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Table 2 Bioactive food components (natural or synthetic compounds/vitamin derivatives) targeting mitochondria (ROS generation) and/or glycolysis that may act as sensitizer for chemoprevention and (neo-)adjuvant therapies in cancer treatment

From: Association of cancer metabolism-related proteins with oral carcinogenesis – indications for chemoprevention and metabolic sensitizing of oral squamous cell carcinoma?

 

Tumor entity

In-vitro/in-vivo mechanism on tumor cells (OSCC/HNSCC/other tumor entities)

Pre-clinical (in-vitro/in-vivo) chemoprevention in cancer development

Clinical data

Compounds (polyphenols*, isothiocyanates, terpen/carotinoid** vitamins, derivates, fatty acids)

OSCC [66, 84]/HNSCC

other

Apoptosis↑ (ROS↑ [18, 23], Caspasen↑)

Glykolysis↓ [17] (mTOR↓ [31, 85, 86], HIF-1↓ [83], enzymes↓)

PPP↓ [87] (e.g. TKTL1↓)

 

Successful [88],*** approach in prospective clinical trials

 

natural

synthetic

     

OSCC [66, 84]/HNSCC

other

OSCC [66, 84]/HNSCC

Other

Curcumin* (turmeric) [83, 85, 88102]

X

-

Yes [9295, 101]

Yes

Yes [96] (ROS↑) [93]

Yes (mTOR↓ [85, 94, 102]; HIF-1↓ [83, 100])

n.d.

Yes [9294, 101]

Yes

Yes (phase I) [95, 97]

Yes (phase II)

Resveratrol* (grapes) [85, 103114]

X

-

Yes [104]

Yes

Yes, (ROS↑ [107])

Yes [109] (mTOR↓ [85, 103, 110, 111]; HIF-1↓ [109])

n.d.

Yes [107, 112]

Yes

n.d.

Yes

EGCG* (green tea) [66, 84, 85, 88, 104, 115119]

X

-

Yes [66, 104, 117]

Yes

Yes, (ROS↑ [117])

Yes (mTOR↓ [85]; HIF-1↓ [118, 119])

n.d.

Yes [66, 104, 116]

Yes

Yes (phase II) [66, 84, 115]

Yes (phase II)

Ellagic acid*, (Pro-) Anthocyanins* (berrys) [66, 84, 120127]

X

-

Yes [66, 84]

Yes

Yes, (ROS↑ [122124])

Yes (mTOR↓ [124, 125]; HIF-1↓ [126])

n.d.

Yes [66, 84, 120, 121, 127]

Yes

Yes (phase II) [66, 84]

Yes

Genistein* (soyabeans) [85, 88, 128133]

X

-

Yes [128, 129]

Yes

Yes, (ROS↑ [130])

Yes (mTOR↓ [85, 131]; HIF-1↓ [132, 133])

n.d.

Yes [128, 129]

Yes

n.d.

Yes (phase II)

Apigenin* (parsley) [134141]

X

-

Yes [134137]

Yes

Yes, (ROS↑ [135])

Yes (mTOR↓ [138]; HIF-1↓ [139, 140])

n.d.

Yes [134136]

Yes

n.d.

Yes

No [137]

Quercetin* (fruits/vegetables) [141150]

X

-

Yes [142144, 149, 150]

Yes

Yes, (ROS↑ [144, 145])

Yes (mTOR↓ [146, 147]; HIF-1↓ [147, 148])

n.d.

Yes [142144, 149]

Yes

Yes [150]

Yes

ITC, glucosinolates (cruciferous vegetables) [85, 151157]

X

-

Yes [152154, 157]

Yes

Yes, (ROS↑ [155])

Yes (mTOR↓ [85, 151]; HIF-1↓ [157])

n.d.

Yes [152154, 157]

Yes

n.d.

Yes (phase I)

Lycopene** (tomato) [83, 158169]

X

 

Yes [158, 163, 164]

Yes

Yes (ROS↑↓) [160162]

Yes (mTOR↓ [167169]; HIF-1↓ [83])

n.d.

Yes [158, 163, 164]

Yes [163]

n.d. [163]

Yes (phase II)

Vit. A** (retinoids) [101, 170175]

X

-

Yes [101, 170, 171, 174, 175]

Yes

Yes, (ROS↑ [172])

Yes (mTOR↓ [173]; HIF-1 n.d.)

n.d.

Yes [101]

Yes

Yes [174, 175]; No (phase III) [170, 171]

Yes

Vit. D [176181]

X

X [179]

Yes [177, 178]

Yes

Yes, (ROS↑ [181])

Yes (mTOR↓ [179]; HIF-1↓ [180])

n.d.

Yes [177, 178]

Yes

n.d.

Yes

Vit. E (γ-T3) [83, 176, 182185]

X

-

n.d.

Yes

Yes, (ROS↑ [183])

Yes (mTOR↓ [184]; HIF-1↓ [182, 185])

n.d.

n.d.

Yes

n.d.

n.d.

Vit. C + K [83, 186194]

X

X

Yes [186]

Yes

Yes (ROS↑ [191])

Yes (mTOR↓ [192]; HIF-1↓ [83, 187, 193])

n.d.

Yes [186]

Yes

n.d.

Yes (Phase I/II)

Oxybenfotiamine [195]

-

X

n.d.

Yes

Yes

n.d.

Yes

n.d.

n.d.

n.d.

n.d.

Benzoquinone (wheat germ extract) [196198]

X

-

Yes [197]

Yes

Yes (Caspasen↑ [197], ROS n.d.)

Yes [198] (mTOR n.d.; HIF-1 n.d.)

Yes [197, 198]

n.d.

Yes

Yes (Phase II/III) [197]

Yes (Phase II/III)

PUFAs (n-3/n-6 family) [199203]

X

-

Yes [200, 201]

Yes

Yes (ROS↑ [202])

Yes [199] (mTOR↓ [202]; HIF-1↓ [199, 203])

n.d.

Yes [200]

Yes

Yes (Phase II) [201]

Yes (Phase II)

  1. Most compounds may decrease glycolytic activity by targeting mTOR/HIF-1 pathway and increase apoptotic activity by ROS generation in cancer cells. Focused on OSCC most experience is available for polyphenols (flavonoids: EGCG, anthocyanins, in bold).
  2. ROS, reactive oxygen species; Caspasen, cysteinyl-aspartate specific protease; OSCC, oral squamous cell carcinoma; HNSCC, head and neck squamous cell carcinoma; HIF, Hypoxia-inducible factor; mTOR, mammalian target of rapamycin; EGCG, epigallocatechin-3-gallate; ITC, isothiocyanate; γ-T3, gamma-tocotrienol; Vit., vitamin; PUFAs, polyunsaturated fatty acids; n.d., no data; ***chemopreventive outcome: decrease of precursor lesions or decrease of cancer biomarkers or decrease of secondary malignancies or increase in patient survival or increase in quality of life or reduction of toxic side effects of radio- and/or chemotherapy. The arrow indicates an increase (↑) or decrease (↓) in levels, phosphorylation status or activity of the different signals.