Evidence map›Paper›PMID 39107323›Full record

ArticleScientific reports2024

Piperine enhances doxorubicin sensitivity in triple-negative breast cancer by targeting the PI3K/Akt/mTOR pathway and cancer stem cells.

Andrew N Hakeem, Dina M El-Kersh, Olfat Hammam, Aliaa Elhosseiny, Amr Zaki, Kohinour Kamel, Lidia Yasser, Marina Barsom, Menatallah Ahmed, Mohamed Gamal and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. PI3 K/AKT/mTOR pathway and its role in breast cancer stem cells.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. The Hidden Power of Black Pepper: Exploring Piperine's Role in Cancer.Plant foods for human nutrition (Dordrecht, Netherlands) · 2025
    Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Andrew N HakeemPharmacology Department, Faculty of Pharmacy, The British University in Egypt, Cairo, Egypt.
Dina M El-KershHealth Research Center of Excellence, Drug Research and Development Group, Faculty of Pharmacy, The British University in Egypt, Cairo, Egypt.
Olfat HammamPathology Department, Theodor Bilharz Research Institute, Giza, Egypt.
Aliaa ElhosseinyPharmacology Department, Faculty of Pharmacy, The British University in Egypt, Cairo, Egypt.
Amr ZakiGraduate Students, Faculty of Pharmacy, The British University in Egypt, Cairo, Egypt.
Kohinour KamelGraduate Students, Faculty of Pharmacy, The British University in Egypt, Cairo, Egypt.
Lidia YasserGraduate Students, Faculty of Pharmacy, The British University in Egypt, Cairo, Egypt.
Marina BarsomBiochemistry Department, Faculty of Pharmacy, The British University in Egypt, Cairo, Egypt.
Menatallah AhmedBiochemistry Department, Faculty of Pharmacy, The British University in Egypt, Cairo, Egypt.
Mohamed GamalBiochemistry Department, Faculty of Pharmacy, The British University in Egypt, Cairo, Egypt.
Yasmeen M AttiaPharmacology Department, Faculty of Pharmacy, The British University in Egypt, Cairo, Egypt. yasmeen.attia@bue.edu.eg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Triple-negative breast cancer (TNBC) is an aggressive subtype of breast cancer that lacks an actionable target with limited treatment options beyond conventional chemotherapy. Therapeutic failure is often encountered due to inherent or acquired resistance to chemotherapy. Previous studies implicated PI3K/Akt/mTOR signaling pathway in cancer stem cells (CSCs) enrichment and hence chemoresistance. The present study aimed at investigating the potential effect of piperine (PIP), an amide alkaloid isolated from Piper nigrum, on enhancing the sensitivity of TNBC cells to doxorubicin (DOX) in vitro on MDA-MB-231 cell line and in vivo in an animal model of Ehrlich ascites carcinoma solid tumor. Results showed a synergistic interaction between DOX and PIP on MDA-MB-231 cells. In addition, the combination elicited enhanced suppression of PI3K/Akt/mTOR signaling that paralleled an upregulation in this pathway's negative regulator, PTEN, along with a curtailment in the levels of the CSCs surrogate marker, aldehyde dehydrogenase-1 (ALDH-1). Meanwhile, in vivo investigations demonstrated the potential of the combination regimen to enhance necrosis while downregulating PTEN and curbing PI3K levels as well as p-Akt, mTOR, and ALDH-1 immunoreactivities. Notably, the combination failed to change cleaved poly-ADP ribose polymerase levels suggesting a pro-necrotic rather than pro-apoptotic mechanism. Overall, these findings suggest a potential role of PIP in decreasing the resistance to DOX in vitro and in vivo, likely by interfering with the PI3K/Akt/mTOR pathway and CSCs.

Indexed as

AlkaloidsBenzodioxolesDoxorubicinNeoplastic Stem CellsPhosphatidylinositol 3-KinasesPiperidinesPolyunsaturated AlkamidesProto-Oncogene Proteins c-aktSignal TransductionTOR Serine-Threonine KinasesTriple Negative Breast NeoplasmsAnimalsApoptosisCell Line, TumorDrug Resistance, NeoplasmDrug SynergismAlkaloidsBenzodioxolesDoxorubicinMTOR protein, humanPhosphatidylinositol 3-KinasesPiperidinespiperinePolyunsaturated AlkamidesProto-Oncogene Proteins c-aktTOR Serine-Threonine KinasesCancer stem cellsDoxorubicinPI3K/Akt/mTORPiperinePTENTriple-negative breast cancer

Identifiers

PMID39107323
PMCPMC11303729

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.