Review Article

ErbB Proteins as Molecular Target of Dietary Phytochemicals in Malignant Diseases

Table 9

The main effects of combination between EGCG and curcumin or other natural compounds.

Natural compoundBiological system/modelDosesMain resultsRef

EGCG: in vitro experiments
CurcuminTE-8 and SKGT-7 esophageal cancer cell lines20–40 μM EGCG
20–40 μM curcumin
Reduced viability and invasion ability, reduced pErk1/2 and COX-2, increased caspase-3 level[161]
MDA-MB-231 breast cancer cell line25 μM EGCG
3 μM curcumin
Increased synergistically the cytotoxicity correlated with G2/M phase arrest[164]
MDA-MB-231 and MCF-7 breast cancer cell lines transfected with ErbB2 to mimic breast cancer stem cells10 μM EGCG
10 μM curcumin
Cotreatment reduced the number of CD44 positive cells, reduced the tumor-sphere formation, and reduced the level of pSTAT3[162]
Resveratrol,
γ-tocotrienol
MCF-7 breast cancer cell line50 μM EGCG
25 μM resveratrol
10 μM γ-tocotrienol
Inhibited cell proliferation
Additive effect when EGCG was combined with γ-tocotrienol in reducing the levels of cyclin D1 and Bcl-2
Increased level of antioxidant enzyme NQO1 when all three phytochemicals were used
[159]
Genistein, quercetinCWR22Rv1 prostate cancer cells2.5 μM EGCG
2.5 μM genistein
2.5 μM quercetin
Coadministration of EGCG with genistein or quercetin reduced the cell proliferation and increased cell death compared to each treatment alone (the effects were more pronounced in case of combination of EGCG with quercetin)[160]
LuteolinSeveral human head and neck cancer cells from the primary tumor and their lymph node metastasis (Tu212, Tu686, 686LN, and 886LN) and several lung cancer cell lines (H292, A549, H460, H358, H322, H1299, and Calu-1)30 μM EGCG
10 μM luteolin
Synergistically increased the level of apoptosis (3–5-fold) compared to the additive level
Mitochondrial translocation of p53 after the combined treatment
[158]

Curcumin: in vitro experiments
ResveratrolHepa 1–6 murine hepatocarcinoma cell line2.5–40 μM curcumin
10–160 μM luteolin (fixed ratio 1 : 4)
Synergistic effect of the cotreatment consisted in reduced cell survival. The following apoptosis effects were observed: increased annexin V-propidium iodide positive staining, increased caspase-3 activity, increased the number of the nuclei with apoptotic morphology, increased ROS production[163]
SilymarinDLD-1, LoVo, HCT116 human colon cancer cells0–100 μM curcumin
0–100 μM silymarin
Cotreatment induced: increased antiproliferative effects, increased apoptosis, reduced cell survival[184]

EGCG: in vivo experiments
CurcuminXenograft nude mouse model with SKGT-4 esophageal cancer cells50 μg/kg EGCG
50 μg/kg curcumin
Reduced tumor size after cotreatment
Reduced expression of Ki67, pERK, and cyclooxygenase-2 in immunohistochemistry
[161]
Xenograft nude mouse model with A549
non-small-cell lung cancer cells (females)
100 mg/kg EGCG
20 mg/kg curcumin
Cotreatment protected the mice against weight loss, reduced the tumor growth, reduced cyclin D1 and B2, and reduced the level of the proliferation marker Ki-67[165]
Xenograft nude mouse model with MDA-MB-231 breast cancer cells (females)25 mg/kg EGCG
25 mg/kg curcumin
Cotreatment decreased the tumor volume (by 49%) and the protein expression level of VEGFR-1 (by 78%), but not the levels of EGFR and Akt[164]
LuteolinXenograft nude mice with Tu212 hypopharyngeal cancer cell line125 mg/kg EGCG
10 mg/kg luteolin
Synergistically decreased in Ki-67 expression and increased in TUNEL positive cells and inhibition of tumor volume[158]