Piperine for treating breast cancer: A review of molecular mechanisms, combination with anticancer drugs, and nanosystems

Phytother Res. 2022 Jan;36(1):147-163. doi: 10.1002/ptr.7291. Epub 2021 Sep 24.

Abstract

Piperine (PIP) is an alkaloid found primarily in Piper longum, and this natural compound has been shown to exert effects on proliferation and survival against various types of cancer. In particular, PIP has potent inhibitory effects on breast cancer (BC), the most prevalent type of cancer in women worldwide. PIP targets numerous signaling pathways associated with the therapy of BC cells through the following mechanisms: (a) induction of arrest of the cell cycle and apoptosis; (b) alteration of the signaling protein expression; (c) reduction in transcription factors; and (d) inhibition of tumor growth. BC cells have the ability to resist conventional drugs, so one of the strategies is the combination of PIP with other phytochemicals such as paclitaxel, thymoquinone, hesperidin, bee venom, tamoxifen, mitoxantrone, piperlongumin, and curcumin. Nanotechnology-based drug encapsulation systems are currently used to enhance the release of PIP. This includes polymer nanoparticles, carbon nanotubes, and liposomes. In the present review, the chemistry and bioavailability of PIP, its molecular targets in BC, and nanotechnological strategies are discussed. Future research directions are also discussed to further understand this promising natural product.

Keywords: chemotherapeutic drug; drug delivery; molecular mechanism.

Publication types

  • Review

MeSH terms

  • Alkaloids* / pharmacology
  • Alkaloids* / therapeutic use
  • Antineoplastic Agents* / pharmacology
  • Antineoplastic Agents* / therapeutic use
  • Benzodioxoles
  • Breast Neoplasms* / drug therapy
  • Female
  • Humans
  • Nanotubes, Carbon*
  • Piperidines
  • Polyunsaturated Alkamides

Substances

  • Alkaloids
  • Antineoplastic Agents
  • Benzodioxoles
  • Nanotubes, Carbon
  • Piperidines
  • Polyunsaturated Alkamides
  • piperine