Emodin / P-gp/ABCB1 Cancer Research Results

EMD, Emodin: Click to Expand ⟱
Features:
Organic compound isolated from rhubarb, buckthorn, knotweed. It has laxative, anticancer, antibacterial, antiinflammatory, and antiviral activities, and is used in traditional Chinese medicine.
Emodin, an anthraquinone derivative found in various plants (e.g., rhubarb, Polygonum cuspidatum).

Pathways:
- Generation of Reactive Oxygen Species (ROS)
- Upregulation Bax downregulation of Bcl‑2, caspase activation and cyt_c release.
- Induce cell cycle arrest at various checkpoints (commonly G0/G1 or G2/M phases.
- Can inhibit NF‑κB activation
– MAPK Pathways
– PI3K/Akt Pathway
- Metalloproteinases (MMPs)

-ic50 cancer cells 10-50uM, normal cells higher(supports a therapeutic window)

Rhubarb species Common name Plant part analyzed Emodin content Aloe-emodin content Interpretation
Rheum palmatum Chinese rhubarb Dried root and rhizome Approximately 1.1–2.0 mg/g Approximately 0.65–1.0 mg/g Major medicinal source; concentrations vary considerably with origin, plant age, processing, and extraction method.
Rheum officinale Medicinal rhubarb Dried root and rhizome Usually approximately 0.5–2 mg/g Usually approximately 0.5–2 mg/g Composition broadly resembles R. palmatum; some samples contain more aloe-emodin than emodin.
Rheum tanguticum Tangut rhubarb Root and rhizome; smaller amounts occur in aerial tissues Moderate to high; commonly approximately 1–3 mg/g in underground tissues Moderate; commonly below emodin One of the three principal Chinese medicinal rhubarb species. Tissue distribution differs, and some aerial tissues may contain appreciable emodin.
Rheum australe
syn. Rheum emodi		 Himalayan or Indian rhubarb Root and rhizome Present and frequently a major anthraquinone Present, generally lower and more variable Reported concentrations vary widely among wild populations; quantitative results are not directly comparable across extraction methods.
Rheum rhabarbarum / Rheum × hybridum Garden or culinary rhubarb Root and rhizome; edible petiole contains much less Low to moderate in roots; usually trace or low in petioles Low or trace in petioles; variable in roots Edible stalks are not compositionally equivalent to medicinal rhubarb roots. Most anthraquinones occur in underground tissues.

In rhubarb, the medicinal material described as “root and rhizome” includes both the true roots and the thick underground stem base from which the leaf stalks emerge.



Emodin — Emodin is a naturally occurring hydroxyanthraquinone and plant secondary metabolite, chemically identified as 1,3,8-trihydroxy-6-methylanthraquinone. It is a small-molecule natural product rather than an approved anticancer drug. Major sources include rhubarb species, Japanese knotweed, buckthorn, Polygonum multiflorum, Polygonum cuspidatum, Rheum palmatum, and several fungi. Emodin is pharmacologically pleiotropic, with redox-active, kinase-modulating, anti-inflammatory, cytotoxic, laxative, and antimicrobial properties. Its anticancer effects remain predominantly preclinical, and emodin should be distinguished from the related compounds aloe-emodin and rhein.

Primary mechanisms (ranked):

  1. Induction of oxidative stress and mitochondrial dysfunction, producing ROS accumulation, mitochondrial membrane depolarization, cytochrome-c release, and caspase-dependent apoptosis.
  2. Suppression of PI3K/AKT/mTOR and related survival signaling, frequently accompanied by AMPK activation, reduced protein synthesis, metabolic stress, and apoptosis.
  3. Modulation of BAX/BCL-2-family proteins and activation of intrinsic and, in some models, extrinsic apoptotic pathways.
  4. Cell-cycle arrest through context-dependent modulation of p53, p21, ATM, cyclins, CDKs, and checkpoint proteins.
  5. Inhibition of NF-κB, STAT3, TLR4, JAK, MAPK, HER2, CK2, and other pro-survival or inflammatory signaling pathways.
  6. Suppression of glycolysis and anabolic metabolism through reduced GLUT1, HK2, PKM2, LDHA, FASN, and AKT/mTOR activity in selected cancer models.
  7. Inhibition of invasion, epithelial–mesenchymal transition, angiogenesis, and cancer-stem-cell phenotypes through reduced MMPs, HIF-1α, VEGF, TGF-β, CXCR4, and mesenchymal signaling.
  8. Induction of autophagy, ER stress, DNA-damage responses, or necroptosis in model-dependent settings.
  9. NRF2/HO-1 activation as a secondary, context-dependent antioxidant response that may protect normal cells but can also oppose emodin-induced cytotoxic oxidative stress.
  10. Chemosensitization through inhibition of survival, resistance, stemness, cholesterol-metabolism, or drug-efflux pathways; the interaction is drug- and tumor-dependent.

Bioavailability / PK relevance: Native emodin has very poor oral bioavailability, estimated at approximately 3% in rat studies. It has low aqueous solubility, incomplete intestinal absorption, extensive intestinal and hepatic glucuronidation and sulfation, and rapid systemic clearance. Circulating exposure is therefore dominated by conjugated metabolites rather than sustained concentrations of free emodin. Nanoparticles, liposomes, phospholipid complexes, prodrugs, and other delivery systems are being investigated but are not established clinical formulations.

In-vitro vs systemic exposure relevance: Most anticancer experiments use approximately 10–100 µM emodin, commonly 20–50 µM. These free-drug concentrations are unlikely to be maintained systemically after conventional oral administration because of poor absorption and rapid conjugation. In-vitro findings therefore substantially overstate the exposure achievable with unformulated oral emodin. Local gastrointestinal exposure may be higher, but this does not establish therapeutically useful tumor exposure.

Clinical evidence status: Preclinical. Evidence consists primarily of cancer-cell studies and rodent xenograft or chemically induced tumor models. Emodin has shown experimental adjunct and chemosensitizing effects with agents including paclitaxel, sorafenib, cisplatin, gemcitabine, and other therapies, but there is no established randomized clinical evidence supporting emodin as a cancer treatment. Emodin is not an FDA-, EMA-, or Health Canada-approved anticancer agent.

Safety: Emodin is not necessarily tumor-selective and can produce ROS, mitochondrial injury, apoptosis, and genotoxic signals in nonmalignant cells at sufficient concentrations. Preclinical literature reports possible hepatotoxicity, nephrotoxicity, reproductive toxicity, gastrointestinal irritation, laxative effects, and complex mutagenicity findings, particularly with high doses or prolonged exposure. It may also affect CYP enzymes, conjugating enzymes, transporters, and the pharmacokinetics of co-administered drugs. Long-term concentrated supplementation should not be considered equivalent to ordinary dietary exposure from rhubarb or other foods.


Mechanistic Profile of Emodin

Rank Pathway / Axis Cancer Cells Normal Cells TSF Primary Effect Notes / Interpretation
1 ROS-driven mitochondrial injury ↑ ROS
↓ mitochondrial membrane potential
↓ ATP		 ↑ ROS and mitochondrial injury at cytotoxic exposure P–R Upstream cytotoxic stress A central mechanism in many cancer models, but not intrinsically cancer-specific. Redox outcome varies with dose, cell type, antioxidant capacity, and exposure duration.
2 Intrinsic mitochondrial apoptosis ↑ BAX
↓ BCL-2 and BCL-XL
↑ cytochrome-c
↑ caspase-9 and caspase-3
↑ PARP cleavage		 ↑ apoptosis at high concentration or prolonged exposure R–G Programmed cell death Frequently follows ROS accumulation and mitochondrial depolarization. Extrinsic Fas and caspase-8 signaling also contributes in some models.
3 PI3K AKT mTOR and AMPK signaling ↓ PI3K
↓ AKT
↓ mTOR
↑ AMPK (context-dependent)		 Mixed or tissue-protective modulation (context-dependent) R–G Reduced survival and anabolic signaling Mechanistically important across several tumor types, although AMPK activation is not universal and may differ by metabolic state.
4 Cell-cycle checkpoints and DNA-damage response ↑ ATM
↑ p53
↑ p21
↓ cyclin D1, cyclin E, or cyclin B1
↓ CDK activity		 Cell-cycle disturbance possible at cytotoxic exposure G G0/G1, S-phase, or G2/M arrest The arrest point is cell-line and dose-dependent. Emodin should not be assigned to one universal checkpoint.
5 NF-κB TLR4 inflammatory survival signaling ↓ TLR4
↓ IKK activation
↓ IκBα degradation
↓ NF-κB nuclear activity		 ↓ inflammatory signaling in many injury models R–G Reduced survival, inflammation, and treatment resistance This axis contributes to both anticancer and anti-inflammatory effects and may reduce cytokine-driven tumor support.
6 JAK STAT3 and receptor kinase signaling ↓ JAK1 and JAK2
↓ STAT3
↓ HER2
↓ CK2 or Src signaling (model-dependent)		 Mixed; possible inhibition of physiological kinase signaling R–G Reduced proliferation and anti-apoptotic transcription Direct and indirect kinase effects have been reported, but target dominance varies substantially among tumor models.
7 Glycolysis and metabolic dependency ↓ GLUT1
↓ HK2
↓ PKM2
↓ LDHA
↓ ECAR
↓ glycolysis		 PKM2 and metabolic modulation reported (context-dependent) R–G Energy stress and reduced biosynthetic capacity Prominent in selected renal and hepatic cancer models but not yet established as a universal primary mechanism.
8 HIF-1α VEGF angiogenic program ↓ HIF-1α biosynthesis
↓ VEGF
↓ angiogenesis		 Potential impairment of physiological hypoxic adaptation at sufficient exposure G Reduced hypoxia tolerance and vascular support Evidence includes reduced HIF-1α protein synthesis rather than exclusively altered transcription or degradation.
9 EMT invasion and extracellular-matrix remodeling ↑ E-cadherin
↓ N-cadherin
↓ vimentin
↓ MMP2 and MMP9
↓ TGF-β signaling		 Possible modulation of wound repair and fibrosis pathways G Reduced migration, invasion, and metastatic phenotype Effects may involve tumor cells, macrophages, stromal signaling, and cancer-stem-cell maintenance.
10 Cancer stemness and differentiation state ↓ CD133
↓ OCT4
↓ NOTCH1
↓ stem-cell formation		 Effects on normal progenitor populations are insufficiently characterized G Reduced tumor initiation and recurrence-associated phenotype Supported primarily by cell and animal models; clinically meaningful selectivity has not been established.
11 Autophagy ER stress and necroptosis ↑ autophagy
↑ ER stress or ↓ ER stress (model-dependent)
↑ RIP1 and MLKL signaling in selected models		 Protective or toxic depending on tissue and exposure R–G Alternative stress-response and death pathways Autophagy can facilitate death or survival. Necroptosis has been demonstrated in selected renal cancer models but should not be generalized.
12 NRF2 HO-1 antioxidant response ↑ NRF2
↑ HO-1 (secondary; context-dependent)		 ↑ NRF2-mediated antioxidant and cytoprotective signaling R–G Compensatory antioxidant response NRF2 activation may limit oxidative injury in normal tissues but could also reduce emodin cytotoxicity or support resistant cancer cells. It is not consistently the primary anticancer mechanism.
13 HDAC and chromatin regulation ↓ HDAC activity
↑ histone acetylation		 Epigenetic modulation possible R–G Altered transcriptional state Biochemical HDAC inhibition is reported, but the free concentrations required and its contribution in vivo remain uncertain.
14 Chemosensitization ↑ chemotherapy sensitivity
↓ survival and resistance pathways		 Potential ↑ normal-tissue toxicity or altered drug disposition G Enhanced response to selected anticancer agents Reported combinations are promising preclinically, but interactions cannot be assumed beneficial because emodin also affects metabolism, transport, redox balance, and normal-cell viability.
15 Clinical Translation Constraint ↓ free systemic exposure
↑ conjugated metabolites
heterogeneous tumor response		 Dose-limiting gastrointestinal and organ toxicity concerns G Limited translation of in-vitro activity Approximately 3% oral bioavailability in rat studies, extensive glucuronidation and sulfation, poor solubility, short exposure, absence of validated clinical dosing, and lack of randomized oncology trials are major limitations.

P: 0–30 min    R: 30 min–3 hr    G: >3 hr
P-gp/ABCB1, permeability-glycoprotein: Click to Expand ⟱
Source:
Type:
P-glycoprotein (P-gp), also known as multidrug resistance protein 1 (MDR1), is a membrane protein that plays a crucial role in the transport of various substances across cellular membranes. It is part of the ATP-binding cassette (ABC) transporter family.
P-glycoprotein is often overexpressed in a variety of cancers, including breast cancer, lung cancer, leukemia, and ovarian cancer.

- The overexpression of P-glycoprotein (P-gp), is widely considered as an important reason for the MDR (multidrug resistance).

ABCB1 - ATP-Binding Cassette Subfamily B Member 1 / P-Glycoprotein

Abbreviation: ABCB1, P-gp, P-glycoprotein, MDR1

Type: ATP-dependent membrane efflux transporter / multidrug resistance protein

Function: ABCB1 encodes P-glycoprotein, an ATP-binding cassette transporter that exports a broad range of drugs, xenobiotics, lipids, and other substrates across cellular membranes. It is highly expressed in barrier tissues including the intestine, liver, kidney, placenta, and blood-brain barrier, where it limits tissue accumulation of potentially harmful compounds.

Cancer: ↑ Frequently overexpressed or functionally activated in drug-resistant tumors. Increased ABCB1 lowers intracellular concentrations of many anticancer agents by actively transporting them out of cancer cells, producing multidrug resistance and reducing chemotherapy effectiveness.

Alzheimer's Disease: ↓ Reduced ABCB1/P-glycoprotein expression or transport activity at the blood-brain barrier is associated with impaired amyloid-β clearance from the brain. Lower P-gp function correlates with increased cerebral Aβ accumulation and may contribute to Alzheimer's disease progression.
Scientific Papers found: Click to Expand⟱
6819- EMD,    Recent advances in the therapeutic potential of emodin for human health
- Review, Nor, NA
AntiCan↑, *AntiDiabetic↑, *neuroP↑, *Inflam↓, *antiOx↑, *BioAv↓, *BioAv↑, *SOD↑, *GPx↑, *GSH↑, *NRF2↑, *ROS↓, *lipid-P↓, *Cyt‑c↓, *BAX↓, *Bcl-2↓, *iNOS↓, *NO↓, *IL6↓, *IL10↓, *IL17↓, *IFN-γ↓, *NF-kB↓, *LC3II↓, *Akt↓, *Beclin-1/ATG6↓, *AMPK↓, *TNF-α↓, *PGE2↓, *Apoptosis↓, *Casp3↓, *Casp9↓, *P53↓, *P21↓, *NAD↓, *ATP↓, *CHOP/DDIT3↓, *GADD34↓, *ATF4↓, tumCV↓, Apoptosis↑, TumCG↓, TumCI↓, TumMeta↓, CSCs↓, NOTCH1↓, STAT3↓, eff↑, miR-34a↓, *neuroP↑, *BDNF↓, *hepatoP↑, *ALAT↓, *AST↓, TG/TAG↓, ROS↑, Slug↓, EMT↓, Glycolysis↓, ChemoSen↑, P-gp/ABCB1↓, Ki-67↓, PCNA↓, ER Stress↑, TRIB3↑, NF-kB↑, TumMeta↑, *Imm↓, *toxicity↝,
6820- EMD,    The Health Benefits of Emodin, a Natural Anthraquinone Derived from Rhubarb—A Summary Update
- Review, Nor, NA - Review, Arthritis, NA - Review, AD, NA
*diuretic↑, *Bacteria↓, *Inflam↓, AntiCan↑, TumCP↓, TumCI↓, angioG↓, *toxicity↓, IFN-γ↑, IL12↑, ROS↑, TNF-α↓, TNF-α↓, TGF-β↓, MAPK↓, PKCδ↓, NF-kB↓, HER2/EBBR2↓, VEGF↓, DNAdam↑, Necroptosis↑, Glycolysis↓, GLUT1↓, PI3K↓, Akt↓, Casp9↑, Casp3↑, BAX↑, Bcl-2↓, eff↑, MMP2↓, MMP9↓, eff↑, ChemoSen↑, P-gp/ABCB1↓, SREBP2↓, eff↑, *other↝, *COX2/PTGS2↓, *Hif1a↓, *HDAC↓, *tau↓, *PKCδ↑, *ROS↓, *Inflam↓, AntiAg?,

Showing Research Papers: 1 to 2 of 2

* indicates research on normal cells as opposed to diseased cells
Total Research Paper Matches: 2

Pathway results for Effect on Cancer / Diseased Cells:


Redox & Oxidative Stress(tgid=1) ⓘ

ROS↑, 2,  

Core Metabolism/Glycolysis(tgid=4) ⓘ

Glycolysis↓, 2,   SREBP2↓, 1,  

Cell Death(tgid=5) ⓘ

Akt↓, 1,   Apoptosis↑, 1,   BAX↑, 1,   Bcl-2↓, 1,   Casp3↑, 1,   Casp9↑, 1,   MAPK↓, 1,   Necroptosis↑, 1,  

Kinase & Signal Transduction(tgid=6) ⓘ

HER2/EBBR2↓, 1,  

Transcription & Epigenetics(tgid=7) ⓘ

tumCV↓, 1,  

Protein Folding & ER Stress(tgid=8) ⓘ

ER Stress↑, 1,  

DNA Damage & Repair(tgid=10) ⓘ

DNAdam↑, 1,   PCNA↓, 1,  

Proliferation, Differentiation & Cell State(tgid=12) ⓘ

CSCs↓, 1,   EMT↓, 1,   miR-34a↓, 1,   NOTCH1↓, 1,   PI3K↓, 1,   STAT3↓, 1,   TumCG↓, 1,  

Migration(tgid=13) ⓘ

AntiAg?, 1,   Ki-67↓, 1,   MMP2↓, 1,   MMP9↓, 1,   PKCδ↓, 1,   Slug↓, 1,   TGF-β↓, 1,   TRIB3↑, 1,   TumCI↓, 2,   TumCP↓, 1,   TumMeta↓, 1,   TumMeta↑, 1,  

Angiogenesis & Vasculature(tgid=14) ⓘ

angioG↓, 1,   VEGF↓, 1,  

Barriers & Transport(tgid=15) ⓘ

GLUT1↓, 1,   P-gp/ABCB1↓, 2,  

Immune & Inflammatory Signaling(tgid=16) ⓘ

IFN-γ↑, 1,   IL12↑, 1,   NF-kB↓, 1,   NF-kB↑, 1,   TNF-α↓, 2,  

Drug Metabolism & Resistance(tgid=21) ⓘ

ChemoSen↑, 2,   eff↑, 4,  

Clinical Biomarkers(tgid=22) ⓘ

HER2/EBBR2↓, 1,   Ki-67↓, 1,   TG/TAG↓, 1,   TRIB3↑, 1,  

Functional Outcomes(tgid=23) ⓘ

AntiCan↑, 2,  
Total Targets: 51

Pathway results for Effect on Normal Cells:


NA, unassigned(tgid=0) ⓘ

diuretic↑, 1,  

Redox & Oxidative Stress(tgid=1) ⓘ

antiOx↑, 1,   GPx↑, 1,   GSH↑, 1,   lipid-P↓, 1,   NRF2↑, 1,   ROS↓, 2,   SOD↑, 1,  

Mitochondria & Bioenergetics(tgid=3) ⓘ

ATP↓, 1,  

Core Metabolism/Glycolysis(tgid=4) ⓘ

ALAT↓, 1,   AMPK↓, 1,   NAD↓, 1,  

Cell Death(tgid=5) ⓘ

Akt↓, 1,   Apoptosis↓, 1,   BAX↓, 1,   Bcl-2↓, 1,   Casp3↓, 1,   Casp9↓, 1,   Cyt‑c↓, 1,   GADD34↓, 1,   iNOS↓, 1,  

Transcription & Epigenetics(tgid=7) ⓘ

other↝, 1,  

Protein Folding & ER Stress(tgid=8) ⓘ

CHOP/DDIT3↓, 1,  

Autophagy & Lysosomes(tgid=9) ⓘ

Beclin-1/ATG6↓, 1,   LC3II↓, 1,  

DNA Damage & Repair(tgid=10) ⓘ

P53↓, 1,  

Cell Cycle & Senescence(tgid=11) ⓘ

P21↓, 1,  

Proliferation, Differentiation & Cell State(tgid=12) ⓘ

HDAC↓, 1,  

Migration(tgid=13) ⓘ

PKCδ↑, 1,  

Angiogenesis & Vasculature(tgid=14) ⓘ

ATF4↓, 1,   Hif1a↓, 1,   NO↓, 1,  

Immune & Inflammatory Signaling(tgid=16) ⓘ

COX2/PTGS2↓, 1,   IFN-γ↓, 1,   IL10↓, 1,   IL17↓, 1,   IL6↓, 1,   Imm↓, 1,   Inflam↓, 3,   NF-kB↓, 1,   PGE2↓, 1,   TNF-α↓, 1,  

Synaptic & Neurotransmission(tgid=18) ⓘ

BDNF↓, 1,   tau↓, 1,  

Drug Metabolism & Resistance(tgid=21) ⓘ

BioAv↓, 1,   BioAv↑, 1,  

Clinical Biomarkers(tgid=22) ⓘ

ALAT↓, 1,   AST↓, 1,   IL6↓, 1,  

Functional Outcomes(tgid=23) ⓘ

AntiDiabetic↑, 1,   hepatoP↑, 1,   neuroP↑, 2,   toxicity↓, 1,   toxicity↝, 1,  

Infection & Microbiome(tgid=24) ⓘ

Bacteria↓, 1,  
Total Targets: 55

Scientific Paper Hit Count for: P-gp/ABCB1, permeability-glycoprotein
Query results interpretion may depend on "conditions" listed in the research papers.
Such Conditions may include : 
  -low or high Dose
  -format for product, such as nano of lipid formations
  -different cell line effects
  -synergies with other products 
  -if effect was for normal or cancerous cells

Filter Conditions: Pro/AntiFlg:%  IllCat:%  CanType:%  Cells:%  prod#:75  Target#:232  State#:%  Dir#:1
  wNotes=0  sortOrder:rid,rpid

 

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