J. Pharm. Pharmacogn. Res., vol. 13, no. 5, pp. 1372-1384, Sep-Oct 2025.

DOI: https://doi.org/10.56499/jppres24.2119_13.5.1372

Review

Bioactive compounds and biological mechanism of sea cucumber as potential antitumor agents: A review

[Compuestos bioactivos y mecanismo biológico del pepino de mar como potenciales agentes antitumorales: Una revisión]

Nurhidayati Nurhidayati1,2, Yuyun Yueniwati Prabowowati3, Nurdiana Nurdiana4, Happy Kurnia Permatasari5, Rohadi Muhammad Rosyidi6, Agustina Tri Endharti7*

1Doctoral Program in Medical Sciences, Faculty of Medicine, Universitas Brawijaya, Indonesia.

2Department of Pharmacology, Faculty of Medicine, Universitas Mataram, Indonesia.

3Department of Radiology, Faculty of Medicine, Universitas Brawijaya, Indonesia.

4Department of Pharmacology, Faculty of Medicine, Universitas Brawijaya, Indonesia.

5Department of Biochemistry, Faculty of Medicine, Universitas Brawijaya, Indonesia.

6Department of Neurosurgery, Faculty of Medicine, Universitas Mataram, Indonesia.

7Department of Parasitology, Faculty of Medicine, Universitas Brawijaya, Indonesia.

*E-mail: tinapermana.fk@ub.ac.id

Abstract

Context: The goal of cancer therapy is to eliminate tumor cells with the fewest side effects and injury to healthy tissue. This renders the use of natural ingredients, generally low in toxicity, a wise choice. Among the many marine organisms that have nutritional and therapeutic qualities, one that is quite popular is the sea cucumber.

Aims: To identify the antitumor effects of sea cucumber extracts.

Methods: This review followed the preferred reporting items for systematic reviews and meta-analysis guidelines of the Reporting System for Systematic Reviews and Meta-analyses (PRISMA). The keywords used were “((sea cucumber) AND (treatment)) AND (cancer)) AND (animal)”. Studies included in this review were original articles published between January 2019 and April 2024.

Results: Based on the search results and predetermined keywords, 623 studies were generated. After filtering out duplicate studies, 33 articles were obtained, then proceeded to the full-text screening stage regarding the research design, resulting in 10 articles that could be further analyzed in this systematic review. Sea cucumber-derived compounds have been proven in vitro and in vivo in murine models to have the ability to suppress the growth of various types of human tumor cells through various mechanisms, including cytotoxic activity, induction of apoptosis, cell cycle arrest, reduction of tumor growth, suppression of tumor cell invasion and metastasis, as well as inhibition of angiogenesis.

Conclusions: Various bioactive compounds found in sea cucumbers have proven to have suppressive effects on the growth of various human tumors.

Keywords: cancer; sea cucumber; treatment.

PDF Download

Resumen

Contexto: El objetivo de la terapia contra el cáncer es eliminar las células tumorales con la menor cantidad de efectos secundarios y lesiones al tejido sano. Esto hace que el uso de ingredientes naturales, generalmente de baja toxicidad, sea una opción inteligente. Entre los muchos organismos marinos que tienen cualidades nutricionales y terapéuticas, uno que es bastante popular es el pepino de mar.

Objetivos: Identificar los efectos antitumorales de los extractos de pepino de mar.

Métodos: Esta revisión siguió los elementos de informe preferidos para revisiones sistemáticas y pautas de metaanálisis del Sistema de Informes para Revisiones Sistemáticas y Metaanálisis (PRISMA). Las palabras clave utilizadas fueron “((pepino de mar) AND (tratamiento)) AND (cáncer)) AND (animal)”. Los estudios incluidos en esta revisión fueron artículos originales publicados entre enero de 2019 y abril de 2024.

Resultados: Con base en los resultados de la búsqueda y palabras clave predeterminadas, se generaron 623 estudios. Después de filtrar los estudios duplicados, se obtuvieron 33 artículos, luego se procedió a la etapa de selección de texto completo con respecto al diseño de la investigación, lo que dio como resultado 10 artículos que podrían analizarse más a fondo en esta revisión sistemática. Se ha demostrado in vitro e in vivo en modelos murinos que los compuestos derivados del pepino de mar tienen la capacidad de suprimir el crecimiento de varios tipos de células tumorales humanas a través de varios mecanismos, incluida la actividad citotóxica, la inducción de la apoptosis, la detención del ciclo celular, la reducción del crecimiento tumoral, la supresión de la invasión y metástasis de células tumorales, así como la inhibición de la angiogénesis.

Conclusiones: Varios compuestos bioactivos encontrados en los pepinos de mar han demostrado tener efectos supresores sobre el crecimiento de varios tumores humanos.

Palabras Clave: cáncer; pepino de mar; tratamiento.

PDF Download
 
Citation Format: Nurhidayati N, Prabowowati YY, Nurdiana N, Permatasari HK, Rosyidi RM, Endharti ATG (2025) Bioactive compounds and biological mechanism of sea cucumber as potential antitumor agents: A review. J Pharm Pharmacogn Res 13(5): 1372–1384. https://doi.org/10.56499/jppres24.2119_13.5.1372
References

Aydin M, Sevgili H, Tufan B, Emre Y, Köse S (2011) Proximate composition and fatty acid profile of three different fresh and dried commercial sea cucumbers from Turkey. Int J Food Sci Technol 46: 500–508. https://doi.org/10.1111/j.1365-2621.2010.02512.x

Demain AL, Vaishnav P (2011) Minireview natural products for cancer chemotherapy. Microbial Biotechnol 4(6): 687–699. https://doi.org/10.1111/j.1751-7915.2010.00221.x

Downes MJ, Brennan ML, Williams HC (2016) Development of a critical appraisal tool to assess the quality of cross-sectional studies (AXIS). BMJ Open 6: e011458. https://doi.org/10.1136/bmjopen-2016-011458

Dyshlovoy SA, Honecker F (2015) Marine compounds and cancer: Where do we stand? Mar Drugs 13(9): 5657–5665. https://doi.org/10.3390/md13095657

Janakiram NB, Mohammed A, Rao CV (2015) Sea cucumbers metabolites as potent anti-cancer agents. Mar Drugs 13(5): 2909–2923. https://doi.org/10.3390/md13052909

Jayatilleke, KM, Hulett, MD (2020) Heparanase and the hallmarks of cancer. J Transl Med 18: 453. https://doi.org/10.1186/s12967-020-02624-1

Kinghorn AD, Chin YW, Swanson SM (2009) Discovery of natural product anticancer agents from biodiverse organisms. Curr Opin Drug Discov Devel 12(2): 189-196. https://pmc.ncbi.nlm.nih.gov/articles/PMC2877274/

Kim JL, Park SH, Jeong S, Kim BR, Na YJ, Jo MJ, Jeong YA, Yun HK, Kim DY, Kim BG, You S, Oh SC, Lee DH (2019) Sea cucumber (Stichopus japonicas) F2 enhanced TRAIL-induced apoptosis via XIAP ubiquitination and ER stress in colorectal cancer cells. Nutrients 11(5): 1061. https://doi.org/10.3390/nu11051061

Lawrence AJ, Afifi R, Ahmed M, Khalifa S, Paget T (2010) Bioactivity as an options value of sea cucumbers in the Egyptian Red Sea. Conserv Biol 24(1): 217–225. https://doi.org/10.1111/j.1523-1739.2009.01294.x

Lin C, Zhu X, Jin Q, Sui A, Li J, Shen L (2020) Effects of Holothurian glycosaminoglycan on the sensitivity of lung cancer to chemotherapy. Integr Cancer Ther 19: 1534735420911430. https://doi.org/10.1177/1534735420911430

Li Y-X, Himaya SWA, Kim S-K (2013) Triterpenoids of marine origin as anti-cancer agents. Molecules 18(7): 7886–7909. https://doi.org/10.3390/molecules18077886

Lozano YY, Giraldo SE, Zapata AC, Escobar JE, Sánchez RM (2023) Medicinal plants with antileishmanial activity on parasites responsible for new-world cutaneous leishmaniasis. A systematic review 2018-2022. J Pharm Pharmacogn Res 11(6): 975–1001. https://doi.org/10.56499/jppres23.1697_11.6.975

Lu M, Mishra A, Boschetti C, Lin J, Liu Y, Huang H, Kamiski CF, Huang Z, Tunnacliffe A, Schierli GSK (2021) Sea cucumber-derived peptides alleviate oxidative stress in neuroblastoma cells and improve survival in C. elegans exposed to neurotoxic paraquat. Oxid Med Cell Longev 2021: 8842926. https://doi.org/10.1155/2021/8842926

Mohamed AS, Mahmoud SA, Soliman AM, Fahmy SR (2021) Antitumor activity of saponin isolated from the sea cucumber, Holothuria arenicola against Ehrlich ascites carcinoma cells in Swiss albino mice. Nat Prod Res 35(11): 1928-1932. https://doi.org/10.1080/14786419.2019.1644633

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brenna SE, Chou R, Glanville J, Grimshaw JM, Hróbjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372: n71. http://dx.doi.org/10.1136/bmj.n71

Pratheeshkumar P, Sreekala C, Zhang Z, Budhraja A, Ding S, Son YO, Wang X, Hitron A, Hyun-Jung K, Wang L, Lee JC, Shi X (2012) Cancer prevention with promising natural products: mechanisms of action and molecular targets. Anticancer Agents Med Chem. 12(10): 1159–1184. https://doi.org/10.2174/187152012803833035

Ru R, Chen G, Liang X, Cao X, Yuan L, Meng M (2023) Sea cucumber derived triterpenoid glycoside frondoside A: A potential anti-bladder cancer drug. Nutrients 15(2): 378. https://doi.org/10.3390/nu15020378

Ru R, Guo Y, Mao J, Yu Z, Huang W, Cao X, Hu H, Meng M, Yuan L (2022) Cancer cell inhibiting sea cucumber (Holothuria leucospilota) protein as a novel anti-cancer drug. Nutrients 14(4): 786. https://doi.org/10.3390/nu14040786

Silchenko AS, Kalinovsky AI, Avilov SA, Popov RS, Dmitrenok PS, Chingizova EA, Menchinskaya ES, Panina EG, Stepanov VG, Kalinin VI, Stonik VA (2023) Djakonoviosides A, A1, A2, B1-B4 - triterpene monosulfated tetra- and pentaosides from the sea cucumber Cucumaria djakonovi: The first finding of a hemiketal fragment in the aglycones; activity against human breast cancer cell lines. Int J Mol Sci 24(13): 11128. https://doi.org/10.3390/ijms241311128

Wargasetia TL, Widodo (2017) Mechanisms of cancer cell killing by sea cucumber-derived compounds. Invest New Drugs 35(6): 820–826. https://doi.org/10.1007/s10637-017-0505-5

Wulandari DA, Syahputra G, Putra MY (2020) The bioactive compound and mechanism of action of sea cucumber (Holothuridae) as anticancer: A review. Pure App Chem Res 9(3): 153–170. https://doi.org/10.21776/ub.jpacr.2020.009.03.534

Yuan L, Huang X, Zhiu K, Zhu X, Huang B, Qiu S, Cao K, Xu L (2019) Sea cucumber extract TBL-12 inhibits the proliferation, migration, and invasion of human prostate cancer cells through the p38 mitogen-activated protein kinase and intrinsic caspase apoptosis pathway. Prostate 79(8) :826-839. https://doi.org/10.1002/pros.23788

Zhang M, Chen L, Liu Y, Chen M, Zhang S, Kong D (2020) Sea cucumber Cucumaria frondosa fucoidan inhibits osteosarcoma adhesion and migration by regulating cytoskeleton remodeling. Oncol Rep 44(2): 469–476. https://doi.org/10.3892/or.2020.7614

Zhou L, Yin R, Gao N, Sun H, Chen D, Cai Y, Ren L, Yang L, Zuo Z, Zhang H, Zhao J (2021) Oligosaccharides from fucosylated glycosaminoglycan prevent breast cancer metastasis in mice by inhibiting heparanase activity and angiogenesis. Pharmacol Res 166: 105527. https://doi.org/10.1016/j.phrs.2021.105527

© 2025 Journal of Pharmacy & Pharmacognosy Research

© 2013-2020 by the authors; licensee JPPRes, Antofagasta, Chile. This journal is an open-access journal distributed under the terms and conditions of the Creative Commons Attribution license-Non Commercial 4.0 international. The content on this site is intended for health professionals. If you are not a health professional, please talk to your doctor about any doubts or concerns regarding your health

Site Update: October 25th, 2026

Made with ♥ by AVAGAX Studio