Most of the studies carried out up until now have focused primarily on the development of chemical drug products and molecules for treating cancer. However, it has been discovered that numerous plants contain cytotoxic components that are capable of inhibiting certain types of cancer [1, 2, 3]. Treatments could therefore become less invasive than the chemotherapy routinely used, and would be better tolerated by the body.
A number of studies have indeed demonstrated the benefit of micronutrients extracted from plant biodiversity in combating cancer. These notably include carotenoids or phenolic compounds extracted from fruits and vegetables, and they have antioxidant and anti-proliferative effects on cancer cells [4, 5, 6]. Tropical fruits, and among them the pink guava Psidium guajava L., are a source of antioxidants such as polyphenols, carotenoids and vitamins, which have known beneficial effects for human health [7].
Lycopene is one of the carotenoids found in large quantities in such fruits, and particularly in pink guava. It is a natural pigment that gives the distinctive red color to certain fruits, such as ripe tomatoes, or guava [8, 9]. This micronutrient, which has been studied for some time now in tomatoes or watermelon, is found in larger quantities in pink guava [10, 11]. Its beneficial effects on health, including its antioxidant properties [12, 13], have been demonstrated as being particularly effective for the treatment of degenerative illnesses and cardiovascular diseases [14], but also for prostate cancer [15, 16, 17, 18], breast cancer [19, 20, 21] and for the prevention of premature aging of the skin [22, 23, 24].
Prostate cancer, or PCa, is the second most widespread cancer in the world after skin cancer, with some 164,690 new cases and 29,430 deaths in the United States [25]. This malignant condition is highly frequent in the Caribbean Basin, including the French West Indies, with a higher mortality rate than in mainland France [26]. This may primarily be due to genetic factors, but is also thought to be due to the presence of an endocrine disruptor used in pesticides – chlordecone – traces of which have been found in foodstuffs [27]. Hormonal factors and particularly the androgen 5-alpha-dihydrotestosterone (5-alpha-DHT) produced from testosterone through the action of 5-alpha-reductase, have been implicated in prostate cancer and benign prostatic hyperplasia [28].
Skin cancer, and particularly melanoma, has a high incidence among the American population, reportedly accounting for up to 91,270 new cases and 9,320 deaths in the United States [25]. This type of cancer is often triggered by exposure to UV rays, a predominant factor in the development of melanoma [29]. It has also been suggested that platelet-derived growth factor (PDGF) modulates the fibroblast microenvironment and encourages the growth of melanoma [30].
These two types of cancer, prostate cancer and melanoma, require intensive chemotherapy, which is poorly tolerated by the body and, moreover, has only transient results [31]. Lycopene has been shown to protect against prostate cancer, and its anti-proliferative and anti-androgenic properties reportedly reduce the risk of developing this tumor [32, 33, 34]. Furthermore, specific combinations of phytochemicals are thought to be more effective than individual molecules in preventing and combating certain illnesses, including cancer. This shows the need to study the synergies between active plant compounds through experiments on plant extracts.
In addition to the recognized properties of lycopene, a flavonoid of the polyphenol family – apigenin, a potent antioxidant also found in large quantities in pink guava – has been reported to have beneficial effects for combating thyroid cancer [35], prostate cancer [36], and to help prevent the development of skin cancer [37].
Resveratrol or trans-3,5,4’-trihydroxystilbene – another natural polyphenol found in a large variety of fruits such as grapes, berries and peanut, and also in some medicinal plants [38] – is known for its antioxidant [39] and neuroprotective properties [40, 41]. Its anti-cancer action has been reported by virtue of its involvement in numerous metabolic and cell signaling pathways, inducing apoptosis, and resistance to oxidative stress and to chronic inflammation [38].
All of these biomolecules have been studied, for the most part, separately and not as combinations. If they were combined, they might contribute new benefits as regards effective treatment options for combating certain types of cancer.
The aim of this study was therefore to evaluate, for the first time, separately and as combinations, the action of lycopene, apigenin and resveratrol on prostate and melanoma tumor cell lines.