Exploring the therapeutic efficacy of crocetin in oncology: an evidence-based review

Naunyn Schmiedebergs Arch Pharmacol. 2024 Mar;397(3):1455-1476. doi: 10.1007/s00210-023-02714-z. Epub 2023 Sep 22.

Abstract

With cancer being a leading cause of death globally, there is an urgent need to improve therapeutic strategies and identify effective chemotherapeutics. This study aims to highlight the potential of crocetin, a natural product derived from certain plants, as an anticancer agent. It was conducted an extensive review of the existing literature to gather and analyze the most recent data on the chemical properties of crocetin and its observed effects in various in vitro and in vivo studies. The study particularly focused on studies that examined crocetin's impact on cell cycle dynamics, apoptosis, caspases and antioxidant enzyme levels, tumor angiogenesis, inflammation, and overall tumor growth. Crocetin exhibited diverse anti-tumorigenic activities including inhibition of tumor cell proliferation, apoptosis induction, angiogenesis suppression, and potentiation of chemotherapy. Multiple cellular and molecular pathways such as the PI3K/Akt, MAPK and NF-κB were modulated by it. Crocetin demonstrates promising anti-cancer properties and offers potential as an adjunctive or alternative therapy in oncology. More large-scale, rigorously designed clinical trials are needed to establish therapeutic protocols and ascertain the comprehensive benefits and safety profile of crocetin in diverse cancer types.

Keywords: Anticancer mechanisms; Apoptosis; Chemopreventive; Crocetin; Metastasis; Migration; Proliferation; Tumor.

Publication types

  • Review

MeSH terms

  • Antioxidants / pharmacology
  • Apoptosis
  • Carotenoids / pharmacology
  • Carotenoids / therapeutic use
  • Humans
  • Neoplasms* / drug therapy
  • Phosphatidylinositol 3-Kinases*
  • Vitamin A / analogs & derivatives*
  • Vitamin A / therapeutic use

Substances

  • trans-sodium crocetinate
  • Phosphatidylinositol 3-Kinases
  • Vitamin A
  • Carotenoids
  • Antioxidants