Abstract

The search for effective methods of cancer treatment and prevention has been a continuous effort since the disease was discovered. Recently, there has been increasing interest in exploring plants and fruits for molecules that may have potential as either adjuvants or as chemopreventive agents against cancer. One of the promising compounds under extensive research is nobiletin (NOB), a polymethoxyflavone (PMF) extracted exclusively from citrus peel. Not only does nobiletin itself exhibit anti-cancer properties, but its derivatives are also promising chemopreventive agents; examples of derivatives with anti-cancer activity include 3′-demethylnobiletin (3′-DMN), 4′-demethylnobiletin (4′-DMN), 3′,4′-didemethylnobiletin (3′,4′-DMN) and 5-demethylnobiletin (5-DMN). In vitro studies have demonstrated differential efficacies and mechanisms of NOB and its derivatives in inhibiting and killing of colon cancer cells. The chemopreventive potential of NOB has also been well demonstrated in several in vivo colon carcinogenesis animal models. NOB and its derivatives target multiple pathways in cancer progression and inhibit several of the hallmark features of colorectal cancer (CRC) pathophysiology, including arresting the cell cycle, inhibiting cell proliferation, inducing apoptosis, preventing tumour formation, reducing inflammatory effects and limiting angiogenesis. However, these substances have low oral bioavailability that limits their clinical utility, hence there have been numerous efforts exploring better drug delivery strategies for NOB and these are part of this review. We also reviewed data related to patents involving NOB to illustrate the extensiveness of each research area and its direction of commercialisation. Furthermore, this review also provides suggested directions for future research to advance NOB as the next promising candidate in CRC chemoprevention.

Highlights

  • Colorectal cancer (CRC) is the third most prevalent cancer reported in both men and women, ranking just after prostate or breast cancer and lung cancer [1]

  • The search strategy was performed using keywords ‘nobiletin’ and ‘colorectal cancer’ to locate relevant papers. This was supplemented with keyword search of the terms ‘cancer statistics’, ‘colorectal cancer’, ‘colon cancer’, ‘metabolites’, ‘synergism’, ‘biotransformation’, ‘mechanism’, ‘apoptosis’, ‘anti-inflammatory’, ‘inflammation’, ‘cell proliferation’, ‘cell cycle arrest’, ‘metastasis’, ‘tumour’, ‘angiogenesis’, ‘absorption’, ‘metabolism’, ‘toxicity’, ‘distribution’, ‘elimination’, ‘solubility’ and ‘delivery’ combined using Boolean operators with ‘nobiletin’

  • - Reduced expression of iNOS reduced by 35% when compared to the positive control

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Summary

Introduction

Colorectal cancer (CRC) is the third most prevalent cancer reported in both men and women, ranking just after prostate or breast cancer and lung cancer [1]. In many cases there is no readily apparent cause of CRC, a number of factors have been found to be closely associated with this malignancy including gender, age, genetic predisposition, lifestyle, diet or as a complication from other diseases such as inflammatory bowel disease (IBD). 50 years old; there is a new and worrying trend of increasing incidence of colorectal cancer in the age group younger than 50, which, while slight, is still worrying [2,3]. There has been a reduction, the high number of cases remains a major concern and the search for new and better treatments for CRC has been a key focus in pharmacological research. Efforts in exploring and developing new treatments are very much needed due to the limitations of the current treatment regimen—ranging from side effects, to complications and the development of drug resistance

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