Plant pigment (flavonoid) found in red wine, onions, green tea, apples and berries.
Quercetin is thought to contribute to anticancer effects through several mechanisms:
-Antioxidant Activity:
-Induction of Apoptosis:modify Bax:Bcl-2 ratio
-Anti-inflammatory Effects:
-Cell Cycle Arrest:
-Inhibition of Angiogenesis and Metastasis: (VEGF)
Cellular Pathways:
-PI3K/Akt/mTOR Pathway: central to cell proliferation, survival, and metabolism.
-MAPK/ERK Pathway: influencing cell proliferation, differentiation, and apoptosis.
-NF-κB Pathway: downregulate NF-κB
-JAK/STAT Pathway: interfere with the activation of STAT3
-Apoptotic Pathways: intrinsic (mitochondrial) and extrinsic (death receptor-mediated) pathways
Quercetin has been used at doses around 500–1000 mg per day
Quercetin’s bioavailability from foods or standard supplements can be low.
-Note half-life 11 to 28 hours.
BioAv low 1-10%, poor water-solubility, consuming with fat may improve bioavialability. also piperine or VitC.
Pathways:
- induce
ROS production in cancer cells (higher dose). Typicallys Lowers ROS in normal cells(unless it is high dose?)or depends on Redox status?. "quercetin paradox"
- ROS↑ related:
MMP↓(ΔΨm),
ER Stress↑,
UPR↑,
GRP78↑,
Ca+2↑,
Cyt‑c↑,
Caspases↑,
DNA damage↑,
cl-PARP↑,
HSP↓,
Prx,
- Confusing info about Lowering AntiOxidant defense in Cancer Cells:
NRF2↓(some contrary),
TrxR↓**,
SOD↓(contrary),
GSH↓
Catalase↓(contrary),
HO1↓(some contrary),
GPx↓(some contrary)
- Raises
AntiOxidant
defense in Normal Cells:
ROS↓,
NRF2↑,
SOD↑,
GSH↑,
Catalase↑,
- lowers
Inflammation :
NF-kB↓,
COX2↓,
p38↓, Pro-Inflammatory Cytokines :
NLRP3↓,
IL-1β↓,
TNF-α↓,
IL-6↓,
IL-8↓
- inhibit Growth/Metastases :
TumMeta↓,
TumCG↓,
EMT↓,
MMPs↓,
MMP2↓,
MMP9↓,
TIMP2,
IGF-1↓,
uPA↓,
VEGF↓,
ROCK1↓,
FAK↓,
NF-κB↓,
CXCR4↓,
SDF1↓,
TGF-β↓,
α-SMA↓,
ERK↓
- reactivate genes thereby inhibiting cancer cell growth :
HDAC↓,
DNMTs↓,
EZH2↓,
P53↑,
HSP↓,
Sp proteins↓,
TET↑
- cause Cell cycle arrest :
TumCCA↑,
cyclin D1↓,
cyclin E↓,
CDK2↓,
CDK4↓,
CDK6↓,
- inhibits Migration/Invasion :
TumCMig↓,
TumCI↓,
TNF-α↓,
FAK↓,
ERK↓,
EMT↓,
TOP1↓,
TET1,
- inhibits
glycolysis
and
ATP depletion :
HIF-1α↓,
PKM2↓,
cMyc↓,
GLUT1↓,
LDH↓,
LDHA↓,
HK2↓,
PFKs↓,
PDKs↓,
ECAR↓,
OXPHOS↓,
GRP78↑,
GlucoseCon↓
- inhibits
angiogenesis↓ :
VEGF↓,
HIF-1α↓,
Notch↓,
FGF↓,
PDGF↓,
EGFR↓,
- some indication of inhibiting Cancer Stem Cells :
CSC↓,
CK2↓,
Hh↓,
CD24↓,
β-catenin↓,
Notch2↓,
- Others: PI3K↓,
AKT↓,
JAK↓,
STAT↓,
Wnt↓,
β-catenin↓,
AMPK,
α↓,
ERK↓,
JNK,
- SREBP (related to cholesterol).
- Synergies:
chemo-sensitization,
chemoProtective,
RadioSensitizer,
RadioProtective,
Others(review target notes),
Neuroprotective,
Cognitive,
Renoprotection,
Hepatoprotective,
CardioProtective,
- Selectivity:
Cancer Cells vs Normal Cells
| Rank |
Pathway / Axis |
Cancer Cells |
Normal Cells |
Label |
Primary Interpretation |
Notes |
| 1 |
Reactive oxygen species (ROS) |
↑ ROS (dose-, metal-, context-dependent) |
↓ ROS |
Conditional Driver |
Biphasic redox modulation |
Quercetin exhibits pro-oxidant behavior in cancer cells while protecting normal cells |
| 2 |
Mitochondrial integrity / intrinsic apoptosis |
↓ ΔΨm; ↑ caspase activation |
↔ preserved |
Driver |
Execution of intrinsic apoptosis |
Mitochondrial dysfunction is a central apoptosis route in cancer cells |
| 3 |
PI3K → AKT → mTOR axis |
↓ AKT / ↓ mTOR |
↔ adaptive suppression |
Driver |
Growth and survival inhibition |
AKT/mTOR suppression is a consistently reported upstream effect in cancer models |
| 4 |
NF-κB signaling |
↓ NF-κB activation |
↓ inflammatory NF-κB tone |
Secondary |
Reduced survival and inflammatory transcription |
NF-κB inhibition contributes to chemosensitization and apoptosis susceptibility |
| 5 |
MAPK signaling (JNK / p38) |
↑ JNK / ↑ p38 |
↔ minimal |
Secondary |
Stress-mediated apoptosis signaling |
MAPK activation supports apoptosis downstream of redox stress |
| 6 |
Cell cycle regulation |
↑ G1/S or G2/M arrest |
↔ largely spared |
Phenotypic |
Cytostatic growth control |
Cell-cycle arrest reflects disruption of growth signaling |
| 7 |
HIF-1α hypoxia signaling |
↓ HIF-1α |
↔ minimal |
Secondary |
Reduced hypoxia tolerance |
Quercetin interferes with hypoxia-driven transcriptional programs |
| 8 |
NRF2 antioxidant response |
↑ NRF2 (adaptive, context-dependent) |
↑ NRF2 (protective) |
Adaptive |
Stress compensation |
NRF2 induction reflects redox buffering rather than primary cytotoxicity |
|