According to the statistics released by the World Health Organization, breast cancer (BC) is currently the most frequent cancer diagnosed in females worldwide (
1,
2). Despite the development of novel diagnostic procedures, relapse of the disease and resistance to therapy remain major challenges in the management of BC (
3,
4). A review of the therapeutic effects of medicinal plants shows the usefulness of these compounds in the prevention or treatment of diseases.
Juglans Regia L., or the Persian walnut, is a native tree of Central Asia and belongs to the
Juglandaceae family (
Juglans genus). Walnuts from different areas of the world differ in various phenotypic features, including the properties of the fruit, shell, and kernel, which are defined by their genetic characteristics. Due to its high nutritional value, walnuts have occupied an important place in human nutrition since ancient times. Additionally, some
Juglans species have been applied in traditional medicine for cancer treatment; for example, the green husk has shown therapeutic properties against malignancies in China, Korea, and Japan (
5). Polyphenols are the main compounds of the walnut green husk. Among them, caffeic acid, ferulic acid, chlorogenic acid, sinapic acid, juglone, gallic acid, protocatechuic acid, syringic acid, vanillic acid, catechin, epicatechin, myricetin, an alpha-tetralone derivative (regiolone), di-aryl heptanoids juglanin A and B, and rhoiptelol have the highest concentration in the walnut green husk (
6,
7).
It has been shown that the methanolic extract of
Juglans green husk inhibits MCF-7 proliferation, a BC cell line. This compound exhibits anti-tumorigenic properties at doses of 0.5 mg/mL and 1 mg/mL, causing 93% and 86% of cells to die, respectively (
8). Other extracts of
J. Regia L. green husk, like dichloromethane, were also studied to explore a possible anti-proliferative effect on several human cancer cells, including breast, colon, cervix adenocarcinoma, and leukemic cells. Notably, the results indicated a highly potent anti-tumor effect for some compounds (
9). Additionally, when examined in the MDA-MB-231 cells, root bark extract of this plant shows high apoptotic and anti-proliferative properties (
10). Furthermore, it has been revealed that the anti-cancer property of
J. Regia could be seen in several leaf extracts, such as total extract, hexane, chloroform, ethyl acetate, and methanol extracts. The results showed that all fractions could inhibit the growth of the BHY, MCF-7, and HT-29 cell lines, with the chloroform fraction showing the highest cytotoxicity, particularly in MCF-7 and BHY cells (
11).
In addition to MCF-7 BC cells, crude extract showed therapeutic effects on other cancer cells. Another study observed the ability of aqueous walnut milk to prevent the progression of breast and prostate tumor cells (
12). It has been suggested that
J. Regia L. green husk extract promotes apoptosis in the PC-3 cell line (a prostate cancer cell lineage) by over-expressing associated genes such as Bax, Caspase 8, and Caspase 3, while reducing B-cell lymphoma 2 (Bcl-2) gene expression (
13). Regarding HL-60 cells, it has been revealed that green husk extract exerts its anti-proliferative effect via induction of apoptosis and decreasing mitochondrial membrane potential (
14). Naphthoquinones like juglone (5-hydroxy-1, 4-naphthoquinone), which can be found in almost all parts of various
Juglans species, have shown medicinal properties against a wide range of diseases, including malignancies, gastrointestinal disorders, acne, allergies, intestinal parasitosis, and fungal, bacterial, and viral infections (
15).
Despite numerous investigations performed on the cytotoxic properties of walnut green husk extract, a paucity of studies has been conducted on its anti-proliferative role in BC cells.