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Review

An Overview of Antitumour Activity of Polysaccharides

1
College of Pharmacy, Nankai University, 38 Tongyan Road, **nan District, Tian** 300350, China
2
College of Life Sciences, Nankai University, Wei** Road, Nankai District, Tian** 300350, China
3
State Key Laboratory of Medicinal Chemical Biology, Nankai University, 38 Tongyan Road, **nan District, Tian** 300350, China
*
Authors to whom correspondence should be addressed.
Molecules 2022, 27(22), 8083; https://doi.org/10.3390/molecules27228083
Submission received: 28 October 2022 / Revised: 14 November 2022 / Accepted: 17 November 2022 / Published: 21 November 2022
(This article belongs to the Special Issue Carbohydrate-Based Drugs Discovery)

Abstract

:
Cancer incidence and mortality are rapidly increasing worldwide; therefore, effective therapies are required in the current scenario of increasing cancer cases. Polysaccharides are a family of natural polymers that hold unique physicochemical and biological properties, and they have become the focus of current antitumour drug research owing to their significant antitumour effects. In addition to the direct antitumour activity of some natural polysaccharides, their structures offer versatility in synthesizing multifunctional nanocomposites, which could be chemically modified to achieve high stability and bioavailability for delivering therapeutics into tumor tissues. This review aims to highlight recent advances in natural polysaccharides and polysaccharide-based nanomedicines for cancer therapy.

1. Introduction

In the coming years, cancer is expected to become the main cause of death and the most important obstacle to extending life expectancy in the world. Lung cancer is the most common cancer and the leading cause of cancer death (18.4% of total cancer deaths), closely followed by colorectal cancer (9.2%), stomach cancer (8.2%), and liver cancer (8.2%) [1]. There are three common cancer therapeutics, including surgery, radiation therapy, and chemotherapy, as well as other emerging therapies, such as molecular targeted therapy. However, the serious side effects and drug resistance of chemotherapy and other treatments are becoming major obstacles in current cancer research. Hence, it is very important to develop a new type of anticancer agent with ideal antitumour activity and extremely low toxicity.
Polysaccharides are carbohydrates that participate in almost all aspects of organisms and play various important biological functions [2]. Polysaccharides consist of 10 or more monosaccharides linked together by glycosidic bonds, which can be linear or contain branched chains. Importantly, monosaccharide composition, molecular weight (MW), and polysaccharide attachment affect its structure, and its structure further affects its properties and functional mechanisms [3]. According to their source, polysaccharides can be classified into natural polysaccharides and semisynthetic polysaccharides. Natural polysaccharides are distributed in many organisms. Then, the natural polysaccharide is further chemically or enzymatically modified to obtain semisynthetic polysaccharides. So far, researchers have found that polysaccharides have a wide range of biological effects, including anticancer, antibiotic, antioxidant, anticoagulant, and immuno-stimulation activities.
The antitumor effect of polysaccharides was first discovered by Nauts et al. in 1946, which can effectively relieve the symptoms of cancer patients [4]. Ample evidence indicated that polysaccharides can inhibit tumors through direct anticancer activity, such as inducing apoptosis of tumor cells and inhibiting migration (Table 1). In addition, the structure of polysaccharides provides versatility for the synthesis of multi-functional nanocomposites, which can achieve high stability and bioavailability through chemical modification, thus delivering therapeutic drugs to tumor tissues [5]. This review used keywords (anticancer/polysaccharides/drug delivery systems/nanomedicines) to search in PubMed and Web of Science databases, and selected qualified high-level papers for systematic sorting and summary. In this paper, we aim to systematically summarize the research findings in the past decade, and the different structures of anticancer polysaccharides from different sources and polysaccharide-based nanomedicines for cancer treatment are reviewed, which provides theoretical support for the design and development of polysaccharide preparations.

2. Polysaccharides from Plants

2.1. Panax ginseng C. A. Meyer Polysaccharides

Panax ginseng C. A. Meyer (P. ginseng) is a precious medicine that has been used for thousands of years, also known as ginseng [6]. Ginseng is composed of multiple active components, including ginsenosides and polysaccharides. Studies have proven that polysaccharides are one of the most important components in P. ginseng and participate in immunomodulation, antitumour, and antidiabetic activities [7].
P. ginseng polysaccharide contains starch-like glucans and pectin [8]. Pectin is a plant-derived neutral polysaccharide with abundant resources for its amounts and categories. Many types of pectin polysaccharides are associated with anticancer activity. Pectin, with Panax ginseng C. A. Meyer Polysaccharidesvery complex structure, typically contains galacturonic acid (GalA), galactose (Gal), arabinose (Ara), and rhamnose (Rha) residues [9]. Pectin could be divided into five types: homogalacturonan (HG), type I rhamnogalacturonans (RG-I), type II rhamnogalacturonans (RG-II), xylagalgalacturonan (XGA), and Apio galgalacturonan (AGA), based on the different structural characteristics [10]. HG is characterized by α-(1→4)-D-GalA repeat units as the backbone [11], whereas RG-I is composed of Ara, galactans, and L-fucose (L-fuc) in the sidechains [12]. RG-II and XGA are both derivatives of HG [10]. The components of P. ginseng pectin include HG and RG-I, as well as GalA, Gal, Ara, and Rha [13].
To date, many kinds of pectin have been isolated and identified from ginseng, and some of them have been identified as having antitumour activity, as described in Table 2.
Ginseng polysaccharide could also significantly inhibit the growth of Lewis lung carcinoma tumor [19]. In addition, one selenium-modified polysaccharide, sGP, has been reported. The experimental results indicate that sGP enhances apoptosis in HL-60 cells, demonstrating that chemical modification methods to obtain high contents of selenium polysaccharides could be developed as a novel antitumour therapy [20].

2.2. Angelica Sinensis (Oliv.) Diels Polysaccharides

The root of A. sinensis, known as Danggui, is a celebrated Chinese medicinal herb [21]. A. sinensis possesses a wide range of pharmacological activities, including hematopoiesis, immunomodulation, antioxidant, and anticancer activities [22,23,24,25]. Polysaccharides are the most important active constituents in Danggui, and numerous A. sinensis polysaccharides (ASPs) have been identified. The majority of ASPs contain GalA, Gal, Ara, Rha, mannose (Man), and glucose (Glc) with various molar ratios. Wei et al. also proved that APSs could induce apoptosis in cancer cells via regulation of the JAK/STAT of the transcription pathway [26]. Key kinases in the JAK/STAT and PI3K/AKT pathways were also downregulated by ASPs’ stimulation in another study [27]. ASPs have also been utilized in drug delivery systems. Wang et al. prepared doxorubicin (DOX)-loaded nanoparticles and proved that it can inhibit the growth of HepG2 multicellular spheres [28].

2.3. Portulaca oleracea L. Polysaccharides

P. oleracea L., a traditional Chinese herbal medicine, is known as MaChi** various nanocarriers. Drug delivery methods based on polysaccharides nanomaterials help to achieve targeted delivery of immunotherapeutic agents to immune cell subtypes and effectively improve the therapeutic effect of drug carriers. In addition, the degradation products of polysaccharides are normal monosaccharides in vivo and can be recycled by cells without accumulation in the tissue.
In a word, this article reviews the latest progress of polysaccharides and polysaccharide-based nanomaterials and their applications in cancer immunotherapy. The anticancer properties of polysaccharides are mainly mediated through two ways: (I) direct cytotoxicity and (II) as a targeted nano carrier platform, which carries traditional anticancer drugs. Although there are still many unsolved problems in this field, the clinical value and broad application prospects of anticancer polysaccharides make them an important direction of new drug development.

Author Contributions

Writing original draft preparation, H.J.; writing review and editing, H.J., M.L. and F.T.; visualization and supervision, W.Z. and F.Y. All authors have read and agreed to the published version of the manuscript.

Funding

This work was supported by the National Key R&D Program of China (2018YFA0507204) and the National Natural Science Foundation of China (22077068) and the Fundamental Research Funds for the Central Universities.

Institutional Review Board Statement

Not applicable.

Informed Consent Statement

Not applicable.

Data Availability Statement

Not applicable.

Conflicts of Interest

The authors declare no conflict of interest.

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Figure 1. The major MAP in red seaweed (A), brown seaweed (B), and green seaweed (C).
Figure 1. The major MAP in red seaweed (A), brown seaweed (B), and green seaweed (C).
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Figure 2. Four classes of mammalian GAGs and their potential sulfation sites. (A) (HP)/heparan sulfate (HS), (B) Hyaluronan (HA), (C) Chondroitin sulfate (CS)/Dermatan sulfate (DS), and (D) Keratan sulfate (KS).
Figure 2. Four classes of mammalian GAGs and their potential sulfation sites. (A) (HP)/heparan sulfate (HS), (B) Hyaluronan (HA), (C) Chondroitin sulfate (CS)/Dermatan sulfate (DS), and (D) Keratan sulfate (KS).
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Figure 3. Mechanism of action of HA-based drug delivery targeting CD44.
Figure 3. Mechanism of action of HA-based drug delivery targeting CD44.
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Figure 4. The repeating unit of the LNT structure.
Figure 4. The repeating unit of the LNT structure.
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Figure 5. The mechanism action of the Lentinan.
Figure 5. The mechanism action of the Lentinan.
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Figure 6. The structures of GLPs. (A) GLSA50-1B, (B) PSGL-I-1A, (C) WGLP.
Figure 6. The structures of GLPs. (A) GLSA50-1B, (B) PSGL-I-1A, (C) WGLP.
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Table 1. Performance and structural features of natural anticancer polysaccharides.
Table 1. Performance and structural features of natural anticancer polysaccharides.
Natural PolysaccharidesPerformancesStructural Features
Polysaccharides from plantsTarget Twist/AKR1C2/NF-1 pathwayacidic protein–polysaccharide
Polysaccharides from animalsAntiangiogenic propertiesGlcN-GlcA or GlcN-IdoA
Polysaccharides from fungiInhibiting JAK2/STAT3 signaling pathwayβ-(1→3) glucose linkages
Table 2. Ginseng polysaccharides with antitumour activity.
Table 2. Ginseng polysaccharides with antitumour activity.
CompoundStructure FeaturesMWAntitumor MechanismRef.
PGPW197.4% carbohydrate and 1.2% uronic acid~3.5 × 105 DaNot been elucidated[14,15]
PGP2aAcidic protein–polysaccharide~3.2 × 104 DaTarget Twist/AKR1C2/NF-1 pathway[16]
RG-IRG-I and side chains AG-I~6 × 104 DaBound to galectin-3[17]
MCGP-1The ratio of Rha/GalA is 0.821.649 × 105 DaMight be related to the Ara residues linked to the surface of the polysaccharide[18]
MCGP-2Mainly composed of GalA, Ara, Gal, Rha, and Glc1.644 × 105 DaThe same mechanism as MCGP-1[18]
MCGP-3The characteristic compositions of RG-I pectin1.572 × 105 DaThe same mechanism as MCGP-1 and contains disaccharide [-(1, 4)-α-D-GalAp-(1, 2. -α-L-Rhap-][18]
MCGP-4The characteristic compositions of RG-I pectin1.673 × 105 DaThe same mechanism as MCGP-1[18]
MCGP-5The ratio of Rha/GalA is 0.241.600 × 105 DaThe same mechanism as MCGP-1[18]
MCGP-6Mainly composed of GalA, Ara, Gal, Rha, and Glc1.592 × 105 DaThe same mechanism as MCGP-1[18]
MCGP-7Mainly composed of GalA, Ara, Gal, Rha, and Glc1.520 × 105 DaThe same mechanism as MCGP-1[18]
Table 3. Seeds’ polysaccharides with anticancer activity.
Table 3. Seeds’ polysaccharides with anticancer activity.
Plants SpeciesTypes of Carcinoma Cell LinesRef.
Peony seedsPc-3/HCT-116/MCF-7/Hela[45]
Chenopodium quinoa seedsSMMC 7721/MCF-7[46]
Psidium guajava L. seedsMCF-7[47]
Table 4. Polysaccharides from other species of plants with antitumour activity.
Table 4. Polysaccharides from other species of plants with antitumour activity.
Plants Species Structure FeaturesTypes of Carcinoma Cell LinesRef.
BroccoliComprised of Ara, Gal, and Rha with a molar ratio of 5.3:0.8:1.0HepG2, Siha cervical, MDA-MB-231[77]
Gleoestereum incarnatumComposed of Gal, Glc, xylose, and Man at molar ratios of 1:4.25:1.14:1.85HepG2[78]
Zizyphus jujuba cv.MuzaoPresence of RG-I domains and typical pectic polysaccharides, with homogalacturonan (methyl and acetyl esterified)HepG2[79]
Taxus chinensis var.mairei fruits S180[80]
Huperzia serrataComposed of Gal, Glc, Ara, Rha, Man, GalA, and so onSkov3 and A2780[81]
Dandelionα-type polysaccharides, consisted of Glc, Gal, Ara, arabinose rhamnose, and GlcAHepG2[82,83]
Dendrobium nobile LindlComposed of Gal, Glc, Ara, Rha, Man, and so onSarcoma 180[84]
Table 5. Application of HP in antitumour therapy.
Table 5. Application of HP in antitumour therapy.
CompoundHP Combination TypesAnticancer MechanismsTypes of CancerRef.
LHTHP–drug conjugateAntiangiogenic propertiesPancreatic cancer cells-bearing mice[99]
Oral LMWH conjugate (LHTD4)HP–drug conjugateAntiangiogenic propertiesA549 lung cancer cells[100]
Tinzaparin, a LMWHHP fragmentsReverses the cisplatin resistance in A2780cis cellsA2780cis cells[101]
Deoxycholic acid conjugatedHP fragments (HFD)HP–drug conjugateInhibiting VEGF165SCC7 cells[102]
LMWH-SuraminHP–drug conjugateInhibiting VEGF165SCC7-bearing mouse model[103]
HP-suramin/PEGylated protamineHP–drug conjugateAntiangiogenic propertiesSCC7-bearing mouse model[104]
HP-functionalized Pluronic nanoparticlesPolymeric nanoparticlesAntiangiogenic properties and drug combinationGastric cancers[105]
Heparin/polyethyleneglycol (PEG) hydrogelNanogelsAntiangiogenic properties and drug combinationBreast cancer[106]
LMWH-poloxamerNanogelsEnhancing the efficacies, minimizing the side effects ofdalteparin, and exhibiting a good thermosensitivityXenograft S180 sarcoma tumor[107]
HP-containing cryogel microcarriersPolyelectrolyte complex nanoparticlesReversible strong electrostatic interactionMetastatic breast cancer[108]
HP-Folate-Tat-TaxolPolyelectrolyte complex nanoparticlesNegatively charged nanoparticles may cause lower toxic effectBreastcancer cells[109]
LMWH–quercetin conjugateHP–drug conjugateAntiangiogenic propertiesMCF-7 tumor cells[110]
HP-PoloxamerHP-coated inorganic nanoparticlesAntiangiogenic properties and drug combinationHeLa cells[111]
Heparosan-cystamine-vitamin E succinateNanogelsIncrease tumor selectivity and improve the therapeutic effectMGC80-3 tumor cells[112]
LMWH-TOSPolyelectrolyte complex nanoparticlesAntiangiogenic properties and drug combination4T1 solid tumor model[113]
HP–folate–retinoic acid bioconjugatesPolyelectrolyte complex nanoparticlesDrug combinationHeLa cells[114]
HP-reduced graphene oxide nanocompositesPolyelectrolyte complex nanoparticlesCombinational chemotherapy and photothermal therapyMCF-7 and A549cells[115]
PEGylated HP-based nanomedicinesPolyelectrolyte complex nanoparticlesPhotodynamic therapy4T1 cells[116]
Table 6. Application of HA in antitumour therapy.
Table 6. Application of HA in antitumour therapy.
Compound HA Combination TypesAnticancer MechanismsTypes of CancerRef.
Carbon nanotubes-Chitosan (CHI)-HA-DOXPolymeric nanoparticlesCD44-targeted, hydrophilicHeLa cells[120]
HA-DOX-afatinib-CaPPolymeric nanoparticlesCD44-targeted, high-densitycarboxyl groupsA549 lung cancer cells[121]
HA-Curcumin (Cur)NanogelsCD44-targetedA549 lung cancer cells[122]
HA-SinulariolidePolymeric nanoparticlesCD44-targetedA549 lung cancer cells[123]
HA-Cur-prodrug-CaPPolymeric nanoparticlesCD44-targetedMB-MDA-231 mouse model[124]
HA-cystamin-pyrenyl-Ir(III)Polymeric nanoparticlesCD44-targeted, hydrophilicA549 tumor-bearing mice[125]
HA-DOX-cisplatinNanogelsCD44-targetedA2780 cell lines[126]
HA-keratin-DOXNanogelsCD44-targeted, negative charge and good hydrophilicity4T1 and B16 cells[127]
HA-PemetrexedHA–drug conjugateCD44-targeted, as a prognostic marker in malignant pleural mesotheliomaMalignant pleuralmesothelioma model[128]
HA-fluvastatin-encapsulating liposomesPolymeric nanoparticlesCD44-targeted, hydrophilic barrierBreast cancer stem cellxenografted mouse model[129]
HA-coated silica/hydroxyapatite- DOXHA-coated inorganic nanoparticlesCD44-targeted4T1 tumor-bearing mice[130]
HA-sclareol/poly-lactic-co-glycolic acidHA-coated inorganic nanoparticlesCD44-targeted, hydrophilicMCF-7 and MDA-MB468 cell lines[131]
HA-coated camptothecinHA-coated inorganic nanoparticlesCD44-targetedMDA-MB-231 cells[132]
HA and poly-(N-ε-carbobenzyloxy-L-lysine)Polymeric nanoparticlesCD44-targetedHepG2 tumor-bearing mice[133]
Ursolic acid-loadedin a poly-L-lysine coat and HAHA-coated organic nanoparticlesCD44-targetedSCC-7 xenograft tumor model[134]
folic acid- and dopamine-decorated HAHA-coated organic nanoparticlesCD44-targetedB16 melanoma model[135]
HA-Cu2XSHA-coated organic nanoparticlesCD44-targeted, biocompatibilityCT26.WT cells-bearing mice[136]
HA Conjugated ZincProtoporphyrinHA conjugated cincprotoporphyrinCD44-targetedC26 colon cancer cells[137]
Irinotecan-loaded self-agglomerating HAPolymeric nanoparticlesCD44-targetedH23 non-small-cell lung cancer cells[138]
HA-SuperparamagneticIron OxidePolyelectrolyte complex nanoparticlesCD44-targetedU87MG cells[139]
Table 7. Types of CS.
Table 7. Types of CS.
CS TypesMajor Disaccharide UnitOther Disaccharide Unit
CS-AGlcA-GalNAc4SGlcA-GalNAc/GlcA2S-GalNAc
CS-B(DS)IdoA-GalNAc4SIdoA2S-GalNAc4S/GlcA3S-GalNAc
CS-CGlcA-GalNAc6SIdoA-GalNAc4S6S/GlcA3S-GalNAc4S
CS-DGlcA2S-GalNAc6SIdoA2S-GalNAc4S6S/GlcA3S-GalNAc4S6S
CS-EGlcA-GalNAc4S6SIdoA2S-GalNAc/GlcA3S-GalNAc6S
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**, H.; Li, M.; Tian, F.; Yu, F.; Zhao, W. An Overview of Antitumour Activity of Polysaccharides. Molecules 2022, 27, 8083. https://doi.org/10.3390/molecules27228083

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** H, Li M, Tian F, Yu F, Zhao W. An Overview of Antitumour Activity of Polysaccharides. Molecules. 2022; 27(22):8083. https://doi.org/10.3390/molecules27228083

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**, Hongzhen, Maohua Li, Feng Tian, Fan Yu, and Wei Zhao. 2022. "An Overview of Antitumour Activity of Polysaccharides" Molecules 27, no. 22: 8083. https://doi.org/10.3390/molecules27228083

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