Comparative Preclinical Evaluation of Nelumbo Nucifera and Related Herbal Extracts in Breast Cancer Models: Molecular Pathways and Effectiveness

  • Khairani Fitri Lecturer of the Faculty of Pharmacy, Institut Kesehatan HeLvetia, Indonesia
  • Marwan Saad Azzubaidi Lecturer of the Faculty of Pharmacy, University Sultan Zainal Abidin, Malaysia
  • Nurul Huda Mat Hassan Lecturer of the Faculty of Medicine, University Sultan Zainal Abidin, Malaysia
Keywords: Nelumbo Nucifera, Breast Cancer, Herbal Extracts, Targeted Molecular Pathways, Radioresistant Tumors

Abstract

This study provides a comparative preclinical evaluation of Nelumbo nucifera (lotus) and related herbal extracts in breast cancer models, focusing on their targeted molecular pathways and effectiveness. The analysis includes both in vitro and in vivo studies involving lotus leaf, seedpod, and related plant extracts from Nymphaea, Moringa, and Taraxacum. The findings demonstrate that N. nucifera leaf alcoholic extract exhibits the most comprehensive anticancer profile, with effects validated in multiple models, including those of ER-negative and radioresistant cells. The lotus seedpod extracts also demonstrated promising activity against resistant tumors by inhibiting DNA repair. Other herbal candidates demonstrated apoptotic or cytotoxic effects but were limited in scope or lacked in vivo confirmation. These results support the further development of lotus-derived compounds as promising multi-pathway therapeutic agents for breast cancer.

References

Augustine, A. D., Gondré-Lewis, T., McBride, W., Miller, L., Pellmar, T. C., & Rockwell, S. (2005). Animal models for radiation injury, protection and therapy. Radiation research, 164(1), 100-109. https://doi.org/10.1667/rr3388

Baskar, R., Dai, J., Wenlong, N., Yeo, R., & Yeoh, K. W. (2014). Biological response of cancer cells to radiation treatment. Frontiers in molecular biosciences, 1, 24. https://doi.org/10.3389/fmolb.2014.00024

Bishayee, A., Sethi, G., & Pandey, M. K. (2022). Multi-targeted therapy of breast cancer by polyphenol-enriched fraction of Nelumbo nucifera leaves: Evidence from preclinical studies. Phytomedicine, 100, 154071. https://doi.org/10.1016/j.phymed.2022.154071

Chandra, S., Veeraraghavan, V. P., Woon, C. K., Sirasanagandla, S. R., & Jayaraman, S. (2025). Mechanistic Overview on Therapeutic Potential of Phenols Targeting the Breast Cancer: Molecular Insights and Future Road to Drug Design. The Natural Products Journal. http://dx.doi.org/10.2174/0122103155351726250123083250

Chandrasekaran, P., Uddandrao, V. S., Ganapathy, S., Sasikumar, V., & Prakash, B. (2025). A Comprehensive Review of Molecular Targets and Therapeutic Potential of Phytomedicine for the Treatment of Breast Cancer. Therapeutic Plants: Recent Advances in the Use of Herbs as Alternative Medications, 136-187. http://dx.doi.org/10.2174/9789815322910125010010

Chen, G., Zhu, M., & Guo, M. (2019). Research advances in traditional and modern use of Nelumbo nucifera: phytochemicals, health promoting activities and beyond. Critical reviews in food science and nutrition, 59(sup1), S189-S209. https://doi.org/10.1080/10408398.2018.1553846

Ci, Y., Qiao, J., & Han, M. (2016). Molecular mechanisms and metabolomics of natural polyphenols interfering with breast cancer metastasis. Molecules, 21(12), 1634. https://doi.org/10.3390/molecules21121634

Davis, J. D., & Lin, S. Y. (2011). DNA damage and breast cancer. World journal of clinical oncology, 2(9), 329. https://doi.org/10.5306/wjco.v2.i9.329

Fan, M., Zhang, X., Song, H., & Zhang, Y. (2023). Dandelion (Taraxacum Genus): A review of chemical constituents and pharmacological effects. Molecules, 28(13), 5022. https://doi.org/10.3390/molecules28135022

Griscelli, F., Li, H., Cheong, C., Opolon, P., Bennaceur-Griscelli, A., Vassal, G., ... & Yeh, P. (2000). Combined effects of radiotherapy and angiostatin gene therapy in glioma tumor model. Proceedings of the National Academy of Sciences, 97(12), 6698-6703. https://doi.org/10.1073/pnas.110134297

Kim, H. J., Kim, J. H., Kim, S. H., Lee, J., & Kim, J. (2021). Anti-metastatic effects of polyphenol-enriched Nelumbo nucifera leaf extract through suppression of TGF-β1/SMAD3/ERK signaling in breast cancer models. Journal of Ethnopharmacology, 268, 113579. https://doi.org/10.1016/j.jep.2020.113579

Kim, S. B., Dent, R., Im, S. A., Espié, M., Blau, S., Tan, A. R., ... & Seigel, L. (2017). Ipatasertib plus paclitaxel versus placebo plus paclitaxel as first-line therapy for metastatic triple-negative breast cancer (LOTUS): a multicentre, randomised, double-blind, placebo-controlled, phase 2 trial. The Lancet Oncology, 18(10), 1360-1372. https://doi.org/10.1016/s1470-2045(17)30450-3

Lee, J. H., Kim, E. J., Kim, H., & Park, S. (2020). Lotus leaf extract inhibits breast cancer metastasis through modulation of Rho family proteins and PKCα in vivo. Molecules, 25(7), 1628. https://doi.org/10.3390/molecules25071628

Liu, J., Bi, K., Yang, R., Li, H., Nikitaki, Z., & Chang, L. (2020). Role of DNA damage and repair in radiation cancer therapy: a current update and a look to the future. International Journal of Radiation Biology, 96(11), 1329-1338. https://doi.org/10.1080/09553002.2020.1807641

Liu, J., Peng, X., Yang, S., Li, X., Huang, M., Wei, S., ... & Li, H. (2022). Extracellular vesicle PD-L1 in reshaping tumor immune microenvironment: biological function and potential therapy strategies. Cell Communication and Signaling, 20(1), 14. http://dx.doi.org/10.1186/s12964-021-00816-w

Liu, Y., Zhu, X. Z., Xiao, Y., Wu, S. Y., Zuo, W. J., Yu, Q., ... & Shao, Z. M. (2023). Subtyping-based platform guides precision medicine for heavily pretreated metastatic triple-negative breast cancer: The FUTURE phase II umbrella clinical trial. Cell research, 33(5), 389-402. https://doi.org/10.1038/s41422-023-00795-2

Marra, A., Trapani, D., Viale, G., Criscitiello, C., & Curigliano, G. (2020). Practical classification of triple-negative breast cancer: intratumoral heterogeneity, mechanisms of drug resistance, and novel therapies. NPJ breast cancer, 6(1), 54. https://doi.org/10.1038/s41523-020-00197-2

Matic, I., Guidi, A., Kenzo, M., Mattei, M., & Galgani, A. (2018). Investigation of medicinal plants traditionally used as dietary supplements: A review on Moringa oleifera. Journal of public health in Africa, 9(3), 841. https://doi.org/10.4081/jphia.2018.841

Mehta, N. R., Patel, E. P., Patani, P. V., & Shah, B. (2013). Nelumbo nucifera (Lotus): a review on ethanobotany, phytochemistry and pharmacology. Indian Journal of Pharmaceutical and Biological Research, 1(4), 152-167. http://dx.doi.org/10.30750/ijpbr.1.4.26

Nguyen, P. A., Kwon, Y. S., Kim, N. Y., Lee, M., Hwang, I. H., & Kim, S. (2025). Quercetin and its derivatives from lotus (Nelumbo nucifera) seedpod extract combat radioresistance by suppressing ACSL 4. BioFactors, 51(1), e2118. https://doi.org/10.1002/biof.2118

Park, S. Y., Kim, H. S., & Kim, S. H. (2019). Inhibition of connective tissue growth factor-mediated PI3K/AKT/ERK signaling by Nelumbo nucifera leaf extract in breast cancer cells. Pharmaceutical Biology, 57(1), 721–729. https://doi.org/10.1080/13880209.2019.1653783

Prajapati, K. S., Gupta, S., & Kumar, S. (2022). Targeting breast cancer-derived stem cells by dietary phytochemicals: a strategy for cancer prevention and treatment. Cancers, 14(12), 2864. https://doi.org/10.3390/cancers14122864

Seferli, M., Kotanidou, C., Lefkaki, M., Adamantidi, T., Panoutsopoulou, E., Finos, M. A., ... & Tsoupras, A. (2024). Bioactives of the freshwater aquatic plants, Nelumbo nucifera and Lemna minor, for functional foods, cosmetics and pharmaceutical applications, with antioxidant, anti-inflammatory and antithrombotic health promoting properties. Applied Sciences, 14(15), 6634. https://doi.org/10.3390/app14156634

Singla, R. K., Wang, X., Gundamaraju, R., Joon, S., Tsagkaris, C., Behzad, S., ... & Shen, B. (2023). Natural products derived from medicinal plants and microbes might act as a game-changer in breast cancer: A comprehensive review of preclinical and clinical studies. Critical Reviews in Food Science and Nutrition, 63(33), 11880-11924. http://dx.doi.org/10.1080/10408398.2022.2097196

Tungmunnithum, D., Pinthong, D., & Hano, C. (2018). Flavonoids from Nelumbo nucifera Gaertn., a medicinal plant: Uses in traditional medicine, phytochemistry and pharmacological activities. Medicines, 5(4), 127. https://doi.org/10.3390/medicines5040127

Xiaohu, O., Wang, J., Qiu, X., Song, S., Li, J., Luo, S., ... & Hu, D. (2024). Sophora alopecuroide-Taraxacum decoction (STD) inhibits non-small cell lung cancer via inducing ferroptosis and modulating tumor immune microenvironment. Heliyon, 10(20). https://doi.org/10.1016/j.heliyon.2024.e39564

Yang, H., He, S., Feng, Q., Liu, Z., Xia, S., Zhou, Q., ... & Zhang, Y. (2024). Lotus (Nelumbo nucifera): a multidisciplinary review of its cultural, ecological, and nutraceutical significance. Bioresources and bioprocessing, 11(1), 18. https://doi.org/10.1186/s40643-024-00734-y

Zhang, S., Chen, M., Geng, Z., Liu, T., Li, S., Yu, Q., ... & Liu, D. (2023). Potential application of self-assembled peptides and proteins in breast cancer and cervical cancer. International Journal of Molecular Sciences, 24(23), 17056. https://doi.org/10.3390/ijms242317056

Zhao, W., Sun, L., Zhang, Y., Wang, S., & Chen, X. (2020). Lotus seedpod extract targets ACSL4 and DNA repair pathways to overcome radioresistance in breast cancer. Frontiers in Oncology, 10, 583334. https://doi.org/10.3389/fonc.2020.583334

Zhu, M., Liu, Y., Wen, Z., Tan, H., Li, S., Yu, X., ... & Qin, F. (2025). Exploration of Traditional Chinese Medicine Comprehensive Treatment of Triple Negative Breast Cancer Based on Molecular Pathological Mechanism. Breast Cancer: Targets and Therapy, 289-304. https://doi.org/10.2147/BCTT.S511059

Zhu, Z., Zhong, B., Yang, Z., Zhao, W., Shi, L., Aziz, A., ... & Suleria, H. A. R. (2022). LC-ESI-QTOF-MS/MS characterization and estimation of the antioxidant potential of phenolic compounds from different parts of the lotus (Nelumbo nucifera) seed and rhizome. ACS omega, 7(17), 14630-14642. https://doi.org/10.1021/acsomega.1c07018

Published
2025-09-24
How to Cite
Fitri, K., Azzubaidi, M. S., & Hassan, N. H. M. (2025). Comparative Preclinical Evaluation of Nelumbo Nucifera and Related Herbal Extracts in Breast Cancer Models: Molecular Pathways and Effectiveness. Journal La Medihealtico, 6(4), 1144-1152. https://doi.org/10.37899/journallamedihealtico.v6i4.2560