Gastrointestinal (GI)
cancers cause one-third of all
cancer-related deaths worldwide. Natural compounds are emerging as alternative or adjuvant
cancer therapies given their distinct advantage of manipulating multiple pathways to both suppress
tumor growth and alleviate
cancer comorbidities; however, concerns regarding efficacy, bioavailability, and safety are barriers to their development for clinical use.
Emodin (1,3,8-trihydroxy-6-methylanthraquinone), a Chinese herb-derived
anthraquinone, has been shown to exert anti-
tumor effects in colon, liver, and
pancreatic cancers. While the mechanisms underlying
emodin's tumoricidal effects continue to be unearthed, recent evidence highlights a role for mitochondrial mediated apoptosis, modulated stress and inflammatory signaling pathways, and blunted angiogenesis. The goals of this review are to (1) highlight
emodin's anti-
cancer properties within GI
cancers, (2) discuss the known anti-
cancer mechanisms of action of
emodin, (3) address
emodin's potential as a treatment complementary to standard chemotherapeutics, (4) assess the efficacy and bioavailability of
emodin derivatives as they relate to
cancer, and (5) evaluate the safety of
emodin.