Introduction
Terpenoids are a vast and diverse group encompassing several classes of secondary
metabolites from plants, each being investigated for biomedical properties [1]. Notably, they have been described as having anti-inflammatory, analgesic, antimicrobial,
antioxidant, and estrogenic properties [2], [3]. Sesquiterpenes are a class of terpene to which α-humulene (also known as α-caryophyllene) and its isomer β-caryophyllene belong. These sesquiterpenes share a three-isoprene unit structure,
formed from the precursor farnesyl diphosphate, leading to the formation of cyclic
or multi-ring compounds that contribute to their distinctive aroma [1].
α-humulene and β-caryophyllene, though structurally similar, are differentiated by the open-ring structure
present in α-humulene [4]. Historically, α-humulene was first identified as a major component in the essential oils of Humulus lupulus L., Cannabaceae, the common hop plant, from which it derived its name. Its structural
elucidation was achieved through nuclear magnetic resonance spectroscopy. Furthermore,
α-humulene has not only been sourced from Humulus lupulus but also from Cannabis Indica L., Cannabaceae, signifying its prevalence in botanical species for which there are
already well-established agricultural processes [5]. The isolation and extraction of α-humulene from its botanical sources have been refined over time. Modern techniques,
such as steam distillation, are employed to capture the volatile essential oils containing
this sesquiterpene. Its
abundance in various botanical sources makes it a subject of interest for both traditional
and modern medicinal applications.
There is continual demand to identify novel compounds that possess anticancer, anti-inflammatory,
and antimicrobial properties, in light of a persisting cancer burden, rising incidence
of inflammatory conditions, and emergence of antimicrobial resistance [6], [7], [8]. Despite promising preclinical evidence supporting the multimodal therapeutic potential
of
α
-humulene, there are several barriers to its clinical translation. Whilst certain
plant species are known to be rich sources of
α
-humulene, plant yields are often reported as being low, and so far, researchers have
not reached a consensus on a named plant species that consistently yields high concentrations
of α-humulene. At present, biosynthesis pathways are therefore being explored as an avenue
to create synthetic α-humulene to overcome inherent challenges with the manufacturing of compounds that
are reliant upon favourable agricultural conditions [9]. In addition, much of the research conducted to date has utilised a combination
of organic compounds contained within the plant essential oil, rather than assessing
the properties of α-humulene in isolation, resulting in a paucity of evidence summarising α-humuleneʼs individual properties. It is therefore important to evaluate studies that
report specifically the properties of α-humulene and identify species with acceptable yields in order to advance this scientific
field.
A systematic review by Leite et al. [10] summarised the preclinical properties of sesquiterpene compounds, including α-humulene and β-caryophyllene. Whilst preclinical evidence has been promising regarding the properties
of
α
-humulene, there has been minimal progress into clinical translation of this research.
Hence, this review aimed to provide a synthesised evidence base for the prioritisation
of future research, including optimisation of agriculture and manufacturing, alongside
identification of the most promising biomedical applications.
Results
Search results
The database and manual bibliography search initially returned 544 studies ([Fig. 1]). Four hundred and twelve full-text articles were assessed for eligibility, with
340 articles included for qualitative synthesis. Three hundred and seven studies included
reported the extraction yields of α-humulene (Supplementary Material A). Thirty-two studies [11], [12], [13], [14], [15], [16], [17], [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28], [29], [30], [31], [32], [33], [34], [35], [36], [37], [38], [39], [40], [41], [42] were included for evaluation of the pre-clinical properties of α-humulene. These included investigations conducted in vitro
[11], [12], [13], [14], [15], [16], [17], [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28], [29], [30], in vivo
[31], [32], [33], [34], [35], [36], and combined in vitro and in vivo experiments [37], [38], [39], [40], [41], [42]. Notably, no studies were found to assess the clinical properties of α-humulene.
Fig. 1 PRISMA flow chart showing the process of inclusion and exclusion of patients for
analysis in this scoping review.
Yield of α-humulene from extraction
Yields of α-humulene were reported from 462 different plant and animal species (Supplementary
Material B). Reported yields varied from nil to 60.90%. [Table 1] highlights the five species that exhibited the highest reported yields among the
included studies. The most common method of α-humulene extraction was hydrodistillation in a Clevenger-type apparatus. Concurrently,
isolation most frequently relied on gas chromatography–mass spectrometry (GC-MS).
Among the species analysed, Lantana camara L., Verbenaceae; Origanum majorana L., Lamiaceae; Cordia verbenacea DC., Boraginaceae; Cannabis sativa; and Daucus carota L., Apiaceae were prominent contributors, with the greatest number of studies reporting
α-humulene extraction data.
Table 1 Summarising the species with the top five highest reported yields of α-humulene.
|
Species
|
Chemovar
|
Extraction
|
Isolation
|
Yield
|
Reference
|
|
GC-MS – gas chromatography–mass spectrometry
|
|
Aframomum melegueta [alligator pepper]
|
Nigeria
|
Hydrodistillation for 3 h
|
Fractionation
|
60.90%
|
Ajaiyeoba E et al. 1999 [77]
|
|
Leptospermum sp. [Mt Maroon A. R. Bean 6665]
|
Australia
|
Hydrodistillation with incubation
|
GC-MS
|
44.00 – 51.00%
|
Brophy J et al. 2000 [78]
|
|
Humulus lupulus. [Chinook variety]
|
Brazil
|
Hydrodistillation using a Clevenger-type apparatus
|
GC-MS
|
31.50 – 34.62%
|
Duarte et al. 2023 [79]
|
|
Camponotus japonicus [insect]
|
Japan
|
Macerated in 10 mL of pentane
|
GC-MS
|
35.80%
|
Sakurai K et al. 2020 [80]
|
|
Zingiber nimmonii
|
India
|
Hydrodistillation using a Clevenger-type apparatus for 8 h
|
GC-MS
|
19.60%
|
Govindarajan et al. 2016 [81]
|
Specific properties of α-humulene
Antiproliferative properties
Thirteen studies evaluated the effects of α-humulene in cancer models ([Table 2]) [11], [12], [13], [14], [15], [16], [17], [18], [19], [20], [31], [37], [38]. Across these studies, α-humulene consistently demonstrated cytotoxic activity against tumour cells, with
one exception by Loizzo et al. (2008) [20] involving human amelanotic melanoma (C32) and renal cell adenocarcinoma (ACHN) at
a concentration of 9.3 × 10−7 to 1.2 × 10−4. α-humulene, sourced from Myrica rubra Siebold & Zucc.,
Myricaceae, has demonstrated substantial anti-proliferative effects on colorectal
cancer cell lines in vitro, marked by mitochondrial membrane potential disruption and enhanced efficacy when
combined with conventional anticancer drugs [11]. In hepatocellular carcinoma (HCC), α-humulene from Eupatorium odoratum L., Asteraceae exhibited selective inhibition of HCC cell proliferation primarily
in vitro, associated with the suppression of protein kinase B signalling [37]. Notably, α-humulene demonstrated dose-dependent inhibition of ovarian and lymphoblast cancer
cell proliferation in vitro and synergistic effects with doxorubicin [12]. Its preferential cytotoxicity towards tumour cells, sparing non-tumour cells, indicates
potential selectivity for actively dividing cancer cells. This anti-proliferative
activity has also been related to apoptosis
induction and modulation of reactive oxygen species (ROS) production [37]. In an in vivo study on clove terpenes, α-humulene induced significant glutathione S-transferase activity in mouse liver and
small intestine tissues, suggesting a role in detoxification processes [31]. Fukuoka et al. (2004) [21] showed α-humuleneʼs antiproliferative properties in rat arterial smooth muscle cells, utilising
a cell assay that induced proliferation with heat shock protein. The study reported
an IC50 value of 0.122 µM, showcasing dose-dependent effects and superior potency
compared to its analogue zerumbone. Inhibitory effects were demonstrated even at a
concentration of 4.89 × 10− 6 mol/L.
Table 2 Summary of studies investigating the anticancer properties of isolated α-humulene.
|
Model
|
Concentration/Dose
|
Results
|
Reference
|
|
IC50 – half maximal inhibitory concentration; LC50 – half maximal lethal concentration
|
|
In vitro colorectal adenocarcinoma epithelial cells [CaCo-2 and SW-620]
|
5 × 10−5, 1 × 10−4, and 1.5 × 10−4 M
|
α-humulene exhibited antiproliferative activity in combination with oxaliplatin and
5-fluorouracil at 100 and 150 µmol/L due to decreased mitochondrial membrane potenzial.
|
Ambroz et al. 2019 [11]
|
|
In vitro hepatocellular carcinoma cells [huh7, SMMC-7721, HepG2 and Hep3B] and in vivo HepG2-bearing nude mice
|
In vitro: 6.1 × 10−6 – 2.4 × 10−4 M
In vivo: 10 and 20 mg/kg
|
In vitro, α-humulene inhibited proliferation of all hepatocellular carcinoma cell lines at 15 µmol/L,
inducing cytotoxicity via intrinsic apoptotic pathways. Similar findings were reported
in vivo at 10 mg/kg.
|
Chen et al. 2019 [37]
|
|
In vitro ovarian cancer cells [A2780 and SKOV3 and lymphoblasts CCRF/CEM and CEM/ADR]
|
20, 40, 100, and 200 µM
|
α-humulene showed antiproliferative activity against certain ovarian cancer cell lines
[A2780 at 40 µM, SKOV3 at 200 µM] and lymphoblast cell lines [CCRF/CEM at 200 µM,
no effect on CEM/ADR at 200 µM].
|
Ambroz et al. 2017 [12]
|
|
In vitro colon adenocarcinoma [CaCo-2] and non-cancer cells [rat hepatocytes]
|
0 – 2.4 × 10−4 M
|
α-humulene demonstrated antiproliferative activity against cancer cells at 4.9 × 10−5 mol/L, with an IC50 of 24.4 ± 2.4. Additionally, α-humulene potentiated doxorubicinʼs anticancer properties in cancer cells, while showing
no effect on non-cancer cell viability.
|
Ambroz et al. 2015 [13]
|
|
In vitro mice melanoma, human hepatocellular carcinoma, chronic human myelocytic leukaemia,
and human promyelocytic leukaemia
|
9.3 × 10−7 – 1.2 × 10−4 M
|
No significant anticancer activity of α-humulene was identified for any concentration tested.
|
Costa et al. 2015 [38]
|
|
In vitro: colon human cancer [HT-29], human hepatocellular carcinoma [J5], and human pulmonary
adenocarcinoma [A549]
|
0 – 9.8 × 10−4 M
|
α-humulene exhibited significant cytotoxicity against all cell lines, with IC50 values
of 5.2 × 10−5, 1.8 × 10−4, and 1.3 × 10−4 mol/L for HT-29, J5, and A549, respectively.
|
Su et al. 2015 [14]
|
|
In vitro: human colorectal. adenocarcinoma [HCT-116], human breast cancer [MCF-7] and murine
macrophages [RAW264.7]
|
7.6 × 10−6 – 4.9 × 10−4 M
|
α-humulene demonstrated cytotoxic potenzial by inhibiting cancer cell growth, with
IC50 values of 3.1 × 10−4, 4.2 × 10−4, and 1.9 × 10−4 mol/L for HCT-116, MCF-7, and RAW264.7 cell lines, respectively.
|
Hadri et al. 2010 [15]
|
|
Murine small bowel mucosa and liver
|
9.8 × 10−5 M
|
α-humulene showed potenzial inhibitory action against carcinogenesis by increasing
glutathione S-transferase [GST] activity. The enzyme activity increased by 99% in
the liver and 152% in the small bowel.
|
Zheng et al. 1992 [31]
|
|
Cell lines of human breast adenocarcinoma [MCF-7], prostatic adenocarcinoma [PC-3],
lung carcinoma [A-549], colon adenocarcinoma and fibroblasts [DLD-1 e L-929]
|
2.4 × 10−4 and 9.8 × 10−4 M
|
α-humulene caused dose-dependent glutathione depletion of 38% and 71% at 50 and 200 µM,
respectively, along with increased production of reactive oxygen species by 163% and
278% after 1 and 4 hours. Normal human fibroblasts showed lower cytotoxic effects.
|
Legault et al. 2003 [16]
|
|
Cell lines of human breast adenocarcinoma [MCF-7], colon adenocarcinoma [DLD-1: ATCC
# CCL-221], murine fibroblasts [L-929 ATCC # CCL-1]
|
7.8 × 10−5 – 3.1 × 10−4 M
|
α-humulene showed cytotoxicity at 1.6 × 10−4 and 3.1 × 10−4 mol/L. Cell growth inhibition by α-humulene was significantly increased from 50 ± 6% alone to 75 ± 6% by co-administration
of non-cytotoxic levels [10 µg/mL] of caryophyllene, potenzially due to altered membrane
permeability.
|
Legault et al. 2010 [17]
|
|
Cell lines of human breast adenocarcinoma [MCF-7 and MDA-MB-468], human malignant
melanoma: [UACC-257]
|
Concentration not reported
|
α-humulene from Eugenia zuchowskiae inhibited all cell lines, with similar cytotoxicity against MCF-7 line as doxorubicin
[LC50 of 1.1 × 10−4 and 1.4 × 10−4 mol/L, respectively].
|
Cole et al. 2007 [18]
|
|
Cell lines of human cervical carcinoma [HeLa], human colon adenocarcinoma [HT-29],
monkey kidney [Vero]
|
9.8 × 10−7 – 9.8 × 10−4 M
|
α-humulene demonstrated cytotoxicity against all cell lines. Tumour cell lines were
more sensitive to cytotoxic activity than non-tumour Vero cells and murine macrophages.
|
Silva et al. 2008 [19]
|
|
Cell lines of human amelanotic melanoma [C32], renal cell adenocarcinoma [ACHN]
|
up to 4.9 × 10−4 M
|
α-humulene did not demonstrate cytotoxicity with IC50 > 4.9 × 10−4 mol/L against both C32 and ACHN lines. However, β-caryophyllene showed cytotoxic activity against both.
|
Loizzo et al. 2008 [20]
|
Anti-inflammatory properties
Exploration into the in vivo anti-inflammatory properties of α-humulene, isolated from Cordia verbenacea, has yielded significant insights as well. Passos et al. (2007) [39] showed the potent anti-inflammatory attributes of α-humulene by demonstrating its ability to significantly inhibit carrageenan-induced
paw oedema in murine models and by a notable reduction in tumour necrosis factor (TNF)-α levels in response to carrageenan. Fernandes et al. (2007) [32] conducted a similar evaluation using oral administration of α-humulene against several experimental murine and rat models. Notably, administration
of α-humulene at 50 mg/kg demonstrated a dose-dependent reduction in paw oedema, indicating
its efficacy in mitigating the acute phase of inflammation. Additionally, it exhibited
a sustained anti-inflammatory effect by inhibiting the late phase of carrageenan-induced
oedema. Mechanistically, α-humulene interfered with multiple pathways involved in inflammation, including the
inhibition of bradykinin, a platelet-activating factor, and histamine-induced oedema.
Basting et al. (2019) [33] also observed a reduction in carrageenan-induced paw oedema. Despite not significantly
affecting neutrophil migration, α-humulene suppressed the release of TNF-α and interleukin (IL)-1β and inhibited prostaglandin E2 production. Similar findings were observed by Medeiros
et al. (2007) [34] in lipopolysaccharide-induced rat paw oedema. Key observations included a reduction
in pro-inflammatory cytokines, inhibition of kinin B1 receptor upregulation, and suppression
of neutrophil recruitment by targeting nuclear factor-kappa B (NF-κB) activation. Notably, α-humuleneʼs efficacy surpassed that of trans-caryophyllene.
In a murine model of airway allergic inflammation, female BALB/c mice challenged with
ovalbumin experienced a significant reduction in eosinophil recruitment to bronchoalveolar
lavage fluid and lung tissue when administered α-humulene preventively or therapeutically [35]. α-humulene exhibited modulation of critical asthma-related mediators, including IL-5,
C-C motif chemokine11, and leukotriene B4, along with the inhibition of P-selectin
expression, a crucial factor in eosinophil migration. Additionally, α-humulene showed inhibitory effects on NF-κB and activator protein-1. Histological analysis indicated a decrease in mucus hypersecretion,
suggesting a potential role in balancing T-helper cell responses.
Contrary to the widely positive findings reported regarding the anti-inflammatory
activity of α-humulene, Viveiro et al. (2022) [22] investigated pterygium fibroblasts through in vitro exposure experiments. Third-passage pterygium fibroblasts were subjected to α-humulene concentrations (0.25, 2.5, and 25 µmol/L), and the subsequent cell viability
assay revealed no significant cytotoxicity and minimal variation in inflammatory markers.
This highlights the importance of considering cell-type-specific responses and experimental
conditions in evaluating potential therapeutic benefits.
Antimicrobial properties
Early exploration into the in vitro antimicrobial potential of α-humulene was undertaken by Pichette et al. (2006) [23] who observed antibacterial activity against Staphylococcus aureus at a mean inhibitory concentration (MIC) of 1.3 × 10−5 mol/L. Subsequent investigations by Azizan et al. (2017) [24] expanded on this by demonstrating the dose-dependent bacteriostatic and bactericidal
effects of α-humulene. Employing the broth microdilution method and α-humulene sourced from Orthosiphon stamineus and Ficus deltoidei, the study showed moderate to strong inhibition across a range of bacteria. Notably,
oral Gram-negative species (Porphyromonas gingivalis, Fusobacterium nucleatum, and Aggregatibacter actinomycetemcomitans) exhibited greater susceptibility compared to Gram-positive bacteria (Enterococcus faecalis, Streptococcus mutans,
Streptococcus mitis, and Streptococcus salivarius). Mechanistically, electron microscopy revealed morphological alterations, indicating
that α-humulene interfered with the membrane structure or cell wall of oral bacteria. This
effect was ascribed to the substantial electronegativity resulting from the carbon
double bond configurations in its molecular structure.
Jang et al. (2020) [25] evaluated the in vitro antibacterial and antibiofilm effects of α-humulene extracted from Bacteroides fragilis. The study determined the MIC for cell growth and biofilm formation to be 9.8 × 10−6 mol/L. Through qRT-PCR analysis, concentration-dependent reductions in the expression
of bmeB1 and bmeB3 genes were observed in various Bacteroides fragilis strains. This indicated increased antibiofilm action given these genes are implicated
in the development of the biofilm matrix and antibiotic resistance. Notably, there
was a marked reduction in cellular metabolic activity at concentrations of 3.9 × 10−5 to 7.8 × 10−5 mol/L. Moreover, confocal laser scanning microscopy revealed that α-humulene not only diminished cell density and thickness but also effectively reduced
protein, carbohydrate, and nucleic acid levels. Rossato et al. (2022) [26] evaluated α-humuleneʼs antibacterial potential against Staphylococcus aureus and Enterococcus faecalis using experimental light-cured periodontal dressing formulations and the modified
direct contact model. Formulations with 10% and 20% α-humulene reduced bacterial growth after 1 and 24 hours of incubation compared to
the control group, indicating sustained antibacterial activity.
Xing et al. (2018) [40] focused on evaluating the antifungal properties of humulene. Findings revealed a
dose-dependent impediment of Peronophythora litchii growth, with scanning and transmission electron microscopy uncovering discernible
morphological and ultrastructural changes. In vivo evaluations on litchi foliage and fruits demonstrated a notable reduction in disease
severity. α-humulene exhibited weak inhibitory effects against Peronophythora litchi at high concentrations (8.7 × 10−4 to 4.4 × 10−3 mol/L) [40].
Antiallergic properties
The antiallergic potential of α-humulene was demonstrated by Tanaka et al. (1996) [36] in the context of treatment for atopic conditions. Using a sensitised murine model
of passive cutaneous anaphylaxis, α-humulene administration prior to antigen challenge demonstrated dose-dependent inhibition
of allergic reactions at 20, 40, and 80 mg/kg, with approximately four times the potency
of the reference drug tranilast. However, the observed effects were less potent than
the antiallergy effects triggered by β-caryophyllene. The study suggested the bicyclic ring structure inherent in β-caryophyllene may have contributed to the enhanced antiallergy activity of the compound.
Additionally, Fernandes et al. (2007) [32] demonstrated α-humulene reduced paw oedema in sensitised mice challenged with ovoalbumin, suggesting
its anti-inflammatory properties in alleviating allergic responses.
Antiparasitic properties
De Oliveria et al. (2017) [27] evaluated the antischistosomal effects of α-humulene against Schistosoma mansoni following in vitro exposure. At concentrations of 1 mol/L, α-humulene exhibited notable efficacy, causing mortality rates of 60% for female worms
and 80% for male worms after a 72-hour incubation period. The sesquiterpene also induced
a substantial reduction in motor activity and oviposition across all concentrations,
highlighting its potential as a promising antiparasitic agent. Additionally, there
were significant inhibitory effects of α-humulene on the excretory system of male Schistosoma mansoni adult worms. However, this inhibitory activity was not observed in female worms.
The mechanism underlying this was attributed to the inhibition of the expression of
P-glycoprotein, a product of the multidrug resistance 2 gene, within the excretory
system of male Schistosoma mansoni worms.
The study further employed Hoechst probe and scanning electron microscopy to assess
the impact of α-humulene on the membrane integrity of Schistosoma mansoni. This highlighted the substantial damage caused to the tegument by α-humulene exposure.
Gastroprotective properties
Lemos et al. (2015) [41] investigated the potential gastroprotective effects of α-humulene through their study involving murine gastric ulcer models The researchers
administered an oral dose of 30 mg/kg of isolated α-humulene, equivalent to omeprazole dosing. This dose led to a substantial reduction
of 76.20% in gastric lesions induced by 0.2 ml of an ethanol/hydrogen chloride solution
(60%/0.3 M). This investigation revealed two significant mechanisms contributing to
the gastroprotective effects: a reduction in gastric acid secretion and an increase
in mucus production.
Larvicidal properties
The larvicidal potential of α-humulene was examined by Govindarajan et al. (2016) [28] in an in vivo study encompassing three vector species: Anopheles subpictus Grassi (Culicidae); Aedes albopictus Skuse (Culicidae); and Culex tritaeniorhynchus Giles (Culicidae). The researchers determined the lethal concentration 50 (LC50)
values as 3.0 × 10−5, 3.4 × 10−5, and 3.6 × 10−5 mol/L for the respective species. The impact on non-target species was notably less,
with a significantly lower LC50 of 5.0 × 10−3 mol/L observed in Gambusia affinis fish. Furthermore, there were no adverse effects on fish survival or swimming activity
following the administration of α-humulene concentrations approaching the calculated larvae LC90.
Hung et al. (2021) [29] also evaluated the larvicidal effects of α-humulene from the essential oil of Lantana camara. It showed promising larvicidal activities against important mosquito vectors, with
48-hour LC50 values of 1.9 × 10−4 mol/L for Anopheles aegypti L. (Culicidae), 1.9 × 10−4 mol/L for Aedes albopictus, and 4.3 × 10−4 mol/L for Culex quinquefasciatus Say (Culicidae). Additionally, α-humulene exhibited notable mosquito larvicidal effects with an inhibitory concentration
(IC50) value of 7.9 × 10−4 against electric eel acetylcholinesterase. Furthermore, in silico studies have demonstrated α-humulene exhibits significant binding energy in docking studies targeting sterol
carrier protein-2, indicating its potential as an effective antilarvicidal agent [30].
Molluscicidal properties
In the context of molluscs acting as intermediate hosts for several helminths, α-humuleneʼs potential molluscicidal properties have been subjected to scrutiny [29]. Notably, its LC50 values at 24 hours have been reported to be 9.3 × 10− 5 mol/L, 9.3 × 10− 5 mol/L, and 9.1 × 10− 5 mol/L for Pomacea canaliculate (Lam.), Ampullariidae; Gyraulus convexiusculus (Hutton), Planorbidae; and Tarebia granifera (Lam.), Thiaridae, respectively.
Cannabimimetic properties
The cannabimimetic properties of α-humulene were demonstrated by LaVigne et al. (2021) [42] through in vivo and in vitro experiments. Using various behavioural assays in mice, α-humulene manifested notable antinociceptive effects. The study identified specific
receptor targets influenced by α-humulene, revealing interactions with cannabinoid type 1 (CB1) and type 2 (CB2) receptors,
as well as adenosine receptor A2a, through in vitro experiments. Furthermore, in vivo experiments demonstrated a synergistic interaction between α-humulene and the synthetic cannabinoid agonist WIN55,212 – 2, leading to enhanced
antinociceptive effects. There were selective effects of α-humulene on various behaviours associated with the tetrad, emphasising its complex
interplay with multiple receptor systems. Notably, the in vitro studies showed the CB1-dependent nature of α-humulene
activation, requiring relatively high concentrations for receptor activation, a phenomenon
reversible by the CB1 antagonist rimonabant.
Discussion
The scoping review undertaken in this study unveils the landscape of α-humuleneʼs pharmacological potential, revealing a diverse spectrum of documented
properties across various studies. These encompass anti-inflammatory, antimicrobial,
antiproliferative, antiallergic, gastroprotective, and even cannabimimetic effects.
α-humulene interacts with diverse biological pathways, suggesting its potential for
addressing various health conditions.
The review further emphasises the pivotal role played by specific species that yield
substantial amounts of α-humulene, carrying profound implications for pharmaceutical applications. Noteworthy
among these is Aframomum melegueta, a West African spice renowned for its historical medicinal uses and significant
α-humulene content, rendering it an enticing candidate for therapeutic extraction [43]. Likewise, several Leptospermum species, known for their potent antimicrobial properties, exhibit notable levels
of α-humulene [44]. Additionally, Humulus lupulus, commonly known as hops, has a high α-humulene content. Given its well-documented applications and extensively studied
properties, hops offer a versatile avenue for the development of α-humulene-based therapeutics [45]. Another plant of significance is Cannabis sativa, in which
α-humulene is already utilised in full-spectrum cannabis-based medicinal products.
The cannabimimetic effects of α-humulene may give rise to potential additive or synergistic effects when administered
alongside cannabinoids and other active pharmaceutical ingredients, broadly referred
to as ʼthe entourage effectʼ [46]. Collectively, these species enrich the available sources of α-humulene, highlighting its prevalence across a diverse range of botanicals. These
species hold promise as potential sources for pharmaceutical extraction due to their
abundant α-humulene content. By harnessing extracts derived from these species, either in combination
with other compounds or as standalone treatments, further exploration of potential
solutions for various health conditions becomes viable.
The translation of promising preclinical findings to clinical practice encounters
barriers. Variability in α-humulene yield across different botanical sources poses logistical challenges for
large-scale extraction [47]. The limited exploration of isolated α-humulene outside of whole essential oils highlights the importance of comprehensive
investigations into isolated properties [48]. Addressing this inconsistency requires the identification of further plant species
with high α-humulene yields or increased investigation of biosynthesis pathways for synthetic
production.
The potential of α-humulene as an anticancer agent is particularly promising. Studies have established
wide-ranging effects on various cancer cell lines, revealing nuanced interactions
with distinct tumour types. This is coherent with preclinical studies on other terpenes,
which similarly find anticancer potential [49]. The mechanism of action of α-humulene appears multifactorial, including increasing the production of reactive
oxidative species and induction of apoptosis [16], [37]. Moreover, α-humulene was associated with glutathione depletion, which makes cancer cells more
sensitive to stress caused by reactive oxidative species [16]. α-humulene was associated with an increase in GST activity, which is also seen with
other terpenes [50]. This feature, however, is typically associated with improved cancer
cell survival and resistance to certain chemotherapeutics due to the associated efflux
of anticancer agents from the cell [51]. Putra et al. investigated α-humuleneʼs interaction with the overexpressed HER-2 protein using docking methods
and shed light on its potential as an anti-breast-cancer agent. The in silico molecular docking simulations reveal a binding energy of − 7.50 kcal/mol, affirming
its efficacy against breast cancer [52]. As such, its effects within human studies are eagerly awaited, especially as preclinical
studies show that α-humulene may have synergistic effects with doxorubicin and other chemotherapeutics
[13]. This is particularly important as present studies indicate that α-humulene would not be a suitable chemotherapeutic agent in isolation and would otherwise
be best used alongside traditional chemotherapeutics [53]. Its lower toxicity profile also supports this as a potential future use, provided
efficacy can be determined [54]. Further mechanistic studies, including investigations into synergistic interactions
with established chemotherapeutics, are ultimately necessary to fully leverage α-humuleneʼs potential in cancer biology [55].
Beyond its cancer-related properties, α-humulene is a compelling anti-inflammatory agent. Its modulation of the NF-κB pathway and subsequent suppression of key inflammatory mediators demonstrates its
potential in various inflammatory conditions [56]. Insights gained from murine models of asthma highlight its immunomodulatory potential,
positioning α-humulene as a contender for treating inflammatory and atopic conditions [35]. Additionally, its analgesic potential and observed gastroprotective effects hold
significance [57]. In contrast to traditional non-steroidal anti-inflammatory drugs, notorious for
causing peptic ulcer disease and adverse renal effects, α-humulene offers a potentially safer alternative for managing inflammation-associated
conditions [58].
The pharmacodynamic profile of α-humulene indicates its capability of addressing various aspects of health and disease.
Its interactions with different molecular pathways suggest complex biochemical dialogues
within cells and tissues. This complexity is particularly relevant for multifactorial
conditions like cancer and chronic inflammatory diseases, where several dysregulated
pathways contribute to aetiology and pathogenesis [59], [60]. By targeting these pathways, α-humulene introduces a novel therapeutic approach distinct from the traditional ʼone-target-one-drugʼ
paradigm [61], [62].
The antimicrobial properties of α-humulene enrich its pharmacological profile, spanning antibacterial, antiparasitic,
and antifungal effects. Its efficacy in restraining biofilm formation and curtailing
gene expression associated with biofilm matrix development and antibiotic resistance
is particularly relevant given the growing appreciation for the role of biofilm in
antibiotic resistance [63], [64]. This enhances the potential to address antibiotic-resistant infections, a pressing
global health concern [65].
The paucity of clinical studies involving α-humulene necessitates thorough evaluation in the clinical setting to validate its
efficacy, safety, and optimal dosage regimens in human subjects before widespread
use [66]. In addition, it is crucial to emphasise the necessity of pharmacokinetic studies,
particularly for terpenes like α-humulene. Due to their lipophilic nature, terpenes often exhibit poor water solubility
and are susceptible to rapid metabolism and elimination, leading to low oral bioavailability
[2], [67]. Therefore, rigorous pharmacokinetic studies in animals and humans are essential
to optimise dosing strategies to understand α-humuleneʼs therapeutic potential [68]. Strategies to enhance α-humuleneʼs bioavailability, such as formulations that improve solubility and stability,
could significantly enhance its clinical
utility [69]. There is one pilot study currently underway seeking to explore the effects of α-humulene on stress when combined with forest bathing, for which the results will
be eagerly awaited [70].
Acknowledging the limitations of this scoping review is vital. The heterogeneity of
study methodologies, including variations in cell lines, experimental conditions,
and assessment methods, poses a challenge in directly comparing the results. This
heterogeneity limits the ability to perform quantitative meta-analyses and emphasises
the need for cautious interpretation. Variations in study design, quality, sample
size, and reporting practices could impact the overall strength of evidence. The limited
number of in vivo studies and the absence of clinical trials restrict the ability to directly extrapolate
findings to human populations to provide clinical validation [71]. Preclinical studies often involve isolated cells or animal models, which may not
fully replicate human physiological responses [72]. Furthermore, it is important to acknowledge the limitations associated with the
compilation of α-humulene
yield data from various locations, with a focus solely on the highest reported yields.
This approach might not account for potential variations in cultivation practices,
environmental factors, and genetic influences that can significantly affect yield
outcomes. Relying solely on the highest reported yields could lead to an incomplete
understanding of the compoundʼs availability and potentially skew the representation
of humulene yields. Moreover, studies often failed to specify whether the α-humulene yield was from the whole plant, flower, or another plant component. This
lack of clarity restricts the interpretation, as there can be substantial variation
in terpene content across various flower structures [73].
Overall, this systematic review provides valuable insights into α-humuleneʼs potential therapeutic properties. However, addressing limitations through
standardised methodologies, clinical trials, and consistent reporting practices is
crucial for an accurate understanding of its multifaceted effects and clinical applications.
The future of α-humuleneʼs clinical translation hinges on collaborative efforts, pharmacokinetic
evaluations, rigorous clinical trials, innovative formulation strategies, and partnerships
across disciplines. Through these efforts, α-humuleneʼs clinical translation can be accelerated in light of its many promising
therapeutic properties.
Materials and Methods
A scoping review, utilising methods outlined by Arksey and OʼMalley and Levac et al.
[74], [75], was conducted of the current literature on α-humulene.
Research question
This scoping review focused on identifying and clarifying key research aspects and
characteristics of the available literature with regards to α-humulene. Given its potential therapeutic effects in the clinical setting, this review
evaluated the evidence base for α-humulene in terms of its extraction and properties that may be translated for medicinal
purposes. This review also aimed to identify any specific gaps in the evidence base
that may inform the work of future researchers in this area of sesquiterpene research.
Data sources and search strategy
A broad search was conducted of MEDLINE, PubMed, and EMBASE databases in accordance
with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)
guidelines [76]. A search was conducted from 1946 to July 14, 2023, utilising the search terms ʼhumuleneʼ,
‘alpha-humuleneʼ, and ʼalpha-caryophylleneʼ with the Boolean operator ʼOR′ (Table S1, Supporting Information). The literature search was conducted by three independent
researchers. For any discrepancies identified, a senior author planned to review these
if necessary. Additional relevant articles were included through manual search of
the bibliographies of included studies. Articles were screened in relation to the
topic area and included if deemed to meet the inclusion criteria. The precise search
strategies performed can be found in Supplementary Material C.
Study selection criteria
Inclusion criteria consisted of original articles related to α-humulene that included extraction, pre-clinical, and clinical research. Studies were
excluded if they did not constitute original primary research or the outcomes of α-humulene were not reported in isolation from other essential oils extracted from
plant species.
Data extraction and presentation
Data extraction was performed independently by three authors. If outcomes were not
reported within the published article, but described within the methodology, corresponding
authors were contacted for additional information. Concentrations are presented as
percentage yield or micromolar concentrations (µM) with the standard deviation (S. D.),
standard error (S. E.), or range if reported.
