Skip to main content

An Evidence-based Perspective of Herbal Remedies for Cancer Patients

  • Chapter
  • First Online:
Evidence-based Anticancer Materia Medica

Abstract

In spite of great advances in cancer therapy, conventional treatments, most notably chemotherapy, are inherently associated with a plethora of side-effects induced by damage to otherwise healthy cells/tissues. Herbal remedies are, however, yielding important breakthroughs in cancer prevention and treatment, and are presently used first line in numerous cultures across the world. Novel effective anticancer herbal constituents have been extensively studied, and shown to be effective in preventing tumor growth while improving quality of life. Furthermore, clinical studies indicate that herbal remedies when used alone or as an adjunct to conventional anticancer treatment can effectively treat cancer as well as reduce side-effects associated with chemotherapy/radiotherapy. Hence, there is an increasingly convincing rationale for employing herbal remedies against neoplastic disease. However, before acceptance of herbal remedies into wide scale clinical use can be achieved, two critical issues need to be addressed; these include a clearer understanding of their precise mechanism of action, along with supporting empirical clinical data on efficacy. In this chapter, firstly, we describe the four primary modes of action that include inducing apoptosis, boosting of the immune system, overcoming multi-drug resistance and inhibiting angiogenesis by herbal remedies. Then, evidence of experimental studies on the families of effective herbal remedies reported to-date, such as alkaloids, flavonoids, polysaccharides, and glycosides are provided. Furthermore, the application, be it via oral or parenteral administration in clinical cases and observations from treating various cancer types along with relevant meta-analyses/systematic reviews are summarized. In closing, future prospects of the road ahead and clinical acceptance of herbal remedies are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 179.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 229.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Acharya, D., & Shrivastava, A. (2008). Indigenous herbal medicines: Tribal formulations and traditional herbal practices. Jaipur: Aavishkar.

    Google Scholar 

  • Ackermann, S., Beckmann, M. W., Thiel, F., et al. (2007). Topotecan in cervical cancer. International Journal of Gynecological Cancer, 17, 1215–1223.

    Article  PubMed  CAS  Google Scholar 

  • Ai, Z. L., Lu, W. Q., Qin, X. Y., et al. (2006). Arsenic trioxide induces gallbladder carcinoma cell apoptosis via downregulation of Bcl-2. Biochemical and Biophysical Research Communications, 348, 1075–1081.

    Article  PubMed  CAS  Google Scholar 

  • Akao, Y., Nakagawa, Y., & Akiyama, K. (1999). Arsenic trioxide induces apoptosis in neuroblastoma cell lines through the activation of caspase 3 in vitro. FEBS Letters, 455, 59–62.

    Article  PubMed  CAS  Google Scholar 

  • Arbuck, S. G., & Takimoto, C. H. (1998). An overview of topoisomerase I—targeting agents. Seminars in Hematology, 35, 3–12.

    PubMed  CAS  Google Scholar 

  • Ashkenazi, A., & Dixit, V. M. (1998). Death receptors: Signaling and modulation. Science, 281, 1305–1308.

    Article  PubMed  CAS  Google Scholar 

  • Bai, X., & Yan, M. (2008). Fufang Kushen injection in the treatment of 60 cases lung cancer. Shaanxi Journal of TCM, 29, 1317–1318.

    Google Scholar 

  • Bennett, J. M., Catovsky, D., Daniel, M. T., et al. (1976). Proposals for classification of acute leukemias. British Journal of Haematology, 33, 451–458.

    Article  PubMed  CAS  Google Scholar 

  • Bobe, P., Bonardelle, D., Benihoud, K., et al. (2006). Arsenic trioxide: A promising novel therapeutic agent for lymphoproliferative and autoimmune syndromes in MRL/lpr mice. Blood, 108, 3967–3975.

    Article  PubMed  CAS  Google Scholar 

  • Bosch, F. X., Ribes, J., Diaz, M., et al. (2004). Primary liver cancer: Worldwide incidence and trends. Gastroenterology, 127, S5–S16.

    Article  PubMed  Google Scholar 

  • Boyle, P., & Levin, B., International Agency for Research on Cancer, et al. (2008). World cancer report 2008. Lyon, LYON: International Agency for Research on Cancer; Geneva, GVA: Distributed by WHO Press.

    Google Scholar 

  • Buccheri, G., & Ferrigno, D. (1994). A randomised trial of MACC chemotherapy with or without lonidamine in advanced non-small cell lung cancer. European Journal of Cancer, 30, 1424–1431.

    Article  Google Scholar 

  • Carlsson, U., Lasson, A., & Ekelund, G. (1987). Recurrence rates after curative surgery for rectal carcinoma, with special reference to their accuracy. Diseases of the Colon and Rectum, 30, 431–434.

    Article  PubMed  CAS  Google Scholar 

  • Carpenter, J. S., Andrykowski, M. A., Sloan, P., et al. (1998). Postmastectomy/postlumpectomy pain in breast cancer survivors. Journal of Clinical Epidemiology, 51, 1285–1292.

    Article  PubMed  CAS  Google Scholar 

  • Carr, B. I., Pujol, L. (2010). Pain at presentation and survival in hepatocellular carcinoma. The Journal of Pain, 11, 988–993.

    Article  PubMed  Google Scholar 

  • Chang, Y., Ge, M. D., Tang, A. M., et al. (2008). “AiYiShu” injection in the treatment of lung cancer: A clinical assessment. Chinese Journal of Cancer Prevention Treatment, 15, 1279–1280.

    Google Scholar 

  • Chau, I., & Cunningham, D. (2002). Adjuvant therapy in colon cancer: Current status and future directions cancer. Cancer Treatment Reviews, 28, 223–236.

    Article  PubMed  CAS  Google Scholar 

  • Chen, X., Yang, L., Oppenheim, J. J., et al. (2002). Cellular pharmacology studies of shikonin derivatives. Phytotherapy Research, 16, 199–209.

    Article  PubMed  CAS  Google Scholar 

  • Chen, S., Flower, A., Ritchie, A., et al. (2010). Oral Chinese herbal medicine (CHM) as an adjuvant treatment during chemotherapy for non-small cell lung cancer: A systematic review. Lung Cancer, 68, 137–145.

    Article  PubMed  Google Scholar 

  • Cho, W. C. (2009). Ginseng, Panax ginseng CA Meyer. In J. N. Govil & V. K. Singh (Eds.), Recent progress in medicinal plant (Vol. 28, pp. 19–30). Texas: Studium Press.

    Google Scholar 

  • Cho, W. C., & Chen, H. Y. (2009a). Investigation of the efficacy on transcatheter arterial chemoembolization combined with or without Chinese herbal therapy for hepatocellular carcinoma: Meta-analysis. European Journal of Cancer, 7(Suppl.), 393–394.

    Google Scholar 

  • Cho, W. C., & Chen, H. Y. (2009b). Clinical efficacy of traditional chinese medicine as a concomitant therapy for nasopharyngeal carcinoma: A systematic review and meta-analysis. Cancer Investigation, 27, 334–344.

    Article  CAS  Google Scholar 

  • Cho, W. C., & Leung, K. N. (2007). In vitro and in vivo anti-tumor effects of Astragalus membranaceus. Cancer Letters, 252, 43–54.

    Article  PubMed  CAS  Google Scholar 

  • Choi, J., Conrad, C. C., Malakowsky, C. A., et al. (2002). Flavones from scutellaria baicalensis georgi attenuate apoptosis and protein oxidation in neuronal cell lines. Biochimica et Biophysica Acta, 1571, 201–210.

    Article  PubMed  CAS  Google Scholar 

  • Clark, P. E. (2008). Diet and dietary supplement intervention trials for the prevention of prostate cancer recurrence: A review of the randomized controlled trial evidence. Journal of Urology, 180, 2314–2322.

    Article  Google Scholar 

  • Clark, G. W. B., Peters, J. H., Ireland, A. P., et al. (1994). Nodal metastasis and sites of recurrence after enbloc esophagectomy for adenocarcinoma. The Annals of Thoracic Surgery, 58, 646–654.

    Article  PubMed  CAS  Google Scholar 

  • Cooper, J. S., Guo, M. D., Herskovic, A., et al. (1999). Chemoradiotherapy of locally advanced esophageal cancer: Long-term follow-up of a prospective randomized trial. The Journal of the American Medical Association, 281, 1623–1627.

    Article  CAS  Google Scholar 

  • Costantini, M., Toscani, F., Gallucci, M., et al. (1999). Terminal cancer patients and timing of referral to palliative care: A multicenter prospective cohort study. Journal of Pain Symptom Management, 18, 243–252.

    Article  CAS  Google Scholar 

  • Dai, Z. J., Gao, J., Ji, Z. Z., et al. (2009). Matrine induces apoptosis in gastric carcinoma cells via alteration of Fas/FasL and activation of caspase-3. Journal of Ethnopharmacology, 123, 91–96.

    Article  PubMed  CAS  Google Scholar 

  • Dean, M., Hamon, Y., & Chimini, G. (2001). The human ATP-binding cassette (ABC) transporter superfamily. Journal of Lipid Research, 42, 1007–1017.

    PubMed  CAS  Google Scholar 

  • Ding, L., Cui, C. M., & Xing, B. (2006). Fufang Kushen injection combined with chemotherapy in the treatment of small cell lung cancer: A clinical assessment. Chinese Journal of Misdiagnosis, 6, 4575–4576.

    Google Scholar 

  • Dog, T. L., & Micozzi, M. S. (2005). Breast Cancer. In T. L. Dog (Ed.), Women’s health in complementary and integrative medicine (pp. 247–270). Saint Louis: Churchill Livingstone.

    Book  Google Scholar 

  • Douglas, R., & Laster, K. (1991). A Matter of life and death—the victorian executive and the decision to execute 1842–1967. The Australian & New Zealand Journal of Criminology, 24, 144–160.

    Article  Google Scholar 

  • El-Galley, R., Keane, T. E., & Sun, C. (2003). Camptothecin analogues and vinblastine in the treatment of renal cell carcinoma: An in vivo study using a human orthotopic renal cancer xenograft. Urologic Oncology, 21, 49–57.

    Article  PubMed  CAS  Google Scholar 

  • Emadi, A., & Gore, S. D. (2010). Arsenic trioxide—an old drug rediscovered. Blood Reviews, 24, 191–199.

    Article  PubMed  CAS  Google Scholar 

  • Ernst, E. (2000). The role of complementary and alternative medicine in cancer. The Lancet Oncology, 1, 176–180.

    Article  PubMed  CAS  Google Scholar 

  • Eskens, F. A., & Verweij, J. (2006). The clinical toxicity profile of vascular endothelial growth factor (VEGF) and vascular endothelial growth factor receptor (VEGFR) targeting angiogenesis inhibitors: A review. European Journal of Cancer, 42, 3127–3139.

    Article  PubMed  CAS  Google Scholar 

  • Faria, S. C., Tamm, E. P., Varavithya, V., et al. (2005). Systematic approach to the analysis of cross-sectional imaging for surveillance of recurrent colorectal cancer. European Journal of Radiology, 53, 387–396.

    Article  PubMed  Google Scholar 

  • Fayette, M., Soria, J. C., & Armand, J. P. (2005). Use of angiogenesis inhibitors in tumour treatment. European Journal of Cancer, 41, 1109–1116.

    Article  PubMed  CAS  Google Scholar 

  • Ferreira, C. G., Span, S. W., Peters, G. J., et al. (2000). Chemotherapy triggers apoptosis in a caspase-8-dependent and mitochondria-controlled manner in the non-small cell lung cancer cell line NCI-H460. Cancer Research, 60, 7133–7141.

    PubMed  CAS  Google Scholar 

  • Ferri, K. F., & Kroemer, G. (2001). Organelle-specific initiation of cell death pathways. Nature Cell Biology, 3, E255–E263.

    Article  PubMed  CAS  Google Scholar 

  • Field, K. M., Jenkins, M. A., Friedlander, M. L., et al. (2009). Predictors of the use of complementary and alternative medicine (CAM) by women at high risk for breast cancer. European Journal of Cancer, 45, 551–560.

    Article  PubMed  CAS  Google Scholar 

  • Fu, L. W., Zhang, Y. M., Liang, Y. J., et al. (2002). The multidrug resistance of tumour cells was reversed by tetrandrine in vitro and in xenografts derived from human breast adenocarcinorna MCF-7/adr cells. European Journal of Cancer, 38, 418–426.

    Article  PubMed  CAS  Google Scholar 

  • Gimbrone, M. A., Cotran, R. S., Folkman, J., et al. (1972). Tumor dormancy in-vivo by prevention of neovascularization. The Journal of Experimental Medicine, 136, 261–276.

    Article  PubMed  Google Scholar 

  • Greenlee, R. T., Hill-Harmon, M. B., Murray, T., et al. (2001). Cancer statistics, 2001. Cancer Journal for Clinicians, 51, 15–36.

    Article  CAS  Google Scholar 

  • Gururaj, A. E., Belakavadi, M., Venkatesh, D. A., et al. (2002). Molecular mechanisms of anti-angiogenic effect of curcumin. Biochemical and Biophysical Research Communications, 297, 934–942.

    Article  PubMed  CAS  Google Scholar 

  • Hanahan, D., & Weinberg, R. A. (2000). The hallmarks of cancer. Cell, 100, 57–70.

    Article  PubMed  CAS  Google Scholar 

  • Harborne, J. B., & Williams, C. A. (2000). Advances in flavonoid research since 1992. Phytochemistry, 55, 481–504.

    Article  PubMed  CAS  Google Scholar 

  • Hayman, M., & Kam, P. C. (2008). Capsaicin: A review of its pharmacology and clinical applications. Current Anaesthesia & Critical Care, 19, 338–343.

    Article  Google Scholar 

  • Higgins, C. F. (2007). Multiple molecular mechanisms for multidrug resistance transporters. Nature, 446, 749–757.

    Article  PubMed  CAS  Google Scholar 

  • Hirsch, F. R., Matthews, M. J., Aisner, S., et al. (1988). Histopathologic classification of small cell lung cancer—changing concepts and terminology. Cancer, 62, 973–977.

    Article  PubMed  CAS  Google Scholar 

  • Ho, J. C., Konerding, M. A., Gaumann, A., et al. (2004). Fungal polysaccharopeptide inhibits tumor angiogenesis and tumor growth in mice. Life Sciences, 75, 1343–1356.

    Article  PubMed  CAS  Google Scholar 

  • Huntley, A., & Rees, M. (2010). Complementary and alternative medicine for the menopause. Maturitas, 66, 109–110.

    Article  PubMed  Google Scholar 

  • Hyun, P. W., Hee, C. Y., et al. (2003). Arsenic trioxide inhibits the growth of A498 renal cell carcinoma cells via cell cycle arrest or apoptosis. Biochemical and Biophysical Research Communications, 300, 230–235.

    Article  Google Scholar 

  • Itoh, N., & Nagata, S. (1993). A Novel protein domain required for apoptosis—mutational analysis of human Fas antigen. The Journal of Biological Chemistry, 268, 10932–10937.

    PubMed  CAS  Google Scholar 

  • Jelic, S., & Grp, E. G. (2009). Hepatocellular carcinoma: ESMO Clinical Recommendations for diagnosis, treatment and follow-up. Annals of Oncology, 20, 41–45.

    Article  PubMed  Google Scholar 

  • Jeyapalan, J. (2001). Ascorbic acid and arsenic trioxide for myeloma. The Lancet Oncology, 2, 527.

    Article  Google Scholar 

  • Jiang, H., Hou, C., Zhang, S., et al. (2007). Matrine upregulates the cell cycle protein E2F-1 and triggers apoptosis via the mitochondrial pathway in K562 cells. European Journal of Pharmacology, 559, 98–108.

    Article  PubMed  CAS  Google Scholar 

  • Jin, H. O.,Yoon, S. I., Seo, S. K., et al. (2006). Synergistic induction of apoptosis by sulindac and arsenic trioxide in human lung cancer A549 cells via reactive oxygen species-dependent down-regulation of survivin. Biochemical Pharmacology, 72, 1228–1236.

    Article  PubMed  CAS  Google Scholar 

  • Julka, P. K., Doval, D. C., Gupta, S., et al. (2008). Response assessment in solid tumours: A comparison of WHO, SWOG and RECIST guidelines. The British Journal of Radiology, 81, 444–449.

    Article  PubMed  CAS  Google Scholar 

  • Kanzawa, T., Kondo, Y., Ito, H., et al. (2003). Induction of autophagic cell death in malignant glioma cells by arsenic trioxide. Cancer Research, 63, 2103–2108.

    PubMed  CAS  Google Scholar 

  • Kievit, J. (2002). Follow-up of patients with colorectal cancer: Numbers needed to test and treat. European Journal of Cancer, 38, 986–999.

    Article  PubMed  CAS  Google Scholar 

  • Kim, J. B., Yu, J. H., Ko, E., et al. (2010a). The alkaloid berberine inhibits the growth of Anoikis-resistant MCF-7 and MDA-MB-231 breast cancer cell lines by inducing cell cycle arrest. Phytomedicine: International Journal of Phytotherapy and Phytopharmacology, 17, 436–440.

    Article  CAS  Google Scholar 

  • Kim, S. M., Lee, S. Y., Cho, J. S., et al. (2010b). Combination of ginsenoside Rg3 with docetaxel enhances the susceptibility of prostate cancer cells via inhibition of NF-kappa B. European Journal of Pharmacology, 631, 1–9.

    Article  CAS  Google Scholar 

  • Kremser, T., Evans, A., Moore, A., et al. (2008). Use of complementary therapies by Australian women with breast cancer. Breast, 17, 387–394.

    Article  PubMed  CAS  Google Scholar 

  • Kumar, R., Herbert, P. E., & Warrens, A. N. (2005). An introduction to death receptors in apoptosis. International Journal of Surgery, 3, 268–277.

    Article  PubMed  CAS  Google Scholar 

  • Kwon, K. B., Kim, E. K., Shin, B. C., et al. (2003). Induction of apoptosis by takrisodokyeum through generation of hydrogen peroxide and activation of caspase-3 in HL-60 cells. Life Sciences, 73, 1895–1906.

    Article  PubMed  CAS  Google Scholar 

  • Kwon, K. B., Park, B. H., & Ryu, D. G. (2007). Chemotherapy through mitochondrial apoptosis using nutritional supplements and herbs: A brief overview. Journal of Bioenergetics and Biomembranes, 39, 31–34.

    Article  PubMed  CAS  Google Scholar 

  • Lanave, C., Santamaria, M., & Saccone, C. (2004). Comparative genomics: The evolutionary history of the Bcl-2 family. Gene, 333, 71–79.

    Article  PubMed  CAS  Google Scholar 

  • Launay, S., Hermine, O., Fontenay, M., et al. (2005). Vital functions for lethal caspases. Oncogene, 24, 5137–5148.

    Article  PubMed  CAS  Google Scholar 

  • Lee, S., Ra, J., Song, J. Y., et al. (2010). Extracts from citrus unshiu promote immune-mediated inhibition of tumor growth in a murine renal cell carcinoma model. Journal of Ethnopharmacology, 133, 973–979.

    Article  PubMed  Google Scholar 

  • Lerner, I. J., & Kennedy, B. J. (1992). The prevalence of questionable methods of cancer treatment in the United States. Cancer Journal for Clinicians, 42, 181–191.

    Article  CAS  Google Scholar 

  • Leung, W. K., Wu, M. S., Kakugawa, Y., et al. (2008). Screening for gastric cancer in Asia: Current evidence and practice. The Lancet Oncology, 9, 279–287.

    Article  PubMed  Google Scholar 

  • Li, W. K., & Fitzloff, J. F. (2002). HPLC determination of ginsenosides content in ginseng dietary supplements using ultraviolet detection. Journal of Liquid Chromatography & Related Technologies, 25, 2485–2500.

    Article  CAS  Google Scholar 

  • Li, J., Sun, G. Z., Lin, H. S., et al. (2008). The herb medicine formula “Yang Wei Kang Liu” improves the survival of late stage gastric cancer patients and induces the apoptosis of human gastric cancer cell line through Fas/Fas ligand and Bax/Bcl-2 pathways. International Immunopharmacology, 8, 1196–1206.

    Article  PubMed  CAS  Google Scholar 

  • Li, R., Chen, W. C., Wang, W. P., et al. (2009). Extraction, characterization of Astragalus polysaccharides and its immune modulating activities in rats with gastric cancer. Carbohydrate Polymers, 78, 738–742.

    Article  CAS  Google Scholar 

  • Ling, V. (1997). Multidrug resistance: Molecular mechanisms and clinical relevance. Cancer Chemotherapy and Pharmacology, 40, S3–S8.

    Article  PubMed  CAS  Google Scholar 

  • Liu, J. Y., Hu, J. H., Zhu, Q. G., et al. (2007). Effect of matrine on the expression of substance P receptor and inflammatory cytokines production in human skin keratinocytes and fibroblasts. International Immunopharmacology, 7, 816–823.

    Article  PubMed  CAS  Google Scholar 

  • Liu, X. J., Cao, M. A., Li, W. H., et al. (2010). Alkaloids from Sophora flavescens Aition. Fitoterapia, 81, 524–527.

    Article  PubMed  CAS  Google Scholar 

  • Los, M., Wesselborg, S., & Schulze-Osthoff, K. (1999). The role of caspases in development, immunity, and apoptotic signal transduction: Lessons from knockout mice. Immunity, 10, 629–639.

    Article  PubMed  CAS  Google Scholar 

  • Luo, C., Zhu, Y. L., Jiang, T. J., et al. (2007). Matrine induced gastric cancer MKN45 cells apoptosis via increasing pro-apoptotic molecules of Bcl-2 family. Toxicology, 229, 245–252.

    Article  PubMed  CAS  Google Scholar 

  • MacFarlane, M. (2003). TRAIL-induced signalling and apoptosis. Toxicology Letters, 139, 89–97.

    Article  PubMed  CAS  Google Scholar 

  • Maeda, T., Beppu, T., Hayashi, N., et al. (2003). Molecular detection of occult cancer cells in patients with liver tumors treated by local ablation therapy. International Congress Series, 1255, 119–123.

    Article  CAS  Google Scholar 

  • Marks, L. S., DiPaola, R. S., Nelson, P., et al. (2002). PC-SPES: Herbal formulation for prostate cancer. Urol, 60, 369–375.

    Article  PubMed  Google Scholar 

  • Martel, C. L., Gumerlock, P. H., Meyers, F. J., et al. (2003). Current strategies in the management of hormone refractory prostate cancer. Cancer Treatment Reviews, 29, 171–187.

    Article  PubMed  CAS  Google Scholar 

  • McCulloch, M., See, C., Shu, X. J., et al. (2006). Astragalus-based Chinese herbs and platinum-based chemotherapy for advanced non-small-cell lung cancer: Meta-analysis of randomized trials. Journal of Clinical Oncology, 24, 419–430.

    Article  PubMed  CAS  Google Scholar 

  • Mell, L. K., Malik, R., Komaki, R., et al. (2007). Effect of amifostine on response rates in locally advanced non-small-cell lung cancer patients treated on randomized controlled trials: A meta-analysis. International Journal of Radiation Oncology, Biology, Physics, 68, 111–118.

    Article  PubMed  CAS  Google Scholar 

  • Meng, C., Shi, S. Z., Dou, J. Q., et al. (2006). Herbal combination chemotherapy in advanced non-small cell lung cancer. Liaoning Journal of Traditional Chinese Medicine, 33, 1436–1437.

    Google Scholar 

  • Ogunbiyi, J. O. (2001). Hepatocellular carcinoma in the developing world. Seminars in Oncology, 28, 179–187.

    Article  PubMed  CAS  Google Scholar 

  • Parekh, H. S., Liu, G., & Wei, M. Q. (2009). A new dawn for the use of traditional Chinese medicine in cancer therapy. Molecular Cancer, 8, 21.

    Article  PubMed  CAS  Google Scholar 

  • Park, J., Shin, D. W., Ahn, T. Y., et al. (2008). Complementary and alternative medicine in men’s health. Journal of Men’s Health, 5, 305–313.

    Article  Google Scholar 

  • Patil, J. B., Kim, J., & Jayaprakasha, G. K. (2010). Berberine induces apoptosis in breast cancer cells (MCF-7) through mitochondrial-dependent pathway. European Journal of Pharmacology, 645, 70–78.

    Article  PubMed  CAS  Google Scholar 

  • Peng, P. L., Kuo, W. H., Tseng, H. C., et al. (2008). Synergistic tumor-killing effect of radiation and berberine combined treatment in lung cancer: The contribution of autophagic cell death. International Journal of Radiation Oncology, Biology, Physics, 70, 529–542.

    Article  PubMed  CAS  Google Scholar 

  • Pham, P. T. K., & Primack, A. (2003). Cancer. In W. S. John (Ed.), Complementary and alternative medicine (2nd ed., pp. 93–152). Saint Louis: Mosby.

    Chapter  Google Scholar 

  • Piyanuch, R., Sukhthankar, M., Wandee, G., et al. (2007). Berberine, a natural isoquinoline alkaloid, induces NAG-1 and ATF3 expression in human colorectal cancer cells. Cancer Letters, 258, 230–240.

    Article  PubMed  CAS  Google Scholar 

  • Qin, Z., Wei, P. K., Xu, L., et al. (2007). Xiaotan Sanjie and chemotherapy under medical treatment research of non-cellule lung cancer of later period. Journal of Traditional Chinese Medicine, 48, 822–823.

    Google Scholar 

  • Rafi, M. M., Rosen, R. T., Vassil, A., et al. (2000). Modulation of bcl-2 and cytotoxicity by licochalcone-A, a novel estrogenic flavonoid. Anticancer Research, 20, 2653–2658.

    PubMed  CAS  Google Scholar 

  • Rafi, M. M., Vastano, B. C., Zhu, N. Q., et al. (2002). Novel polyphenol molecule isolated from licorice root (Glycrrhiza glabra) induces apoptosis, G2/M cell cycle arrest, and Bcl-2 phosphorylation in tumor cell lines. Journal of Agricultural and Food Chemistry, 50, 677–684.

    Article  PubMed  CAS  Google Scholar 

  • Ribatti, D., Nico, B., Morbidelli, L., et al. (2001). Cell-mediated delivery of fibroblast growth factor-2 and vascular endothelial growth factor onto the chick chorioallantoic membrane: Endothelial fenestration and angiogenesis. Journal of Vascular Research, 38, 389–397.

    Article  PubMed  CAS  Google Scholar 

  • Ringe, B., Canelo, R., & Lorf, T. (1996). Liver transplantation for primary liver cancer. Transplant, 28, 1174–1175.

    CAS  Google Scholar 

  • Rinner, B., Kretschmer, N., Knausz, H., et al. (2010). A petrol ether extract of the roots of Onosma paniculatum induces cell death in a caspase dependent manner. Journal of Ethnopharmacology, 129, 182–188.

    Article  PubMed  Google Scholar 

  • Risau, W. (1997). Mechanisms of angiogenesis. Nature, 386, 671–674.

    Article  PubMed  CAS  Google Scholar 

  • Rosenberg, Z. R., Jenkins, D. J., Brown, T. J., et al. (2002). Flavonoids can block PSA production by breast and prostate cancer cell lines. Clinica Chimica Acta, 317, 17–26.

    Article  Google Scholar 

  • Rowley, J. D., Golomb, H. M., & Dougherty, C. (1977). 15–17 Translocation, a Consistent Chromosomal Change in Acute Promyelocytic Leukemia. Lancet, 1, 549–550.

    Article  PubMed  Google Scholar 

  • Seliger, B. (2005). Strategies of tumor immune evasion. Biodrugs, 19, 347–354.

    Article  PubMed  CAS  Google Scholar 

  • Shao, R. G., Cao, C. X., Zhang, H. L., et al. (1999). Replication-mediated DNA damage by camptothecin induces phosphorylation of RPA by DNA-dependent protein kinase and dissociates RPA: DNA-PK complexes. The EMBO Journal, 18, 1397–1406.

    Article  PubMed  CAS  Google Scholar 

  • Shao, B. M., Xu, W., Dai, H., et al. (2004). A study on the immune receptors for polysaccharides from the roots of Astragalus membranaceus, a Chinese medicinal herb. Biochemical and Biophysical Research Communications, 320, 1103–1111.

    Article  PubMed  CAS  Google Scholar 

  • Shen, X. D., & Kramer, R. H. (2004). Adhesion-mediated squamous cell carcinoma survival through ligand-independent activation of epidermal growth factor receptor. The American Journal of Pathology, 165, 1315–1329.

    Article  PubMed  CAS  Google Scholar 

  • Srinivas, G., Anto, R. J., Srinivas, P., et al. (2003). Emodin induces apoptosis of human cervical cancer cells through poly(ADP-ribose) polymerase cleavage and activation of caspase-9. European Journal of Pharmacology, 473, 117–125.

    Article  PubMed  CAS  Google Scholar 

  • Stephens, R. J., Girling, D. J., Machin, D., et al. (1994). Treatment-related deaths in small cell lung cancer trials—can patients at risk be identified. Lung Cancer, 11, 259–274.

    Article  PubMed  CAS  Google Scholar 

  • Steup, W. H., DeLeyn, P., Deneffe, G., et al. (1996). Tumors of the esophagogastric junction—Long-term survival in relation to the pattern of lymph node metastasis and critical analysis of the accuracy or inaccuracy of pTNM classification. Journal of Thoracic and Cardiovascular Surgery, 111, 85–94.

    Article  PubMed  CAS  Google Scholar 

  • Stevens, P. E., Dibble, S. L., & Miaskowski, C. (1995). Prevalence, characteristics, and impact of postmastectomy pain syndrome: An investigation of women’s experiences. Pain, 61, 61–68.

    Article  PubMed  CAS  Google Scholar 

  • Stickel, F., & Schuppan, D. (2007). Herbal medicine in the treatment of liver diseases. Digestive and Liver Disease, 39, 293–304.

    Article  PubMed  CAS  Google Scholar 

  • Stipa, S., Nicolanti, V., Botti, C., et al. (1991). Local recurrence after curative resection for colorectal cancer—frequency, risk-factors and treatment. Journal of Surgical Oncology, 48, 155–160.

    Article  Google Scholar 

  • Sun, Z. (2009). Eight dainties granula combination with chemotherapy in the treatment of advanced breast cancer. Chinese Modern Medicines, 16, 121–122.

    Google Scholar 

  • Swanson, G. P. (2006). Management of locally advanced prostate cancer: Past, present, future. The Journal of Urology, 176, S34–S41.

    Article  PubMed  CAS  Google Scholar 

  • Tang, J., Feng, Y., Tsao, S., et al. (2009). Berberine and coptidis rhizoma as novel antineoplastic agents: A review of traditional use and biomedical investigations. Journal of Ethnopharmacology, 126, 5–17.

    Article  PubMed  CAS  Google Scholar 

  • Treasure, J. (2005). Herbal medicine and cancer: An introductory overview. Seminars in Oncology Nursing, 21, 177–183.

    Article  PubMed  Google Scholar 

  • Trimeche, M., Braham, H., Ziadi, S., et al. (2008). Investigation of allelic imbalances on chromosome 3p in nasopharyngeal carcinoma in Tunisia: High frequency of microsatellite instability in patients with early-onset of the disease. Oral Oncology, 44, 775–783.

    Article  PubMed  CAS  Google Scholar 

  • Tsao, Y. P., Russo, A., Nyamuswa, G., et al. (1993). Interaction between replication forks and topoisomerase-I-DNA cleavable complexes—studies in a cell free Sv40 DNA-replication system. Cancer Research, 53, 5908–5914.

    PubMed  CAS  Google Scholar 

  • Tyagi, A. K., Singh, R. P., et al. (2002). Silibinin strongly synergizes human prostate carcinoma DU145 cells to doxorubicininduced growth inhibition, G2-Marrest, and apoptosis. Clinical Cancer Research, 8, 3512–3519.

    PubMed  CAS  Google Scholar 

  • Tzianabos, A. O. (2000). Polysaccharide immunomodulators as therapeutic agents: Structural aspects and biologic function. Clinical Microbiology Reviews, 13, 523–533.

    Article  PubMed  CAS  Google Scholar 

  • Wall, M. E., Wani, M. C., Cook, C. E., et al. (1966). Plant antitumor agents I: Isolation and structure of camptothecin a novel alkaloidal leukemia and tumor inhibitor from camptotheca acuminata. Journal of the American Chemical Society, 88, 3888–3890.

    Article  CAS  Google Scholar 

  • Watson, C. P. N., & Evans, R. J. (1992). The postmastectomy pain syndrome and topical capsaicin: A randomized trial. Pain, 51, 375–379.

    Article  PubMed  CAS  Google Scholar 

  • Wenzel, U., Nickel, A., Kuntz, S., et al. (2004). Ascorbic acid suppresses drug-induced apoptosis in human colon cancer cells by scavenging mitochondrial superoxide anions. Carcinogenesis, 25, 703–712.

    Article  PubMed  CAS  Google Scholar 

  • Werneck, M. B. F., Lugo-Villarino, G., Hwang, E. S., et al. (2008). T-bet plays a key role in NK-Mediated control of melanoma metastatic disease. Journal of Immunology, 180, 8004–8010.

    CAS  Google Scholar 

  • Winawer, S. J. (2007). Colorectal cancer screening. Best Practice & Research Clinical Gastroenterology, 21, 1031–1048.

    Article  Google Scholar 

  • Wong, B. S., Hsiao, Y. C., Lin, T. W., et al. (2009). The in vitro and in vivo apoptotic effects of Mahonia oiwakensis on human lung cancer cells. Chemico Biological Interactions, 180, 165–174.

    Article  PubMed  CAS  Google Scholar 

  • Wu, P., Dugoua, J. J., et al. (2009a). Traditional Chinese medicines in the treatment of hepatocellular cancers: A systematic review and meta-analysis. Journal of Experimental & Clinical Cancer Research, 28, 112.

    Article  Google Scholar 

  • Wu, T. X., Yang, X. Z., Zeng, X. X., et al. (2009b). Traditional Chinese Medicinal herbs in the treatment of patients with esophageal cancer: A systematic review. Gastroenterology Clinics of North America, 38, 153–167.

    Article  Google Scholar 

  • Xia, S. L., Rosen, E. M., & Laterra, J. (2005). Sensitization of glioma cells to fas-dependent apoptosis by chemotherapy-induced oxidative stress. Cancer Research, 65, 5248–5255.

    Article  PubMed  CAS  Google Scholar 

  • Xu, W. X., & Fan, Z. Z. (1996). Clinical progress of Chinese medicine in the treatment of cancer pain. Shaanxi journal of traditional Chinese medicine, 17, 332–334.

    Google Scholar 

  • Xu, Y. X., & Wang, S. L. (2010). JiangNiLing combination with chemotherapy in the treatment of advanced colorectal cancer patients. China medical herald, 7, 84–85.

    Google Scholar 

  • Yamamoto, N., Zou, J. P., Li, X. F., et al. (1995). Regulatory mechanisms for production of Ifn-gamma and Tnf by antitumor T-cells or macrophages in the tumor-bearing state. Journal of Immunology, 154, 2281–2290.

    CAS  Google Scholar 

  • Yang, L. (2006). Incidence and mortality of gastric cancer in China. World Journal of Gastroenterology, 12, 17–20.

    PubMed  Google Scholar 

  • Yoshida, N., Koizumi, M., Adachi, I., et al. (2006a). Inhibition of P-glycoprotein-mediated transport by terpenoids contained in herbal medicines and natural products. Food and Chemical Toxicology, 44, 2033–2039.

    Article  CAS  Google Scholar 

  • Yoshida, N.,Takagi, A., Kitazawa, H., et al. (2006b). Effects of citronellal, a monoterpenoid in Zanthoxyli fructus, on the intestinal absorption of digoxin in vitro and in vivo. Journal of Pharmaceutical Sciences US, 95, 552–560.

    Article  CAS  Google Scholar 

  • Yun, T. K., Lee, Y. S., Lee, Y. H., et al. (2001). Anticarcinogenic effect of Panax ginseng CA Meyer and identification of active compounds. Journal of Korean Medical Science, 16, S6–S18.

    PubMed  CAS  Google Scholar 

  • Zeng, D., Ling, Y., Yang, Q. L., et al. (2009). Clinical study on an angiogenesis inhibitor: Ginsenoside Rg3 combination with FOL FOX4 chemotherapy in the treatment of advanced colorectal cancer. Journal of Clinical Medicine in Practice, 13, 57–58.

    Google Scholar 

  • Zhang, Q., Kang, X., & Zhao, W. (2006). Antiangiogenic effect of low-dose cyclophosphamide combined with ginsenoside Rg3 on Lewis lung carcinoma. Biochemical and Biophysical Research Communications, 342, 824–828.

    Article  PubMed  CAS  Google Scholar 

  • Zhang, Y. M., He, L. C., Meng, L., et al. (2008). Suppression of tumor-induced angiogenesis by taspine isolated from Radix et Rhizoma Leonticis and its mechanism of action in vitro. Cancer Letters, 262, 103–113.

    Article  PubMed  CAS  Google Scholar 

  • Zhou, G. B., Zhang, J., Wang, Z. Y., et al. (2007). Treatment of acute promyelocytic leukaemia with all-trans retinoic acid and arsenic trioxide: a paradigm of synergistic molecular targeting therapy. Philosophical transactions of the Royal Society of London. Series B, Biological sciences, 362, 959–971.

    Article  PubMed  CAS  Google Scholar 

  • Zhu, S. J. (2002). Integrative medicine treated 120 cases of advanced lung cancer. Chinese journal of the practical Chinese with modern medicine, 4, 374.

    Google Scholar 

  • Zunino, F., & Pratesi, G. (2004). Camptothecins in clinical development. Expert opinion on investigational drugs, 13, 269–284.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Harendra S. Parekh .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Science+Business Media B.V.

About this chapter

Cite this chapter

Parekh, H.S., Jing, J. (2011). An Evidence-based Perspective of Herbal Remedies for Cancer Patients. In: Cho, W. (eds) Evidence-based Anticancer Materia Medica. Evidence-based Anticancer Complementary and Alternative Medicine. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-0526-5_19

Download citation

Publish with us

Policies and ethics