Abstract

Cancer is one of the most extreme medical conditions in both developing and developed countries around the world, causing millions of deaths each year. Chemotherapy and/or radiotherapy are key for treatment approaches, but both have numerous adverse health effects. Furthermore, the resistance of cancerous cells to anticancer medication leads to treatment failure. The rising burden of cancer overall requires novel efficacious treatment modalities. Natural medications offer feasible alternative options against malignancy in contrast to western medication. Furanocoumarins’ defensive and restorative impacts have been observed in leukemia, glioma, breast, lung, renal, liver, colon, cervical, ovarian, and prostate malignancies. Experimental findings have shown that furanocoumarins activate multiple signaling pathways, leading to apoptosis, autophagy, antioxidant, antimetastatic, and cell cycle arrest in malignant cells. Additionally, furanocoumarins have been shown to have chemo preventive and chemotherapeutic synergistic potential when used in combination with other anticancer drugs. Here, we address different pathways which are activated by furanocoumarins and their therapeutic efficacy in various tumors. Ideally, this review will trigger interest in furanocoumarins and their potential efficacy and safety as a cancer lessening agents.

Highlights

  • Cancer exacts one of the greatest medical tolls on humankind, requiring a proactive procedure for prevention and treatment

  • We have reviewed the experimental data showed the role of furanocoumarins for cancer prevention and treatment

  • Chemotherapy and radiation are the staples for treatment of malignant growth, both have serious adverse health symptoms

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Summary

Introduction

Cancer exacts one of the greatest medical tolls on humankind, requiring a proactive procedure for prevention and treatment. Chemotherapy and/or radiotherapy are the main clinical approaches to cancer treatment, yet both have documented adverse effects [3,4,5,6]. Phytopharmaceuticals primarily target malignant growth, and they are the most appropriate contender for anticancer medications [1,2]. Furocoumarins are produced in plants of Apiaceae and Rutaceae as well as in Asteraceae, Caryophyllaccae, Fabaceae, Moraceae, and Salvadoraceae for defense against insects, bacterial and fungal predators. They provide antimicrobial and insecticidal activity and behave as natural pesticides [10]. This review is aimed at evaluating the literature on the anticancer potential of various furanocoumarins through different underlying mechanisms and thereof therapeutic/clinical status

Chemistry of Furocoumarins
Bioavailability of Furocoumarins
NF-κB Inactivation
Cell Cycle Arrest
Autophagy
Antioxidant
Role in MDR Cancers
Furanocoumarins as Adjuvant with Other Anticancer Agents
Furanocoumarins and Cancer Risks
Findings
Conclusions
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