Potential therapeutic effects of apigenin for colorectal adenocarcinoma: A systematic review and meta‐analysis

Abstract Purpose Therapeutic management of colorectal cancer (CRC) does not yet yield promising long‐term results. Therefore, there is a need for further investigation of possible therapeutic options. Various experiments have studied the effects of apigenin on CRC and have shown conflicting results....

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Main Authors: Koohyar Ahmadzadeh, Shayan Roshdi Dizaji, Fatemeh Ramezani, Farnad Imani, Jebreil Shamseddin, Arash Sarveazad, Mahmoud Yousefifard
Format: Article
Language:English
Published: Wiley 2024-09-01
Series:Cancer Medicine
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Online Access:https://doi.org/10.1002/cam4.70171
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author Koohyar Ahmadzadeh
Shayan Roshdi Dizaji
Fatemeh Ramezani
Farnad Imani
Jebreil Shamseddin
Arash Sarveazad
Mahmoud Yousefifard
author_facet Koohyar Ahmadzadeh
Shayan Roshdi Dizaji
Fatemeh Ramezani
Farnad Imani
Jebreil Shamseddin
Arash Sarveazad
Mahmoud Yousefifard
author_sort Koohyar Ahmadzadeh
collection DOAJ
description Abstract Purpose Therapeutic management of colorectal cancer (CRC) does not yet yield promising long‐term results. Therefore, there is a need for further investigation of possible therapeutic options. Various experiments have studied the effects of apigenin on CRC and have shown conflicting results. This systematic review and meta‐analysis investigates the currently existing evidence on the effect of apigenin on CRC. Methods Medline, Embase, Scopus, and Web of Science databases were searched for articles related to apigenin and its effect on CRC in the preclinical setting. Cell viability, growth inhibition, apoptosis, and cell cycle arrest for in‐vitro, and body weight, tumor size, and mortality in in‐vivo studies were extracted as outcomes. Results Thirty‐nine articles investigating colorectal adenocarcinoma were included in this meta‐analysis. Thirty‐seven of these studies had data for in vitro experiments, with eight studies having data for in vivo experiments. Six articles had both in vitro and in vivo assessments. Our analysis showed apigenin reduces cell viability and induces growth inhibition, apoptosis, and cell cycle arrest in in vitro studies. The few in vivo studies indicate that apigenin decreases tumor size while showing no effects on the body weight of animal colorectal adenocarcinoma models. Conclusion Our results demonstrated that apigenin, through reducing cell viability, inducing growth inhibition, apoptosis, and cell cycle arrest, and also by decreasing the tumor size, can be considered as a possible adjuvant agent in the management of colorectal adenocarcinoma. However, further in vivo studies are needed before any efforts to translate the current evidence into clinical studies.
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spelling doaj-art-1e36c0e1d216477ab3ef6715b34464df2025-02-07T09:08:08ZengWileyCancer Medicine2045-76342024-09-011317n/an/a10.1002/cam4.70171Potential therapeutic effects of apigenin for colorectal adenocarcinoma: A systematic review and meta‐analysisKoohyar Ahmadzadeh0Shayan Roshdi Dizaji1Fatemeh Ramezani2Farnad Imani3Jebreil Shamseddin4Arash Sarveazad5Mahmoud Yousefifard6Physiology Research Center Iran University of Medical Sciences Tehran IranPhysiology Research Center Iran University of Medical Sciences Tehran IranPhysiology Research Center Iran University of Medical Sciences Tehran IranPain Research Center, Department of Anesthesiology and Pain Medicine Iran University of Medical Sciences Tehran IranInfectious and Tropical Diseases Research Center Hormozgan Health Institute, Hormozgan University of Medical Sciences Bandar Abbas IranColorectal Research Center Iran University of Medical Sciences Tehran IranPhysiology Research Center Iran University of Medical Sciences Tehran IranAbstract Purpose Therapeutic management of colorectal cancer (CRC) does not yet yield promising long‐term results. Therefore, there is a need for further investigation of possible therapeutic options. Various experiments have studied the effects of apigenin on CRC and have shown conflicting results. This systematic review and meta‐analysis investigates the currently existing evidence on the effect of apigenin on CRC. Methods Medline, Embase, Scopus, and Web of Science databases were searched for articles related to apigenin and its effect on CRC in the preclinical setting. Cell viability, growth inhibition, apoptosis, and cell cycle arrest for in‐vitro, and body weight, tumor size, and mortality in in‐vivo studies were extracted as outcomes. Results Thirty‐nine articles investigating colorectal adenocarcinoma were included in this meta‐analysis. Thirty‐seven of these studies had data for in vitro experiments, with eight studies having data for in vivo experiments. Six articles had both in vitro and in vivo assessments. Our analysis showed apigenin reduces cell viability and induces growth inhibition, apoptosis, and cell cycle arrest in in vitro studies. The few in vivo studies indicate that apigenin decreases tumor size while showing no effects on the body weight of animal colorectal adenocarcinoma models. Conclusion Our results demonstrated that apigenin, through reducing cell viability, inducing growth inhibition, apoptosis, and cell cycle arrest, and also by decreasing the tumor size, can be considered as a possible adjuvant agent in the management of colorectal adenocarcinoma. However, further in vivo studies are needed before any efforts to translate the current evidence into clinical studies.https://doi.org/10.1002/cam4.70171Apigenincell viabilitycolorectal cancerflavonoidstumor size
spellingShingle Koohyar Ahmadzadeh
Shayan Roshdi Dizaji
Fatemeh Ramezani
Farnad Imani
Jebreil Shamseddin
Arash Sarveazad
Mahmoud Yousefifard
Potential therapeutic effects of apigenin for colorectal adenocarcinoma: A systematic review and meta‐analysis
Cancer Medicine
Apigenin
cell viability
colorectal cancer
flavonoids
tumor size
title Potential therapeutic effects of apigenin for colorectal adenocarcinoma: A systematic review and meta‐analysis
title_full Potential therapeutic effects of apigenin for colorectal adenocarcinoma: A systematic review and meta‐analysis
title_fullStr Potential therapeutic effects of apigenin for colorectal adenocarcinoma: A systematic review and meta‐analysis
title_full_unstemmed Potential therapeutic effects of apigenin for colorectal adenocarcinoma: A systematic review and meta‐analysis
title_short Potential therapeutic effects of apigenin for colorectal adenocarcinoma: A systematic review and meta‐analysis
title_sort potential therapeutic effects of apigenin for colorectal adenocarcinoma a systematic review and meta analysis
topic Apigenin
cell viability
colorectal cancer
flavonoids
tumor size
url https://doi.org/10.1002/cam4.70171
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