Skip to main content

Discovery of Green Tea Polyphenol-Based Antitumor Drugs: Mechanisms of Action and Clinical Implications

  • Chapter
  • First Online:
Medicinal Plants

Abstract

Green tea polyphenols, especially catechins, have shown great promise for use as anticancer agents. One such catechin, epigallocatechin-3 gallate (EGCG), is of particular interest due to mounting evidence of its ability to interrupt a variety of essential signaling pathways in cancer cells and target multiple tumor-specific proteins, and its synergistic effects when paired with commonly used anticancer therapies. However, EGCG has a number of disadvantages, e.g., low stability and poor bioavailability, as well as rapid metabolic transformations in vivo. We previously developed a prodrug of EGCG (Pro-EGCG or 1) which shows increased levels of stability, bioavailability, and biological activity in human cancer cells and xenografts as compared to EGCG. In order to potentially reduce the susceptibility of EGCG analogs to be methylated and thus inhibited by catechol-O-methyltransferase (COMT), we synthesized novel analogs and prodrugs where one or two hydroxyl or acetoxy groups, respectively, have been removed from the gallate ester moiety. Such prodrugs (2a and 4a) were reported recently to have potent antiproliferative, antiangiogenic, and antifibrotic properties. We previously also reported that synthetic EGCG analogs 4 and 6 were more potent AMPK activators than metformin and EGCG. Here we review the activity of 4 and 6 in inhibiting growth of uterine fibroid cells. We also review the potential of these novel EGCG analogs and prodrugs as anticancer drugs and discuss the potential mechanisms of action involved.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now
Chapter
USD 29.95
Price excludes VAT (Canada)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (Canada)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (Canada)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (Canada)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

') var buybox = document.querySelector("[data-id=id_"+ timestamp +"]").parentNode var buyingOptions = buybox.querySelectorAll(".buying-option") ;[].slice.call(buyingOptions).forEach(initCollapsibles) var buyboxMaxSingleColumnWidth = 480 function initCollapsibles(subscription, index) { var toggle = subscription.querySelector(".buying-option-price") subscription.classList.remove("expanded") var form = subscription.querySelector(".buying-option-form") var priceInfo = subscription.querySelector(".price-info") var buyingOption = toggle.parentElement if (toggle && form && priceInfo) { toggle.setAttribute("role", "button") toggle.setAttribute("tabindex", "0") toggle.addEventListener("click", function (event) { var expandedBuyingOptions = buybox.querySelectorAll(".buying-option.expanded") var buyboxWidth = buybox.offsetWidth ;[].slice.call(expandedBuyingOptions).forEach(function(option) { if (buyboxWidth <= buyboxMaxSingleColumnWidth && option != buyingOption) { hideBuyingOption(option) } }) var expanded = toggle.getAttribute("aria-expanded") === "true" || false toggle.setAttribute("aria-expanded", !expanded) form.hidden = expanded if (!expanded) { buyingOption.classList.add("expanded") } else { buyingOption.classList.remove("expanded") } priceInfo.hidden = expanded }, false) } } function hideBuyingOption(buyingOption) { var toggle = buyingOption.querySelector(".buying-option-price") var form = buyingOption.querySelector(".buying-option-form") var priceInfo = buyingOption.querySelector(".price-info") toggle.setAttribute("aria-expanded", false) form.hidden = true buyingOption.classList.remove("expanded") priceInfo.hidden = true } function initKeyControls() { document.addEventListener("keydown", function (event) { if (document.activeElement.classList.contains("buying-option-price") && (event.code === "Space" || event.code === "Enter")) { if (document.activeElement) { event.preventDefault() document.activeElement.click() } } }, false) } function initialStateOpen() { var buyboxWidth = buybox.offsetWidth ;[].slice.call(buybox.querySelectorAll(".buying-option")).forEach(function (option, index) { var toggle = option.querySelector(".buying-option-price") var form = option.querySelector(".buying-option-form") var priceInfo = option.querySelector(".price-info") if (buyboxWidth > buyboxMaxSingleColumnWidth) { toggle.click() } else { if (index === 0) { toggle.click() } else { toggle.setAttribute("aria-expanded", "false") form.hidden = "hidden" priceInfo.hidden = "hidden" } } }) } initialStateOpen() if (window.buyboxInitialised) return window.buyboxInitialised = true initKeyControls() })()

Institutional subscriptions

Similar content being viewed by others

References

  • Adams J (2004) The proteasome: a suitable antineoplastic target. Nat Rev Cancer 4(5):349–360

    Article  CAS  PubMed  Google Scholar 

  • Afaq F et al (2003) Inhibition of ultraviolet B-mediated activation of nuclear factor kappaB in normal human epidermal keratinocytes by green tea constituent (−)-epigallocatechin-3-gallate. Oncogene 22(7):1035–1044

    Article  CAS  PubMed  Google Scholar 

  • Ahmed RS et al (2016) Biological and mechanistic characterization of novel prodrugs of green tea polyphenol epigallocatechin gallate analogs in human leiomyoma cell lines. J Cell Biochem 117(10):2357–2369

    Article  CAS  PubMed  Google Scholar 

  • Axelrod J, Tomchick R (1958) Enzymatic O-methylation of epinephrine and other catechols. J Biol Chem 233(3):702–705

    CAS  PubMed  Google Scholar 

  • Chen D et al (2008) Tea polyphenols, their biological effects and potential molecular targets. Histol Histopathol 23(4):487–496

    PubMed  PubMed Central  Google Scholar 

  • Chen D et al (2011) EGCG, green tea polyphenols and their synthetic analogs and prodrugs for human cancer prevention and treatment. Adv Clin Chem 53:155–177

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chen D et al (2012) Novel epigallocatechin gallate (EGCG) analogs activate AMP-activated protein kinase pathway and target cancer stem cells. Bioorg Med Chem 20(9):3031–3037

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Chiou YS et al (2012) Peracetylated (−)-epigallocatechin-3-gallate (AcEGCG) potently suppresses dextran sulfate sodium-induced colitis and colon tumorigenesis in mice. J Agric Food Chem 60(13):3441–3451

    Article  CAS  PubMed  Google Scholar 

  • Chiou YS et al (2013) Peracetylated (−)-epigallocatechin-3-gallate (AcEGCG) potently prevents skin carcinogenesis by suppressing the PKD1-dependent signaling pathway in CD34+ skin stem cells and skin tumors. Carcinogenesis 34(6):1315–1322

    Article  CAS  PubMed  Google Scholar 

  • Dawling S et al (2001) Catechol-O-methyltransferase (COMT)-mediated metabolism of catechol estrogens. Cancer Res 61(18):6716–6722

    CAS  PubMed  Google Scholar 

  • Dou QP (2009) Molecular mechanisms of green tea polyphenols. Nutr Cancer 61(6):827–835

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dou QP, Zonder JA (2014) Overview of proteasome inhibitor-based anti-cancer therapies: perspective on bortezomib and second generation proteasome inhibitors versus future generation inhibitors of ubiquitin-proteasome system. Curr Cancer Drug Targets 14(6):517–536

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dou QP et al (2008) Green tea polyphenols as a natural tumour cell proteasome inhibitor. Inflammopharmacology 16(5):208–212

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Downes E et al (2010) The burden of uterine fibroids in five European countries. Eur J Obstet Gynecol Reprod Biol 152(1):96–102

    Article  PubMed  Google Scholar 

  • Du G-J et al (2012) Epigallocatechin gallate (EGCG) is the most effective cancer chemopreventive polyphenol in green tea. Nutrients 4(11):1679–1691

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Forester SC, Lambert JD (2014) Synergistic inhibition of lung cancer cell lines by (−)-epigallocatechin-3-gallate in combination with clinically used nitrocatechol inhibitors of catechol-O-methyltransferase. Carcinogenesis 35(2):365–372

    Article  CAS  PubMed  Google Scholar 

  • Hu J, Zhou D, Chen Y (2009) Preparation and antioxidant activity of green tea extract enriched in epigallocatechin (EGC) and epigallocatechin gallate (EGCG). J Agric Food Chem 57(4):1349–1353

    Article  CAS  PubMed  Google Scholar 

  • Hussain AR et al (2012) Cross-talk between NFkB and the PI3-kinase/AKT pathway can be targeted in primary effusion lymphoma (PEL) cell lines for efficient apoptosis. PLoS One 7(6):e39945

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Islam MS et al (2014) Use of dietary phytochemicals to target inflammation, fibrosis, proliferation, and angiogenesis in uterine tissues: promising options for prevention and treatment of uterine fibroids? Mol Nutr Food Res 58(8):1667–1684

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Johnson JJ, Bailey HH, Mukhtar H (2010) Green tea polyphenols for prostate cancer chemoprevention: a translational perspective. Phytomedicine 17(1):3–13

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kanwar J et al (2012) Recent advances on tea polyphenols. Front Biosci (Elite Ed) 4:111–131

    Article  Google Scholar 

  • Lam WH et al (2004) A potential prodrug for a green tea polyphenol proteasome inhibitor: evaluation of the peracetate ester of (−)-epigallocatechin gallate [(−)-EGCG]. Bioorg Med Chem 12(21):5587–5593

    Article  CAS  PubMed  Google Scholar 

  • Lambert JD et al (2006) Peracetylation as a means of enhancing in vitro bioactivity and bioavailability of epigallocatechin-3-gallate. Drug Metab Dispos 34(12):2111–2116

    Article  CAS  PubMed  Google Scholar 

  • Landis-Piwowar KR et al (2007a) A novel prodrug of the green tea polyphenol (−)-epigallocatechin-3-gallate as a potential anticancer agent. Cancer Res 67(9):4303–4310

    Article  CAS  PubMed  Google Scholar 

  • Landis-Piwowar KR et al (2007b) Methylation suppresses the proteasome-inhibitory function of green tea polyphenols. J Cell Physiol 213(1):252–260

    Article  CAS  PubMed  Google Scholar 

  • Larsen CA, Dashwood RH (2010) (−)-Epigallocatechin-3-gallate inhibits Met signaling, proliferation, and invasiveness in human colon cancer cells. Arch Biochem Biophys 501(1):52–57

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Lee SC et al (2008) Effect of a prodrug of the green tea polyphenol (−)-epigallocatechin-3-gallate on the growth of androgen-independent prostate cancer in vivo. Nutr Cancer 60(4):483–491

    Article  CAS  PubMed  Google Scholar 

  • Lin H-K et al (2002) Proteasome activity is required for androgen receptor transcriptional activity via regulation of androgen receptor nuclear translocation and interaction with coregulators in prostate cancer cells. J Biol Chem 277(39):36570–36576

    Article  CAS  PubMed  Google Scholar 

  • Lu H, Meng X, Yang CS (2003) Enzymology of methylation of tea catechins and inhibition of catechol-O-methyltransferase by (−)-epigallocatechin gallate. Drug Metab Dispos 31(5):572–579

    Article  CAS  PubMed  Google Scholar 

  • Matsuzaki S, Darcha C (2014) Antifibrotic properties of epigallocatechin-3-gallate in endometriosis. Hum Reprod 29(8):1677–1687

    Article  CAS  PubMed  Google Scholar 

  • Nam S, Smith DM, Dou QP (2001) Ester bond-containing tea polyphenols potently inhibit proteasome activity in vitro and in vivo. J Biol Chem 276(16):13322–13330

    Article  CAS  PubMed  Google Scholar 

  • National Cancer Institute (2018) Cancer statistics. Understanding cancer. Available from: https://www.cancer.gov/about-cancer/understanding/statistics

  • Ozercan IH et al (2008) Chemoprevention of fibroid tumors by [−]-epigallocatechin-3-gallate in quail. Nutr Res 28(2):92–97

    Article  CAS  PubMed  Google Scholar 

  • Park AM, Dong Z (2003) Signal transduction pathways: targets for green and black tea polyphenols. J Biochem Mol Biol 36(1):66–77

    PubMed  Google Scholar 

  • Pérez RA et al (1993) Inhibition of catechol-O-methyltransferase by 1-vinyl derivatives of nitrocatechols and nitroguaiacols. Biochem Pharmacol 45(10):1973–1981

    Article  PubMed  Google Scholar 

  • Qin J et al (2007) A component of green tea, (−)-epigallocatechin-3-gallate, promotes apoptosis in T24 human bladder cancer cells via modulation of the PI3K/Akt pathway and Bcl-2 family proteins. Biochem Biophys Res Commun 354(4):852–857

    Article  CAS  PubMed  Google Scholar 

  • Roshdy E et al (2013) Treatment of symptomatic uterine fibroids with green tea extract: a pilot randomized controlled clinical study. Int J Womens Health 5:477–486

    PubMed  PubMed Central  Google Scholar 

  • Sang S et al (2011) The chemistry and biotransformation of tea constituents. Pharmacol Res 64(2):87–99

    Article  CAS  PubMed  Google Scholar 

  • Shen M, Chan TH, Dou QP (2012) Targeting tumor ubiquitin-proteasome pathway with polyphenols for chemosensitization. Anti Cancer Agents Med Chem 12(8):891–901

    Article  CAS  Google Scholar 

  • Siegel RL, Miller KD, Jemal A (2018) Cancer statistics, 2018. CA Cancer J Clin 68(1):7–30

    Article  PubMed  Google Scholar 

  • Singh BN, Shankar S, Srivastava RK (2011) Green tea catechin, epigallocatechin-3-gallate (EGCG): mechanisms, perspectives and clinical applications. Biochem Pharmacol 82(12):1807–1821

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sparic R (2014) Uterine myomas in pregnancy, childbirth and puerperium. Srp Arh Celok Lek 142(1–2):118–124

    Article  PubMed  Google Scholar 

  • Sparic R et al (2016) Epidemiology of uterine myomas: a review. Int J Fertil Steril 9(4):424–435

    PubMed  Google Scholar 

  • Styer AK, Rueda BR (2015) The epidemiology and genetics of uterine leiomyoma. Best Pract Res Clin Obstet Gynaecol 34:3–12

    Article  PubMed  Google Scholar 

  • Tal R, Segars JH (2014) The role of angiogenic factors in fibroid pathogenesis: potential implications for future therapy. Hum Reprod Update 20(2):194–216

    Article  CAS  PubMed  Google Scholar 

  • Tang F-Y, Nguyen N, Meydani M (2003) Green tea catechins inhibit VEGF-induced angiogenesis in vitro through suppression of VE-cadherin phosphorylation and inactivation of Akt molecule. Int J Cancer 106(6):871–878

    Article  CAS  PubMed  Google Scholar 

  • Tang S-N et al (2012) EGCG enhances the therapeutic potential of gemcitabine and CP690550 by inhibiting STAT3 signaling pathway in human pancreatic cancer. PLoS One 7(2):e31067

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Taylor DK, Leppert PC (2012) Treatment for uterine fibroids: searching for effective drug therapies. Drug Discov Today Ther Strateg 9(1):e41–e49

    Article  PubMed  PubMed Central  Google Scholar 

  • Van Aller GS et al (2011) Epigallocatechin gallate (EGCG), a major component of green tea, is a dual phosphoinositide-3-kinase/mTOR inhibitor. Biochem Biophys Res Commun 406(2):194–199

    Article  PubMed  CAS  Google Scholar 

  • Vyas S et al (2007) Design, semisynthesis, and evaluation of O-acyl derivatives of (−)-epigallocatechin-3-gallate as antitumor agents. J Agric Food Chem 55(15):6319–6324

    Article  CAS  PubMed  Google Scholar 

  • Wang YC, Bachrach U (2002) The specific anti-cancer activity of green tea (−)-epigallocatechin-3-gallate (EGCG). Amino Acids 22(2):131–143

    Article  PubMed  Google Scholar 

  • Wang H et al (2012) Plants against cancer: a review on natural phytochemicals in preventing and treating cancers and their druggability. Anti Cancer Agents Med Chem 12(10):1281–1305

    Article  CAS  Google Scholar 

  • Wang CC et al (2013) Prodrug of green tea epigallocatechin-3-gallate (pro-EGCG) as a potent anti-angiogenesis agent for endometriosis in mice. Angiogenesis 16(1):59–69

    Article  CAS  PubMed  Google Scholar 

  • Wise LA et al (2016) History of uterine leiomyoma and risk of endometrial cancer in black women. Cancer Causes Control 27(4):545–552

    Article  PubMed  PubMed Central  Google Scholar 

  • World Health Organization (2018) Cancer. Available from: http://www.who.int/news-room/fact-sheets/detail/cancer

  • Wu AH et al (2003) Tea intake, COMT genotype, and breast cancer in Asian-American women. Cancer Res 63(21):7526–7529

    CAS  PubMed  Google Scholar 

  • Xu H et al (2009) Anti-angiogenic effects of green tea catechin on an experimental endometriosis mouse model. Hum Reprod 24(3):608–618

    Article  CAS  PubMed  Google Scholar 

  • Yang CS, Wang ZY (1993) Tea and cancer. J Natl Cancer Inst 85(13):1038–1049

    Article  CAS  PubMed  Google Scholar 

  • Yang Q, Diamond MP, Al-Hendy A (2016) Early life adverse environmental exposures increase the risk of uterine fibroid development: role of epigenetic regulation. Front Pharmacol 7:40

    CAS  PubMed  PubMed Central  Google Scholar 

  • Zaveri NT (2006) Green tea and its polyphenolic catechins: medicinal uses in cancer and noncancer applications. Life Sci 78(18):2073–2080

    Article  CAS  PubMed  Google Scholar 

  • Zhang Q et al (2006) Green tea extract and (−)-epigallocatechin-3-gallate inhibit hypoxia- and serum-induced HIF-1α protein accumulation and VEGF expression in human cervical carcinoma and hepatoma cells. Am Assoc Cancer Res 5(5):1227–1238

    CAS  Google Scholar 

  • Zhang D et al (2010a) Antiproliferative and proapoptotic effects of epigallocatechin gallate on human leiomyoma cells. Fertil Steril 94(5):1887–1893

    Article  CAS  PubMed  Google Scholar 

  • Zhang D et al (2010b) Green tea extract inhibits proliferation of uterine leiomyoma cells in vitro and in nude mice. Am J Obstet Gynecol 202(3):289.e1–289.e9

    Article  CAS  Google Scholar 

  • Zhang G et al (2012) Anti-cancer activities of tea epigallocatechin-3-gallate in breast cancer patients under radiotherapy. Curr Mol Med 12(2):163–176

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgments

Partially supported by Canadian Institutes of Health Research (CIHR).

Conflicts of interest: T.H.C., Q.P.D., and R.F. are the named inventors of patents and patent applications; other authors declare no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Q. Ping Dou .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ahmed, R.S.I. et al. (2019). Discovery of Green Tea Polyphenol-Based Antitumor Drugs: Mechanisms of Action and Clinical Implications. In: Joshee, N., Dhekney, S., Parajuli, P. (eds) Medicinal Plants. Springer, Cham. https://doi.org/10.1007/978-3-030-31269-5_14

Download citation

Publish with us

Policies and ethics

Navigation

-