Skip to main content
. 2022 Sep 20;14(4):511–527. doi: 10.1016/j.chmed.2022.08.001

Table 3.

Mechanism involved and pharmacological outcomes from various anticancer investigations on shikonin and its derivatives.

Compounds Cell lines/In vitro/In vivo assay Mechanism involved Types of cancer References
Shikonin Human normal lung fibroblast cell line CCD19 and human NSCLC cell lines (HCC827, H1650 and H1975) Induces EGFR degradation causes deactivation of Tyr1173 and Tyr1068 of EGFR;
Inhibits TrxR1 to activate ROS-mediated apoptosis
Gefitinib-resistant non-small cell lung cancer Li et al., 2017
Human epithelial colorectal adenocarcinoma Caco-2 cells.
AOM/DSS model.
Inhibition of COX-2, iNOS and IL-6 via deactivation of NFƙB;
Inhibits Bcl-2 and activates Caspase-3
Colon cancer Andújar, Ríos, Giner, & Recio, 2013
Normal human colon epithelial cell line (NCM460), well-differentiated colon carcinoma cell lines (HT29 and HCT116), poorly differentiated colon carcinoma cell line (SW480).
Nude mouse tumor xenograft model
Overexpression of SIRT2;
Inhibits the viability of SW480 cells and arrests the cell cycle at the G2/M stage;
Inhibition of ERK1/2 phosphorylation
Colorectal cancer Zhang et al., 2017
MCF-7 and SK-BR-3 cells Downregulation of ERα, GPER, EGFR and p-ERK expressions;
Inhibits the proliferation in MCF-7 and SK-BR-3 cells;
Arrest cell cycle at G0/G1 phase in MCF-7 and induce apoptosis in SK-BR-3 cells
Breast cancer Yang et al., 2019
Human lung cancer cells (A549)
Nude mouse tumor xenograft model
Significant increase in RIP1 levels leading to necroptosis Non-small cell lung cancer Kim et al., 2017
Human colon cancer cell lines HCT116, SW480 and human normal colon mucosal epithelial cell line NCM460. Decreased Bcl-2 and Bcl-xl expression;
Increased caspase 3 and 9 activities.
Depolarization of mitochrondrial membrane potential
Colon cancer Liang et al., 2017
Myelogenous leukaemia cell line (K562cells), breast cancer cell line (MCF-7cells) and cervical cancer cells (HeLa cells) Xenograph tumour model Irreversible inhibition of human recombinant CDC25 phosphatases;
Inhibit dephosphorylation of CDK1 thereby inducing cell cycle arrest at G2/M phase
Cancer Zhang et al., 2019
Human lung cancer cells (A549)
Nude mouse tumor xenograft model
Suppression of NEAT1 and Akt signaling Paclitaxel-resistant non-small cell lung cancer Zang, Rao, Zhu, Wu, & Jiang, 2020
Breast cancer cell line (MCF-7 cells) Downregulation of Bax expression and reduced exosomal secretion leading to suppress proliferation Breast cancer Wei et al., 2016
Human colon cancer cell line (SNU-407)Terminal deoxynucleotidyl transferase-mediated digoxigenin dUTP nick-end labeling (TUNEL)
assay.
Induces the mitochondrial dysfunction via downregulation of Bcl-2 and upregulation of Bax, Caspase-3 and Caspase-9;
Activation of MAPK Pathway. Increased Ca2+ levels leading to ER stress
Colon cancer Han et al., 2019
Murine mammary cancer (4 T1) and human breast cancer cells (MDA-MB-231)
Orthotopic model of murine mammary cancer cells.
Activation of p38 and JNK signaling pathways;
Increase caspase3/7 activity;
Inhibits proliferation, migration and invasion ability of cells
Breast cancer Xu et al., 2019
Human breast cancer cells (MDA-MB-231) Reduced expression of miR-17-5p and upregulation of PTEN expression with decreased levels of Akt and p-Akt leads to EMT suppression Triple negative breast cancer Bao et al., 2020
Human ovarian cancer cell (SKOV3) Downregulation of Bcl-2, AKT and PI3K whereas upregulation of Bax, Caspase-3 and Caspase-9 Ovarian cancer Zhang et al., 2020
Human melanoma (A375) and normal human liver-derived cells (MIHA)
Zebrafish Tumor Model
Reduced expression of STAT3 dimer.
Decreased levels of Bcl-2, Mcl-1, MMP-9 and MMP-2
Malignant melanoma Cao et al., 2020
Human colorectal adenocarcinoma (SW620 and HCT116 cell lines)
Subcutaneous tumor mouse model
Induce autophagosome formation via LC3 cleavage;
Upregulate expression and promote galectin-1 dimerization
Colorectal carcinoma Zhang et al., 2020
Hepatocellular carcinoma cells lines (LM3, SMMC-7721, Huh-7, and HepG2) and a normal liver cell line (LO2) Downregulates the expression of PKM2;
Increased expression of Bax, cyto C, cleaved Caspase-9, and cleaved Caspase-3, and decreased expression of Bcl-2
Hepatocellular Carcinoma Liu et al., 2020
Hepatocellular carcinoma cell lines (Huh-7 and HepG2) Modulation of the SMAD7/TGF‐β signaling pathway through regulation of miR‐106b Hepatocellular carcinoma Li & Zeng, 2020
Shikonin, acetyl shikonin, and β,β-dimethyl acryl shikonin Human breast cancer cells (MDA-MB-231) and Murine mammary cancer (4T1). Shikonin was found most potent against TNBC cell lines;
Upregulates E-catherin levels whereas downregulates N-cadherin and vimentin levels;
Stimulate β-catenin degradation through enhanced GSK-3β levels
Triple-negative breast cancer Chen et al., 2019
Shikonin, Deoxyshikoninand β,β-Dimethyl acrylshikonin Human amelanotic malignant melanoma cell line A375 (CRL1619), mouse metastatic melanoma cell line B16-F10 (CRL-6475) and mouse nonmetastatic melanoma cell line B16-F0 (CRL6322), Induces p53-mediated cell cycle arrest;Stimulates ROS -mediated Endoplasmic Reticulum (ER)
stress.
Activation of p-ERK, p-p38, Caspase-3 and Caspase-9
Skin cancer Ng, Upton, Leavesley, & Fan, 2020