Anthraquinones and cancer treatment

DEFINITION: Anthraquinones are derived from plant products. Anthraquinones naturally occur in some plants, such as aloe, senna, rhubarb, Cascara buckthorn, and sheep sorrel. Indian rhubarb root (Rheum palmatum) contains several anthraquinones. Sheep sorrel (Rumex acetosella) also includes several types of anthraquinones. Subclasses of this group are emodin, aloe emodin, and anthraquinone derivatives.

Cancers treated or prevented:Prostate cancer, breast cancer, non-Hodgkin lymphoma, acute leukemia.

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Delivery routes: Anthraquinones may be consumed orally as a mixture of several botanicals, such as in tea, although intravenous administration has been used in the past.

How these drugs work: Anthraquinones are ingredients in herbal mixtures such as Essiac or Flor-Essence. They are typically consumed as a tea. The primary herbs in these botanical mixtures, rhubarb and sheep sorrel, are thought to contain anthraquinones. Such herbal extracts have been in use as a cancer treatment since the 1920s when they were popularized by a Canadian nurse, Rene Caisse. Caisse obtained the recipe from a woman who claimed that it cured her breast cancer. Caisse opened a clinic and treated patients for more than forty years. After her death, researchers at Memorial Sloan-Kettering in New York tested her product with inconclusive results. Many of the individual herbs in these formulas contain molecules with anticancer, antioxidant, or anti-inflammatory properties; however, no peer-reviewed scientific literature has shown the efficacy or safety of Essiac or Flor-Essence in patients with cancer.

Anthraquinones are alleged to have anti-inflammatory effects and cytotoxic effects against tumor cells. Proponents claim that they strengthen the immune system, reduce tumor size, and improve and prolong the lives of people with many types of cancer. Although they have been shown to have tumor-inhibition properties, they have also been shown to stimulate tumor cell growth. Some types of anthraquinones may be carcinogenic, particularly those that are synthetically produced for use as dyes. Anthraquinones have been shown to stimulate various cytokines that are important in tumor cell defense, including IL-1, IL-6, and TNF.

Side effects: Natural anthraquinones and their derivatives have laxative properties. Therefore, a side effect associated with anthraquinones is diarrhea. A second is hyperkalemia, which results from chronic diarrhea. These anthraquinones have also been reported to cause nausea, vomiting, and contact dermatitis. A principal danger of this and other unconventional therapies is that they may delay diagnosis and conventional treatment of serious diseases.

Bibliography

Arrousse, et. al. "New Anthraquinone Drugs and Their Anticancer Activities: Cytotoxicity, DFT, Docking and ADMET Properties." Results in Chemistry, vol. 6, Dec. 2023, doi.org/10.1016/j.rechem.2023.100996. Accessed 19 June 2024.

Bennett, L. M., et al. "Flor-Essence Herbal Tonic Does Not Inhibit Mammary Tumor Development in Sprague Dawley Rats." Breast Cancer Research and Treatment vol 88, no. 1, 2004, pp. 87–93.

"Essiac/Flor Essence (PDQ®)-Patient Version." National Cancer Institute, 28 May 2024, www.cancer.gov/about-cancer/treatment/cam/patient/essiac-pdq, Accessed 19 June 2024.

Hua, Hui Ming, et. al. "Insights into the Computer-Aided Drug Design and Discovery Based on Anthraquinone Scaffold for Cancer Treatment: A Systematic Review." PloS one, 22 May 2024, journals.plos.org/plosone/article?id=10.1371/journal.pone.0301396. Accessed 19 June 2024.

Huang, Lijun et al. “Anthraquinone G503 induces apoptosis in gastric cancer cells through the mitochondrial pathway.” PloS one vol. 9, no. 9, 30 Sep. 2014, doi:10.1371/journal.pone.0108286. Accessed 19 June 2024.

Huang, Qing, et al. "Anti-Cancer Properties of Anthraquinones from Rhubarb." Medicinal Research Reviews, vol 27, no .5, 2007, pp. 609–30.

Ottenweller, Jessica, et al. "Inhibition of Prostate Cancer-Cell Proliferation by Essiac®." Journal of Alternative and Complementary Medicine, vol. 10, no. 4, 2004, pp. 687–91.