Potent Antitumor Effects of a Combination of Three Nutraceutical Compounds

Sci Rep. 2018 Aug 15;8(1):12163. doi: 10.1038/s41598-018-29683-1.

Abstract

Head and neck squamous cell carcinoma (HNSCC) is associated with low survival, and the current aggressive therapies result in high morbidity. Nutraceuticals are dietary compounds with few side effects. However, limited antitumor efficacy has restricted their application for cancer therapy. Here, we examine combining nutraceuticals, establishing a combination therapy that is more potent than any singular component, and delineate the mechanism of action. Three formulations were tested: GZ17-S (combined plant extracts from Arum palaestinum, Peganum harmala and Curcuma longa); GZ17-05.00 (16 synthetic components of GZ17-S); and GZ17-6.02 (3 synthetic components of GZ17S; curcumin, harmine and isovanillin). We tested the formulations on HNSCC proliferation, migration, invasion, angiogenesis, macrophage viability and infiltration into the tumor and tumor apoptosis. GZ17-6.02, the most effective formulation, significantly reduced in vitro assessments of HNSCC progression. When combined with cisplatin, GZ17-6.02 enhanced anti-proliferative effects. Molecular signaling cascades inhibited by GZ17-6.02 include EGFR, ERK1/2, and AKT, and molecular docking analyses demonstrate GZ17-6.02 components bind at distinct binding sites. GZ17-6.02 significantly inhibited growth of HNSCC cell line, patient-derived xenografts, and murine syngeneic tumors in vivo (P < 0.001). We demonstrate GZ17-6.02 as a highly effective plant extract combination and pave the way for future clinical application in HNSCC.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antineoplastic Agents / metabolism
  • Antineoplastic Combined Chemotherapy Protocols / pharmacology*
  • Apoptosis / drug effects
  • Arum
  • Benzaldehydes / pharmacology
  • Carcinoma, Squamous Cell / pathology
  • Cell Line, Tumor
  • Cell Proliferation / drug effects
  • Cisplatin / pharmacology
  • Combined Modality Therapy
  • Curcuma
  • Curcumin / pharmacology
  • Dietary Supplements
  • ErbB Receptors / metabolism
  • Harmine / pharmacology
  • Head and Neck Neoplasms / drug therapy
  • Humans
  • Mice
  • Mice, Nude
  • Molecular Docking Simulation
  • Peganum
  • Plant Extracts / pharmacology*
  • Signal Transduction / drug effects
  • Squamous Cell Carcinoma of Head and Neck / drug therapy*
  • Xenograft Model Antitumor Assays

Substances

  • Antineoplastic Agents
  • Benzaldehydes
  • Plant Extracts
  • isovanillin
  • Harmine
  • EGFR protein, mouse
  • ErbB Receptors
  • Curcumin
  • Cisplatin