Frontiers in Pharmacology (Mar 2022)

Traditional Chinese Medicines as Effective Reversals of Epithelial-Mesenchymal Transition Induced-Metastasis of Colorectal Cancer: Molecular Targets and Mechanisms

  • Hongzhang Ge,
  • Hongzhang Ge,
  • Hongzhang Ge,
  • Chao Xu,
  • Chao Xu,
  • Chao Xu,
  • Haitao Chen,
  • Haitao Chen,
  • Haitao Chen,
  • Ling Liu,
  • Ling Liu,
  • Ling Liu,
  • Lei Zhang,
  • Lei Zhang,
  • Lei Zhang,
  • Changhong Wu,
  • Yi Lu,
  • Qinghua Yao,
  • Qinghua Yao,
  • Qinghua Yao,
  • Qinghua Yao,
  • Qinghua Yao

DOI
https://doi.org/10.3389/fphar.2022.842295
Journal volume & issue
Vol. 13

Abstract

Read online

Colorectal cancer (CRC) is the third most common type of cancer worldwide. Distant metastasis is the major cause of cancer-related mortality in patients with CRC. Epithelial-mesenchymal transition (EMT) is a critical process triggered during tumor metastasis, which is also the main impetus and the essential access within this duration. Therefore, targeting EMT-related molecular pathways has been considered a novel strategy to explore effective therapeutic agents against metastatic CRC. Traditional Chinese medicines (TCMs) with unique properties multi-target and multi-link that exert their therapeutic efficacies holistically, which could inhibit the invasion and metastasis ability of CRC cells via inhibiting the EMT process by down-regulating transforming growth factor-β (TGF-β)/Smads, PI3K/Akt, NF-κB, Wnt/β-catenin, and Notch signaling pathways. The objective of this review is to summarize and assess the anti-metastatic effect of TCM-originated bioactive compounds and Chinese medicine formulas by mediating EMT-associated signaling pathways in CRC therapy, providing a foundation for further research on the exact mechanisms of action through which TCMs affect EMT transform in CRC.

Keywords