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Table 1 Summary of current therapeutic strategies for some natural products and their chemical derivatives in GSCs. The structure, biological targets, analysis methods, clinical phase andchanism of 38 natural compounds/or derivatives are described

From: Role of glioblastoma stem cells in cancer therapeutic resistance: a perspective on antineoplastic agents from natural sources and chemical derivatives

Compound

Therapeutic/structure

Biological targets/mechanism of action

Evaluated

Clinical trials

Ref.

1

Cyclopamine (11-deoxojervine)

View full size image

Target Hedgehog pathway.

Promote inhibition of side and aldefluor-positive populations.

In vitro and in vivo

No

[114,115,116]

PubChem CID:

442972

2

Guggulsterone

View full size image

Promote intrinsic apoptosis of GSCs and sensitize cells to SANT-1.

Targeting Ros/NF-κB and Hedgehog.

In vitro

No

[115, 117]

PubChem CID:

6450278

3

CX-4945 (Silmitasertib)

View full size image

Target several GSC factors and markers

Casein kinase 2 selective inhibitor.

In vitro and in vivo

Yes

[118,119,120,121]

PubChem CID:

24748573

4

SCH 900776

View full size image

DNA repair inhibitors

Promote radio-chemosensitivity.

Promote CHK1 inhibition.

In vitro and in vivo

Yes

[122,123,124,125]

PubChem CID:

46239015

5

SAR-020106

View full size image

DNA repair inhibitor

Promote CHK1 inhibition

In vitro and in vivo

Yes

[124, 125]

PubChem CID: 44203948

6

AZD7762

View full size image

DNA repair inhibitor

Promote radio-chemosensitivity.

Promote CHK1, CHK2, and ATM protein inhibition.

In vitro and in vivo

Yes

[120, 124]

PubChem CID:

11152667

7

Debromohymenialdisine (DBH)

View full size image

DNA inhibitors

Promote radio-chemosensitivity.

Promote CHK1, CHK2, and ATM protein inhibition.

In vitro and in vivo

Yes

[43, 126,127,128]

PubChem CID:

135451156

8

Erlotinib

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EGFR inhibitors

Promote proliferation and self-renewal inhibition.

Promote cell death.

In vitro and in vivo

Yes

[126,127,128,129,130,131,132]

PubChem CID:

176870

9

Gefitinib

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EGFR inhibitors

Promote proliferation and self-renewal inhibition.

Promote cell death.

In vitro and in vivo

Yes

[126,127,128,129,130,131,132]

PubChem CID:

123631

10

Rapamycin (Sirolimus)

View full size image

Promote GSC differentiation.

Reduce stem cell markers.

Promote radiosensitivity.

In vitro and in vivo

Yes

[36, 67, 69, 97, 130, 133,134,135]

PubChem CID:

5284616

11

Chloroquine (CQ)

View full size image

Promote radiosensitivity

Inhibit autophagy process.

In vitro and in vivo

Yes

[124, 136, 137]

PubChem CID:

2719

12

Cilengitide

View full size image

Promote αv integrin inhibition.

Promote GSCs autophagy, cytotoxicity, and cell death

Promote radiosensitivity.

In vitro and in vivo

Yes

[138]

PubChem CID:

176873

13

AZD2014 (Vistusertib)

View full size image

Promote mTORC1/2 inhibition.

Promote radiosensitivity.

Promote DNA double-strand break repair inhibition.

In vitro and in vivo

Yes

[133, 139,140,141]

PubChem CID:

25262792

14

Eckol

View full size image

Promote radiosensitivity and TMZ sensitivity.

Reduce neurosphere formation and stem cell markers

Target PI3-kinase-Akt and Ras-Raf-1-Erk signaling pathways.

In vitro and in vivo

No

[107]

PubChem CID:

145937

15

Nordy

View full size image

Promote GSC differentiation.

Reduce proliferation, stem cell markers, and self-renewal

Target ALOX5

In vitro and in vivo

No

[108]

PubChem CID:

319062914

16

Resveratrol

View full size image

Promote radiosensitivity and differentiation of GSCs.

HIF inhibitor.

Induce apoptosis of CD133+ cells.

Target STAT3 pathway

In vitro and in vivo

No

[106, 109]

PubChem CID:

445154

17

STX-0119

Promote inhibition of GSCs proliferation.

Reduce stem cell markers.

STAT3 inhibitor.

In vitro and in vivo

Yes

[142]

PubChem CID:

4253236

18

ER400583-00

View full size image

HIF inhibitors

Reduce neurosphere formation and stem cell markers

Inhibit VEGF signaling

Promote microenvironment modulation.

Reduce HIF-1 expression.

In vitro and in vivo

No

[57, 106, 111, 143,144,145,146,147,148]

Not available on PubChem

19

WP1193

View full size image

Analog of natural product caffeic acid benzyl ester

Reduce proliferation and stem cell markers

Induce apoptosis

Promote G1 arrest decrease of cyclin D1 and p21(Cip1/Waf-1) increase

Inhibit JAK2/STAT3

In vitro and in vivo

No

[112]

Not available on PubChem

20

All-trans-retinoic acid (Vitamin A acid)

View full size image

Promote differentiation

Reduce proliferation and nestin stem cell markers

Promote apoptosis

Target ERK1/2 signaling

In vitro and in vivo

No

[149,150,151,152,153,154]

PubChem CID:

444795

21

Tanshinone IIA

View full size image

Promote suppression of GSC proliferation.

Reduce stem cell markers.

Promotes the increase of GSCs differentiation markers.

Induce GSCs apoptosis.

Reduce the IL6/STAT3 signaling pathway.

In vitro and in vivo

No

[155]

PubChem CID:

164676

22

Oleanolic acid

View full size image

Promote suppression of JAK-STAT3 activation in M2 polarization of tumor-associated macrophages.

In vitro

No

[156]

PubChem CID:

10494

23

WP1066

View full size image

Promote STAT3 inhibition

Decrease the surviving fraction of GSC

In vitro and in vivo

Yes

[157, 158]

Not available on PubChem

24

Bevacizumab

>Bevacizumab light chain

DIQMTQSPSSLSASVGDRVTITCSASQDISNYLNWYQQKPGKAPKVLIYFTSSLHSGVPSRFSGSGSGTDFTLTISSLQPEDFATYYCQQYSTVPWTFGQGTKVEIKRTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC

>Bevacizumab heavy chain

EVQLVESGGGLVQPGGSLRLSCAASGYTFTNYGMNWVRQAPGKGLEWVGWINTYTGEPTYAADFKRRFTFSLDTSKSTAYLQMNSLRAEDTAVYYCAKYPHYYGSSHWYFDVWGQGTLVTVSSASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK

Promote disruption of vascular niche and reduce tumor proliferation.

Promote radiosensitivity.

Reduce proliferation and block GSC ability to induce endothelial cell migration.

VEGF inhibitor

In vitro and in vivo

Yes

[113, 124, 132, 159,160,161,162,163]

DrugBank:

DB00112

25

Cediranib (AZD2171)

View full size image

Promote disruption of the vascular niche and reduce tumor proliferation.

Promote radiosensitivity.

Reduce proliferation and block GSC ability to induce endothelial cell migration.

VEGF inhibitor

In vitro and in vivo

Yes

[164,165,166]

PubChem CID: 9933475

26

Honokiol

View full size image

Promote PI3K/mTOR signaling inhibition.

Promote proliferation inhibition of side positive populations.

Promote TMZ-resistant cell sensitivity.

Promote DNA double-strand break repair inhibition.

In vitro and in vivo

Yes

[75, 95, 167,168,169]

PubChem CID:

72303

27

Manassantin B

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Target hypoxia-inducible factor-1.

In vitro

No

[111]

PubChem CID:

10439828

28

Curcumin

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Induce GSCs apoptosis.

Target hypoxia-inducible factor-1.

In vitro and in vivo

No

[145, 148, 170]

PubChem CID:

969516

29

SU5416 (Semaxinib)

Reduce neurosphere formation and stem cell markers

Reduce HIF-1 expression

Inhibit VEGF signaling

Target PI3K/AKT/p70S6K1 signaling pathway

In vitro and in vivo

No

[147]

PubChem CID:

5329098

30

Cannabinoids therapies

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Promote differentiation.

Inhibit gliomagenesis.

Target cannabinoid type 1 (CB1) and type 2 (CB2) receptors.

In vitro and in vivo

No

[157]

PubChem CID:

9852188

31

Vorinostat (SAHA)

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Promote GSC differentiation.

Promote G1/S arrest of GSCs.

Inhibit histone deacetylases (HDACs).

In vitro and in vivo

Yes

[150, 164, 165, 171]

PubChem CID:

5311

32

Sahaquine

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Promote HDAC inhibition

Reduce GSC viability

Reduce invasiveness

In vitro

No

[138]

Not available on PubChem

33

VX680

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Pan-AURK inhibitor

Induce apoptosis

Reduce tumor growth

In vitro and in vivo

No

[172]

PubChem CID

5494449

34

MLN8237 (Alisertib)

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Promote GSC colony formation inhibition.

Promote radiosensitivity and TMZ sensitivity.

Aurora-A kinase inhibitor.

In vitro and in vivo

No

[173,174,175]

PubChem CID:

24771867

35

Metformin

Promote inhibition of GSC self-renewal.

Reduce GSC viability.

Promote inhibition of CD133+ proliferation.

In vitro and in vivo

No

[176,177,178,179,180,181]

PubChem CID:

4091

36

Telomestatin

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Polyketide component

Induce apoptosis and impair the migration potential of GSCs.

Promote telomeric and nontelomeric DNA damage in GSCs.

In vitro and in vivo

No

[182]

PubChem CID:

443590

37

Harmine

View full size image

Alkaloid component

Promote self-renewal inhibition.

Promote GSC differentiation.

Promote neurosphere formation inhibition.

In vitro and in vivo

No

[183]

PubChem CID:

5280953

  1. * For chemical structures, SDF files were retrieved from PubChem [184], and 2D structures were built on MarvinSketch (MarvinSketch 19.27.0, 2019, ChemAxon (http://www.chemaxon.com)