Role of Brusatol in Preventing Gastrointestinal Cancer: Recent Trends and Future Perspectives

Arch Pharm (Weinheim). 2026 Jan;359(1):e70191. doi: 10.1002/ardp.70191.

Abstract

Gastrointestinal (GI) cancers represent a major global health burden due to their high incidence and mortality. Brusatol has emerged as a promising natural anticancer agent with potent activity against diverse malignancies. It exerts antitumor effects by inhibiting the nuclear factor erythroid 2-related factor 2 (NRF2) signaling pathway, modulating redox homeostasis, and sensitizing tumor cells to oxidative stress and chemotherapeutics. This review summarizes the current understanding of the molecular mechanisms of brusatol in GI cancers, and its synergistic potential with conventional therapies as well as nanotechnology-based delivery systems. We highlight the future directions for safer and more selective brusatol derivatives for GI cancer therapy.

Keywords: GI cancer; brusatol; nanotechnology; natural anticancer agent; pharmacology.

Publication types

  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents* / administration & dosage
  • Antineoplastic Agents* / chemistry
  • Antineoplastic Agents* / pharmacology
  • Gastrointestinal Neoplasms* / drug therapy
  • Gastrointestinal Neoplasms* / metabolism
  • Gastrointestinal Neoplasms* / pathology
  • Gastrointestinal Neoplasms* / prevention & control
  • Humans
  • NF-E2-Related Factor 2 / antagonists & inhibitors
  • NF-E2-Related Factor 2 / metabolism
  • Oxidative Stress / drug effects
  • Quassins* / administration & dosage
  • Quassins* / chemistry
  • Quassins* / pharmacology
  • Signal Transduction / drug effects

Substances

  • Antineoplastic Agents
  • brusatol
  • Quassins
  • NF-E2-Related Factor 2
  • NFE2L2 protein, human