ml, an abnormal morphology was found in HeLa cells

DD = 80%

MW = 1.44 kDa

Chokradjaroen et al. [205] 2017
CS Ovarian cancer cell line—PA-1 (in vitro) 100% growth suppression of the of PA-1 tumor cells at low concentration at 10 µg/ml Not reported Srinivasan et al. [206] 2018

COS chitosan oligosaccharide, CS chitosan, CSO–SA stearic acid-g-chitosan oligosaccharide, CSOSA-g-PEI polyethylenimine-conjugated stearic acid-g-chitosan oligosaccharide micelles, FA–PEG–COL folic acid–poly(ethylene glycol)–chitosan oligosaccharide lactate, CSOAA chitosan oligosaccharide–arachidic acid, LMWC low molecular weight chitosan, MMP matrix metalloproteinase, DA degree of acetylation