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A Comprehensive Review of Phytochemical Approaches in Treatment of Acute Myeloid Leukemia: Associated Pathways and Molecular Mechanisms

Overview
Journal Chin Herb Med
Publisher Elsevier
Date 2025 Feb 14
PMID 39949810
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Abstract

Acute myeloid leukemia (AML) is a type of cancer that affects the blood and bone marrow This review conducts a thorough analysis of AML, addressing its genetic modification. The examination extends to the current therapeutic approaches employed for AML, shedding light on their efficacy and the notable side effects experienced by patients undergoing these treatments, leading to a low overall survival rate. Therefore, exploring alternative treatments, such as phytochemicals, is necessary. Furthermore, the review explores the complex landscape of phytochemicals, categorizing them based on their diverse properties, which include alkaloids, phenols, terpenoids, organo-sulfur compounds, and other compounds, including quinones, and elucidating their mechanisms of action. Special emphasis is placed on their involvement in critical signaling pathways, with a particular focus on how these phytochemicals impact AML when evaluated across a spectrum of cell lines. This in-depth exploration aims to uncover potential targets within the molecular landscape of AML where phytochemicals can exert their therapeutic effects. The review investigates the potential role of plant-derived phytochemicals as adjunctive therapies for AML. This exploration encompasses the identification of specific phytochemicals that exhibit promising anti-leukemic properties and evaluates their potential in clinical settings. Beyond conventional treatments, the review explores the integration of complementary and alternative medicine as a holistic approach to managing AML. The examination encompasses the synergy between conventional therapies and alternative interventions, exploring how these combined strategies may enhance overall therapeutic outcomes and mitigate side effects. From a forward-looking perspective, the overarching goal is to contribute to the evolving landscape of AML treatment by considering innovative approaches that harness the therapeutic potential of phytochemicals, both independently and in conjunction with established medical interventions.

References
1.
Dantas B, Faheina-Martins G, Coulidiati T, Barbosa Bomfim C, Dias C, Barbosa-Filho J . Effects of curine in HL-60 leukemic cells: cell cycle arrest and apoptosis induction. J Nat Med. 2015; 69(2):218-23. DOI: 10.1007/s11418-014-0881-5. View

2.
Ersoz N, Adan A . Resveratrol triggers anti-proliferative and apoptotic effects in FLT3-ITD-positive acute myeloid leukemia cells via inhibiting ceramide catabolism enzymes. Med Oncol. 2022; 39(3):35. DOI: 10.1007/s12032-021-01627-2. View

3.
Dias M, Pinto D, Silva A . Plant Flavonoids: Chemical Characteristics and Biological Activity. Molecules. 2021; 26(17). PMC: 8434187. DOI: 10.3390/molecules26175377. View

4.
DiNardo C, Stein E, de Botton S, Roboz G, Altman J, Mims A . Durable Remissions with Ivosidenib in IDH1-Mutated Relapsed or Refractory AML. N Engl J Med. 2018; 378(25):2386-2398. DOI: 10.1056/NEJMoa1716984. View

5.
Wang E, Baron J . Management of toxicities associated with targeted therapies for acute myeloid leukemia: when to push through and when to stop. Hematology Am Soc Hematol Educ Program. 2020; 2020(1):57-66. PMC: 7727512. DOI: 10.1182/hematology.2020000089. View