Cancer is a hyperproliferative disorder that is usually treated by chemotherapeutic agents that are toxic not only to tumor
cells but also to normal cells, so these agents produce major side effects. In addition, these agents are highly expensive
and thus not affordable for most. Moreover, such agents cannot be used for cancer prevention. Traditional medicines are generally
free of the deleterious side effects and usually inexpensive. Curcumin, a component of turmeric (
Curcuma longa), is one such agent that is safe, affordable, and efficacious. How curcumin kills tumor cells is the focus of this review.
We show that curcumin modulates growth of tumor cells through regulation of multiple cell signaling pathways including cell
proliferation pathway (cyclin D1, c-myc), cell survival pathway (Bcl-2, Bcl-xL, cFLIP, XIAP, c-IAP1), caspase activation pathway
(caspase-8, 3, 9), tumor suppressor pathway (p53, p21) death receptor pathway (DR4, DR5), mitochondrial pathways, and protein
kinase pathway (JNK, Akt, and AMPK). How curcumin selectively kills tumor cells, and not normal cells, is also described in
detail.
KEY WORDS apoptosis - cancer - curcumin - molecular targets - signaling pathways.
Guest Editor: Marilyn E. Morris