Recently, the tendency to discover novel natural agents, particularly plants, to treat and prevent various types of cancers has increased (
21-
23).
A review by Ben-Aryea et al. (
24) reported that, especially in the Middle East, research activities on CAM (complementary/alternative medicine) in the field of oncology are expanding. Several studies published on the effects of herbs to treat or prevent cancer clearly reveal this trend.
In this study, the main constituents of the essential oil of
T. polium were 10-epi-γ-Eudesmol, spathulenol, elemol, α-pinene, and β-caryophyllene. Previous studies on
T. polium also reported these compounds, but at various concentrations. In a study by Ashnagar et al. (
25), in the Khuzestan province of Iran, the main components of
T. polium are reported as γ-muurolene, limonene, α-pinen, β-Eudesmol, β-caryophyllene, and γ-elemene.
Mahmoudi and Nosratpour (
26) reported linalool, Germacrene-D, spathulenol, Germacrene-β, β-pinene, and β-myrcene as the main components of TpEO were.
Some components of the essential oil of
T. polium have cytotoxic and antiproliferative properties on different cell lines. For example, α-pinene has antiproliferative and cytotoxic effects on N2a neuroblastoma cells (
27). The calculated IC
50 for the B16-F10 and K562 cell lines were 8.86 ± 1.27 and 15.15 ± 1.06 µg/mL, respectively. All eudesmol isomers (α-eudesmol, β-eudesmol, and γ-eudesmol) showed cytotoxic activities in different cancer cell lines (
28).
In a study on the cholangiocarcinoma cell line, Kotawong et al. (
29) reported that β-eudesmol affected the cell apoptosis, growth inhibition, and cell cycle arrest.
β-caryophyllene and β-caryophyllene-oxide showed a cytotoxic effect against different cancer cells. The findings of Dahham et al. (
30) showed that strong growth inhibition in HCT‐116, HT‐29, and two colon cancer cell lines will be led by treatment with b-caryophyllene (
30,
31).
Because of its constituents and cytotoxic effects on some types of tumor cell lines,
T. polium is considering as a novel anticancer agent (
2,
32).
This study showed cytotoxic effects of TpEO on HT29 cells, in a concentration-dependent manner with an IC50 = 66.867 µg/mL. Further analysis demonstrated that HT29 cells treated with T. polium exhibited morphological features of apoptosis.
MTT and sub-G1 apoptosis assay confirmed the cytotoxic effect of
T. polium on the HT29 cell line. The percent of prevention for the essential oil of
T. polium was 78.18%. In Ames theory, the percent of prevention less than 25%, between 25% - 40% and more than 40% indicate a negative, medium, and strong anti-mutagenic effect of the chemicals, respectively (
33,
34).
As shown by Khader et al. (
4), ethanolic extract of
T. polium has an anti-mutagenicity effect through direct interaction with the mutagen, increased recovery from DNA damage, and induction of detoxifying enzymes, while they reported that the extract did not affect necrosis and apoptosis.
The effect of ethanolic extract of
T. polium on cell lines of BT20 (human breast ductal carcinoma), PC12 (mouse pheochromo-cytoma), A549, and MCF-7 is demonstrated by Nematollahi-Mahani et al. (
5). Attaining such results is attributed to the presence of some flavonoids, diterpenoids, and selenium in
T. polium.
Another study demonstrated that the methanol extract of T. polium in combination with vinblastine, doxorubicin, and vincristine showed an inhibitory effect on the growth of A431 (epidermoid carcinoma), Saos-2 (osteoblastoma), EJ (bladder carcinoma), KB (oral cavity epidermal), Skmel-3 (melanoma), SW480 (colon carcinoma), and MCF-7 (breast carcinoma) cells.
In addition, the apoptotic effects of the combined treatment of vinblastine/Me-TP and vincristine/Me-TP were higher (> 80%) than each drug alone (0% - 3%). Therefore, it’s concluded that the effects of these drugs might be potentiated by combinations of vincristine, doxorubicin, Me-TP, or vinblastine (
7).
The antiproliferative effect of essential oils of four Teucrium species was evaluated on amelanotic melanoma (C32), colon adenocarcinoma (CACO-2), and lung carcinoma (COR-L23). The highest antiproliferative effect of oil of
T. polium was found on CACO-2 cell lines (IC
50 = 52.7 µg/mL). This result was partly attributed to the presence of sesquiterpenes, such as a-humulene, spathulenol, caryophyllene oxide, d-cadinene, caryophyllene, and tor-reyol in
T. polium (
8).
The aqueous and methanol extracts of
T. polium have a cytotoxic effect on REYF-1 cell line (
9).
However, there are also studies that rejected the anticancer effects of
T. polium. For example, Khader et al. (
3) reported no antimutagenic and cytoprotective activity of aqueous extract of
T. polium. Also, another study showed that the aqueous extract of
T. polium was not cytotoxic in pheochromocytoma and human liver carcinoma cell lines (
6).
The observed difference in the results of various studies can be attributed to the administration of various extracts of
T. polium. More than 134 constituents, including neoclerodane diterpenoids, monoterpenes, sesquiterpenes, polyphenols, flavonoids, and fatty acids, are characterized from various parts of
T. polium subspecies (
2). The difference in various compositions can be explained by using different parts of the plant to prepare the extract, geographical variation, and type of extract. To determine the true effects of each extract, it has to be further evaluated by fractionation.
Thirty components were indicated from GC/MS analysis of the essential oil obtained from
Teucrium marum, which mainly included α-caryophyllene (7.18%), dolichodial (9.38%), α-santalene (10.97%), α-santalene (10.97%), β-bisabolene (14.73%), and isocaryophyllene (20.24%) (
35).
In the study of Menichini et al. (
8), 150 fifty components were identified in the essential oils of four Teucrium species. The most abundant components in
T. polium ssp. Capitatum were caryophyllene and carvacrol. Also, all oils had 50.1% - 55.8% sesquiterpenes (
8).
This study presented the anti-mutagenic effect of TpEO by the Ames test. Although the Ames test is commonly used, it is important to use other statistical tests before reporting the anticancer effects of any compound.
5.1. Conclusions
This study showed that the essential oil of Teucrium polium has antiproliferative and apoptotic effects on the HT-29 cell line. The authors suggest performing further experimental and clinical studies on the effects of TpEO on colon cancer.