Regulatory Effects of Plant-Derived Phenolic Compounds on Ferroptosis: A Novel Paradigm in Cancer Therapy


Abstract views: 1 / PDF downloads: 0

Authors

DOI:

https://doi.org/10.62482/pmj.53

Keywords:

Cancer therapy, ferroptosis, lipid peroxidation, network pharmacology, phenolic compounds

Abstract

Ferroptosis is a recently identified, iron-dependent form of regulated cell death characterized by excessive lipid peroxidation and membrane damage, and it has emerged as a promising therapeutic target in cancer treatment. In recent years, increasing attention has been directed    to plant-derived phenolic compounds due to their potent redox-modulating, metal-chelating, and signaling-regulatory properties. This review provides a comprehensive overview of the molecular mechanisms by which phenolic compounds regulate ferroptosis in cancer cells. Phenolics modulate ferroptosis through multiple pathways, including suppression of glutathione peroxidase 4 (GPX4), depletion of intracellular glutathione (GSH), disruption of iron homeostasis via ferritinophagy, and acceleration of lipid peroxidation mediated by acyl-CoA synthetase long-chain family member 4 (ACSL4)- and arachidonate lipoxygenase (ALOX)-dependent pathways. In addition, redox-sensitive signaling axes, particularly the nuclear factor erythroid 2-related factor 2 (NRF2) pathway, play a dual role by conferring cytoprotective effects in normal cells while promoting ferroptosis resistance in tumor cells. Recently, in silico, network pharmacology, and omics-based studies further reveal that phenolic compounds exert their effects via complex multi-target networks rather than single protein inhibition. Moreover, nanotechnological carrier systems significantly improve the bioavailability, tumor selectivity, and ferroptosis-inducing efficacy of phenolic compounds. Collectively, the available preclinical evidence highlights plant-derived phenolics as promising ferroptosis modulators and potential adjuvant agents in cancer therapy. Unlike previous reviews that focus primarily on either ferroptosis signaling or general anticancer effects of polyphenols, this review integrates molecular mechanisms, systems-level analyses, and delivery strategies to present a unified framework for phenolic-driven ferroptosis modulation in cancer.

References

Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-249. https://doi.org/10.3322/caac.21660

Zafar A, Khatoon S, Khan MJ, Abu J, Naeem A. Advancements and limitations in traditional anti-cancer therapies: a comprehensive review of surgery, chemotherapy, radiation therapy, and hormonal therapy. Discov Oncol. 2025;16(1):607. https://doi.org/10.1007/s12672-025-02198-8

Li J, Hu J, Yang Y, Zhang H, Liu Y, Fang Y, Qu L, Lin A, Luo P, Jiang A, Wang L. Drug resistance in cancer: Molecular mechanisms and emerging treatment strategies. Mol Biomed. 2025;6(1):111. https://doi.org/10.1186/s43556-025-00352-w

Fu YC, Liang SB, Luo M, Wang XP. Intratumoral heterogeneity and drug resistance in cancer. Cancer Cell Int. 2025;25(1):103. https://doi.org/10.1186/s12935-025-03734-w

Hassannia B, Vandenabeele P, Vanden Berghe T. Targeting ferroptosis to iron out cancer. Cancer Cell. 2019;35(6):830-849. https://doi.org/10.1016/j.ccell.2019.04.002

Dixon SJ, Lemberg KM, Lamprecht MR, Skouta R, Zaitsev EM, Gleason CE, Patel DN, Bauer AJ, Cantley AM, Yang WS, Morrison B 3rd, Stockwell BR. Ferroptosis: an iron-dependent form of nonapoptotic cell death. Cell. 2012;149(5):1060-1072. https://doi.org/10.1016/j.cell.2012.03.042

Stockwell BR, Friedmann Angeli JP, Bayir H, Bush AI, Conrad M, Dixon SJ, Fulda S, Gascón S, Hatzios SK, Kagan VE, Noel K, Jiang X, Linkermann A, Murphy ME, Overholtzer M, Oyagi A, Pagnussat GC, Park J, Ran Q, Rosenfeld CS, Salnikow K, Tang D, Torti FM, Torti SV, Toyokuni S, Woerpel KA, Zhang DD. Ferroptosis: A regulated cell death nexus linking metabolism, redox biology, and disease. Cell. 2017;171(2):273-285. https://doi.org/10.1016/j.cell.2017.09.021

Conrad M, Pratt DA. The chemical basis of ferroptosis. Nat Chem Biol. 2019;15(12):1137-1147. https://doi.org/10.1038/s41589-019-0408-1

Yang WS, SriRamaratnam R, Welsch ME, Shimada K, Skouta R, Viswanathan VS, Cheah JH, Clemons PA, Shamji AF, Clish CB, Brown LM, Girotti AW, Cornish VW, Schreiber SL, Stockwell BR. Regulation of ferroptotic cancer cell death by GPX4. Cell. 2014;156(1-2):317-331. https://doi.org/10.1016/j.cell.2013.12.010

Li J, Cao F, Yin HL, Huang ZJ, Lin ZT, Mao N, Sun B, Wang G. Ferroptosis: past, present and future. Cell Death Dis. 2020;11(2):88. https://doi.org/10.1038/s41419-020-2298-2

Pandey KB, Rizvi SI. Plant polyphenols as dietary antioxidants in human health and disease. Oxid Med Cell Longev. 2009;2(5):270-278. https://doi.org/10.4161/oxim.2.5.9498

Seca AML, Pinto DCGA. Plant Secondary Metabolites as Anticancer Agents: Successes in Clinical Trials and Therapeutic Application. Int J Mol Sci. 2018;19(1):263. https://doi.org/10.3390/ijms19010263

Hashim GM, Shahgolzari M, Hefferon K, Yavari A, Venkataraman S. Plant-Derived Anti-Cancer Therapeutics and Biopharmaceuticals. Bioengineering. 2025; 12(1):7. https://doi.org/10.3390/bioengineering12010007

Manach C, Scalbert A, Morand C, Rémésy C, Jiménez L. Polyphenols: food sources and bioavailability. Am J Clin Nutr. 2004 May;79(5):727-747. https://doi.org/10.1093/ajcn/79.5.727

Crozier A, Jaganath IB, Clifford MN. Dietary phenolics: chemistry, bioavailability and effects on health. Nat Prod Rep. 2009;26(8):1001-43. https://doi.org/10.1039/b802662a

Eghbaliferiz S, Iranshahi M. Prooxidant activity of polyphenols, flavonoids, anthocyanins and carotenoids: Updated review of mechanisms and catalyzing metals. Phytother Res. 2016;30(9):1379-91. https://doi.org/10.1002/ptr.5643

Sui X, Wang J, Zhao Z, Liu B, Liu M, Liu M, Shi C, Feng X, Fu Y, Shi D, Li S, Qi Q, Xian M, Zhao G. Phenolic compounds induce ferroptosis-like death by promoting hydroxyl radical generation in the Fenton reaction. Commun Biol. 2024;7(1):199. https://doi.org/10.1038/s42003-024-05903-5

Kruk J, Aboul-Enein BH, Duchnik E, Marchlewicz M. Antioxidative properties of phenolic compounds and their effect on oxidative stress induced by severe physical exercise. J Physiol Sci. 2022 Aug 5;72(1):19. https://doi.org/10.1186/s12576-022-00845-1

Günther M, Dabare S, Fuchs J, Gunesch S, Hofmann J, Decker M, Culmsee C. Flavonoid–phenolic acid hybrids are potent inhibitors of ferroptosis via attenuation of mitochondrial impairment. Antioxidants. 2024; 13(1):44. https://doi.org/10.3390/antiox13010044

Zhao J-W, Zhao W-Y and Yu Z. Correction: Food-derived compounds targeting ferroptosis for cancer therapy: from effects to mechanisms. Front. Oncol. 2025;15:1644727. https://doi.org/10.3389/fonc.2025.1644727

Tang X, Ding H, Liang M, Chen X, Yan Y, Wan N, Chen Q, Zhang J, Cao J. Curcumin induces ferroptosis in non-small-cell lung cancer via activating autophagy. Thorac Cancer. 2021;12(8):1219-1230. https://doi.org/10.1111/1759-7714.13904

Hynes MJ, Coinceanainn MO. Investigation of the release of iron from ferritin by naturally occurring antioxidants. J Inorg Biochem. 2002;90(1-2):18-21. https://doi.org/10.1016/s0162-0134(02)00383-5

Qin X, Zhang J, Wang B, Xu G, Yang X, Zou Z, Yu C. Ferritinophagy is involved in the zinc oxide nanoparticles-induced ferroptosis of vascular endothelial cells. Autophagy. 2021;17(12):4266-4285. https://doi.org/10.1080/15548627.2021.1911016

Kose T, Sharp PA, Latunde-Dada GO. Phenolic acids rescue iron-induced damage in murine pancreatic cells and tissues. Molecules. 2023; 28(10):4084. https://doi.org/10.3390/molecules28104084

Chen L, Lin W, Zhang H, Geng S, Le Z, Wan F, Huang Q, Chen H, Liu X, Lu JJ, Kong L. TRIB3 promotes malignancy of head and neck squamous cell carcinoma via inhibiting ferroptosis. Cell Death Dis. 2024;15(3):178. https://doi.org/10.1038/s41419-024-06472-5

Dodson M, Castro-Portuguez R, Zhang DD. NRF2 plays a critical role in mitigating lipid peroxidation and ferroptosis. Redox Biol. 2019;23:101107. 101107. https://doi.org/10.1016/j.redox.2019.101107

Yang JH, Choi MH, Na CS, Cho SS, Kim JH, Ku SK, Cho IJ, Shin HJ, Ki SH. Bamboo Stems (Phyllostachys nigra variety henosis) containing polyphenol mixtures activate Nrf2 and attenuate phenylhydrazine-induced oxidative stress and liver injury. Nutrients. 2019;11(1):114. https://doi.org/10.3390/nu11010114

Yuan C, Fan R, Zhu K, Wang Y, Xie W, Liang Y. Curcumin induces ferroptosis and apoptosis in osteosarcoma cells by regulating Nrf2/GPX4 signaling pathway. Exp Biol Med (Maywood). 2023;248(23):2183-2197. https://doi.org/10.1177/15353702231220670

Zhang Z, Ji Y, Hu N, Yu Q, Zhang X, Li J, Wu F, Xu H, Tang Q, Li X. Ferroptosis-induced anticancer effect of resveratrol with a biomimetic nano-delivery system in colorectal cancer treatment. Asian J Pharm Sci. 2022;17(5):751-766. https://doi.org/10.1016/j.ajps.2022.07.006

An S, Hu M. Quercetin Promotes TFEB Nuclear translocation and activates lysosomal degradation of ferritin to induce ferroptosis in breast cancer cells. Comput Intell Neurosci. 2022;2022:5299218. https://doi.org/10.1155/2022/5299218

Ding L, Dang S, Sun M, Zhou D, Sun Y, Li E, Peng S, Li J, Li G. Quercetin induces ferroptosis in gastric cancer cells by targeting SLC1A5 and regulating the p-Camk2/p-DRP1 and NRF2/GPX4 Axes. Free Radic Biol Med. 2024;213:150-163. https://doi.org/10.1016/j.freeradbiomed.2024.01.002

Wang S, Wang R, Hu D, Zhang C, Cao P, Huang J, Wang B. Epigallocatechin gallate modulates ferroptosis through downregulation of tsRNA-13502 in non-small cell lung cancer. Cancer Cell Int. 2024;24(1):200. https://doi.org/10.1186/s12935-024-03391-5

Liu Y, Fu X, Li J, Guo J, Zhao Z, Zheng J. Gallic acid alleviates ferroptosis by negatively regulating APOC3 and improves nerve function deficit caused by traumatic brain injury. Sci Rep. 2025;15(1):7815. https://doi.org/10.1038/s41598-025-92383-0

Wu L, Lv L, Xiang Y, Yi D, Liang Q, Ji M, Deng Z, Qin L, Ren L, Liang Z, He J. Rosmarinic acid protects against acetaminophen-induced hepatotoxicity by suppressing ferroptosis and oxidative stress through Nrf2/HO-1 activation in mice. Mar Drugs. 2025; 23(7):287. https://doi.org/10.3390/md23070287

Li LY, Wang Q, Deng L, Lin Z, Lin JJ, Wang XY, Shen TY, Zheng YH, Lin W, Li PJ, Fu XQ, Lin ZL. Chlorogenic acid alleviates hypoxic-ischemic brain injury in neonatal mice. Neural Regen Res. 2023;18(3):568-576. https://doi.org/10.4103/1673-5374.350203

Zhang N, Wang Z, Li G, Zhang M, Liu Q, Cai C, Shang Y, Zhu H, An H, Ren S. A carrier-free metal-phenolic network with enhanced ferroptosis-immunotherapy for overcoming tumor resistance and metastasis. Chem.Eng.J. 2024;488: 150780. https://doi.org/10.1016/j.cej.2024.150780

Jakobušić Brala C, Karković Marković A, Kugić A, Torić J, Barbarić M. Combination chemotherapy with selected polyphenols in preclinical and clinical studies-an update overview. Molecules. 2023;28(9):3746. https://doi.org/10.3390/molecules28093746

Zhang X, Ma Y, Wan J, Yuan J, Wang D, Wang W, Sun X and Meng Q. Biomimetic nanomaterials triggered ferroptosis for cancer theranostics. Front. Chem.2021; 9:768248. https://doi.org/10.3389/fchem.2021.768248

Farzipour S, Zefrei FJ, Bahadorikhalili S, Alvandi M, Salari A, Shaghaghi Z. Nanotechnology utilizing ferroptosis ınducers in cancer treatment. Anticancer Agents Med Chem.2024;24(8):571-589. https://doi.org/10.2174/0118715206278427231215111526

Gao M, Yi J, Zhu J, Minikes AM, Monian P, Thompson CB, Jiang X. Role of mitochondria in ferroptosis. Mol Cell. 2019;73(2):354-363.e3. https://doi.org/10.1016/j.molcel.2018.10.042

Chen X, Yu C, Kang R, Tang D. Iron metabolism in ferroptosis. Front Cell Dev Biol. 2020;8:590226. https://doi.org/10.3389/fcell.2020.590226

Ru Q, Li Y, Chen L, Wu Y, Min J, Wang F. Iron homeostasis and ferroptosis in human diseases: mechanisms and therapeutic prospects. Signal Transduct Target Ther. 2024;9(1):271. https://doi.org/10.1038/s41392-024-01969-z

Artusi I, Rubin M, Cravin G, Cozza G. Ferroptosis in Human Diseases: Fundamental Roles and Emerging Therapeutic Perspectives. Antioxidants. 2025; 14(12):1411. https://doi.org/10.3390/antiox14121411

Salnikow K. Role of iron in cancer. Semin Cancer Biol. 2021;76:189-194. https://doi.org/10.1016/j.semcancer.2021.04.001

Kagan VE, Mao G, Qu F, Angeli JP, Doll S, Croix CS, Dar HH, Liu B, Tyurin VA, Ritov VB, Kapralov AA, Amoscato AA, Jiang J, Anthonymuthu T, Mohammadyani D, Yang Q, Proneth B, Klein-Seetharaman J, Watkins S, Bahar I, Greenberger J, Mallampalli RK, Stockwell BR, Tyurina YY, Conrad M, Bayır H. Oxidized arachidonic and adrenic PEs navigate cells to ferroptosis. Nat Chem Biol. 2017;13(1):81-90. https://doi.org/10.1038/nchembio.2238

Tang D, Chen X, Kang R, Kroemer G. Ferroptosis: molecular mechanisms and health implications. Cell Res. 2021;31(2):107-125. https://doi.org/10.1038/s41422-020-00441-1

Rochette L, Dogon G, Rigal E, Zeller M, Cottin Y, Vergely C. Lipid Peroxidation and Iron Metabolism: Two Corner Stones in the Homeostasis Control of Ferroptosis. Int. J. Mol. Sci. 2023;24(1):449. https://doi.org/10.3390/ijms24010449

Ayala A, Muñoz MF, Argüelles S. Lipid peroxidation: production, metabolism, and signaling mechanisms of malondialdehyde and 4-hydroxy-2-nonenal. Oxid Med Cell Longev. 2014;2014:360438. https://doi.org/10.1155/2014/36043

Doll S, Proneth B, Tyurina YY, Panzilius E, Kobayashi S, Ingold I, Irmler M, Beckers J, Aichler M, Walch A, Prokisch H, Trümbach D, Mao G, Qu F, Bayir H, Füllekrug J, Scheel CH, Wurst W, Schick JA, Kagan VE, Angeli JP, Conrad M. ACSL4 dictates ferroptosis sensitivity by shaping cellular lipid composition. Nat Chem Biol. 2017;13(1):91-98. https://doi.org/10.1038/nchembio.2239

Dixon SJ, Patel DN, Welsch M, Skouta R, Lee ED, Hayano M, Thomas AG, Gleason CE, Tatonetti NP, Slusher BS, Stockwell BR. Pharmacological inhibition of cystine-glutamate exchange induces endoplasmic reticulum stress and ferroptosis. Elife. 2014;3:e02523. https://doi.org/10.7554/eLife.02523

Ursini F, Maiorino M. Lipid peroxidation and ferroptosis: The role of GSH and GPx4. Free Radic Biol Med. 2020;152:175-185. https://doi.org/10.1016/j.freeradbiomed.2020.02.027

Mashima R, Okuyama T. The role of lipoxygenases in pathophysiology; new insights and future perspectives. Redox Biol. 2015;6:297-310. https://doi.org/10.1016/j.redox.2015.08.006

Chu B, Kon N, Chen D, Li T, Liu T, Jiang L, Song S, Tavana O, Gu W. ALOX12 is required for p53-mediated tumour suppression through a distinct ferroptosis pathway. Nat Cell Biol. 2019;21(5):579-591. https://doi.org/10.1038/s41556-019-0305-6

Zhang XD, Liu ZY, Wang MS, Guo YX, Wang XK, Luo K, Huang S, Li RF. Mechanisms and regulations of ferroptosis. Front Immunol. 2023;14:1269451. https://doi.org/10.3389/fimmu.2023.1269451

Yan R, Lin B, Jin W, Tang L, Hu S, Cai R. NRF2, a Superstar of Ferroptosis. Antioxidants (Basel). 2023;12(9):1739. https://doi.org/10.3390/antiox12091739

Liu Y, Wang Y, Liu J, Kang R, Tang D. Interplay between MTOR and GPX4 signaling modulates autophagy-dependent ferroptotic cancer cell death. Cancer Gene Ther. 2021;28(1-2):55-63. https://doi.org/10.1038/s41417-020-0182-y

Xie J, Wang H, Xie W, Liu Y, Chen Y. Gallic acid promotes ferroptosis in hepatocellular carcinoma via inactivating Wnt/β-catenin signaling pathway. Naunyn Schmiedebergs Arch Pharmacol. 2024;397(4):2437-2445. https://doi.org/10.1007/s00210-023-02770-5

Hong Z, Tang P, Liu B, Ran C, Yuan C, Zhang Y, Lu Y, Duan X, Yang Y, Wu H. Ferroptosis-related Genes for Overall Survival Prediction in Patients with Colorectal Cancer can be Inhibited by Gallic acid. Int J Biol Sci. 2021;17(4):942-956. https://doi.org/10.7150/ijbs.57164

Tang HM, Cheung PCK. Gallic Acid Triggers Iron-Dependent Cell Death with Apoptotic, Ferroptotic, and Necroptotic Features. Toxins. 2019; 11(9):492. https://doi.org/10.3390/toxins11090492

Chen X, Cui H, Qin L, Liu R, Fang F, Wang Z. Soybean Lecithin-Gallic Acid Complex Sensitizes Lung Cancer Cells to Radiation Through Ferroptosis Regulated by Nrf2/SLC7A11/GPX4 Pathway. Nutrients. 2025;17(7):1262. https://doi.org/10.3390/nu17071262

Zou C, Xu H, Hu F, Yu Y, Liu L, Wang X, Zhang Z, Zou H, Liu J, Huang H and Lai S. Gallic acid attenuates diabetic cardiomyopathy by inhibiting ferroptosis and protecting mitochondria via the TSPO/FTMT pathway. Front. Pharmacol. 2025;16:1661144. https://doi.org/10.3389/fphar.2025.1661144

Zhang Q, Shi Y, Zhang X, Liang S, Xu H, Quan W, Zhong C, Ding Y. The mechanisms and therapeutic applications of phenolic acids in vascular cognitive impairment: A comprehensive review, Curr Mol Pharmacol. 2025;18(1):32-47. https://doi.org/10.1016/j.cmp.2025.09.002

Zhao Y, Wang C, Yang T, Wang H, Zhao S, Sun N, Chen Y, Zhang H, Fan H. Chlorogenic Acid Alleviates Chronic Stress-Induced Duodenal Ferroptosis via the Inhibition of the IL-6/JAK2/STAT3 Signaling Pathway in Rats. J Agric Food Chem. 2022;70(14):4353-4361. https://doi.org/10.1021/acs.jafc.2c01196

Wu L, Chen HY, Zhang JT, Yang RY, Wang ZB, Xue PS, Peng W, Li KX, Gao WH, Zeng PH. Chlorogenic acid induces hepatocellular carcinoma cell ferroptosis via PTGS2/AKR1C3/GPX4 axis-mediated reprogramming of arachidonic acid metabolism. World J Gastrointest Oncol 2025; 17(3): 98844. https://doi.org/10.4251/wjgo.v17.i3.98844

Hitl M, Kladar N, Gavarić N, Božin B. Rosmarinic Acid-Human Pharmacokinetics and Health Benefits. Planta Med. 2021;87(4):273-282. https://doi.org/10.1055/a-1301-8648

Huang JY, Hsu TW, Chen YR, Kao SH. Rosmarinic Acid Potentiates Cytotoxicity of Cisplatin against Colorectal Cancer Cells by Enhancing Apoptotic and Ferroptosis. Life (Basel). 2024;14(8):1017. https://doi.org/10.3390/life14081017

Xie C, Chan L, Pang Y, Shang Y, Wang W, Zhao L. Rosmarinic acid promotes mitochondrial fission and induces ferroptosis in triple-negative breast cancer cells. Naunyn Schmiedebergs Arch Pharmacol. 2025;398:10461-10475. https://doi.org/10.1007/s00210-025-03927-0

Tang J, Zhang J, Chen H, Wang Z, Wu L, Xue P, Yang R, Peng W, Zeng P. Rosmarinic acid induces ferroptosis in colon cancer: insights from AKR1C3/PTGS2 pathway and mitochondrial dysfunction. 3 Biotech. 2025;15(11):374. https://doi.org/10.1007/s13205-025-04551-8

Liu L, Weng J, Yue L, Qin Y, Yu J, Li Y, Li S, Wu J, Yang Y, Tang Z, Xu H. Rosmarinic acid suppresses ferroptosis and confers neuroprotection in cerebral ischemia-reperfusion via direct KEAP1 inhibition and NRF2 activation. Free Radic Biol Med. 2026;242:237-249. https://doi.org/10.1016/j.freeradbiomed.2025.10.291

Wu L, Lv L, Xiang Y, Yi D, Liang Q, Ji M, Deng Z, Qin L, Ren L, Liang Z, He J. Rosmarinic Acid Protects Against Acetaminophen-Induced Hepatotoxicity by Suppressing Ferroptosis and Oxidative Stress Through Nrf2/HO-1 Activation in Mice. Mar Drugs. 2025;23(7):287. https://doi.org/10.3390/md23070287

Qiao O, Zhang L, Han L, Wang X, Li Z, Bao F, Hao H, Hou Y, Duan X, Li N, Gong Y. Rosmarinic acid plus deferasirox inhibits ferroptosis to alleviate crush syndrome-related AKI via Nrf2/Keap1 pathway. Phytomedicine. 2024;129:155700. https://doi.org/10.1016/j.phymed.2024.155700

Cao Y, Zhang H, Tang J, Wang R. Ferulic Acid Mitigates Growth and Invasion of Esophageal Squamous Cell Carcinoma through Inducing Ferroptotic Cell Death. Dis Markers. 2022;2022:4607966. https://doi.org/10.1155/2022/4607966

Tang X, Liu J, Yao S, Zheng J, Gong X, Xiao B. Ferulic acid alleviates alveolar epithelial barrier dysfunction in sepsis-induced acute lung injury by activating the Nrf2/HO-1 pathway and inhibiting ferroptosis. Pharm Biol. 2022;60(1):2286-2294. https://doi.org/10.1080/13880209.2022.2147549

Consoli V, Fallica AN, Virzì NF, Salerno L, Intagliata S, Sorrenti V, Greish K, Giuffrida A, Vanella L, Pittalà V. Synthesis and in Vitro Evaluation of CAPE Derivatives as Ferroptosis Inducers in Triple Negative Breast Cancer. ACS Med Chem Lett. 2024;15(5):706-713. https://doi.org/10.1021/acsmedchemlett.4c00099

Khanam S, Hong YJ, Kim Y, Choi EH, Han I. Enhancing Ferroptosis in Lung Adenocarcinoma Cells via the Synergistic Action of Nonthermal Biocompatible Plasma and a Bioactive Phenolic Compound. Biomolecules. 2025;15(5):691. https://doi.org/10.3390/biom15050691

Dias MC, Pinto DCGA, Silva AMS. Plant Flavonoids: Chemical Characteristics and Biological Activity. Molecules. 2021;26(17):5377. https://doi.org/10.3390/molecules26175377

Kumar S, Pandey AK. Chemistry and biological activities of flavonoids: an overview. ScientificWorldJournal. 2013;2013:162750. https://doi.org/10.1155/2013/162750

Aggarwal D, Chaudhary M, Mandotra SK, Tuli HS, Chauhan R, Joshi NC, Kaur D, Dufossé L, Chauhan A. Anti-inflammatory potential of quercetin: From chemistry and mechanistic insight to nanoformulations. Curr Res Pharmacol Drug Discov. 2025;8:100217. https://doi.org/10.1016/j.crphar.2025.100217

Zhu YW, Liu CL, Li XM, Shang Y. Quercetin induces ferroptosis by inactivating mTOR/S6KP70 pathway in oral squamous cell carcinoma. Toxicol Mech Methods. 2024;34(6):669-675. https://doi.org/10.1080/15376516.2024.2325989

Wang ZX, Ma J, Li XY, Wu Y, Shi H, Chen Y, Lu G, Shen HM, Lu GD, Zhou J. Quercetin induces p53-independent cancer cell death through lysosome activation by the transcription factor EB and reactive oxygen species-dependent ferroptosis. Br J Pharmacol. 2021;178(5):1133-1148. https://doi.org/10.1111/bph.15350

Li X, Zhu Q, Ma M, Guo H. Quercetin inhibits the progression of endometrial HEC-1-A cells by regulating ferroptosis-a preliminary study. Eur J Med Res. 2022;27(1):292. https://doi.org/10.1186/s40001-022-00934-2

Zheng Y, Li L, Chen H, Zheng Y, Tan X, Zhang G, Jiang R, Yu H, Lin S, Wei Y, Wang Y, Zhang R, Liu Z, Wu J. Luteolin exhibits synergistic therapeutic efficacy with erastin to induce ferroptosis in colon cancer cells through the HIC1-mediated inhibition of GPX4 expression. Free Radic Biol Med. 2023;208:530-544. https://doi.org/10.1016/j.freeradbiomed.2023.09.014

Cao Q, Ding S, Zheng X, Li H, Yu L, Zhu Y, Jiang D, Ruan S. Luteolin Induces GPX4-dependent Ferroptosis and Enhances Immune Activation in Colon Cancer. Phytomedicine. 2025;146:157117. https://doi.org/10.1016/j.phymed.2025.157117

Fu W, Xu L, Chen Y, Zhang Z, Chen S, Li Q, You X. Luteolin induces ferroptosis in prostate cancer cells by promoting TFEB nuclear translocation and increasing ferritinophagy. Prostate. 2024;84(3):223-236. https://doi.org/10.1002/pros.24642

Han S, Lin F, Qi Y, Liu C, Zhou L, Xia Y, Chen K, Xing J, Liu Z, Yu W, Zhang Y, Zhou X, Rao T, Cheng F. HO-1 Contributes to Luteolin-Triggered Ferroptosis in Clear Cell Renal Cell Carcinoma via Increasing the Labile Iron Pool and Promoting Lipid Peroxidation. Oxid Med Cell Longev. 2022;2022:3846217. https://doi.org/10.1155/2022/3846217

Liu H, Yang J, Wang L, Meng S, Tang X, Liu C, Wang Y. Luteolin inhibits glioblastoma by regulating ROS levels via the NFE2L2/x-CT/GPX4 signalling axis. Tianjin Medical Journal, 2025, 53(7): 673-678. https://doi.org/10.11958/20250608

Li Y, Bai X. Naringenin induces ferroptosis in osteosarcoma cells through the STAT3-MGST2 signaling pathway. J Bone Oncol. 2024;50:100657. https://doi.org/10.1016/j.jbo.2024.100657

Li YZ, Deng J, Zhang XD, Li DY, Su LX, Li S, Pan JM, Lu L, Ya JQ, Yang N, Zhou J, Yang LH. Naringenin enhances the efficacy of ferroptosis inducers by attenuating aerobic glycolysis by activating the AMPK-PGC1α signalling axis in liver cancer. Heliyon. 2024;10(11):e32288. https://doi.org/10.1016/j.heliyon.2024.e32288

Lv Y, Liu Z, Deng L, Xia S, Mu Q, Xiao B, Xiu Y, Liu Z. Hesperetin promotes bladder cancer cells death via the PI3K/AKT pathway by network pharmacology and molecular docking. Sci Rep. 2024;14(1):1009. https://doi.org/10.1038/s41598-023-50476-8

Peng L, Hu X-Z, Liu Z-Q, Liu W-K, Huang Q and Wen Y. Therapeutic potential of resveratrol through ferroptosis modulation: insights and future directions in disease therapeutics. Front Pharmacol. 2024; 15:1473939. https://doi.org/10.3389/fphar.2024.1473939

Zhang E, Wang Y, Zhang H, Li X, Su Y, Cui J, Xu R, Mao X, Sang M, Lin Z, Zhou X. Resveratrol induces ferroptosis in triple-negative breast cancer through NEDD4L-mediated GPX4 ubiquitination and degradation. Free Radic Biol Med. 2025;235:231-247. https://doi.org/10.1016/j.freeradbiomed.2025.04.052

Xiang L, Li Q, Guan Z, Wang G, Yu X, Zhang X, Zhang G, Hu J, Yang X, Li M, Bao X, Wang Y, Wang D. Oxyresveratrol as a novel ferroptosis inducer exhibits anticancer activity against breast cancer via the EGFR/PI3K/AKT/GPX4 signalling axis. Front Pharmacol. 2025;15:1527286. https://doi.org/10.3389/fphar.2024.1527286

Chen X, Lu JL, Li H, Liu GY, Li TT, Xiao KH, Ye HS, Li S, Chen X, Liu J. Resveratrol Induces Oxidative Stress and Downregulates GPX4 and xCT to Activate the Ferroptosis Pathway for Anti-Bladder Cancer Organoids. Journal of Cancer. 2025;16(8): 2613-2625. doi: https://doi.org/10.7150/jca.109350

Shan G, Minchao K, Jizhao W, Rui Z, Guangjian Z, Jin Z, Meihe L. Resveratrol improves the cytotoxic effect of CD8 +T cells in the tumor microenvironment by regulating HMMR/Ferroptosis in lung squamous cell carcinoma. J Pharm Biomed Anal. 2023;229:115346. https://doi.org/10.1016/j.jpba.2023.115346

Liu J, Gao W, Sheng Y, Sun J, Wen D. Resveratrol drives ferroptosis of acute myeloid leukemia cells through Hsa-miR-335-5p/NFS1/GPX4 pathway in a ROS-dependent manner. Cell Mol Biol (Noisy-le-grand). 2023;69(7):131-137. https://doi.org/10.14715/cmb/2023.69.7.21

Yamada T, Iwasawa T, Shimizu Y, Kato K. Resveratrol enhances sulfasalazine-induced ferroptosis by promoting iron ion accumulation and lipid peroxidation in cancer cells. Anticancer Res. 2025;45(8):3231-3244 https://doi.org/10.21873/anticanres.17685

Zheng Y, Lu S, Li T. Resveratrol increases cisplatin sensitivity in pancreatic cancer cells by modulating dihydroorotatede hydrogenase-mediated ferroptosis. Food Science, 2025;46(9):189-205. https://doi.org/10.7506/spkx1002-6630-20241118-136

Zhao X, Lu S, Yan M, Zhu ZG, Dong F, Yan C. Resveratrol targets mitochondrial USP36–SOD2 to induce autophagy-ferroptosis and inhibit gastric cancer progression. Gastric Cancer. 2025;28:1067–1084. https://doi.org/10.1007/s10120-025-01645-3

Zhou Y, Qian W, Li X, Wei W. NF-κB Inhibitor Myrislignan Induces Ferroptosis of Glioblastoma Cells via Regulating Epithelial-Mesenchymal Transformation in a Slug-Dependent Manner. Oxid Med Cell Longev. 2023;2023:7098313. https://doi.org/10.1155/2023/7098313

Chen M, Tan AH, Li J. Curcumin represses colorectal cancer cell proliferation by triggering ferroptosis via PI3K/Akt/mTOR signaling. Nutr Cancer. 2023;75(2):726-733. https://doi.org/10.1080/01635581.2022.2139398

Deng J, Wu Z, Ning S, Chang X, Liu J, Yu Y, Zhang M, Zhang L. Curcumin induces ferroptosis in hepatocellular carcinoma by regulating the P62-KEAP1-NRF2-signaling pathway. BMC Cancer. 2025. https://doi.org/10.1186/s12885-025-15307-1

Jiang Y, Hui D, Pan Z, Yu Y, Liu L, Yu X, Wu C, Sun M. Curcumin promotes ferroptosis in hepatocellular carcinoma via upregulation of ACSL4. J Cancer Res Clin Oncol. 2024;150(9):429. https://doi.org/10.1007/s00432-024-05878-0

Cao X, Li Y, Wang Y, Yu T, Zhu C, Zhang X, Guan J. Curcumin suppresses tumorigenesis by ferroptosis in breast cancer. PLoS One. 2022;17(1):e0261370. https://doi.org/10.1371/journal.pone.0261370

Consoli V, Sorrenti V, Pittalà V, Greish K, D’Amico AG, Romeo G, Intagliata S, Salerno L, Vanella L. Heme Oxygenase Modulation Drives Ferroptosis in TNBC Cells. Int J Mol Sci. 2022;23(10):5709. https://doi.org/10.3390/ijms23105709

Lin H, Chen X, Zhang C, Yang T, Deng Z, Song Y, Huang L, Li F, Li Q, Lin S, Jin D. EF24 induces ferroptosis in osteosarcoma cells through HMOX1. Biomed Pharmacother. 2021;136:111202. https://doi.org/10.1016/j.biopha.2020.111202

Chen H, Li Z, Xu J, Zhang N, Chen J, Wang G, Zhao Y. Curcumin Induces Ferroptosis in Follicular Thyroid Cancer by Upregulating HO-1 Expression. Oxid Med Cell Longev. 2023;2023:6896790. https://doi.org/10.1155/2023/6896790

Zheng, Xin, Jun Liu, Wei Hu, Bin Jiang, Xin Zhou, Min Zhang, and Ming Song. Curcumin induces autophagy-mediated ferroptosis by targeting the PI3K/AKT/MTOR signaling pathway in gastric cancer. Turk J Gastroenterol. 2024;35(8):625-633. https://www.turkjgastroenterol.org/index.php/tjg/article/view/4141

Shi M, Zhang MJ, Yu Y, Ou R, Wang Y, Li H, Ge RS. Curcumin derivative NL01 induces ferroptosis in ovarian cancer cells via HCAR1/MCT1 signaling. Cell Signal. 2023;109:110791. https://doi.org/10.1016/j.cellsig.2023.110791

Xu B, Zhou L, Zhang Q. Curcumin inhibits the progression of non-small cell lung cancer by regulating DMRT3/SLC7A11 axis. Mol Biotechnol. 2025;67(5):1880-1892. https://doi.org/10.1007/s12033-024-01166-x

Li G, Fang S, Shao X, Li Y, Tong Q, Kong B, Chen L, Wang Y, Yang J, Yu H, Xie X, Zhang J. Curcumin reverses NNMT-induced 5-Fluorouracil resistance via increasing ROS and cell cycle arrest in colorectal cancer cells. Biomolecules. 2021;11(9):1295. https://doi.org/10.3390/biom11091295

Feng T, Zhou Y, Mao X, Rui X, Cai L. Curcumol enhances the sensitivity of gastric cancer to cisplatin resistance by inducing ferroptosis through the P62/KEAP1/NRF2 pathway. Integr Cancer Ther. 2024;23:15347354241294043. https://doi.org/10.1177/15347354241294043

Xu B, Zhu WJ, Peng YJ, Cheng SD. Curcumin reverses the sunitinib resistance in clear cell renal cell carcinoma (ccRCC) through the induction of ferroptosis via the ADAMTS18 gene. Transl Cancer Res. 2021;10(7):3158-3167. https://doi.org/10.21037/tcr-21-227

Ming T, Lei J, Peng Y, Wang M, Liang Y, Tang S, Tao Q, Wang M, Tang X, He Z, Liu X, Xu H. Curcumin suppresses colorectal cancer by induction of ferroptosis via regulation of p53 and solute carrier family 7 member 11/glutathione/glutathione peroxidase 4 signaling axis. Phytother Res. 2024;38(8):3954-3972. https://doi.org/10.1002/ptr.8258

Mokhtari Tabar MM, Ghasemian A, Kouhpayeh A, Behmard E. Computational discovery of novel GPX4 inhibitors from herbal sources as potential ferroptosis inducers in cancer therapy. Arch Biochem Biophys. 2025;764:110231. https://doi.org/10.1016/j.abb.2024.110231

Wu Z, Zhang G, Shang Y, Huang J, Liu Y, Zhou H, Wang T. New curcumin derivative induces ferroptosis in MCF-7 cells through activating SLC7A11/GPX4 axis. Bioorg Med Chem.2025;121:118078. https://doi.org/10.1016/j.bmc.2025.118078.

Wang J, Zhang Z, Li Q, Hu Z, Chen Y, Chen H, Cai W, Du Q, Zhang P, Xiong D, Ye S. Network pharmacology and molecular docking reveal the mechanisms of curcumin activity against esophageal squamous cell carcinoma. Front. Pharmacol.2024; 15:1282361. https://doi.org/10.3389/fphar.2024.1282361

Firouzjaei AA, Aghaee-Bakhtiari SH, Tafti A, Sharifi K, Abadi MHJN, Rezaei S, Mohammadi-Yeganeh S. Impact of curcumin on ferroptosis-related genes in colorectal cancer: Insights from in-silico and in-vitro studies. Cell Biochem Funct. 2023;41(8):1488-1502. https://doi.org/10.1002/cbf.3889

Li R, Zhang J, Zhou Y, Gao Q, Wang R, Fu Y, Zheng L, Yu H. Transcriptome Investigation and In Vitro Verification of Curcumin-Induced HO-1 as a Feature of Ferroptosis in Breast Cancer Cells. Oxid Med Cell Longev. 2020;2020:3469840. https://doi.org/10.1155/2020/3469840

Miyazaki K, Xu C, Shimada M, Goel A. Curcumin and Andrographis Exhibit Anti-Tumor Effects in Colorectal Cancer via Activation of Ferroptosis and Dual Suppression of Glutathione Peroxidase-4 and Ferroptosis Suppressor Protein-1. Pharmaceuticals (Basel). 2023;16(3):383. https://doi.org/10.3390/ph16030383

Li W, Li Y, Lin F, Guo H, Zhou H, Li H, Su H, Wang T. Hydroxytyrosol induced ferroptosis through Nrf2 signaling pathway in colorectal cancer cells. Sci Rep. 2025;15(1):21271. https://doi.org/10.1038/s41598-025-04415-4

Xiang L, Li Q, Guan Z, Wang G, Yu X, Zhang X, Zhang G, Hu J, Yang X, Li M, Bao X, Wang Y, Wang D. Oxyresveratrol as a novel ferroptosis inducer exhibits anticancer activity against breast cancer via the EGFR/PI3K/AKT/GPX4 signalling axis. Front. Pharmacol.2025;15:1527286. https://doi.org/10.3389/fphar.2024.1527286

Yang C, Wang T, Zhao Y, Meng X, Ding W, Wang Q, Liu C, Deng H. Flavonoid 4,4'-dimethoxychalcone induced ferroptosis in cancer cells by synergistically activating Keap1/Nrf2/HMOX1 pathway and inhibiting FECH. Free Radic Biol Med. 2022;188:14-23. https://doi.org/10.1016/j.freeradbiomed.2022.06.010

Wen RJ, Dong X, Zhuang HW, Pang FX, Ding SC, Li N, Mai YX, Zhou ST, Wang JY, Zhang JF. Baicalin induces ferroptosis in osteosarcomas through a novel Nrf2/xCT/GPX4 regulatory axis. Phytomedicine. 2023;116:154881. https://doi.org/10.1016/j.phymed.2023.154881

Feng S, Zhou Y, Huang H, Lin Y, Zeng Y, Han S, Huang K, Liu Q, Zhu W, Yuan Z, Liang B. Nobiletin Induces Ferroptosis in Human Skin Melanoma Cells Through the GSK3β-Mediated Keap1/Nrf2/HO-1 Signalling Pathway. Front Genet. 2022;13:865073. https://doi.org/10.3389/fgene.2022.865073

Han S, Lin F, Qi Y, Liu C, Zhou L, Xia Y, Chen K, Xing J, Liu Z, Yu W, Zhang Y, Zhou X, Rao T, Cheng F. HO-1 Contributes to Luteolin-Triggered Ferroptosis in Clear Cell Renal Cell Carcinoma via Increasing the Labile Iron Pool and Promoting Lipid Peroxidation. Oxid Med Cell Longev. 2022;2022:3846217. https://doi.org/10.1155/2022/3846217

Niu L, Li Z, Fan W, Zhong X, Peng M, Liu Z. Nano-Strategies for Enhancing the Bioavailability of Tea Polyphenols: Preparation, Applications, and Challenges. Foods. 2022;11(3):387. https://doi.org/10.3390/foods11030387

Jia W, Zhou L, Li L, Zhou P, Shen Z. Nano-based drug delivery of polyphenolic compounds for cancer treatment: Progress, opportunities, and challenges. Pharmaceuticals (Basel). 2023;16(1):101. https://doi.org/10.3390/ph16010101

Yu X, Shang T, Zheng G, Yang H, Li Y, Cai Y, Xie G, Yang B. Metal-polyphenol-coordinated nanomedicines for Fe(II) catalyzed photoacoustic-imaging guided mild hyperthermia-assisted ferroustherapy against breast cancer. Chin Chem Lett. 2022;33(4):1895-1900. https://doi.org/10.1016/j.cclet.2021.10.021

Chen Y, Yang X, Li H, Wu X, Wu W, Chen J, Wu A, Wang X. Self-Assembled Fe-Phenolic Acid Network Synergizes with Ferroptosis to Enhance Tumor Nanotherapy. Small. 2024;20(36):e2402073. https://doi.org/10.1002/smll.202402073

Qin Y, Fan J, Zhang Y, Yang W, Cao J, Liu B, He Q. Natural Polyphenol–Metal Supramolecular Nanocomplex for Ferroptosis Activation in Chemoresistant Hepatocellular Carcinoma. Aggregate. 2025;6. https://doi.org/10.1002/agt2.70149

Wang M, Yu A, Han W, Chen J, Lu C, Tu X. Self-assembled metal-phenolic nanocomplexes comprised of green tea catechin for tumor-specific ferroptosis. Mater Today Bio. 2024;26:101040. https://doi.org/10.1016/j.mtbio.2024.101040

Fan Y, Zhang X, Zhao J, Chen S, Liang J. Cancer cell membrane-camouflaged curcumin nanoparticles trigger ferroptosis for accurate gastric cancer therapy. Eur J Pharm Biopharm. 2024;204:114509. https://doi.org/10.1016/j.ejpb.2024.114509

Lei L, Yuan J, Yang Q, Tu Q, Yu H, Chu L, Tang L, Zhang C. Curcumin-polydopamine nanoparticles alleviate ferroptosis by iron chelation and inhibition of oxidative stress damage. RSC Adv. 2024;14(21):14934-14941. https://doi.org/10.1039/d4ra02336f

Jia M, Tan X, Yuan Z, Zhu W, Yan P. Nanoliposomes encapsulated rapamycin/resveratrol to induce apoptosis and ferroptosis for enhanced colorectal cancer therapy. J Pharm Sci. 2024;113:2565–74. https://doi.org/10.1016/j.xphs.2024.05.015

Fernández-Acosta R, Iriarte-Mesa C, Alvarez-Alminaque D, Hassannia B, Wiernicki B, Díaz-García AM, Vandenabeele P, Vanden Berghe T, Pardo Andreu GL. Novel iron oxide nanoparticles induce ferroptosis in a panel of cancer cell lines. Molecules. 2022; 27(13):3970. https://doi.org/10.3390/molecules27133970

Liu R, Rong G, Liu Y, Huang W, He D, Lu R. Delivery of apigenin-loaded magnetic Fe2O3/Fe3O4@mSiO2 nanocomposites to A549 cells and their antitumor mechanism. Mater Sci Eng C Mater Biol Appl. 2021;120:111719. https://doi.org/10.1016/j.msec.2020.111719

Chen R, Jiang Z, Cheng Y, Ye J, Li S, Xu Y, Ye Z, Shi Y, Ding J, Zhao Y, Zheng H, Wu F, Lin G, Xie C, Yao Q, Kou L. Multifunctional iron-apigenin nanocomplex conducting photothermal therapy and triggering augmented immune response for triple negative breast cancer. Int J Pharm. 2024;655:124016. https://doi.org/10.1016/j.ijpharm.2024.124016

Guo Y, Wang H, Wang X, Chen K, Feng L. Enhancing radiotherapy in triple-negative breast cancer with hesperetin-induced ferroptosis via AURKA targeting nanocomposites. J Nanobiotechnology. 2024;22(1):744. https://doi.org/10.1186/s12951-024-02987-3

Wang Q, He J, Qi Y, Ye Y, Ye J, Zhou M. Ultrasound-enhanced nano catalyst with ferroptosis-apoptosis combined anticancer strategy for metastatic uveal melanoma. Biomaterials. 2024;305:122458. https://doi.org/10.1016/j.biomaterials.2023.122458

Downloads

Published

2026-02-28

How to Cite

Sahin, T. (2026). Regulatory Effects of Plant-Derived Phenolic Compounds on Ferroptosis: A Novel Paradigm in Cancer Therapy. Pharmedicine Journal, 3(1), 1–26. https://doi.org/10.62482/pmj.53

Issue

Section

Review