| Rank |
Pathway / Axis |
Cancer Cells |
Normal Cells |
TSF |
Primary Effect |
Notes / Interpretation |
| 1 |
NRF2 antioxidant response |
↑ NRF2 (context-dependent) → ↓ ROS injury; may blunt ROS-lethal therapies |
↑ NRF2 → ↑ GSH/SOD/CAT/GPx; cytoprotection |
R/G |
Redox buffering and stress tolerance |
Often positioned as protective; in established tumors this can be tumor-supportive depending on therapy and redox state. |
| 2 |
NF-κB inflammatory signaling |
↓ NF-κB → ↓ pro-survival inflammation (model-dependent) |
↓ inflammatory cytokine signaling |
R/G |
Anti-inflammatory microenvironment shift |
Commonly linked to ↓ COX-2/iNOS and reduced inflammatory tone. |
| 3 |
PI3K–AKT survival signaling |
↓ PI3K/AKT (model-dependent) → ↑ apoptosis, ↓ proliferation |
↔ / mild cytoprotective bias (context-dependent) |
R/G |
Survival pathway suppression in select tumors |
Directionality is model- and dose-dependent; some datasets show mixed AKT effects. |
| 4 |
ERK/MAPK signaling |
↓ ERK/MAPK (model-dependent) → ↓ proliferation/EMT |
↔ / ↓ stress-activated signaling (context-dependent) |
R/G |
Anti-growth signaling modulation |
Often reported alongside PI3K/AKT changes; may converge on apoptosis/cell-cycle effects. |
| 5 |
STAT3 axis |
↓ STAT3 → ↓ proliferation, ↓ immune-evasion programs (model-dependent) |
↔ |
G |
Reduced oncogenic transcription signaling |
Reported in prostate and other models; typically framed as anti-tumor signaling. |
| 6 |
Mitochondria-mediated apoptosis |
↑ intrinsic apoptosis (BAX↑, Bcl-2↓, caspases↑; model-dependent) |
↓ stress-induced apoptosis (cytoprotection) |
R |
Cell death modulation |
Key “anti-tumor” readout in many studies; may require higher concentrations than typical systemic exposure. |
| 7 |
Cell cycle control |
↑ p21/p27 and/or arrest signatures (model-dependent) |
↔ |
G |
Proliferation braking |
Often co-occurs with apoptosis; direction varies with cell line and dosing. |
| 8 |
EMT and matrix remodeling |
↓ EMT; ↓ MMPs; ↑ E-cadherin (model-dependent) |
↔ |
G |
Anti-migration / anti-metastatic phenotype |
Reported via miRNA and cadherin/MMP changes in some colon/breast models. |
| 9 |
Angiogenesis signaling |
↓ VEGF/EGFR signaling (limited, model-dependent) |
↔ |
G |
Reduced pro-angiogenic drive |
Less consistently central than NRF2/NF-κB/PI3K–AKT in the literature. |
| 10 |
Ferroptosis and lipid peroxidation balance |
↔ / ↑ ferroptosis (limited models) but also ↓ lipid peroxidation (context-dependent) |
↓ lipid peroxidation injury |
R |
Redox-lethal interaction or protection (context-dependent) |
Net effect depends strongly on baseline oxidative state and whether therapy relies on lipid peroxidation. |
| 11 |
Clinical Translation Constraint |
Low/variable oral exposure; many in-vitro effects are high-concentration. Antioxidant/NRF2 biology raises a plausible antagonism risk for ROS-dependent chemo/radiation (context-dependent). Formulation and dosing strategy strongly influence exposure. |
— |
Translational ceiling |
Best-supported human domain is oxidative stress/inflammation biomarkers rather than anticancer efficacy endpoints. |