Evidence map›Paper›PMID 40156391›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2025

The Synergistic and Anticancer Potential of Withania Somnifera (Ashwagandha) Ethanol Extract as an Adjuvant with Doxorubicin in MCF7 Breast Cancer Cell Line.

Emad M Elzayat, Ghada E Elsamahy, Ghada H Mansour, Ahmed A El-Sherif, Nourhan Hassan

Abstract read
In one paragraph

Article in Asian Pacific journal of cancer prevention : APJCP, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Emad M ElzayatBiotechnology Department, Faculty of Science, Cairo University, Giza 12613, Egypt.ORCID 0000-0002-9834-1289
Ghada E ElsamahyBiotechnology Program, Chemistry Department, Faculty of Science, Cairo University, Giza 12613, Egypt.
Ghada H MansourBiotechnology Program, Chemistry Department, Faculty of Science, Cairo University, Giza 12613, Egypt.
Ahmed A El-SherifChemistry Department, Faculty of Science, Cairo University, Giza 12613, Egypt.
Nourhan HassanBiotechnology Department, Faculty of Science, Cairo University, Giza 12613, Egypt.ORCID 0000-0003-3189-8063

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent approaches in breast cancer treatment involve exploring natural extracts either as substitutes for traditional chemotherapeutic agents or as adjuvants to enhance their effectiveness. In this context, ethanolic extracts from Withania Somnifera (WS) and Arctium Lappa (AL) have gained attention for their potential anticancer properties across various cancer types.

objectiveThis study aimed to investigate the in vitro anticancer efficacy of ethanolic extracts from both WS and AL in the MCF7 breast cancer cell line.

methodsThe study encompassed assessments of total antioxidant activity, total flavonoids, total phenolic compounds, and cytotoxicity for each extract. Unraveling the molecular mechanisms underlying the action of these extracts involved Real-time PCR and flow cytometry to analyze apoptotic markers and cell cycle dynamics, respectively.

resultsResults indicated that the WS ethanolic extract exhibited better efficacy, especially in terms of IC50. To explore its potential as an adjuvant with doxorubicin (DOX) in breast cancer therapy, 16 non-constant combination ratios were tested. The combination of 1/2 WS to 1/4 DOX, with a combination index (CI) of -0.229 was selected for further downstream molecular analysis. Gene expression analysis revealed a significant upregulation (p < 0.05) of P53, Cas3, Cas7, and Bax. Flow cytometric analysis further highlighted cell cycle arrest at the S phase. Additionally, the study explored the synergistic inhibitory effects of WS and DOX on key enzymes in the glycolytic pathway, namely, pyruvate kinase and aldolase.

conclusionIn conclusion, the ethanolic extract of WS demonstrated a synergistic effect as an adjuvant with DOX, showing promise as a combination therapy for breast cancer.

Indexed as

Antineoplastic AgentsBreast NeoplasmsDoxorubicinEthanolPlant ExtractsWithaniaApoptosisCell ProliferationChemotherapy, AdjuvantDrug SynergismHumansMCF-7 CellsAntineoplastic AgentsDoxorubicinEthanolPlant Extractsadjuvantbreast cancercell cycle arrestWithania Somnifera

Identifiers

PMID40156391
PMCPMC12174532

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.