Anticancer effects of thymoquinone in head and neck squamous cell carcinoma: A scoping review

Abstract Objective Thymoquinone (TQ), the active constituent of Nigella sativa, has been shown to have anticancer effects in head and neck squamous cell carcinoma (HNSCC). This review aims to outline the properties of TQ, the known drivers in HNSCC formation, and summarize the anticancer effects of...

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Main Authors: Kera Kwan, Albert Y. Han, Laith Mukdad, Frida Barragan, Omar Selim, Yazeed Alhiyari, Maie St. John
Format: Article
Language:English
Published: Wiley 2023-08-01
Series:Laryngoscope Investigative Otolaryngology
Subjects:
Online Access:https://doi.org/10.1002/lio2.1097
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author Kera Kwan
Albert Y. Han
Laith Mukdad
Frida Barragan
Omar Selim
Yazeed Alhiyari
Maie St. John
author_facet Kera Kwan
Albert Y. Han
Laith Mukdad
Frida Barragan
Omar Selim
Yazeed Alhiyari
Maie St. John
author_sort Kera Kwan
collection DOAJ
description Abstract Objective Thymoquinone (TQ), the active constituent of Nigella sativa, has been shown to have anticancer effects in head and neck squamous cell carcinoma (HNSCC). This review aims to outline the properties of TQ, the known drivers in HNSCC formation, and summarize the anticancer effects of TQ in SCC. Data Sources Three databases (PubMed, Embase, and Google Scholar) were queried for the key words “thymoquinone squamous cell carcinoma.” Review Methods Publications that were not original research and publications that did not have full‐text available for review were excluded. Results Sixteen research articles met the inclusion criteria. Our review demonstrates that TQ‐induced cytotoxicity is associated with increased expression and activity of the tumor suppressor p53, proapoptotic proteins Bax and caspases, as well as decreased expression and activity of antiapoptotic proteins Bcl‐2 and Mdm2. Additionally, TQ modulates cell‐survival pathways such as the PI3k/Akt pathway. TQ synergizes with therapeutics including cisplatin and radiation. Early TQ administration may prevent carcinogenesis via upregulation of antioxidant enzymes, and TQ administration in the presence of cancer can result in disease mitigation via induction of oxidative stress. Conclusion TQ acts as an upregulator of proapoptotic pathways and downregulator of antiapoptotic pathways, modulates the oxidative stress balance in tumor development, and works synergistically alongside other chemotherapeutics to increase cytotoxicity. TQ has the potential to prevent carcinogenesis in patients who are at high‐risk for SCC and adjuvant treatment for SCC patients undergoing conventional treatments. Future studies should aim to identify specific populations in which TQ's effects would be the most beneficial. Level of Evidence Not available.
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spelling doaj.art-c977b588fad440bbac61356d991536a22023-08-23T18:20:18ZengWileyLaryngoscope Investigative Otolaryngology2378-80382023-08-018487688510.1002/lio2.1097Anticancer effects of thymoquinone in head and neck squamous cell carcinoma: A scoping reviewKera Kwan0Albert Y. Han1Laith Mukdad2Frida Barragan3Omar Selim4Yazeed Alhiyari5Maie St. John6UCLA Department of Surgery University of California Los Angeles California Los Angeles USADepartment of Head and Neck Surgery University of Texas MD Anderson Cancer Center Houston Texas USAUCLA Head and Neck Cancer Surgery University of California Los Angeles California Los Angeles USAUCLA Head and Neck Cancer Surgery University of California Los Angeles California Los Angeles USAUCLA Head and Neck Cancer Surgery University of California Los Angeles California Los Angeles USAUCLA Head and Neck Cancer Surgery University of California Los Angeles California Los Angeles USAUCLA Head and Neck Cancer Surgery University of California Los Angeles California Los Angeles USAAbstract Objective Thymoquinone (TQ), the active constituent of Nigella sativa, has been shown to have anticancer effects in head and neck squamous cell carcinoma (HNSCC). This review aims to outline the properties of TQ, the known drivers in HNSCC formation, and summarize the anticancer effects of TQ in SCC. Data Sources Three databases (PubMed, Embase, and Google Scholar) were queried for the key words “thymoquinone squamous cell carcinoma.” Review Methods Publications that were not original research and publications that did not have full‐text available for review were excluded. Results Sixteen research articles met the inclusion criteria. Our review demonstrates that TQ‐induced cytotoxicity is associated with increased expression and activity of the tumor suppressor p53, proapoptotic proteins Bax and caspases, as well as decreased expression and activity of antiapoptotic proteins Bcl‐2 and Mdm2. Additionally, TQ modulates cell‐survival pathways such as the PI3k/Akt pathway. TQ synergizes with therapeutics including cisplatin and radiation. Early TQ administration may prevent carcinogenesis via upregulation of antioxidant enzymes, and TQ administration in the presence of cancer can result in disease mitigation via induction of oxidative stress. Conclusion TQ acts as an upregulator of proapoptotic pathways and downregulator of antiapoptotic pathways, modulates the oxidative stress balance in tumor development, and works synergistically alongside other chemotherapeutics to increase cytotoxicity. TQ has the potential to prevent carcinogenesis in patients who are at high‐risk for SCC and adjuvant treatment for SCC patients undergoing conventional treatments. Future studies should aim to identify specific populations in which TQ's effects would be the most beneficial. Level of Evidence Not available.https://doi.org/10.1002/lio2.1097cutaneous < head and neckmolecular biologyscoping reviewskin cancer < head and neck
spellingShingle Kera Kwan
Albert Y. Han
Laith Mukdad
Frida Barragan
Omar Selim
Yazeed Alhiyari
Maie St. John
Anticancer effects of thymoquinone in head and neck squamous cell carcinoma: A scoping review
Laryngoscope Investigative Otolaryngology
cutaneous < head and neck
molecular biology
scoping review
skin cancer < head and neck
title Anticancer effects of thymoquinone in head and neck squamous cell carcinoma: A scoping review
title_full Anticancer effects of thymoquinone in head and neck squamous cell carcinoma: A scoping review
title_fullStr Anticancer effects of thymoquinone in head and neck squamous cell carcinoma: A scoping review
title_full_unstemmed Anticancer effects of thymoquinone in head and neck squamous cell carcinoma: A scoping review
title_short Anticancer effects of thymoquinone in head and neck squamous cell carcinoma: A scoping review
title_sort anticancer effects of thymoquinone in head and neck squamous cell carcinoma a scoping review
topic cutaneous < head and neck
molecular biology
scoping review
skin cancer < head and neck
url https://doi.org/10.1002/lio2.1097
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