Skip to main content

Abstract

Malignant conditions of the gastrointestinal tract and accessory organs of digestion, including the oral cavity, esophagus, stomach, biliary system, pancreas, small intestine, large intestine, rectum and anus, are referred to as gastrointestinal cancers. Curcumin is a natural compound derived from turmeric with a wide range of biological activities. Several in vitro and in vivo studies have investigated the effects of curcumin on gastrointestinal cancers. In the current review, we aimed to provide an updated summary on the recent findings regarding the beneficial effects of curcumin on different gastrointestinal cancers in the recent decade. For this purpose, ScienceDirect,” “Google Scholar,” “PubMed,” “ISI Web of Knowledge,” and “Wiley Online Library” databases were searched using “curcumin”, “cancer”, and “gastrointestinal organs” as keywords. In vitro studies performed on different gastrointestinal cancerous cell lines have shown that curcumin can inhibit cell growth through cycle arrest at the G2/M and G1 phases, as well as stimulated apoptosis and autophagy by interacting with multiple molecular targets. In vivo studies performed in various animal models have confirmed mainly the chemopreventive effects of curcumin. Several nano-formulations have been proposed to improve the bioavailability of curcumin and increase its absorption. Moreover, curcumin has been used in combinations with many anti-tumor drugs to increase their anticarcinogenic properties. Taken together, curcumin falls within the category of plant-derived substances capable of preventing or treating gastrointestinal cancers. Further studies, particularly clinical trials, on the efficacy and safety of curcumin are suggested in this regard.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • 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

Institutional subscriptions

References

  1. Buyel JF (2018) Plants as sources of natural and recombinant anti-cancer agents. Biotechnol Adv 36(2):506–520. https://doi.org/10.1016/j.biotechadv.2018.02.002

    Article  CAS  PubMed  Google Scholar 

  2. Roy PS, Saikia BJ (2016) Cancer and cure: a critical analysis.Indian. J Cancer 53(3):441–442. https://doi.org/10.4103/0019-509x.200658

    Article  CAS  Google Scholar 

  3. Shin SA, Moon SY, Kim WY, Paek SM, Park HH, Lee CS (2018) Structure-based classification and anti-cancer effects of plant metabolites. Int J Mol Sci 19(9):Article number 2651. https://doi.org/10.3390/ijms19092651

    Article  CAS  Google Scholar 

  4. Gallo KA, Ellsworth E, Stoub H, Conrad SE (2020) Therapeutic potential of targeting mixed lineage kinases in cancer and inflammation. Pharmacol Ther 207:Article number 107457. https://doi.org/10.1016/j.pharmthera.2019.107457

    Article  CAS  Google Scholar 

  5. Wang D, DuBois RN (2018) Role of prostanoids in gastrointestinal cancer. J Clin Invest 128(7):2732–2742. https://doi.org/10.1172/JCI97953

    Article  PubMed  PubMed Central  Google Scholar 

  6. Man SM (2018) Inflammasomes in the gastrointestinal tract: infection, cancer and gut microbiota homeostasis. Nat Rev Gastroenterol Hepatol 15(12):721–737. https://doi.org/10.1038/s41575-018-0054-1

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Siegel RL, Miller KD, Jemal A (2020) Cancer statistics, 2020. CA Cancer J Clin 70(1):7–30. https://doi.org/10.3322/caac.21590

    Article  PubMed  Google Scholar 

  8. Al-Ishaq RK, Overy AJ, Büsselberg D (2020) Phytochemicals and gastrointestinal cancer: cellular mechanisms and effects to change cancer progression. Biomol Ther 10(1):Article number105. https://doi.org/10.3390/biom10010105

    Article  CAS  Google Scholar 

  9. Donohoe CL, O’Farrell NJ, Doyle SL, Reynolds JV (2014) The role of obesity in gastrointestinal cancer: evidence and opinion. Ther Adv Gastroenterol 7(1):38–50. https://doi.org/10.1177/1756283X13501786

    Article  Google Scholar 

  10. Umar SB, Fleischer DE (2008) Esophageal cancer: epidemiology, pathogenesis and prevention. Nat Clin Pract Gastroenterol Hepatol 5(9):517–526. https://doi.org/10.1038/ncpgasthep1223

    Article  Google Scholar 

  11. Nalini D, Selvaraj J, Kumar GS (2020) Herbal nutraceuticals: safe and potent therapeutics to battle tumor hypoxia. J Cancer Res Clin Oncol 146(1):1–18. https://doi.org/10.1007/s00432-019-03068-x

    Article  PubMed  Google Scholar 

  12. Gupta SC, Kim JH, Prasad S, Aggarwal BB (2010) Regulation of survival, proliferation, invasion, angiogenesis, and metastasis of tumor cells through modulation of inflammatory pathways by nutraceuticals. Cancer Metastasis Rev 29(3):405–434. https://doi.org/10.1007/s10555-010-9235-2

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Paulraj F, Abas F, Lajis NH, Othman I, Naidu R (2019) Molecular pathways modulated by curcumin analogue, diarylpentanoids in cancer. Biomol Ther 9(7):Article number270. https://doi.org/10.3390/biom9070270

    Article  CAS  Google Scholar 

  14. Sahebkar A (2010) Molecular mechanisms for curcumin benefits against ischemic injury. Fertil Steril 94(5):e75–e76. https://doi.org/10.1016/j.fertnstert.2010.07.1071

    Article  PubMed  Google Scholar 

  15. Kujundžić RN, Stepanić V, Milković L, Gašparović A, Tomljanović M, Trošelj KG (2019) Curcumin and its potential for systemic targeting of inflamm-aging and metabolic reprogramming in cancer. Int J Mol Sci 20(5):Article number1180. https://doi.org/10.3390/ijms20051180

    Article  CAS  Google Scholar 

  16. Malhotra M, Thakur A, Malhotra V (2020) Curcumin in the managment of oral potentially malignant disorders. World J Pharm Res.; Article in Press Sep 13:8. https://doi.org/10.20959/wjpr201911-15870. [Epub ahead of print]

  17. Rodrigues FC, Anil Kumar NV, Thakur G (2019) Developments in the anticancer activity of structurally modified curcumin: an up-to-date review. Eur J Med Chem 177:76–104. https://doi.org/10.1016/j.ejmech.2019.04.058

    Article  CAS  PubMed  Google Scholar 

  18. Kocaadam B, Sanlier N (2015) Curcumin, an active component of turmeric (Curcuma longa), and its effects on health. Crit Rev Food Sci Nutr 57:2889–2895. https://doi.org/10.1080/10408398.2015.1077195

    Article  CAS  Google Scholar 

  19. Iranshahi M, Sahebkar A, Takasaki M, Konoshima T, Tokuda H (2009) Cancer chemopreventive activity of the prenylated coumarin, umbelliprenin, in vivo. Eur J Cancer Prev 18(5):412–415. https://doi.org/10.1097/CEJ.0b013e32832c389e

    Article  CAS  PubMed  Google Scholar 

  20. Soleimani V, Sahebkar A, Hosseinzadeh H (2018) Turmeric (Curcuma longa) and its major constituent (curcumin) as nontoxic and safe substances: review. Phytother Res 32(6):985–995

    Google Scholar 

  21. Teymouri M, Pirro M, Johnston TP, Sahebkar A (2017) Curcumin as a multifaceted compound against human papilloma virus infection and cervical cancers: a review of chemistry, cellular, molecular, and preclinical features. Biofactors 43(3):331–346

    Google Scholar 

  22. Panahi Y, Ahmadi Y, Teymouri M, Johnston TP, Sahebkar A (2018) Curcumin as a potential candidate for treating hyperlipidemia: a review of cellular and metabolic mechanisms. J Cell Physiol 233(1):141–152

    Google Scholar 

  23. Momtazi AA, Derosa G, Maffioli P, Banach M, Sahebkar A (2016) Role of microRNAs in the therapeutic effects of curcumin in non-cancer diseases. Mol Diagn Ther 20(4):335–345

    Google Scholar 

  24. Mollazadeh H, Cicero AFG, Blesso CN, Pirro M, Majeed M, Sahebkar A (2019) Immune modulation by curcumin: the role of interleukin-10. Crit Rev Food Sci Nutr 59(1):89–101

    Google Scholar 

  25. Ghandadi M, Sahebkar A (2017) Curcumin: an effective inhibitor of interleukin-6. Curr Pharm Des 23(6):921–931

    Google Scholar 

  26. Wang M, Jiang S, Zhou L, Yu F, Ding H, Li P, et al (2019) Potential Mechanisms of Action of Curcumin for Cancer Prevention: Focus on Cellular Signaling Pathways and miRNAs. Int J Biol Sci 15(6):1200–1214. https://doi.org/10.7150/ijbs.33710

  27. Rahmani AH, Al Zohairy MA, Aly SM, Khan MA (2014) Curcumin: a potential candidate in prevention of cancer via modulation of molecular pathways. Biomed Res Int. 2014;2014:761608. https://doi.org/10.1155/2014/761608

  28. Kunnumakkara AB, Bordoloi D, Harsha C, Banik K, Gupta SC, Aggarwal BB (2017) Curcumin mediates anticancer effects by modulating multiple cell signaling pathways. Clin Sci (Lond). 131(15):1781–1799. https://doi.org/10.1042/CS20160935

  29. Prakobwong S, Gupta SC, Kim JH, Sung B, Pinlaor P, Hiraku Y, et al (2011) Curcumin suppresses proliferation and induces apoptosis in human biliary cancer cells through modulation of multiple cell signaling pathways. Carcinogenesis 32(9):1372–1380. https://doi.org/10.1093/carcin/bgr032

  30. Kuttan G, Hari Kumar KB, Guruvayoorappan C, Kuttan R (2007) Antitumor, anti-invasion, and Antimetastatic effects of curcumin. In: Aggarwal BB, Surh Y-J, Shishodia S (eds) The molecular targets and therapeutic uses of curcumin in health and disease. Springer US, Boston, pp 173–184

    Chapter  Google Scholar 

  31. Karunagaran D, Rashmi R, Kumar TR (2005) Induction of apoptosis by curcumin and its implications for cancer therapy. Curr Cancer Drug Targets 5(2):117–129. https://doi.org/10.2174/1568009053202081

    Article  CAS  PubMed  Google Scholar 

  32. Singh S, Khar A (2006) Biological effects of curcumin and its role in cancer chemoprevention and therapy. Anti Cancer Agents Med Chem 6(3):259–270. https://doi.org/10.2174/187152006776930918

    Article  CAS  Google Scholar 

  33. Kim JY, Cho TJ, Woo BH, Choi KU, Lee CH, Ryu MH et al (2012) Curcumin-induced autophagy contributes to the decreased survival of oral cancer cells. Arch Oral Biol 57(8):1018–1025. https://doi.org/10.1016/j.archoralbio.2012.04.005

    Article  CAS  PubMed  Google Scholar 

  34. Srivastava S, Mohammad S, Pant AB, Mishra PR, Pandey G, Gupta S et al (2018) Co-delivery of 5-fluorouracil and curcumin nanohybrid formulations for improved chemotherapy against oral squamous cell carcinoma. J Maxillofac Oral Surg 17(4):597–610. https://doi.org/10.1007/s12663-018-1126-z

    Article  PubMed  PubMed Central  Google Scholar 

  35. Mazzarino L, Loch-Neckel G, Bubniak Ldos S, Mazzucco S, Santos-Silva MC, Borsali R et al (2015) Curcumin-loaded chitosan-coated nanoparticles as a new approach for the local treatment of oral cavity cancer. J Nanosci Nanotechnol 15(1):781–791. https://doi.org/10.1166/jnn.2015.9189

    Article  CAS  PubMed  Google Scholar 

  36. Kwiecien S, Magierowski M, Majka J, Ptak-Belowska A, Wojcik D, Sliwowski Z et al (2019) Curcumin: a potent protectant against esophageal and gastric disorders. Int J Mol Sci 20(6):Article number1477. https://doi.org/10.3390/ijms20061477

    Article  CAS  Google Scholar 

  37. Rafiee P, Nelson VM, Manley S, Wellner M, Floer M, Binion DG, Shaker R (2009) Effect of curcumin on acidic pH-induced expression of IL-6 and IL-8 in human esophageal epithelial cells (HET-1A): role of PKC, MAPKs, and NF-kappaB. Am J Physiol Gastrointest Liver Physiol 296(2):G388–G398. https://doi.org/10.1152/ajpgi.90428.2008

    Article  CAS  PubMed  Google Scholar 

  38. Mahattanadul S, Radenahmad N, Phadoongsombut N, Chuchom T, Panichayupakaranant P, Yano S et al (2006) Effects of curcumin on reflux esophagitis in rats. J Nat Med 60(3):198–205. https://doi.org/10.1007/s11418-006-0036-4

    Article  CAS  PubMed  Google Scholar 

  39. Mizumoto A, Ohashi S, Kamada M, Saito T, Nakai Y, Baba K et al (2019) Combination treatment with highly bioavailable curcumin and NQO1 inhibitor exhibits potent antitumor effects on esophageal squamous cell carcinoma. J Gastroenterol 54(8):687–698. https://doi.org/10.1007/s00535-019-01549-x

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  40. Liu Y, Wang X, Zeng S, Zhang X, Zhao J, Zhang X et al (2018) The natural polyphenol curcumin induces apoptosis by suppressing STAT3 signaling in esophageal squamous cell carcinoma. J Exp Clin Cancer Res 37(1):303–315. https://doi.org/10.1186/s13046-018-0959-0

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Rawla P, Barsouk A (2019) Epidemiology of gastric cancer: global trends, risk factors and prevention. Prz Gastroenterol 14(1):26–38. https://doi.org/10.5114/pg.2018.80001

  42. Cavatorta O, Scida S, Miraglia C, Barchi A, Nouvenne A, Leandro G, Meschi T et al (2018) Epidemiology of gastric cancer and risk factors. Acta Biomed 89(8-S):82–87. https://doi.org/10.23750/abm.v89i8-S.7966

    Article  PubMed  Google Scholar 

  43. Yusefi AR, Bagheri Lankarani K, Bastani P, Radinmanesh M, Kavosi Z (2018) Risk factors for gastric cancer: a systematic review. Asian Pac J Cancer Prev 19(3):591–603. https://doi.org/10.22034/apjcp.2018.19.3.591

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Pricci M, Girardi B, Giorgio F, Losurdo G, Ierardi E, Di Leo A (2020) Curcumin and colorectal cancer: from basic to clinical evidences. Int J Mol Sci 21(7):Article number 2364. https://doi.org/10.3390/ijms21072364

    Article  CAS  Google Scholar 

  45. Selvam C, Prabu SL, Jordan BC, Purushothaman Y, Umamaheswari A, Hosseini Zare MS et al (2019) Molecular mechanisms of curcumin and its analogs in colon cancer prevention and treatment. Life Sci 239:Article number 117032. https://doi.org/10.1016/j.lfs.2019.117032

    Article  CAS  Google Scholar 

  46. Weng W, Goel A (2020) Curcumin and colorectal cancer: an update and current perspective on this natural medicine. Semin Cancer Biol.; Feb 20:S1044-579X(20)30044-4. https://doi.org/10.1016/j.semcancer.2020.02.011

  47. Subramaniam D, Kaushik G, Dandawate P, Anant S (2018) Targeting cancer stem cells for chemoprevention of pancreatic cancer. Curr Med Chem 25(22):2585–2594. https://doi.org/10.2174/0929867324666170127095832

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  48. Nagaraju GP, Benton L, Bethi SR, Shoji M, El-Rayes BF (2019) Curcumin analogs: their roles in pancreatic cancer growth and metastasis. Int J Cancer 145(1):10–19. https://doi.org/10.1002/ijc.31867

    Article  CAS  PubMed  Google Scholar 

  49. Lai KC, Chueh FS, Hsiao YT, Cheng ZY, Lien JC, Liu KC et al (2019) Gefitinib and curcumin-loaded nanoparticles enhance cell apoptosis in human oral cancer SAS cells in vitro and inhibit SAS cell xenografted tumor in vivo. Toxicol Appl Pharmacol:Article number114734. https://doi.org/10.1016/j.taap.2019.114734

  50. Lee HM, Patel V, Shyur LF, Lee WL (2016) Copper supplementation amplifies the anti-tumor effect of curcumin in oral cancer cells. Phytomedicine 23(12):1535–1544. https://doi.org/10.1016/j.phymed.2016.09.005

    Article  CAS  PubMed  Google Scholar 

  51. Mazzarino L, Loch-Neckel G, Dos Santos BL, Mazzucco S, Santos-Silva MC, Borsali R et al (2015) Curcumin-loaded chitosan-coated nanoparticles as a new approach for the local treatment of oral cavity cancer. J Nanosci Nanotechnol 15(1):781–791. https://doi.org/10.1166/jnn.2015.9189

    Article  CAS  PubMed  Google Scholar 

  52. Mishra A, Kumar R, Tyagi A, Kohaar I, Hedau S, Bharti AC et al (2015) Curcumin modulates cellular AP-1, NF-kB, and HPV16 E6 proteins in oral cancer. Ecancermedicalscience 9:Article number525. https://doi.org/10.3332/ecancer.2015.525

    Article  Google Scholar 

  53. De Paiva GV, Ortega AAC, Guimarães MR, Curylofo FA, Junior CR, Ribeiro DA et al (2015) Chemopreventive activity of systemically administered curcumin on oral cancer in the 4-nitroquinoline 1-oxide model. J Cell Biochem 116(5):787–796. https://doi.org/10.1002/jcb.25035

    Article  CAS  Google Scholar 

  54. Siddappa G, Kulsum S, Ravindra DR, Kumar VV, Raju N, Raghavan N et al (2017) Curcumin and metformin-mediated chemoprevention of oral cancer is associated with inhibition of cancer stem cells. Mol Carcinog 56(11):2446–2460. https://doi.org/10.1002/mc.22692

    Article  CAS  PubMed  Google Scholar 

  55. Kuriakose MA, Ramdas K, Dey B, Iyer S, Rajan G, Elango KK et al (2016) A randomized double-blind placebo-controlled phase IIB trial of curcumin in oral leukoplakia. Cancer Prev Res (Phila) 9(8):683–691

    Article  CAS  Google Scholar 

  56. Hu H, Jing XB, Cai XB (2010) Curcumin induces apoptosis of esophageal cancer EC-109 cells by activating caspase-3. J Pract Oncol 25(2):159–161+162

    CAS  Google Scholar 

  57. O’Sullivan-Coyne G, O’Sullivan GC, O’Donovan TR, Piwocka K, McKenna SL (2009) Curcumin induces apoptosis-independent death in oesophageal cancer cells. Br J Cancer 101(9):1585–1595. https://doi.org/10.1038/sj.bjc.6605308

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Subramaniam D, Ponnurangam S, Ramamoorthy P, Standing D, Battafarano RJ, Anant S et al (2012) Curcumin induces cell death in esophageal cancer cells through modulating notch signaling. PLoS One 7(2):e30590. https://doi.org/10.1371/journal.pone.0030590

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Ye F, Zhang GH, Guan BX, Xu XC (2012) Suppression of esophageal cancer cell growth using curcumin, (−)-epigallocatechin-3-gallate and lovastatin. World J Gastroenterol 18(2):126–135. https://doi.org/10.3748/wjg.v18.i2.126

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Zheng BZ, Liu TD, Chen G, Zhang JX, Kang X (2018) The effect of curcumin on cell adhesion of human esophageal cancer cell. Eur Rev Med Pharmacol Sci 22(2):551–560. https://doi.org/10.26355/eurrev_201801_14209

    Article  PubMed  Google Scholar 

  61. Niu S, Sun J, Ren H, Liu H, Luo Q, Zhang X et al (2018) Curcumin reverses resistance of human esophageal cancer Eca-109/VCR cells to vincristine by inhibiting Notch1 signaling pathway. Tumor 38(6):526–534. https://doi.org/10.3781/j.issn.1000-7431.2018.11.862

    Article  Google Scholar 

  62. Sun X, Jianjing S, Tian R, Liu H, Luo Q, Zhang X et al (2016) Curcumin reverses multidrug resistance of human esophageal cancer Eca-109/VCR cells. Tumor 36(12):1312–1319. https://doi.org/10.3781/j.issn.1000-7431.2016.11.524

    Article  Google Scholar 

  63. Ren HY, Sun JJ, Li D, Niu SR, Liu H, Luo Q et al (2018) Curcumin reversed multi-drug resistance of esophageal carcinoma in Eca-109/VCR cell line through Wnt2/β-catenin pathway. Chin Pharmacol Bull 34(10):1455–1460. https://doi.org/10.3969/j.issn.1001-1978.2018.10.025

    Article  Google Scholar 

  64. Liu G, Wang Y, Li M (2018) Curcumin sensitized the antitumour effects of irradiation in promoting apoptosis of oesophageal squamous-cell carcinoma through NF-κB signalling pathway. J Pharm Pharmacol 70(10):1340–1348. https://doi.org/10.1111/jphp.12981

    Article  CAS  PubMed  Google Scholar 

  65. Wang Y, Zhou P, Qin S, Xu D, Liu Y, Fu W et al (2018) The curcumin analogs 2-pyridyl cyclohexanone induce apoptosis via inhibition of the JAK2-STAT3 pathway in human esophageal squamous cell carcinoma cells. Front Pharmacol 9:Article number820. https://doi.org/10.3389/fphar.2018.00820

    Article  CAS  Google Scholar 

  66. Hosseini S, Chamani J, Rahimi H, Azmoodeh N, Ghasemi F, Abadi PH (2018) An in vitro study on curcumin delivery by nano-micelles for esophageal squamous cell carcinoma (KYSE-30). Rep Biochem Mol Biol 6(2):137–143

    CAS  PubMed  PubMed Central  Google Scholar 

  67. Alibeiki F, Jafari N, Karimi M, Peeri Dogaheh H (2017) Potent anti-cancer effects of less polar curcumin analogues on gastric adenocarcinoma and esophageal squamous cell carcinoma cells. Sci Rep 7(1):Article number2559. https://doi.org/10.1038/s41598-017-02666-4

    Article  CAS  Google Scholar 

  68. Cai XZ, Huang WY, Qiao Y, Du SY, Chen Y, Chen D et al (2013) Inhibitory effects of curcumin on gastric cancer cells: a proteomic study of molecular targets. Phytomedicine 20(6):495–505. https://doi.org/10.1016/j.phymed.2012.12.007

    Article  CAS  PubMed  Google Scholar 

  69. Cai XZ, Wang J, Li XD, Wang GL, Liu FN, Cheng MS et al (2009) Curcumin suppresses proliferation and invasion in human gastric cancer cells by downregulation of PAK1 activity and cyclin D1 expression. Cancer Biol Ther 8(14):1360–1368

    Article  CAS  PubMed  Google Scholar 

  70. Chen T, Zhao L, Chen S, Zheng B, Chen H, Zeng T et al (2020) The curcumin analogue WZ35 affects glycolysis inhibition of gastric cancer cells through ROS-YAP-JNK pathway. Food Chem Toxicol 137:Article number111131. https://doi.org/10.1016/j.fct.2020.111131

    Article  CAS  Google Scholar 

  71. Da W, Zhang J, Zhang R, Zhu J (2019) Curcumin inhibits the lymphangiogenesis of gastric cancer cells by inhibiton of hmgb1/vegf-d signaling. Int J Immunopathol Pharmacol 33:1–7. https://doi.org/10.1177/2058738419861600

    Article  CAS  Google Scholar 

  72. Ebrahimifar M, Roudsari MH, Kazemi SM, Shahmabadi HE, Kanaani L, Alavi SA et al (2017) Enhancing effects of curcumin on cytotoxicity of paclitaxel, methotrexate and vincristine in gastric cancer cells. Asian Pac J Cancer Prev 18(1):65–68. https://doi.org/10.22034/APJCP.2017.18.1.65

    Article  PubMed  PubMed Central  Google Scholar 

  73. Fu H, Wang C, Yang D, Wei Z, Xu J, Hu Z et al (2018) Curcumin regulates proliferation, autophagy, and apoptosis in gastric cancer cells by affecting PI3K and P53 signaling. J Cell Physiol 233(6):4634–4642. https://doi.org/10.1002/jcp.26190

    Article  CAS  PubMed  Google Scholar 

  74. He B, Wei W, Liu J, Xu Y, Zhao G (2017) Synergistic anticancer effect of curcumin and chemotherapy regimen FP in human gastric cancer MGC-803 cells. Oncol Lett 14(3):3387–3394. https://doi.org/10.3892/ol.2017.6627

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  75. Kang Y, Hu W, Bai E, Zheng H, Liu Z, Wu J et al (2016) Curcumin sensitizes human gastric cancer cells to 5-fluorouracil through inhibition of the NFκB survival-signaling pathway. Onco Targets Ther 9:7373–7384. https://doi.org/10.2147/OTT.S118272

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  76. Li W, Zhou Y, Yang J, Li H, Zhang H, Zheng P (2017) Curcumin induces apoptotic cell death and protective autophagy in human gastric cancer cells. Oncol Rep 37(6):3459–3466. https://doi.org/10.3892/or.2017.5637

    Article  CAS  PubMed  Google Scholar 

  77. Li W, Zhou Y, Yang J, Zhang HH, Zhao SL, Zhang T et al (2017) Curcumin induces apoptosis and protective autophagy in human gastric cancer cells with different degree of differentiation. Zhonghua zhong liu za zhi [Chin J Oncol] 39(7):490–496. https://doi.org/10.3760/cma.j.issn.0253-3766.2017.07.003

    Article  CAS  Google Scholar 

  78. Liu G, Xiang T, Wu QF, Wang WX (2016) Curcumin suppresses the proliferation of gastric cancer cells by downregulating H19. Oncol Lett 12(6):5156–5162. https://doi.org/10.3892/ol.2016.5354

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  79. Liu WH, Yuan JB, Zhang F, Chang JX (2019) Curcumin inhibits proliferation, migration and invasion of gastric cancer cells via Wnt3a/β-catenin/EMT signaling pathway. Zhongguo Zhongyao Zazhi 44(14):3107–3115. https://doi.org/10.19540/j.cnki.cjcmm.20190304.002

    Article  PubMed  Google Scholar 

  80. Liu X, Sun K, Song A, Zhang X, Zhang X, He X (2014) Curcumin inhibits proliferation of gastric cancer cells by impairing ATP-sensitive potassium channel opening. World J Surg Oncol 12(1):389–397. https://doi.org/10.1186/1477-7819-12-389

    Article  PubMed  PubMed Central  Google Scholar 

  81. Mu J, Wang X, Dong L, Sun P (2019) Curcumin derivative L6H4 inhibits proliferation and invasion of gastric cancer cell line BGC-823. J Cell Biochem 120(1):1011–1017. https://doi.org/10.1002/jcb.27542

    Article  CAS  PubMed  Google Scholar 

  82. Pandey A, Vishnoi K, Mahata S, Tripathi SC, Misra SP, Misra V et al (2015) Berberine and curcumin target survivin and STAT3 in gastric cancer cells and synergize actions of standard chemotherapeutic 5-fluorouracil. Nutr Cancer 67(8):1295–1306. https://doi.org/10.1080/01635581.2015.1085581

    Article  CAS  Google Scholar 

  83. Qiang Z, Meng L, Yi C, Yu L, Chen W, Sha W (2019) Curcumin regulates the miR-21/PTEN/Akt pathway and acts in synergy with PD98059 to induce apoptosis of human gastric cancer MGC-803 cells. J Int Med Res 47(3):1288–1297. https://doi.org/10.1177/0300060518822213

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  84. Rajamanickam V, Yan T, Wu L, Zhao Y, Xu X, Zhu H et al (2020) Allylated curcumin analog CA6 inhibits TrxR1 and leads to ROS-dependent apoptotic cell death in gastric cancer through Akt-FoxO3a. Cancer Manag Res 12:247–263. https://doi.org/10.2147/CMAR.S227415

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  85. Silva G, Lima FT, Seba V, Mendes Lourenço AL, Lucas TG, De Andrade BV et al (2018) Curcumin analog CH-5 suppresses the proliferation, migration, and invasion of the human gastric cancer cell line HGC-27. Molecules 23(2):Article number279. https://doi.org/10.3390/molecules23020279

    Article  CAS  Google Scholar 

  86. Sun C, Zhang S, Liu C, Liu X (2019) Curcumin promoted miR-34a expression and suppressed proliferation of gastric cancer cells. Cancer Biother Radiopharm 34(10):634–641. https://doi.org/10.1089/cbr.2019.2874

    Article  CAS  PubMed  Google Scholar 

  87. Sun Q, Zhang W, Guo Y, Li Z, Chen X, Wang Y et al (2016) Curcumin inhibits cell growth and induces cell apoptosis through upregulation of miR-33b in gastric cancer. Tumour Biol 37(10):13177–13184. https://doi.org/10.1007/s13277-016-5221-9

    Article  CAS  PubMed  Google Scholar 

  88. Wongsirisin P, Yodkeeree S, Limpakan S, Limtrakul P (2018) Curcumin inhibition of the effects of tip α induced cytokine expression in gastric cancer patients. Pharma Nutr 6(3):100–106. https://doi.org/10.1016/j.phanu.2018.05.003

    Article  Google Scholar 

  89. Xu H, Yu W, Yu W, Zhang M, Ma Y, Wu D et al (2019) Curcumin inhibits gastric cancer growth via down-regulation of zinc finger protein, ZNF139. Trop J Pharm Res 18(11):2355–2361. https://doi.org/10.4314/tjpr.v18i11.18

    Article  Google Scholar 

  90. Yang H, Huang S, Wei Y, Cao S, Pi C, Feng T et al (2017) Curcumin enhances the anticancer effect of 5-fluorouracil against gastric cancer through down-regulation of COX-2 and NF-κB signaling pathways. J Cancer 8(18):3697–3706. https://doi.org/10.7150/jca.20196

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  91. Ye C, Wang W, Xia G, Yu C, Yi Y, Hua C et al (2019) A novel curcumin derivative CL-6 exerts antitumor effect in human gastric cancer cells by inducing apoptosis through hippo–YAP signaling pathway. Onco Targets Ther 12:2259–2269. https://doi.org/10.2147/OTT.S196914

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  92. Yu LL, Wu JG, Dai N, Yu HG, Si JM (2011) Curcumin reverses chemoresistance of human gastric cancer cells by downregulating the NF-κB transcription factor. Oncol Rep 26(5):1197–1203. https://doi.org/10.3892/or.2011.1410

    Article  CAS  PubMed  Google Scholar 

  93. Zhang JY, Lin MT, Zhou MJ, Yi T, Tang YN, Tang SL et al (2015) Combinational treatment of curcumin and quercetin against gastric cancer MGC-803 cells in vitro. Molecules 20(6):11524–11534. https://doi.org/10.3390/molecules200611524

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  94. Zhou S, Yao D, Guo L, Teng L (2017) Curcumin suppresses gastric cancer by inhibiting gastrin-mediated acid secretion. FEBS Open Bio 7(8):1078–1084. https://doi.org/10.1002/2211-5463.12237

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  95. Zhou X, Wang W, Li P, Zheng Z, Tu Y, Zhang Y et al (2016) Curcumin enhances the effects of 5-fluorouracil and oxaliplatin in inducing gastric cancer cell apoptosis both in vitro and in vivo. Oncol Res 23(1–2):29–34. https://doi.org/10.3727/096504015X14452563486011

    Article  PubMed  PubMed Central  Google Scholar 

  96. He DL (2016) Curcumin effect on proliferation and apoptosis of gastric cancer stem cells via ATK/FoxM1 signaling pathway. Chin J Tissue Eng Res 20(32):4731–4737. https://doi.org/10.3969/j.issn.2095-4344.2016.32.003

    Article  Google Scholar 

  97. Liang T, Zhang X, Xue W, Zhao S, Zhang X, Pei J (2014) Curcumin induced human gastric cancer BGC-823 cells apoptosis by ROS-mediated ASK1-MKK4-JNK stress signaling pathway. Int J Mol Sci 15(9):15754–15765. https://doi.org/10.3390/ijms150915754

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  98. Lan YT, Kuang YP, Chen K, He BH, Chi ZH, Wang LJ et al (2013) Photoactivaed curcumin inhibits cell growth and promotes apoptosis in human gastric cancer cell line MGC-803. World Chin J Digestol 21(16):1522–1526. https://doi.org/10.11569/wcjd.v21.i16.1522

    Article  CAS  Google Scholar 

  99. Dhivya R, Ranjani J, Bowen PK, Rajendhran J, Mayandi J, Annaraj J (2017) Biocompatible curcumin loaded PMMA-PEG/ZnO nanocomposite induce apoptosis and cytotoxicity in human gastric cancer cells. Mater Sci Eng C 80:59–68. https://doi.org/10.1016/j.msec.2017.05.128

    Article  CAS  Google Scholar 

  100. Huang F, Yao Y, Wu J, Liu Q, Zhang J, Pu X et al (2017) Curcumin inhibits gastric cancer-derived mesenchymal stem cells mediated angiogenesis by regulating NF-κb/VEGF signaling. Am J Transl Res 9(12):5538–5547

    CAS  PubMed  PubMed Central  Google Scholar 

  101. Da W, Zhu J, Wang L, Sun Q (2015) Curcumin suppresses lymphatic vessel density in an in vivo human gastric cancer model. Tumour Biol 36(7):5215–5223. https://doi.org/10.1007/s13277-015-3178-8

    Article  CAS  PubMed  Google Scholar 

  102. Sintara K, Thong-Ngam D, Patumraj S, Klaikeaw N (2012) Curcumin attenuates gastric cancer induced by N-methyl-N-nitrosourea and saturated sodium chloride in rats. J Biomed Biotechnol 2012:Article number915380. https://doi.org/10.1155/2012/915380

    Article  CAS  Google Scholar 

  103. Bolat ZB, Islek Z, Demir BN, Yilmaz EN, Sahin F, Ucisik MH (2020) Curcumin- and piperine-loaded emulsomes as combinational treatment approach enhance the anticancer activity of curcumin on HCT116 colorectal cancer model. Front Bioeng Biotechnol 8:Article number 50. https://doi.org/10.3389/fbioe.2020.00050

    Article  Google Scholar 

  104. Calibasi-Kocal G, Pakdemirli A, Bayrak S, Ozupek NM, Sever T, Basbinar Y et al (2019) Curcumin effects on cell proliferation, angiogenesis and metastasis in colorectal cancer. J BUON 24(4):1482–1487

    PubMed  Google Scholar 

  105. Chen D, Dai F, Chen Z, Wang S, Cheng X, Sheng Q et al (2016) Dimethoxy curcumin induces apoptosis by suppressing survivin and inhibits invasion by enhancing E-cadherin in colon cancer cells. Med Sci Monit 22:3215–3222. https://doi.org/10.12659/MSM.900802

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  106. Chen GP, Zhang Y, Xu ZY, Yu JF, Wei X (2017) Curcumin combined with cis-platinum promote the apoptosis of human colorectal cancer HT29 cells and mechanism. Int J Clin Exp Pathol 10(12):11496–11505

    PubMed  PubMed Central  Google Scholar 

  107. Chung SS, Dutta P, Chard N, Wu Y, Chen QH, Chen G et al (2019) A novel curcumin analog inhibits canonical and non-canonical functions of telomerase through STAT3 and NF-κB inactivation in colorectal cancer cells. Oncotarget 10(44):4516–4531. https://doi.org/10.18632/oncotarget.27000

    Article  PubMed  PubMed Central  Google Scholar 

  108. Dai W, Li SY, Xiao D, Liu C, Jin-Hua H, Lin Y (2019) Curcumin combining with si-MALAT1 inhibits the invasion and migration of colon cancer SW480 cells. Braz J Pharm Sci 55. https://doi.org/10.1590/s2175-97902019000118276

  109. Dhanavel S, Revathy TA, Sivaranjani T, Sivakumar K, Palani P, Narayanan V et al (2020) 5-fluorouracil and curcumin co-encapsulated chitosan/reduced graphene oxide nanocomposites against human colon cancer cell lines. Polym Bull 77(1):213–233. https://doi.org/10.1007/s00289-019-02734-x

    Article  CAS  Google Scholar 

  110. DiMarco-Crook C, Rakariyatham K, Li Z, Du Z, Zheng J, Wu X et al (2020) Synergistic anticancer effects of curcumin and 3′,4′-didemethylnobiletin in combination on colon cancer cells. J Food Sci 85(4):1292–1301. https://doi.org/10.1111/1750-3841.15073. [Epub ahead of print]

    Article  CAS  PubMed  Google Scholar 

  111. Dou H, Shen R, Tao J, Huang L, Shi H, Chen H et al (2017) Curcumin suppresses the colon cancer proliferation by inhibiting Wnt/β-catenin pathways via miR-130a. Front Pharmacol 8:Article number877. https://doi.org/10.3389/fphar.2017.00877

    Article  CAS  Google Scholar 

  112. Fan YX, Abulimiti P, Zhang HL, Zhou YK, Zhu L (2017) Mechanism of reversal of multidrug resistance by curcumin in human colorectal cancer cell line HCT-8/5-FU. Genet Mol Res 16(2):gmr16029414. https://doi.org/10.4238/gmr16029414

    Article  CAS  Google Scholar 

  113. Gavrilas LI, Cruceriu D, Ionescu C, Miere D, Balacescu O (2019) Pro-apoptotic genes as new targets for single and combinatorial treatments with resveratrol and curcumin in colorectal cancer. Food Funct 10(6):3717–3726. https://doi.org/10.1039/c9fo01014a

    Article  CAS  PubMed  Google Scholar 

  114. He G, Feng C, Vinothkumar R, Chen W, Dai X, Chen X et al (2016) Curcumin analog EF24 induces apoptosis via ROS-dependent mitochondrial dysfunction in human colorectal cancer cells. Cancer Chemother Pharmacol 78(6):1151–1161. https://doi.org/10.1007/s00280-016-3172-x

    Article  CAS  PubMed  Google Scholar 

  115. He WT, Zhu YH, Zhang T, Abulimiti P, Zeng FY, Zhang LP et al (2019) Curcumin reverses 5-fluorouracil resistance by promoting human colon cancer HCT-8/5-FU cell apoptosis and down-regulating heat shock protein 27 and p-glycoprotein. Chin J Integr Med 25(6):416–424. https://doi.org/10.1007/s11655-018-2997-z

    Article  CAS  PubMed  Google Scholar 

  116. Hu Y, He Y, Ji J, Zheng S, Cheng Y (2020) Tumor targeted curcumin delivery by folate-modified MPEG-PCL self-assembly micelles for colorectal cancer therapy. Int J Nanomedicine 15:1239–1252. https://doi.org/10.2147/IJN.S232777

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  117. Huang YT, Lin YW, Chiu HM, Chiang BH (2016) Curcumin induces apoptosis of colorectal cancer stem cells by coupling with CD44 marker. Agric Food Chem 64(11):2247–2253. https://doi.org/10.1021/acs.jafc.5b05649

    Article  CAS  Google Scholar 

  118. Intaraphairot T, Chinpaisal C, Apirakaramwong A (2017) Effect of curcumin on SMCT-1 expression and dichloroacetate toxicity in HCT116 colon cancer cells. Pharm Sci 23(2):112–120. https://doi.org/10.15171/PS.2017.17

    Article  Google Scholar 

  119. Jayaprakasha GK, Chidambara Murthy KN, Patil BS (2016) Enhanced colon cancer chemoprevention of curcumin by nanoencapsulation with whey protein. Eur J Pharmacol 789:291–300. https://doi.org/10.1016/j.ejphar.2016.07.017

    Article  CAS  PubMed  Google Scholar 

  120. Le TT, Kim D (2019) Folate-PEG/Hyd-curcumin/C18-g-PSI micelles for site specific delivery of curcumin to colon cancer cells via Wnt/β-catenin signaling pathway. Mater Sci Eng C 101:464–471. https://doi.org/10.1016/j.msec.2019.03.100

    Article  CAS  Google Scholar 

  121. Liang B, Liu Z, Zhu C, Zuo Y, Huang L, Wen G et al (2017) MC37, a new mono-carbonyl curcumin analog, induces G2/M cell cycle arrest and mitochondria-mediated apoptosis in human colorectal cancer cells. Eur J Pharmacol 796:139–148. https://doi.org/10.1016/j.ejphar.2016.12.030

    Article  CAS  PubMed  Google Scholar 

  122. Lotfi-Attari J, Pilehvar-Soltanahmadi Y, Dadashpour M, Alipour S, Farajzadeh R, Javidfar S et al (2017) Co-delivery of curcumin and chrysin by polymeric nanoparticles inhibit synergistically growth and hTERT gene expression in human colorectal cancer cells. Nutr Cancer 69(8):1290–1299. https://doi.org/10.1080/01635581.2017.1367932

    Article  CAS  PubMed  Google Scholar 

  123. Marjaneh RM, Rahmani F, Hassanian SM, Rezaei N, Hashemzehi M, Bahrami A et al (2018) Phytosomal curcumin inhibits tumor growth in colitis-associated colorectal cancer. J Cell Physiol 233(10):6785–6798. https://doi.org/10.1002/jcp.26538

    Article  CAS  PubMed  Google Scholar 

  124. Montgomery A, Adeyeni T, San K, Heuertz RM, Ezekiel UR (2016) Curcumin sensitizes silymarin to exert synergistic anticancer activity in colon cancer cells. J Cancer 7(10):1250–1257. https://doi.org/10.7150/jca.15690

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  125. Rajitha B, Belalcazar A, Nagaraju GP, Shaib WL, Snyder JP, Shoji M et al (2016) Inhibition of NF-κB translocation by curcumin analogs induces G0/G1 arrest and downregulates thymidylate synthase in colorectal cancer. Cancer Lett 373(2):227–233. https://doi.org/10.1016/j.canlet.2016.01.052

    Article  CAS  PubMed  Google Scholar 

  126. Rajitha B, Nagaraju GP, Shaib WL, Alese OB, Snyder JP, Shoji M et al (2017) Novel synthetic curcumin analogs as potent antiangiogenic agents in colorectal cancer. Mol Carcinog 56(1):288–299. https://doi.org/10.1002/mc.22492

    Article  CAS  PubMed  Google Scholar 

  127. Ravindranathan P, Pasham D, Balaji U, Cardenas J, Gu J, Toden S et al (2018) A combination of curcumin and oligomeric proanthocyanidins offer superior anti-tumorigenic properties in colorectal cancer. Sci Rep 8(1):Article number13869. https://doi.org/10.1038/s41598-018-32267-8

    Article  CAS  Google Scholar 

  128. Ruiz De Porras V, Bystrup S, Martínez-Cardús A, Pluvinet R, Sumoy L, Howells L et al (2016) Curcumin mediates oxaliplatin-acquired resistance reversion in colorectal cancer cell lines through modulation of CXC-chemokine/NF-κB signalling pathway. Sci Rep 6:Article number24675. https://doi.org/10.1038/srep24675

    Article  CAS  Google Scholar 

  129. Sankpal UT, Nagaraju GP, Gottipolu SR, Hurtado M, Jordan CG, Simecka JW et al (2016) Combination of tolfenamic acid and curcumin induces colon cancer cell growth inhibition through modulating specific transcription factors and reactive oxygen species. Oncotarget 7(3):3186–3200. https://doi.org/10.18632/oncotarget.6553

    Article  PubMed  Google Scholar 

  130. Sato T, Higuchi Y, Shibagaki Y, Hattori S (2017) Phosphoproteomic analysis identifies signaling pathways regulated by curcumin in human colon cancer cells. Anticancer Res 37(9):4789–4798. https://doi.org/10.21873/anticanres.11885

    Article  CAS  PubMed  Google Scholar 

  131. Sesarman A, Tefas L, Sylvester B, Licarete E, Rauca V, Luput L et al (2018) Anti-angiogenic and anti-inflammatory effects of long-circulating liposomes co-encapsulating curcumin and doxorubicin on C26 murine colon cancer cells. Pharmacol Rep 70(2):331–339. https://doi.org/10.1016/j.pharep.2017.10.004

    Article  CAS  PubMed  Google Scholar 

  132. Su P, Yang Y, Wang G, Chen X, Ju Y (2018) Curcumin attenuates resistance to irinotecan via induction of apoptosis of cancer stem cells in chemoresistant colon cancer cells. Int J Oncol 53(3):1343–1353. https://doi.org/10.3892/ijo.2018.4461

    Article  CAS  PubMed  Google Scholar 

  133. Tang J, Yang J (2019) Curcumin inhibits viability and promotes apoptosis by modulating miR-17/caspase-9 pathway in colorectal cancer. Trop J Pharm Res 18(12):2531–2538. https://doi.org/10.4314/tjpr.v18i12.10

    Article  CAS  Google Scholar 

  134. Tong W, Wang Q, Sun D, Suo J (2016) Curcumin suppresses colon cancer cell invasion via AMPK-induced inhibition of NF-κB, uPA activator and MMP9. Oncol Lett 12(5):4139–4146. https://doi.org/10.3892/ol.2016.5148

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  135. Udompornmongkol P, Chiang BH (2015) Curcumin-loaded polymeric nanoparticles for enhanced anti-colorectal cancer applications. J Biomater Appl 30(5):537–546. https://doi.org/10.1177/0885328215594479

    Article  CAS  PubMed  Google Scholar 

  136. Yang G, Qiu J, Wang D, Tao Y, Song Y, Wang H et al (2018) Traditional chinese medicine curcumin sensitizes human colon cancer to radiation by altering the expression of DNA repair-related genes. Anticancer Res 38(1):131–136. https://doi.org/10.21873/anticanres.12200

    Article  CAS  PubMed  Google Scholar 

  137. Yin J, Wang L, Wang Y, Shen H, Wang X, Wu L (2019) Curcumin reverses oxaliplatin resistance in human colorectal cancer via regulation of TGF-β/Smad2/3 signaling pathway. OncoTargets Ther 12:3893–3903. https://doi.org/10.2147/OTT.S199601

    Article  CAS  Google Scholar 

  138. Yu H, Xie Y, Zhou Z, Wu Z, Dai X, Xu B (2019) Curcumin regulates the progression of colorectal cancer via LncRNA NBR2/AMPK pathway. Technol Cancer Res Treat 18.:1533033819870781. https://doi.org/10.1177/1533033819870781

  139. Zhang J, Feng Z, Wang C, Zhou H, Liu W, Kanchana K et al (2017) Curcumin derivative WZ35 efficiently suppresses colon cancer progression through inducing ROS production and ER stress-dependent apoptosis. Am J Cancer Res 7(2):275–288

    CAS  PubMed  PubMed Central  Google Scholar 

  140. Zhang P, Lai ZL, Chen HF, Zhang M, Wang A, Jia T et al (2017) Curcumin synergizes with 5-fluorouracil by impairing AMPK/ULK1-dependent autophagy, AKT activity and enhancing apoptosis in colon cancer cells with tumor growth inhibition in xenograft mice. J Exp Clin Cancer Res 36(1):Article number190. https://doi.org/10.1186/s13046-017-0661-7

    Article  CAS  Google Scholar 

  141. Zhang Z, Chen H, Xu C, Song L, Huang L, Lai Y et al (2016) Curcumin inhibits tumor epithelial-mesenchymal transition by downregulating the Wnt signaling pathway and upregulating NKD2 expression in colon cancer cells. Oncol Rep 35(5):2615–2623. https://doi.org/10.3892/or.2016.4669

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  142. Zhao P, Zhang C, Xie D, Pei M (2019) Curcumin inhibits epithelial-mesenchymal transition in colorectal cancer cells by regulating mir-206/SNAI2 pathway. Trop J Pharm Res 18(7):1405–1412. https://doi.org/10.4314/tjpr.v18i7.6

    Article  CAS  Google Scholar 

  143. Zhu J, Zhao B, Xiong P, Wang C, Zhang J et al (2018) Curcumin induces autophagy via inhibition of yes-associated protein (YAP) in human colon cancer cells. Med Sci Monit 24:7035–7042. https://doi.org/10.12659/MSM.910650

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  144. Yue GGL, Kwok HF, Lee JKM, Jiang L, Wong ECW, Gao S et al (2016) Combined therapy using bevacizumab and turmeric ethanolic extract (with absorbable curcumin) exhibited beneficial efficacy in colon cancer mice. Pharmacol Res 111:43–57. https://doi.org/10.1016/j.phrs.2016.05.025

    Article  CAS  PubMed  Google Scholar 

  145. Yulianty R, Hakim L, Sardjiman S, Alam G, Widyarini S (2017) Chemopreventive properties of curcumin analogues, hexagamavunone-0 and gamavutone-0, in rat colorectal cancer model. Trop J Pharm Res 16(9):2141–2148. https://doi.org/10.4314/tjpr.v16i9.14

    Article  CAS  Google Scholar 

  146. Howells LM, Iwuji COO, Irving GRB, Barber S, Walter H, Sidat Z et al (2019) Curcumin combined with FOLFOX chemotherapy is safe and tolerable in patients with metastatic colorectal cancer in a randomized phase IIa trial. J Nutr 149(7):1133–1139. https://doi.org/10.1093/jn/nxz029

    Article  PubMed  PubMed Central  Google Scholar 

  147. Xu B, Yu L, Zhao LZ (2017) Curcumin up regulates T helper 1 cells in patients with colon cancer. Am J Transl Res 9(4):1866–1875

    CAS  PubMed  PubMed Central  Google Scholar 

  148. Wang Y, Bu C, Wu K, Wang R, Wang J (2019) Curcumin protects the pancreas from acute pancreatitis via the mitogen-activated protein kinase signaling pathway. Mol Med Rep 20(4):3027–3034. https://doi.org/10.3892/mmr.2019.10547

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  149. Anchi P, Khurana A, Swain D, Samanthula G, Godugu C (2018) Sustained-release curcumin microparticles for effective prophylactic treatment of exocrine dysfunction of pancreas: a preclinical study on cerulein-induced acute pancreatitis. J Pharm Sci 107(11):2869–2882. https://doi.org/10.1016/j.xphs.2018.07.009

    Article  CAS  PubMed  Google Scholar 

  150. Chen KH, Chao D, Liu CF, Chen CF, Wang D (2010) Curcumin attenuates airway hyperreactivity induced by ischemia-reperfusion of the pancreas in rats. Transplant Proc 42(3):744–747. https://doi.org/10.1016/j.transproceed.2010.03.017

    Article  CAS  PubMed  Google Scholar 

  151. Naijil G, Anju TR, Jayanarayanan S, Paulose CS (2015) Curcumin pretreatment mediates antidiabetogenesis via functional regulation of adrenergic receptor subtypes in the pancreas of multiple low-dose streptozotocin-induced diabetic rats. Nutr Res 35(9):823–833. https://doi.org/10.1016/j.nutres.2015.06.011

    Article  CAS  PubMed  Google Scholar 

  152. Walvekar MV, Potphode ND, Desai SS, Deshmukh VM (2016) Histological studies on islets of langerhans of pancreas in diabetic mice after curcumin administration.Int. J Pharm Clin Res 8(9):1314–1318

    Google Scholar 

  153. Kanai M, Otsuka Y, Otsuka K, Sato M, Nishimura T, Mori Y et al (2013) A phase I study investigating the safety and pharmacokinetics of highly bioavailable curcumin (Theracurmin) in cancer patients. Cancer Chemother Pharmacol 71(6):1521–1530. https://doi.org/10.1007/s00280-013-2151-8

    Article  CAS  PubMed  Google Scholar 

  154. Kanai M, Yoshimura K, Asada M, Imaizumi A, Suzuki C, Matsumoto S et al (2011) A phase I/II study of gemcitabine-based chemotherapy plus curcumin for patients with gemcitabine-resistant pancreatic cancer. Cancer Chemother Pharmacol 68(1):157–164. https://doi.org/10.1007/s00280-010-1470-2

    Article  CAS  PubMed  Google Scholar 

  155. Epelbaum R, Schaffer M, Vizel B, Badmaev V, Bar-Sela G (2010) Curcumin and gemcitabine in patients with advanced pancreatic cancer. Nutr Cancer 62:1137–1141. https://doi.org/10.1080/01635581.2010.513802

    Article  CAS  PubMed  Google Scholar 

  156. Pastorelli D, Fabricio ASC, Giovanis P, D’Ippolito S, Fiduccia P, Soldà C et al (2018) Phytosome complex of curcumin as complementary therapy of advanced pancreatic cancer improves safety and efficacy of gemcitabine: results of a prospective phase II trial. Pharmacol Res 132:72–79. https://doi.org/10.1016/j.phrs.2018.03.013

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors are grateful to Mashhad University of Medical Sciences (MUMS) for the help and support.

Conflict of Interests

None.

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Amirhossein Sahebkar or Seyed Ahmad Emami .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Naji, M., Soroudi, S., Akaberi, M., Sahebkar, A., Emami, S.A. (2021). Updated Review on the Role of Curcumin in Gastrointestinal Cancers. In: Barreto, G.E., Sahebkar, A. (eds) Pharmacological Properties of Plant-Derived Natural Products and Implications for Human Health. Advances in Experimental Medicine and Biology, vol 1308. Springer, Cham. https://doi.org/10.1007/978-3-030-64872-5_6

Download citation

Publish with us

Policies and ethics