Pterostilbene in Cancer Therapy

Natural polyphenols are organic chemicals which contain phenol units in their structures and possess antitumor properties. However, a key problem is their short half-life and low bioavailability under in vivo conditions. Pterostilbene (3,5-dimethoxy-4′-hydroxystilbene; PT) is a phytoalexin originall...

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Main Authors: Elena Obrador, Rosario Salvador-Palmer, Ali Jihad-Jebbar, Rafael López-Blanch, Thanh H. Dellinger, Ryan W. Dellinger, José M. Estrela
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/10/3/492
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author Elena Obrador
Rosario Salvador-Palmer
Ali Jihad-Jebbar
Rafael López-Blanch
Thanh H. Dellinger
Ryan W. Dellinger
José M. Estrela
author_facet Elena Obrador
Rosario Salvador-Palmer
Ali Jihad-Jebbar
Rafael López-Blanch
Thanh H. Dellinger
Ryan W. Dellinger
José M. Estrela
author_sort Elena Obrador
collection DOAJ
description Natural polyphenols are organic chemicals which contain phenol units in their structures and possess antitumor properties. However, a key problem is their short half-life and low bioavailability under in vivo conditions. Pterostilbene (3,5-dimethoxy-4′-hydroxystilbene; PT) is a phytoalexin originally isolated from the heartwood of red sandalwood. As recently reported by our group, PT was shown to be effective in the treatment of melanoma. Counterintuitively, PT is not effective (cytotoxic) against melanoma in vitro, and only under in vivo conditions does PT display its anticancer activity. This study elucidated that PT can be effective against melanoma through the inhibition of adrenocorticotropic hormone production in the brain of a mouse, which weakens the Nrf2-dependent antioxidant defenses of melanoma and also pancreatic cancers. This results in both the inhibition of tumor growth and sensitization of the tumor to oxidative stress. Moreover, PT can promote cancer cell death via a mechanism involving lysosomal membrane permeabilization. Different grades of susceptibility were observed among the different cancer cells depending on their lysosomal heat shock protein 70 content, a known stabilizer of lysosomal membranes. In addition, the safety of PT administered i.v. has been evaluated in mice. PT was found to be pharmacologically safe because it showed no organ-specific or systemic toxicity (including tissue histopathologic examination and regular hematology and clinical chemistry data) even when administered i.v. at a high dose (30 mg/kg per day × 23 days). Moreover, new pharmacological advances are being developed to increase its bioavailability and, thereby, its bioefficacy. Therefore, although applications of PT in cancer therapy are just beginning to be explored, it represents a potential (and effective) adjuvant/sensitizing therapy which may improve the results of various oncotherapies. The aim of this review is to present and discuss the results that in our opinion best support the usefulness of PT in cancer therapy, making special emphasis on the in vivo evidence.
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spelling doaj.art-df6d36b6df904d9587431c7d30c050792023-11-21T11:24:50ZengMDPI AGAntioxidants2076-39212021-03-0110349210.3390/antiox10030492Pterostilbene in Cancer TherapyElena Obrador0Rosario Salvador-Palmer1Ali Jihad-Jebbar2Rafael López-Blanch3Thanh H. Dellinger4Ryan W. Dellinger5José M. Estrela6Department of Physiology, Faculty of Medicine and Odontology, University of Valencia, 15 Av. Blasco Ibañez, 46010 Valencia, SpainDepartment of Physiology, Faculty of Medicine and Odontology, University of Valencia, 15 Av. Blasco Ibañez, 46010 Valencia, SpainDepartment of Physiology, Faculty of Medicine and Odontology, University of Valencia, 15 Av. Blasco Ibañez, 46010 Valencia, SpainDepartment of Physiology, Faculty of Medicine and Odontology, University of Valencia, 15 Av. Blasco Ibañez, 46010 Valencia, SpainDepartment of Surgery, Division of Gynecologic Surgery, City of Hope, 1500 East Duarte Rd, Duarte, CA 91010, USAElysium Health Inc., 434 Broadway, New York, NY 10013, USADepartment of Physiology, Faculty of Medicine and Odontology, University of Valencia, 15 Av. Blasco Ibañez, 46010 Valencia, SpainNatural polyphenols are organic chemicals which contain phenol units in their structures and possess antitumor properties. However, a key problem is their short half-life and low bioavailability under in vivo conditions. Pterostilbene (3,5-dimethoxy-4′-hydroxystilbene; PT) is a phytoalexin originally isolated from the heartwood of red sandalwood. As recently reported by our group, PT was shown to be effective in the treatment of melanoma. Counterintuitively, PT is not effective (cytotoxic) against melanoma in vitro, and only under in vivo conditions does PT display its anticancer activity. This study elucidated that PT can be effective against melanoma through the inhibition of adrenocorticotropic hormone production in the brain of a mouse, which weakens the Nrf2-dependent antioxidant defenses of melanoma and also pancreatic cancers. This results in both the inhibition of tumor growth and sensitization of the tumor to oxidative stress. Moreover, PT can promote cancer cell death via a mechanism involving lysosomal membrane permeabilization. Different grades of susceptibility were observed among the different cancer cells depending on their lysosomal heat shock protein 70 content, a known stabilizer of lysosomal membranes. In addition, the safety of PT administered i.v. has been evaluated in mice. PT was found to be pharmacologically safe because it showed no organ-specific or systemic toxicity (including tissue histopathologic examination and regular hematology and clinical chemistry data) even when administered i.v. at a high dose (30 mg/kg per day × 23 days). Moreover, new pharmacological advances are being developed to increase its bioavailability and, thereby, its bioefficacy. Therefore, although applications of PT in cancer therapy are just beginning to be explored, it represents a potential (and effective) adjuvant/sensitizing therapy which may improve the results of various oncotherapies. The aim of this review is to present and discuss the results that in our opinion best support the usefulness of PT in cancer therapy, making special emphasis on the in vivo evidence.https://www.mdpi.com/2076-3921/10/3/492pterostilbenepolyphenolsstilbenescanceroxidative stressheat-shock proteins
spellingShingle Elena Obrador
Rosario Salvador-Palmer
Ali Jihad-Jebbar
Rafael López-Blanch
Thanh H. Dellinger
Ryan W. Dellinger
José M. Estrela
Pterostilbene in Cancer Therapy
Antioxidants
pterostilbene
polyphenols
stilbenes
cancer
oxidative stress
heat-shock proteins
title Pterostilbene in Cancer Therapy
title_full Pterostilbene in Cancer Therapy
title_fullStr Pterostilbene in Cancer Therapy
title_full_unstemmed Pterostilbene in Cancer Therapy
title_short Pterostilbene in Cancer Therapy
title_sort pterostilbene in cancer therapy
topic pterostilbene
polyphenols
stilbenes
cancer
oxidative stress
heat-shock proteins
url https://www.mdpi.com/2076-3921/10/3/492
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