This study reveals complex and concentration-dependent outcomes of N. sativa aqueous and hydroalcoholic extracts on normal and cancerous cells. Although both extracts exhibited anti-proliferative effects on MCF-7 cells at high concentrations, they lacked the requisite therapeutic selectivity, as they simultaneously induced significant toxicity in healthy HDF cells. Furthermore, dual responses (growth stimulation or inhibition) were observed depending on the extract type and concentration used, underscoring the pharmacological complexity of these extracts. These findings highlight the need for a deeper understanding of the structure-activity relationship and the determination of an optimal dose.
A growing body of scientific evidence supports the potent anticancer potential of
N. sativa and its bioactive compounds, particularly TQ. Studies indicate that these agents exhibit multifaceted and promising anticancer effects against a broad spectrum of cancers, including breast cancer. Numerous in vitro studies have investigated the molecular mechanisms of this activity on various breast cancer cell lines, such as MDA-MB-231 and MCF-7 (
2,
14,
15).
For instance, studies on MDA-MB-231 breast cancer cells have shown that a methanolic extract of
N. sativa at low concentrations (2.5 and 5 µg/mL) induces dose-dependent apoptosis by increasing pro-apoptotic gene expression and decreasing anti-apoptotic gene expression (
14). This finding is consistent with a study on SiHa cervical cancer cells, where a methanolic extract of
N. sativa (125 µL/mL) led to apoptosis through the activation of caspase- and p53-dependent pathways (
16). Furthermore, methanolic, hexane, and chloroform extracts of
N. sativa demonstrated strong antiproliferative effects on HeLa (cervical) cells with very low IC50 values (ranging from ng/mL to μg/mL) (
17).
This apoptotic mechanism has also been confirmed for the pure compound TQ (
13,
15). Specifically, TQ exerts its effects by inhibiting cell proliferation, inducing oxidative stress (increasing ROS), and inhibiting inflammatory pathways (
9,
13). Additionally, thymol, another derivative of
N. sativa, disrupts the growth of MCF-7 cells at an IC50 of 200 µM by inhibiting the expression of key cell cycle genes (Cyclin D1 and PCNA) (
18).
This study clearly demonstrates that both aqueous and hydroalcoholic extracts of
N. sativa exert distinct and significant effects on HDF and MCF-7 cell lines. These effects are highly dependent on the extract type, concentration, and specific cell line.
N. sativa and its compounds also influence tumor progression processes. Studies indicate that these compounds can inhibit cancer cell invasion and metastasis by suppressing the expression of matrix metalloproteinase enzymes (MMP-2 and MMP-9) and the angiogenic factor (VEGF), while simultaneously increasing the expression of the adhesion molecule E-cadherin (
19,
20). For example,
N. sativa oil at a concentration of 200 µg/mL significantly reduced MMP2-9 gene expression in MCF-7 and AGS cell lines. Furthermore, these compounds can modulate the cellular stress response by regulating the expression of heat shock proteins (HSPs). The same study showed that
N. sativa oil decreased HSP60-70 expression (
9).
One of the challenges in using natural compounds like
N. sativa is their limited therapeutic selectivity and concurrent toxicity to healthy cells at effective concentrations, as also observed in the present study. To overcome this limitation, novel formulations such as nano emulsions and nanoparticles have been developed. These formulations significantly enhance anticancer efficacy by improving the bioavailability and penetration of active compounds (such as TQ) (
21). For example, a nanoemulsion formulation of
N. sativa oil extract demonstrated potent cytotoxicity against MCF-7 cells (
22). Additionally, silver nanoparticles synthesized with
N. sativa extract (N-AgNPs) at concentrations of 10 - 100 µg/mL affected MCF-7 cells by inducing apoptosis and regulating inflammatory markers (such as COX-2) (
4).
Another promising approach is combination therapy with common chemotherapeutic drugs. Evidence suggests that the concurrent use of
N. sativa extracts or its nano formulations with drugs such as doxorubicin can have a synergistic (enhancing) effect, increasing treatment efficacy (
22). This highlights the importance of developing combined formulations (e.g., nano emulsions containing doxorubicin and
N. sativa extract) as a potential therapeutic strategy.
In summary, the findings of this study indicate that the concentrations required to inhibit MCF-7 cancer cells simultaneously cause significant cytotoxic effects on normal HDF cells. These observations underscore the necessity for future research to focus on identifying and optimizing specific active compounds, precisely determining the therapeutic dose, and developing novel formulations to achieve selective efficacy. Considering the statistical power limitation of the present study, confirmation of these findings in future studies with a more robust statistical design is essential.
5.1. Conclusions
In summary, this study demonstrates that N. sativa extracts, particularly the aqueous form, exhibit anticancer potential against MCF-7 cells at intermediate concentrations. A key finding is the strongly concentration-dependent response pattern: Very low concentrations are ineffective or even stimulate cell growth, intermediate concentrations suggest potential selective activity, while high concentrations are generally cytotoxic. Furthermore, the extraction solvent (aqueous versus hydroalcoholic) significantly alters the biological activity profile of the extract. Given these results, precise therapeutic dose determination and formulation optimization are essential prerequisites for developing any therapeutic application of N. sativa to achieve maximum anticancer efficacy with minimal toxicity to healthy cells. As this research aimed at preliminary screening and delineating the effective concentration range, future studies should focus on lower, physiologically more relevant concentrations, likely achievable through advanced drug delivery technologies.