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. 2022 Nov 16;15(11):1418. doi: 10.3390/ph15111418

Table 1.

Anticancer effects of daidzein and its metabolites including equol based on in vitro studies.

Type of Cancer Cell Lines Effects Mechanisms Concentration References
Osteosarcoma 143B and U2OS Induces apoptosis ↓ proliferation and migration of 143B and U2OS osteosarcoma cells, ↑ %age of S phase cells, ↓ %age of G0/G1 phase cells, ↓ p-Src-ERK, ↓ p-Src, ↓ p-ERK, No change in expression levels of Src, JNK, p-JNK, ERK, p38 and p-p38 Daidzein—0, 10, 20, 50, 100, 200 or 500 µM [15]
MG-63 Induces apoptosis ↑ ROS, ↓ mitochondrial membrane potential, ↑ apoptosis rate, ↑ cell cycle arrest at the G2/M phase, ↓ Bcl-2, ↓ Bcl-x and ↓ Baid proteins, ↑ Bim protein Daidzein—IC50 value of 59.7 µM [16]
Colon HT-29 Induces apoptosis ↓ growth of cancer cells, significant increase in cells in the G0/G1 phase, ↓ Lipid droplets accumulation, ↓ Perilipin-1, ↓ ADRP and↓ Tip-47 family proteins, ↓ vimentin, ↑ PPAR, ↑ Fas, ↑ FABP, ↑ GPAT3, ↑MTTP, ↓ UCP2. ↓ PI3K, ↑ FOXO3a, ↑ caspase-8 Genistein and Daidzein—0, 25, 50, 100, 200, and 400 μM [17]
DLD1, HCT15, COLO205, LOVO, SW480 Induces apoptosis ↓ growth of HCT-15 cells with the expression of ERα and ERβ, ↓ growth of LOVO, and SW480 cells with the ERβ expression, ↑ ERα and ERβ in HCT-15. ↑ ERα and ERβ, ↑ Nrf2 Equol—0, 0.5, 1, 5, 10 μM [18]
Breast MCF-7 Induces apoptosis ↑ % age of apoptotic cells, ↑ Caspase 3/7 activity, ↑ Bax, ↓ Bcl2, ↑ ROS, ↓ ERα, ↑ ERβ Daidzein—IC50—50 µM [19]
MCF-7 and T47D Induces apoptosis ↑ cytotoxic effects towards cancer cells, ↓ NGB, ↑p- AKT, ↑ p38 phosphorylation, ↑ cleaved PARP-1 Daidzein—1–10 µM and Equol 1 μM [20]
MCF7 and MCF7/ADR Enhances the anticancer effect of topotecan (tpt) and reverses
BCRP-mediated drug resistance
↑ anti-proliferative effect with TPT on MCF7 and MCF7/ADR cells, ↑ inhibitory effect of TPT on Topo Ⅰ activity, ↑ inhibition of TPT on the catalytic activity of Topo Ⅰ, ↑ cells arresting at the G2/M phase, ↑ apoptosis rate, ↓ resistance of MCF7/ADR cells to TPT, ↓ ERα and BCRP, ↑ TPT accumulation intracellularly Daidzein—0, 2.13, 6.25, 12.5, 25,
50, 100, 200 and 400 µM and Topotecan 0, 0.78, 1.56, 3.13, 6.25, 12.5, 25, 50 and 100 µM
[21]
MCF10DCIS.com Induces apoptosis ↓ TNF-α induced cell migration and
invasion, no effect on IκBα expression and
NF-κB p65 phosphorylation, ↓ Gli1, ↓ MMP-9
Daidzein—0, 5, 10, 30 and 50 µM and Equol—10 μM [22]
MCF-7 Induces apoptosis ↓ MCF-7 viability, ↑ %age of apoptotic cells, ↑ % age cells sub-G1 phase, ↓ % age cells in G0/G1, S and G2/M phase, ↑ p53, ↑ p21, ↑ PARP cleavage, ↑ α-fodrin proteolysis, ↑ pro-caspase-7 and pro-caspase-9 cleavage, ↓ Bcl-2, ↑ cytochrome-c release to the cytosol, ↓ Bcl-2: Bax ratio, ↑ tamoxifen’s anti-tumor activity Equol—0, 25, 50 and 100 μM and 4-OHT 0, 0.01, 0.1, 1.0, 10.0 μM [23]
MCF-7 and MDA-MB-453 Induces apoptosis ↓ cell proliferation of cancer cells, ↑ cell cycle arrest in the G1 and G2/M phases, ↑ %age cells in sub-G0 phase, ↓ cyclin D, ↓ CDK2, ↓ CDK4, No Change in the expression of CDK6 and cyclin E, ↓ CDK 1, ↑ p21Cip1 and ↑ p57Kip2, No change in p27Kip1 Daidzein—1–100 μM [24]
MCF-7/MDA MB-231 Induces apoptosis ↓ viability of MCF-7 and MDA MB-231 cell lines, no significant growth inhibition was observed in MCF-10A cells, ↑ no of rounded cells due to shrinkage and condensation of cytoplasm, ↑ apoptotic cells, ↑ tunnel +live cells, ↑ ROS, ↓ ∆ψm, ↓ Bcl-xL, ↑ BAX, ↑ Caspase 3/7/9, ↑ cleaved PARP, ↓ PI3K, ↓ p-Akt, ↓ p-mTOR, ↑ affectivity of Centchroman Centchroman—1–30 µM and Daidzein 10–200 µM [25]
MCF-7 and MDA-MB-231 Induces apoptosis ↑ MRP2, ↓ MRP1, ↓ ABCC2 and ABCC1 mRNA Daidzein—0.05, 0.5 and 5 µM, R-equol and S-equol—0.1, 1 and 10 µM [26]
MCF-7 Enhances apoptosis-inducing activity of genistein ↑ cytotoxicity of genistein, ↑ G2/M phase cells, ↓ G1/S blockade and G2/M progression ↑ sub-G0/G1 population ↑ apoptosis rate, ↑ Bax/Bcl-xL expression ratio, No change in activities of Akt and mTOR, ↑ c-PARP Genistein—0–100 µM, Equol—0–100 µM [27]
MDA-MB-435 (ER) Induces apoptosis ↑ eIF4GI, ↑ c-Myc, ↑ Cyclin D ↑Bcl-XL ↑ p120 catenin (R, S) Equol—25 μM [28]
MDA-MB-231 Inhibit metastasis ↓ invasive capacity, ↓ MMP-2, No Change on n the expression levels of MMP- 9, TIMP-1 or TIMP-2 Daidzein, R—and
S-Equol—0, 2.5, 10, 50 µM
[29]
MCF-7 Induces apoptosis ↑ ROS, ↓ Bcl-2, ↑ Bax, ↑ release of cytochrome C from the mitochondria into the cytosol, ↑ caspase-9, ↑ caspase-7 Daidzein—25–100 µM [30]
MCF-7 -- ↑ antiproliferative effects, ↑ pS2 mRNA Daidzein and (±)-equol 0.001 to 50 µM [31]
Lung A594 and 95D Induces apoptosis ↓ proliferation and colony formation property of cancer cells ↓ IL-6, ↓IL-8, ↓ p65-NFκB expression and activation, ↓ level of p65-NFκB upregulation induced by C/EBPβ Daidzein—0, 5, 10, and 25 μM [32]
A549, HepG-2 Induces apoptosis ↑ ROS, ↓ mitochondrial membrane potential, ↑ apoptosis rate, ↑ cell cycle arrest at the G2/M phase, ↓ Bcl-2, ↓ Bcl-x and ↓ Baid proteins, ↑ Bim protein Daidzein—IC50 value of 59.7 µM [33]
Gastric MGC-803 Induces apoptosis ↓ viability of MGC-803 cells, ↑ G0/G1 cell
cycle arrest, ↓ CDK2/4, ↓ Cyclin D1/Cyclin E1 ↑ P21WAF1, ↑ apoptosis frequency, ↑ cleaved PARP, ↑ caspase-3. ↑ P-Akt (Ser473 and Thr308)
Equol—5, 10, 20, 40, or 80 μM [34]
BGC-823 Induces apoptosis ↓ growth and proliferation of gastric carcinoma
cells, ↓ mitochondrial transmembrane potential ↑ cleaved PARP, ↑ cleaved caspase-9, ↑ cleaved caspase-3, ↑ Bax, ↓ Bcl-2, ↓ Bcl-2/Bax
Daidzein—0, 20, 40, and 80 µM [35]
Hepatocellular SMMC-7721 and HepG2 Induces apoptosis ↓ proliferation, migration and invasion of cancer cells, ↓ concentrations of pyruvate, glutamate and glucose, ↓ activities of hexokinase, phosphofructokinase and pyruvate kinase, ↓ pyruvate kinase M2, ↑ levels of glycerophosphocholine, ethanolamine, taurine, fumarate, leucine, acetate,
↓ levels of pyruvate, glutamate, glutamine, adenosine monophosphate, creatine, glycine
(−)—5-hydroxy Equol—0, 10, 20, 30, 40 and 50 µM [36]
SMMC-7721 Induces apoptosis ↓ proliferation of SMMC-7721 cells, ↑ apoptosis frequency, ↑ S-phase cell cycle arrest, ↑ p21, ↓ cyclin A2; No change in expression of cyclin D1 and H2AX, ↑ caspase-9, ↑ caspase-3, ↑ c-PARP, ↑ Bax ↓ Bcl-2, ↑ caspase-8, ↑ caspase-12, ↑ Chop, ↑ Bip (±)—Equol, R-(+)-Equol, and S-(–)-Equol—0, 5, 10, 20, 50, and 100 µM [37]
SK-HEP-1 Induces apoptosis ↓ cell proliferation of cancer cells, ↑ Prdx-3, ↑ Bak, ↓ Bcl-2, ↓ Bcl-xL, ↑ release of mitochondrial cytochrome c to cytosol, ↑ APAF-1, ↑ caspase 9, ↑ caspase 3 Daidzein—0, 200, 400 and 600 µM [38]
Pancreatic MiaPaCa-2 and PANC-1 Induces apoptosis ↓ growth and proliferation of pancreatic cancer cells, inhibitory effects on both ER positive and negative pancreatic cancer cells Daidzein—0.1, 1,
10, 25, 50, 75 and 100 µmol/L
[39]
Colorectal SW620 Anti-proliferative effects ↓ p-ERK/ERK, ↓ p-AKT/AKT Chrysin IC50 values 70 µM and Daidzein IC50 values 23.5 µM [40]
HCT-15 Induces apoptosis Racemic equol ↓ proliferation of HCT-15 cells, whereas(S) equol had no effect on the proliferation of HCT-15 cells. Racemic equol ↓ ERβ and ↓ Nrf2, while (R) equol ↓ Nrf2 Racemic equol and equol enantiomers—0, 0. 5, 1, 5 and 10 μM [41]
Bladder RT112, RT4 and SW780 Induces apoptosis ↓ cell viability, Impaired colony formation, ↑ G1/S cell cycle arrest, ↑ apoptosis frequency, ↓ FGFR3 signaling pathway, ↓ p-FGFR3, ↓ p-Akt, p-ERK Daidzein—0, 0.5, 1, 2.5, 5, 7.5, 10, 50 and 100 μM [42]
Prostate DU145, LNCaP and PC3 Induces apoptosis ↑ cytotoxic activity, ↑ ERβ binding activity, ↑ ERβ gene expression, ↓ cMYC, ↓ Cyclin D1 genes, ↑ caspase 3 and 9, No change in uterotropic and anti-androgenic activities Novel daidzein molecules—1, 5, 10, 50, 100, 200, 300,
400, 500 µM
[43]
LNCaP, DU145 and PC3 Induces apoptosis ↑ cell cycle arrest in the G2/M phase↓ Cyclin B1 ↓ CDK1, ↑ p21 and p27, ↑ apoptosis rate, ↑ FasL ↑ Bim. ↑ FOXO3a, ↓ p-FOXO3a, ↑ nuclear stability of FOXO3a, ↓ MDM2 S-Equol—0, 0.5, 1, 5, 10 μM [44]
DU145 Induces apoptosis ↓ cell migration and invasion, ↓ MMP-, ↓ u-PA, ↓ secreted MMP-2 and MMP-9, ↑ SOD, ↑ Nrf2, ↑ PTEN (±) Equol 5, 10, 50 µM, Daidzein and Genistein—0.5,
1 and 5 µM
[45]
PC3, DU145 cells Induces apoptosis ↓ MMP-2, ↓ MMP-9, ↑ ERγ, No change in Erβ Equol—0, 0.5, 1, 5, 10 μM [46]
Choriocarcinoma JAR and JEG-3 Induces apoptosis ↓ cell viability, ↑ early and late apoptotic cells, ↑ apoptosis frequency, ↑ caspase-9, ↑ caspase-3, ↑ c-PARP, ↓ Bcl-2/Bax Daidzein—0, 25, 50 or 100 µM [29]
Cervix BEL-7402, HeLa, Induces apoptosis ↑ ROS, ↓ mitochondrial membrane potential, ↑ apoptosis rate, ↑ cell cycle arrest at the G2/M phase, ↓ Bcl-2, ↓ Bcl-x and ↓ Baid proteins, ↑ Bim protein Daidzein—IC50 value of 59.7 µM [47]
Ovarian caov-3, OVAcAR-3, SKOV3 and
A2780
Induces apoptosis ↑ antiproliferative effects on SKVO3
cells, SKOV3 cancer cells became rounder, shrunken and detached from the substratum, ↑ apoptotic cells, ↑ release of cytochrome c into the cytoplasm, ↑ cytosolic levels of cyt c, ↑ Bax, ↑ cleaved caspase-3 and -9, ↑ cleaved PARP, ↑ G2 phase cells leading to G2/M cell cycle phase arrest, ↓ pcdc25c (Ser216), ↓ cdc25c, ↓ pcdc2 (Tyr15),
↓ cdc2, ↓ cyclin B1, ↑ p21, ↓ migratory capability of cancer cells, ↓ MMP-9, ↓ MMP-2, ↓ p-MEK, ↓ p-ERK
Daidzein—0, 10,
20 and 40 µM
[48]