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. 2021 Feb 6;22(4):1653. doi: 10.3390/ijms22041653

Table 1.

Current evidence on anticancer effects of isoquinoline alkaloids.

Mechanisms Cancer Type Effect Compounds Reference
Apoptosis Colorectal cancer Accumulation of cells in sub G0 phase
Increase in Bax expression
Berberine [73]
Breast cancer Condensed chromatin with fragmented nuclei
Accumulation of cells in sub G0 phase
Noscapine [83]
Gastric cancer Decrease of mitochondrial membrane potential
Increased release of cytochrome c
Activation of caspase-3/8/9 and PARP
Decrease in Bcl-2 expression
Increase in Bax expression
Apoptotic DNA fragmentation
Chelerythrine [59]
Breast cancer
Liver cancer
Lung cancer
Prostate cancer
Berberine [66,67,68,84,85,86]
Leukemia Berberine
Scoulerine
[87,88]
Colorectal cancer Noscapine
Sanguinarine
[41,63]
Breast cancer Decrease of mitochondrial membrane potential
Increased phosphorylation of JNK
Increased release of cytochrome c and AIF
Activation of caspase-3
Decrease in Bcl-2 expression
Increase in Bax expression
Berberine [89]
Colorectal cancer Liensinine [90]
Lung cancer Increased phosphorylation of p38 MAPK
Increase in transcriptional activity of FoxO3a
Berberine [72]
Liver cancer Suppressed PI3K/Akt/mTOR pathway
Increased phosphorylation of JNK
Reactive oxygen species (ROS) generation
Increase in Bim expression and transcriptional activity of FoxO
Berberine [91]
Prostate cancer Decrease of mitochondrial membrane potential
Decrease in Bcl-2, Bcl-XL, and XIAP expression
Increase in Bax, Bad, and Apaf-1 expression
Increased cytochrome c and AIF release
Activation of caspase-3 and PARP
Suppression of PI3K/Akt pathway
Sinomenine [92]
Liver cancer Tetrandrine [93]
Lung cancer Reactive oxygen species (ROS) generation
Activation of caspase-3/8/9 and PARP
Endoplasmic reticulum (ER) stress activation
Increased phosphorylation of JNK
Suppression of PI3K/Akt pathway
Chelerythrine [64]
Liver cancer
Colorectal cancer
Coptisine [94,95]
Colorectal cancer Scoulerine [96]
Renal cancer Decreased phosphorylation of ERK and Akt
Decrease in Bcl-2 expression
Increase in Bax and p53 expression
Chelerythrine [97]
Oral cancer Increase in FasL expression
Decrease in Bcl-2 and Bcl-xL expression
Increase in Bax, Bad, and Apaf-1 expression
Activation of caspase-3/8/9 and PARP
Increased phosphorylation of p38 MAPK
Berberine [98]
Cell cycle arrest Breast cancer
Colorectal cancer
Gastric cancer
Pancreatic cancer Prostate cancer
G1 phase cell cycle arrest Berberine
Sanguinarine
Chelerythrine
[57,60,61,86,99]
Colorectal cancer
Glioblastoma
Lung cancer
G1 phase cell cycle arrest
induction of p21
inhibition of cyclin D1
Tetrandrine
Berberine
[59,76,100,101]
Gastric cancer
Ovarian cancer
S phase cell cycle arrest Chelerythrine
Liriodenine
[59]
Glioblastoma G2/M phase cell arrest
Enhanced cyclin dependent kinase 1 (Cdk1)/cyclin B1 complex activity
Chelidonine [102]
Colorectal cancer Liensinine
Noscapine
Berberine
[41,58,92]
Leukemia Scoulerine [88]
Breast cancer Noscapine [83]
Prostate cancer Protopine [103]
Autophagy Breast cancer
Gastric cancer
Glioblastoma cancer
Liver cancer
Lungcancer
Enhanced expression of LC3-II
Increase of AMPK activity
Downregulated expression of PI3K, Akt, and mTOR
Activation of Beclin-1
Berberine
Neferine
Sanguinarine
Chelerythrine
[64,80,81,82,86,99,100]