Scientific Validation of the Usefulness of Withania somnifera Dunal in the Prevention and Treatment of Cancer

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Anticancer plants: Properties and Application

Abstract

Withania somnifera (Ashwagandha), the member of Solanaceae family is recognized to be one of the most significant therapeutically known herbs in the traditional Indian system of medicine, the Ayurveda. In specific, its root is reported to be applied in the treatment of nervous exhaustion, insomnia, skin problems, and coughing. Scientific studies carried out in accordance to the modern system of medicine have shown that the plant extracts possess antimicrobial, anti-inflammatory, antioxidant, antiulcer, analgesic, anti-stress, wound healing, hepatoprotective, cardioprotective, antidiabetic, and immunomodulatory effects. In addition, studies have shown that withaferin A, the principal phytochemical of Ashwagandha, exhibits activity against inflammation, apoptosis, invasiveness, and angiogenic effects in various cancer progression conditions. In this chapter, an attempt is made to summarize the antineoplastic effects of Ashwagandha and its principal phytochemical, withaferin A, in various cultured neoplastic cell lines and the mechanisms involved.

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References

  • Aalinkeel R, Hu Z, Nair BB, Sykes DE, Reynolds JL, Mahajan SD, Schwartz SA (2010) Genomic analysis highlights the role of the JAK-STAT signaling in the anti-proliferative effects of dietary flavonoid-‘Ashwagandha’ in prostate cancer cells. Evidence-Based Compl Altern Med 7:177–187

    Article  Google Scholar 

  • Abdallah NM, Noaman E, Eltahawy NA, Badawi AM, Kandil E, Mansour NA, Mohamed HE (2016) Anticancer and radiosensitization efficacy of nanocomposite Withania somnifera extract in mice bearing tumor cells. Asian Pac J Cancer Prev 17:4367–4375

    PubMed  Google Scholar 

  • Abdulkareem IH (2013) Aetio-pathogenesis of breast cancer. Niger Med J 54:371–375

    Article  PubMed  PubMed Central  Google Scholar 

  • Aggarwal BB, Ichikawa H, Garodia P, Weerasinghe P, Sethi G, Bhatt ID, Pandey MK, Shishodia S, Nair MG (2006) From traditional Ayurvedic medicine to modern medicine: identification of therapeutic targets for suppression of inflammation and cancer. Exp Opin Ther Targets 10:87–118

    Article  CAS  Google Scholar 

  • Alfaifi MY, Saleh KA, El-Boushnak MA, Elbehairi SE, Alshehri MA, Shati AA (2016) Antiproliferative activity of the methanolic extract of Withania somnifera leaves from Faifa mountains, southwest Saudi Arabia, against several human cancer cell lines. Asian Pac J Cancer Prev 17:2723–2726

    PubMed  Google Scholar 

  • Amawi H, Ashby CR Jr, Tiwari AK (2017) Cancer chemoprevention through dietary flavonoids: what’s limiting. Chin J Cancer 36:50. https://doi.org/10.1186/s40880-017-0217-4

    Article  PubMed  PubMed Central  Google Scholar 

  • Arumugam G, Swamy MK, Sinniah UR (2016) Plectranthus amboinicus (Lour.) Spreng: botanical, phytochemical, pharmacological and nutritional significance. Molecules 21:369. https://doi.org/10.3390/molecules21040369

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Bhattacharya SK, Bhattacharya A, Sairam K, Ghosal S (2000) Anxiolytic-antidepressant activity of Withania somnifera glycol-withanolides: an experimental study. Phytomedicine 7:463–469

    Article  PubMed  CAS  Google Scholar 

  • Chaudhuri D, Ghate NB, Sarkar R, Mandal N (2012) Phytochemical analysis and evaluation of antioxidant and free radical scavenging activity of Withania somnifera root. Asian J Pharm Clin Res 5:193–199

    Google Scholar 

  • Chaurasia P, Madhumati B, Akarsh P (2013) Therapeutic properties and significance of different parts of ashwagandha- a medicinal plant. Int J Pure App Biosci 1:94–101

    Google Scholar 

  • Choi BY, Kim BW (2015) Withaferin-A inhibits colon cancer cell growth by blocking STAT3 transcriptional activity. J Cancer Prev 20:185–192

    Article  PubMed  PubMed Central  Google Scholar 

  • Christina AJ, Joseph DG, Packialakshmi M, Kothai R, Robert SJ, Chidambaranathan N, Ramasamy M (2004) Anticarcinogenic activity of Withania somnifera Dunal against Dalton’s ascitic lymphoma. J Ethnopharmacol 93:359–361

    Article  PubMed  CAS  Google Scholar 

  • Das TP, Suman S, Alatassi H, Ankem MK, Damodaran C (2016) Inhibition of AKT promotes FOXO3a-dependent apoptosis in prostate cancer. Cell Death Dis 7:e2111

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Davis L, Kuttan G (2000) Immunomodulatory activity of Withania somnifera. J Ethnopharmacol 71:193–200

    Article  PubMed  CAS  Google Scholar 

  • Davis L, Kuttan G (2001) Effect of Withania somnifera on DMBA induced carcinogenesis. J Ethnopharmacol 75:165–168

    Article  PubMed  CAS  Google Scholar 

  • Fong MY, ** S, Rane M, Singh RK, Gupta R, Kakar SS (2012) Withaferin A synergizes the therapeutic effect of doxorubicin through ROSmediated autophagy in ovarian cancer. PLoS One 7:e42265

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Giri KR (2016) Comparative study of anti-inflammatory activity of Withania somnifera (Ashwagandha) with hydrocortisone in experimental animals (Albino rats). J Med Plants Stud 4:78–83

    Google Scholar 

  • Halder B, Singh S, Thakur SS (2015) Withania somnifera root extract has potent cytotoxic effect against human malignant melanoma cells. PLoS One 10:e0137498

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Jain R, Kachhwaha S, Kothari SL (2012) Phytochemistry, pharmacology, and biotechnology of Withania somnifera and Withania coagulans: a review. J Med Plants Res 6:5388–5399

    Article  Google Scholar 

  • Jena S, Jena RC, Bhol R, Agarwal K, Sarangi A, Sahu PK, Mishra SL (2016) A comparative study of the anti-oxidative and anti-diabetic potential of in vitro and in vivo root and leaf extracts of Withania somniferaon Streptozotocin induced diabetic rats. Int J Pharm Pharm Sci 8:85–91

    Article  Google Scholar 

  • Kataria H, Wadhwa R, Kaul SC, Kaur G (2013) Withania somnifera water extract as a potential candidate for differentiation based therapy of human neuroblastomas. PLoS One 8:e55316

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Kaur N, Junaid N, Raman B (2013) A review on pharmacological profile of Withania somnifera (Ashwagandha). RRJBS 2:6–14

    Google Scholar 

  • Kaur P, Mathur S, Sharma M, Tiwari M, Srivastava KK, Chandra R (2001) A biologically active constituent of Withania somnifera (ashwagandha) with antistress activity. Indian J Clin Biochem 16:195–198

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Khazal KF, Hill DL (2015) Withania somnifera extract reduces the invasiveness of MDA-MB-231 breast cancer and inhibits cytokines associated with metastasis. J Cancer Metastasis Treat 1:94–100

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Kim JE, Lee JY, Kang MJ, Jeong YJ, Choi JA, Oh SM, Lee KB, Park JH (2015) Withaferin A inhibits Helicobacter pylori induced production of IL-1β in dendritic cells by regulating NF-κB and NLRP3 inflammasome activation. Immune Netw 15:269–277

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Krutika J, Tavhare S, Panara K, Praveen Kumar A, Karra N (2016) Studies of Ashwagandha (Withania somnifera Dunal). Int J Pharm Biol Arch 7:1–11

    Google Scholar 

  • Kumar SP, Shilpa P, Salimath BP (2009) Withaferin a suppresses the expression of vascular endothelial growth factor in Ehrlich ascites tumor cells via Sp1 transcriptionfactor. Curr Trends Biotechnol Pharm 3:138–148

    Google Scholar 

  • Lee J, Hahm ER, Marcus AI, Singh SV (2015) Withaferin A inhibits experimental epithelial-mesenchymal transition in MCF-10A cells and suppresses vimentin protein level in vivo in breast tumors. Mol Carcinog 54:417–429

    Article  PubMed  CAS  Google Scholar 

  • Leyon PV, Kuttan G (2004) Effect of Withania somnifera on B16F-10 melanoma induced metastasis in mice. Phytother Res 18:118–122

    Article  PubMed  CAS  Google Scholar 

  • Liu X, Chen L, Liang T, Tian XD, Liu Y, Zhang T (2017) Withaferin A induces mitochondrial-dependent apoptosis in non-small cell lung cancer cells via generation of reactive oxygen species. J BUON 22:244–250

    PubMed  Google Scholar 

  • Maliyakkal N, Udupa N, Pai K, Rangarajan A (2013) Cytotoxic and apoptotic activities of extracts of Withania somnifera and Tinospora cordifolia in human breast cancer cells. Int J Appl Res Nat Prod 6:1–10

    Google Scholar 

  • Manoharan S, Balakrishnan S, Menon VP, Alias LM, Reena AR (2009) Chemopreventiveefficacy of curcumin and piperine during 7,12-dimethylbenz[a]anthracene-inducedhamster buccal pouch carcinogenesis. Singap Med J 50:139–146

    CAS  Google Scholar 

  • Mathur R, Gupta SK, Singh N, Mathur S, Kochupillai V, Velpandian T (2006) Evaluation of the effect of Withania somnifera root extracts on cell cycle and angiogenesis. J Ethnopharmacol 105:336–341

    Article  PubMed  Google Scholar 

  • Mir BA, Khazir J, Mir NA, Hasan T, Koul S (2012) Botanical, chemical and pharmacological review of Withania somnifera (Indian ginseng): an ayurvedic medicinal plant. Indian J Drugs Dis 1:147–160

    Google Scholar 

  • Mishra LC, Singh BB, Dagenais S (2000) Scientific basis for the therapeutic use of Withania somnifera (Ashwagandha): a review. Altern Med Rev 5:334–346

    PubMed  CAS  Google Scholar 

  • Mohan R, Hammers HJ, Bargagna-Mohan P, Zhan XH, Herbstritt CJ, Ruiz A, Zhang L, Hanson AD, Conner BP, Rougas J, Pribluda VS (2004) Withaferin A is a potent inhibitor of angiogenesis. Angiogenesis 7:115–122

    Article  PubMed  CAS  Google Scholar 

  • Mohanty SK, Swamy MK, Sinniah UR, Anuradha M (2017) Leptadenia reticulata (Retz.) Wight & Arn. (Jivanti): botanical, agronomical, phytochemical, pharmacological, and biotechnological aspects. Molecules 22:1019. https://doi.org/10.3390/molecules22061019

    Article  CAS  PubMed Central  Google Scholar 

  • Muralikrishnan G, Dinda AK, Shakeel F (2010) Immunomodulatory effects of Withania somnifera on azoxymethane induced experimental colon cancer in mice. Immunol Investig 39:688–698

    Article  Google Scholar 

  • Oh JH, Lee TJ, Kim SH, Choi YH, Lee SH, Lee JM, Kim YH, Park JW, Kwon TK (2008) Induction of apoptosis by withaferin A in human leukemia U937 cells through down-regulation of Akt phosphorylation. Apoptosis 13:1494–1504

    Article  PubMed  CAS  Google Scholar 

  • Ojha SK, Arya DS (2009) Withania somnifera Dunal (Ashwagandha): a promising remedy for cardiovascular diseases. World J Med Sci 4:156–158

    Google Scholar 

  • Ovadje P, Roma A, Steckle M, Nicoletti L, Arnason JT, Pandey S (2015) Advances in the research and development of natural health products as main stream cancer therapeutics. Evidence-Based Compl Alternat Med 2015:751348. https://doi.org/10.1155/2015/751348

    Article  Google Scholar 

  • Padmavathi B, Rath PC, Rao AR, Singh RP (2005) Roots of Withania somnifera inhibit forestomach and skin carcinogenesis in mice. Evidence-Based Compl Altern Med 2:99–105

    Article  Google Scholar 

  • Palliyaguru DL, Singh SV, Kensler TW (2016) Withania somnifera: from prevention to treatment of cancer. Mol Nutr Food Res 60:1342–1353

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Rugge M, Genta RM, Di Mario F, El-Omar EM, El-Serag HB, Fassan M, Hunt RH, Kuipers EJ, Malfertheiner P, Sugano K, Graham DY (2017) Gastric cancer as preventable disease. Clin Gastroenterol Hepatol 15:1833–1843

    Article  PubMed  Google Scholar 

  • SaiduluCh VC, GangadharRao S (2014) Morphological studies of medicinal plant of Withaniasomnifera (L.) Dunal grown in heavy metal treated (contaminated) soil. J Pharmacogn Phytochem 3:37–42

    Google Scholar 

  • Samadi AK, Mukerji R, Shah A, Timmermann BN, Cohen MS (2010) A novel RET inhibitor with potent efficacy against medullary thyroid cancer in vivo. Surgery 148:1228–1236

    Article  PubMed  Google Scholar 

  • Samadi AK, Cohen SM, Mukerji R, Chaguturu V, Zhang X, Timmermann BN, Cohen MS, Person EA (2012) Natural withanolide withaferin A induces apoptosis in uvealmelanoma cells by suppression of Akt and c-MET activation. Tumour Biol 33:1179–1189

    Article  PubMed  CAS  Google Scholar 

  • Sak K (2012) Chemotherapy and dietary phytochemical agents. Chemother Res Practice 2012:282570. https://doi.org/10.1155/2012/282570

    Article  CAS  Google Scholar 

  • Senthilnathan P, Padmavathi R, Magesh V, Sakthisekaran D (2006) Chemotherapeutic efficacy of paclitaxel in combination with Withania somnifera on benzo(a)pyrene-induced experimental lung cancer. Cancer Sci 97:658–664

    Article  PubMed  CAS  Google Scholar 

  • Sharada AC, Solomon FE, Devi PU, Udupa N, Srinivasan KK (1996) Antitumor and radiosensitizing effects of withaferin A on mouse Ehrlich ascites carcinoma in vivo. Acta Oncol 35:95–100

    Article  PubMed  CAS  Google Scholar 

  • Shi LH, Wu XJ, Liu JS, Gao YB (2015) Withaferin A activates stress signaling proteins in high risk acute lymphoblastic leukemia. Int J Clin Exp Pathol 8:15652–15660

    PubMed  PubMed Central  Google Scholar 

  • Singh G, Sharma PK, Dudhe R, Singh S (2010) Biological activities of Withania somnifera. Ann Biol Res 1:56–63

    CAS  Google Scholar 

  • Srinivasan S, Ranga RS, Burikhanov R, Han SS, Chendil D (2007) Par-4-dependent apoptosis by the dietary compound withaferin A in prostate cancer cells. Cancer Res 67:246–253

    Article  PubMed  CAS  Google Scholar 

  • Stan SD, Zeng Y, Singh SV (2008) Ayurvedic medicine constituent withaferin a causes G2 and M phase cell cycle arrest in human breast cancer cells. Nutr Cancer 60:S51–S60

    Article  CAS  Google Scholar 

  • Suman S, Das TP, Sirimulla S, Alatassi H, Ankem MK, Damodaran C (2016a) Withaferin-A suppress AKT induced tumor growth in colorectal cancer cells. Oncotarget 7:13854–13864

    PubMed  PubMed Central  Google Scholar 

  • Suman S, Das TP, Moselhy J, Pal D, Kolluru V, Alatassi H, Ankem MK, Damodaran C (2016b) Oral administration of withaferin A inhibits carcinogenesis of prostate in TRAMP model. Oncotarget 7:53751–53761

    PubMed  PubMed Central  Google Scholar 

  • Swamy MK, Sinniah UR (2015) A comprehensive review on the phytochemical constituents and pharmacological activities of Pogostemon cablin Benth: an aromatic medicinal plant of industrial importance. Molecules 20:8521–8547

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Swamy MK, Sinniah UR (2016) Patchouli (Pogostemon cablin Benth.): botany, agrotechnology and biotechnological aspects. Ind Crop Prod 87:161–176

    Article  CAS  Google Scholar 

  • Swamy MK, Sinniah UR, Akhtar MS (2017) GC-MS based metabolite profiling, antioxidant and antimicrobial properties of different solvent extracts of Malaysian Plectranthus amboinicus leaves. Evidence-Based Compl Altern Med 2017:1517683. https://doi.org/10.1155/2017/1517683

    Article  Google Scholar 

  • Szarc vel Szic K, Op de Beeck K, Ratman D, Wouters A, Beck IM, Declerck K, Heyninck K, Fransen E, Bracke M, De Bosscher K, Lardon F, Van Camp G, Vanden Berghe W (2014) Pharmacological levels of Withaferin A (Withania somnifera) trigger clinically relevant anticancer effects specific to triple negative breast cancer cells. PLoS One 9:e87850

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Ting-Zhuo LV, Wang GS (2015) Antiproliferation potential of withaferin A on human osteosarcoma cells via the inhibition of G2/M checkpoint proteins. Exp Ther Med 10:323–329

    Article  CAS  Google Scholar 

  • Turrini E, Calcabrini C, Sestili P, Catanzaro E, de Gianni E, Diaz AR, Hrelia P, Tacchini M, Guerrini A, Canonico B, Papa S, Valdrè G, Fimognari C (2016) Withania somnifera induces cytotoxic and cytostatic effects on human T leukemia cells. Toxins 8:147

    Article  PubMed Central  CAS  Google Scholar 

  • Uddin Q, Samiulla L, Singh VK, Jamil SS (2012) Phytochemical and pharmacological profile of Withania somnifera Dunal: a review. J Appl Pharm Sci 2:170–175

    Google Scholar 

  • Verma SK, Kumar A (2011) Therapeutic uses of Withania somnifera (ashwagandha) with a note on withanolides and its pharmacological actions. Asian J Pharm Clin Res 4:1–4

    CAS  Google Scholar 

  • Yang I, Kim L, Shin J, Cho S (2015) Chemotherapeutic effect of withaferin A in human oral cancer cells. J Cancer Ther 6:735–742

    Article  CAS  Google Scholar 

  • Yang Z, Garcia A, Xu S, Powell DR, Vertino PM, Singh S, Marcus AI (2013) Withania somnifera root extract inhibits mammary cancer metastasis and epithelial to mesenchymal transition. PLoS One 8:e75069

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Yokota Y, Bargagna-Mohan P, Ravindranath PP, Kim KB, Mohan R (2006) Development of withaferin A analogs as probes of angiogenesis. Bioorg Med Chem Lett 16:2603–2607

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Zaid H, Silbermann M, Amash A, Gincel D, Abdel-Sattar E, Sarikahya NB (2017c) Medicinal plants and natural active compounds for cancer chemoprevention/chemotherapy. Evidence-Based Compl Altern Med 2017:7952417. https://doi.org/10.1155/2017/7952417

    Article  Google Scholar 

  • Zhang X, Mukerji R, Samadi AK, Cohen MS (2011) Down-regulation of estrogen receptor-alpha and rearranged during transfection tyrosine kinase is associated with withaferin a-induced apoptosis in MCF-7 breast cancer cells. BMC Compl Altern Med 11:84

    Article  CAS  Google Scholar 

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Pavan Kumar Achar, G.S. et al. (2018). Scientific Validation of the Usefulness of Withania somnifera Dunal in the Prevention and Treatment of Cancer. In: Akhtar, M., Swamy, M. (eds) Anticancer plants: Properties and Application. Springer, Singapore. https://doi.org/10.1007/978-981-10-8548-2_12

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