PMID- 32245062 OWN - NLM STAT- MEDLINE DCOM- 20201229 LR - 20201229 IS - 1420-3049 (Electronic) IS - 1420-3049 (Linking) VI - 25 IP - 6 DP - 2020 Mar 20 TI - Recent Advances in Berberine Inspired Anticancer Approaches: From Drug Combination to Novel Formulation Technology and Derivatization. LID - 10.3390/molecules25061426 [doi] LID - 1426 AB - Berberine is multifunctional natural product with potential to treat diverse pathological conditions. Its broad-spectrum anticancer effect through direct effect on cancer cell growth and metastasis have been established both in vitro and in vivo. The cellular targets that account to the anticancer effect of berberine are incredibly large and range from kinases (protein kinase B (Akt), mitogen activated protein kinases (MAPKs), cell cycle checkpoint kinases, etc.) and transcription factors to genes and protein regulators of cell survival, motility and death. The direct effect of berberine in cancer cells is however relatively weak and occur at moderate concentration range (10-100 microM) in most cancer cells. The poor pharmacokinetics profile resulting from poor absorption, efflux by permeability-glycoprotein (P-gc) and extensive metabolism in intestinal and hepatic cells are other dimensions of berberine's limitation as anticancer agent. This communication addresses the research efforts during the last two decades that were devoted to enhancing the anticancer potential of berberine. Strategies highlighted include using berberine in combination with other chemotherapeutic agents either to reduce toxic side effects or enhance their anticancer effects; the various novel formulation approaches which by order of magnitude improved the pharmacokinetics of berberine; and semisynthetic approaches that enhanced potency by up to 100-fold. FAU - Habtemariam, Solomon AU - Habtemariam S AUID- ORCID: 0000-0001-6743-2244 AD - Pharmacognosy Research Laboratories & Herbal Analysis Services UK, University of Greenwich, Chatham-Maritime, ME4 4TB Kent, UK. LA - eng PT - Journal Article PT - Review DEP - 20200320 PL - Switzerland TA - Molecules JT - Molecules (Basel, Switzerland) JID - 100964009 RN - 0 (Antineoplastic Agents) RN - 0I8Y3P32UF (Berberine) SB - IM MH - Antineoplastic Agents/*chemistry/*pharmacology MH - Apoptosis/drug effects MH - Berberine/*chemistry MH - Cell Line, Tumor MH - Cell Movement/drug effects MH - Cell Proliferation/drug effects MH - Cell Survival/drug effects MH - Drug Compounding MH - Drug Discovery MH - Humans MH - Molecular Structure PMC - PMC7144379 OTO - NOTNLM OT - anticancer OT - apoptosis OT - berberine OT - efficacy enhancement OT - formulation OT - metastasis OT - semi-synthesis OT - synergism COIS- The authors declare no conflict of interest. EDAT- 2020/04/05 06:00 MHDA- 2020/12/30 06:00 PMCR- 2020/03/20 CRDT- 2020/04/05 06:00 PHST- 2020/02/18 00:00 [received] PHST- 2020/03/01 00:00 [revised] PHST- 2020/03/19 00:00 [accepted] PHST- 2020/04/05 06:00 [entrez] PHST- 2020/04/05 06:00 [pubmed] PHST- 2020/12/30 06:00 [medline] PHST- 2020/03/20 00:00 [pmc-release] AID - molecules25061426 [pii] AID - molecules-25-01426 [pii] AID - 10.3390/molecules25061426 [doi] PST - epublish SO - Molecules. 2020 Mar 20;25(6):1426. doi: 10.3390/molecules25061426.