Abstract

Betulin, a pentacyclic triterpene and a plant pentacyclic triterpene metabolite, can be found in large quantities in the outer bark of the birches (Betula, Betulaceae). Betulinic acid, obtained by betulin oxidation, is also abundantly present in nature. Both compounds show a wide spectrum of biological and pharmacological properties, such as anti-HIV, anti-inflammatory, and, considered the most important, anti-cancer. Although the specific mechanism of action of betulin against malignant cells is still a subject of detailed research, the activity of betulin acid has been linked to the induction of the intrinsic pathway of apoptosis. As this process occurs with the sparing of non-cancer cells, and the induction of apoptosis can occur under conditions in which standard therapies fail, both substances seem as promising experimental anti-cancer drugs. The aim of this review is to comprehensively summarise the potential of betulin and betulinic acid, both in vitro and in vivo. The discovery, structure, organic synthesis and derivatives forming were shortly described. Also, the potential molecular mechanisms of action and numerous medical applications of betulin and betulinic acid were presented, including previous studies of anti-cancer activity of the compounds, with listed cancer cell types susceptible to therapy.

Highlights

  • Terpenes, interchangeably referred to as isoprenoids or terpenoids, are a group of organic compounds, widely distributed in a variety of plants

  • The binding leads through the intermediate membrane protein, Fas-associated death domain protein (FADD), to forming of the deathinducing signalling complex (DISC), resulting in activation of initiator caspases: caspase-8 and caspase-10

  • The results demonstrated that induction of Noxa is essential for the release of cytochrome c as well as for apoptotic response of colon cancer cells treated by BE

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Summary

Introduction

Interchangeably referred to as isoprenoids or terpenoids, are a group of organic compounds, widely distributed in a variety of plants. Predominantly pentacyclic, are widely distributed in plants—in seeds, roots, stem bark, roots, leaves or the wax-like coating of numerous fruits and herbs, like thyme, mistletoe, wild jujube or lavender (Bishayee et al 2011; El-Askary et al 2011; Liu et al 2016). They occur naturally in animals and fungi (Silchenko et al 2012; Ragasa and Cornelio 2013). Many compounds obtained this way rendered to be highly useful in science (Table 1)

Betulinic acid
Product of reductive amination of betulonic acid
Extrinsic pathway
Intrinsic pathway
Apoptosis in cancer
Activity of betulin
Betulinic acid activity
BE and BA against various types of cancer cells
BA squamous carcinoma
Colon carcinoma
Multiple myeloma
BE and BA in combination with other compounds
Other biological activity of BE and BA
Derivatives of BE and BA
Findings
Concluding remarks
Full Text
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