Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Review Article
  • Published:

Cancer prevention by tea: animal studies, molecular mechanisms and human relevance

Key Points

  • Tea, made from the dried leaves of the plant Camellia sinensis, is the most popular beverage worldwide after water.

  • Tea and tea polyphenols have been shown to inhibit tumour formation and growth in different animal models for human cancer. The inhibition is associated with decreased cell proliferation, increased apoptosis and suppression of angiogenesis.

  • Tea polyphenols are antioxidants, but they can also generate reactive oxygen species. The major polyphenol from green tea, (−)-epigallocatechin-3-gallate, has been shown to bind directly to several receptors and signalling molecules, and to inhibit the functions of key receptors, kinases, proteinases and other enzymes.

  • Epidemiological studies, however, have not yielded conclusive results on the cancer-preventive effect of tea consumption in humans, possibly owing to different confounding factors. Some human cancer prevention trials with green tea polyphenol preparations have shown promising results.

  • Well-designed epidemiological studies and intervention trials are needed to evaluate the cancer-preventive activities of tea and tea polyphenols in humans.

  • Many issues raised and the experience gained from studies on tea and cancer prevention may be applicable to studies on other dietary constituents.

Abstract

Extracts of tea, especially green tea, and tea polyphenols have been shown to inhibit the formation and development of tumours at different organ sites in animal models. There is considerable evidence that tea polyphenols, in particular (−)-epigallocatechin-3-gallate, inhibit enzyme activities and signal transduction pathways, resulting in the suppression of cell proliferation and enhancement of apoptosis, as well as the inhibition of cell invasion, angiogenesis and metastasis. Here, we review these biological activities and existing data relating tea consumption to human cancer risk in an attempt to understand the potential use of tea for cancer prevention.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Possible targets for the cancer preventive activity of (−)-epigallocatechin-3-gallate (EGCG).

Similar content being viewed by others

References

  1. Yang, C. S. & Wang, Z. Y. Tea and cancer. J. Natl Cancer Inst. 85, 1038–1049 (1993). This is the first comprehensive review of the cancer preventive activities of tea.

    Article  CAS  PubMed  Google Scholar 

  2. Bushman, J. L. Green tea and cancer in humans: a review of the literature. Nutr. Cancer 31, 151–159 (1998).

    Article  CAS  PubMed  Google Scholar 

  3. Yang, C. S., Maliakal, P. & Meng, X. Inhibition of carcinogenesis by tea. Annu. Rev. Pharmacol. Toxicol. 42, 25–54 (2002).

    Article  CAS  PubMed  Google Scholar 

  4. Hou, Z., Lambert, J. D., Chin, K. V. & Yang, C. S. Effects of tea polyphenols on signal transduction pathways related to cancer chemoprevention. Mutat. Res. 555, 3–19 (2004).

    Article  CAS  PubMed  Google Scholar 

  5. Lambert, J. D., Hong, J., Yang, G. Y., Liao, J. & Yang, C. S. Inhibition of carcinogenesis by polyphenols: evidence from laboratory investigations. Am. J. Clin. Nutr. 81, 284S–291S (2005).

    Article  CAS  PubMed  Google Scholar 

  6. Clark, J. & You, M. Chemoprevention of lung cancer by tea. Mol. Nutr. Food Res. 50, 144–151 (2006).

    Article  CAS  PubMed  Google Scholar 

  7. Khan, N., Afaq, F., Saleem, M., Ahmad, N. & Mukhtar, H. Targeting multiple signaling pathways by green tea polyphenol (−)-epigallocatechin-3-gallate. Cancer Res. 66, 2500–2505 (2006).

    Article  CAS  PubMed  Google Scholar 

  8. Wu, A. H. & Yu, M. C. Tea, hormone-related cancers and endogenous hormone levels. Mol. Nutr. Food Res. 50, 160–169 (2006).

    Article  CAS  PubMed  Google Scholar 

  9. Yang, C. S. et al. Possible mechanisms of the cancer-preventive activities of green tea. Mol. Nutr. Food Res. 50, 170–175 (2006).

    Article  CAS  PubMed  Google Scholar 

  10. Ju, J., Lu, G., Lambert, J. D. & Yang, C. S. Inhibition of carcinogenesis by tea constituents. Semin. Cancer Biol. 17, 395–402 (2007).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Balentine, D. A., Wiseman, S. A. & Bouwens, L. C. The chemistry of tea flavonoids. Crit. Rev. Food Sci. Nutr. 37, 693–704 (1997). This is a comprehensive review of the composition of different types of tea and the chemistry of tea constituents.

    Article  CAS  PubMed  Google Scholar 

  12. Valcic, S., Burr, J. A., Timmermann, B. N. & Liebler, D. C. Antioxidant chemistry of green tea catechins. New oxidation products of (−)-epigallocatechin gallate and (−)-epigallocatechin from their reactions with peroxyl radicals. Chem. Res. Toxicol. 13, 801–810 (2000).

    Article  CAS  PubMed  Google Scholar 

  13. Sang, S. M. et al. Theadibenzotropolone A, a new type pigment from enzymatic oxidation of (−)-epicatechin and (−)-epigallocatechin gallate and characterized from black tea using LC/MS/MS. Tetrahedron Lett. 43, 7129–7133 (2002).

    Article  CAS  Google Scholar 

  14. Hou, Z. et al. Mechanism of action of (−)-epigallocatechin-3-gallate: auto-oxidation-dependent inactivation of epidermal growth factor receptor and direct effects on growth inhibition in human esophageal cancer KYSE 150 cells. Cancer Res. 65, 8049–8056 (2005).

    Article  CAS  PubMed  Google Scholar 

  15. Lipinski, C. A., Lombardo, F., Dominy, B. W. & Feeney, P. J. Experimental and computational approaches to estimate solubility and permeability in drug discovery and development settings. Adv. Drug Deliv. Rev. 46, 3–26 (2001).

    Article  CAS  PubMed  Google Scholar 

  16. Lee, M. J. et al. Pharmacokinetics of tea catechins after ingestion of green tea and (−)-epigallocatechin-3-gallate by humans: formation of different metabolites and individual variability. Cancer Epidemiol. Biomarkers Prev. 11, 1025–1032 (2002).

    CAS  PubMed  Google Scholar 

  17. Chow, H. H. et al. Pharmacokinetics and safety of green tea polyphenols after multiple-dose administration of epigallocatechin gallate and polyphenon E in healthy individuals. Clin. Cancer Res. 9, 3312–3319 (2003). This article reports the detailed pharmacokinetics and safety of green tea polyphenols in humans.

    CAS  PubMed  Google Scholar 

  18. Chow, H. H. et al. Effects of dosing condition on the oral bioavailability of green tea catechins after single-dose administration of polyphenon E in healthy individuals. Clin. Cancer Res. 11, 4627–4633 (2005).

    Article  CAS  PubMed  Google Scholar 

  19. Chen, L., Lee, M. J., Li, H. & Yang, C. S. Absorption, distribution, elimination of tea polyphenols in rats. Drug Metab. Dispos. 25, 1045–1050 (1997).

    CAS  PubMed  Google Scholar 

  20. Lambert, J. D. et al. Dose-dependent levels of epigallocatechin-3-gallate in human colon cancer cells and mouse plasma and tissues. Drug Metab. Dispos. 34, 8–11 (2006).

    Article  CAS  PubMed  Google Scholar 

  21. Yang, C. S., Sang, S., Lambert, J. D. & Lee, M. J. Bioavailability issues in studying the health effects of plant polyphenolic compounds. Mol. Nutr. Food Res. 52 (Suppl. 1), 139–151 (2008).

    Google Scholar 

  22. Wang, Z. Y. et al. Inhibition of N-nitrosodiethylamine- and 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone-induced tumorigenesis in A/J mice by green tea and black tea. Cancer Res. 52, 1943–1947 (1992). This is the first publication demonstrating the inhibition of lung carcinogenesis by green and black tea.

    CAS  PubMed  Google Scholar 

  23. Xu, Y., Ho, C. T., Amin, S. G., Han, C. & Chung, F. L. Inhibition of tobacco-specific nitrosamine-induced lung tumorigenesis in A/J mice by green tea and its major polyphenol as antioxidants. Cancer Res. 52, 3875–3879 (1992). This is the first demonstration of the inhibition of lung tumorigenesis by EGCG and caffeine.

    CAS  PubMed  Google Scholar 

  24. Yang, G. Y. et al. Black tea constituents, theaflavins, inhibit 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone (NNK)-induced lung tumorigenesis in A/J mice. Carcinogenesis 18, 2361–2365 (1997).

    Article  CAS  PubMed  Google Scholar 

  25. Chung, F. L. et al. Inhibition of lung carcinogenesis by black tea in Fischer rats treated with a tobacco-specific carcinogen: caffeine as an important constituent. Cancer Res. 58, 4096–4101 (1998).

    CAS  PubMed  Google Scholar 

  26. Mimoto, J. et al. (−)-Epigallocatechin gallate can prevent cisplatin-induced lung tumorigenesis in A/J mice. Carcinogenesis 21, 915–919 (2000).

    Article  CAS  PubMed  Google Scholar 

  27. Zhang, Z. et al. A germ-line p53 mutation accelerates pulmonary tumorigenesis: p53-independent efficacy of chemopreventive agents green tea or dexamethasone/myo-inositol and chemotherapeutic agents taxol or adriamycin. Cancer Res. 60, 901–907 (2000).

    CAS  PubMed  Google Scholar 

  28. Liao, J. et al. Inhibition of lung carcinogenesis and effects on angiogenesis and apoptosis in A/J mice by oral administration of green tea. Nutr. Cancer 48, 44–53 (2004).

    Article  PubMed  Google Scholar 

  29. Schuller, H. M., Porter, B., Riechert, A., Walker, K. & Schmoyer, R. Neuroendocrine lung carcinogenesis in hamsters is inhibited by green tea or theophylline while the development of adenocarcinomas is promoted: implications for chemoprevention in smokers. Lung Cancer 45, 11–18 (2004).

    Article  PubMed  Google Scholar 

  30. Lu, G. et al. Inhibition of adenoma progression to adenocarcinoma in a 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone-induced lung tumorigenesis model in A/J mice by tea polyphenols and caffeine. Cancer Res. 66, 11494–11501 (2006).

    Article  CAS  PubMed  Google Scholar 

  31. Landau, J. M., Wang, Z. Y., Yang, G. Y., Ding, W. & Yang, C. S. Inhibition of spontaneous formation of lung tumors and rhabdomyosarcomas in A/J mice by black and green tea. Carcinogenesis 19, 501–507 (1998).

    Article  CAS  PubMed  Google Scholar 

  32. Sazuka, M., Murakami, S., Isemura, M., Satoh, K. & Nukiwa, T. Inhibitory effects of green tea infusion on in vitro invasion and in vivo metastasis of mouse lung carcinoma cells. Cancer Lett. 98, 27–31 (1995).

    Article  CAS  PubMed  Google Scholar 

  33. Lu, G. et al. Synergistic inhibition of lung tumorigenesis by a combination of green tea polyphenols and atorvastatin. Clin. Cancer Res. 14, 4981–4988 (2008).

    Article  CAS  PubMed  Google Scholar 

  34. Lu, Y. et al. A gene expression signature that can predict green tea exposure and chemopreventive efficacy of lung cancer in mice. Cancer Res. 66, 1956–1963 (2006).

    Article  CAS  PubMed  Google Scholar 

  35. Li, N. et al. Inhibition of 7,12-dimethylbenz[a]anthracene (DMBA)-induced oral carcinogenesis in hamsters by tea and curcumin. Carcinogenesis 23, 1307–1313 (2002).

    Article  CAS  PubMed  Google Scholar 

  36. Wang, Z. Y. et al. Inhibition of N-nitrosomethylbenzylamine-induced esophageal tumorigenesis in rats by green and black tea. Carcinogenesis 16, 2143–2148 (1995).

    Article  CAS  PubMed  Google Scholar 

  37. Yamane, T. et al. Inhibition of N-methyl-N'-nitro-N-nitrosoguanidine-induced carcinogenesis by (−)-epigallocatechin gallate in the rat glandular stomach. Cancer Res. 55, 2081–2084 (1995).

    CAS  PubMed  Google Scholar 

  38. Murugan, R. S. et al. Modulatory effects of black tea polyphenols on oxidant–antioxidant profile and expression of proliferation, apoptosis, and angiogenesis-associated proteins in the rat forestomach carcinogenesis model. J. Gastroenterol. 42, 352–361 (2007).

    Article  CAS  PubMed  Google Scholar 

  39. Ju, J. et al. Inhibition of intestinal tumorigenesis in ApcMin/+ mice by (−)-epigallocatechin-3-gallate, the major catechin in green tea. Cancer Res. 65, 10623–10631 (2005).

    Article  CAS  PubMed  Google Scholar 

  40. Hao, X. et al. Inhibition of intestinal tumorigenesis in ApcMin/+ mice by green tea polyphenols (polyphenon E) and individual catechins. Nutr. Cancer 59, 62–69 (2007).

    Article  CAS  PubMed  Google Scholar 

  41. Xiao, H. et al. Green tea polyphenols inhibit colorectal aberrant crypt foci (ACF) formation and prevent oncogenic changes in dysplastic ACF in azoxymethane-treated F344 rats. Carcinogenesis 29, 113–119 (2008).

    Article  CAS  PubMed  Google Scholar 

  42. Carter, O. et al. Comparison of white tea, green tea, epigallocatechin-3-gallate, and caffeine as inhibitors of PhIP-induced colonic aberrant crypts. Nutr. Cancer 58, 60–65 (2007).

    Article  CAS  PubMed  Google Scholar 

  43. Wang, R. et al. Protective versus promotional effects of white tea and caffeine on PhIP-induced tumorigenesis and β-catenin expression in the rat. Carcinogenesis 29, 834–839 (2008).

    Article  CAS  PubMed  Google Scholar 

  44. Liao, S., Umekita, Y., Guo, J., Kokontis, J. M. & Hiipakka, R. A. Growth inhibition and regression of human prostate and breast tumors in athymic mice by tea epigallocatechin gallate. Cancer Lett. 96, 239–243 (1995).

    Article  CAS  PubMed  Google Scholar 

  45. Gupta, S., Hastak, K., Ahmad, N., Lewin, J. S. & Mukhtar, H. Inhibition of prostate carcinogenesis in TRAMP mice by oral infusion of green tea polyphenols. Proc. Natl Acad. Sci. USA 98, 10350–10355 (2001). This is the first demonstration of the inhibition of prostate carcinogenesis in a mouse model by green tea polyphenols and related mechanisms.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Adhami, V. M., Siddiqui, I. A., Ahmad, N., Gupta, S. & Mukhtar, H. Oral consumption of green tea polyphenols inhibits insulin-like growth factor-I-induced signaling in an autochthonous mouse model of prostate cancer. Cancer Res. 64, 8715–8722 (2004).

    Article  CAS  PubMed  Google Scholar 

  47. Gao, Y. T. et al. Reduced risk of esophageal cancer associated with green tea consumption. J. Natl. Cancer Inst. 86, 855–858 (1994).

    Article  CAS  PubMed  Google Scholar 

  48. Fujiki, H., Suganuma, M., Imai, K. & Nakachi, K. Green tea: cancer preventive beverage and/or drug. Cancer Lett. 188, 9–13 (2002).

    Article  CAS  PubMed  Google Scholar 

  49. Zhang, M., Holman, C. D., Huang, J. P. & Xie, X. Green tea and the prevention of breast cancer: a case-control study in Southeast China. Carcinogenesis 28, 1074–1078 (2007).

    Article  CAS  PubMed  Google Scholar 

  50. Sun, C. L. et al. Urinary tea polyphenols in relation to gastric and esophageal cancers: a prospective study of men in Shanghai, China. Carcinogenesis 23, 1497–1503 (2002).

    Article  CAS  PubMed  Google Scholar 

  51. Yuan, J. M., Gao, Y. T., Yang, C. S. & Yu, M. C. Urinary biomarkers of tea polyphenols and risk of colorectal cancer in the Shanghai Cohort Study. Int. J. Cancer 120, 1344–1350 (2007).

    Article  CAS  PubMed  Google Scholar 

  52. Sasazuki, S., Inoue, M., Miura, T., Iwasaki, M. & Tsugane, S. Plasma tea polyphenols and gastric cancer risk: a case-control study nested in a large population-based prospective study in Japan. Cancer Epidemiol. Biomarkers Prev. 17, 343–351 (2008).

    Article  CAS  PubMed  Google Scholar 

  53. Wu, A. H., Yu, M. C., Tseng, C. C., Hankin, J. & Pike, M. C. Green tea and risk of breast cancer in Asian Americans. Int. J. Cancer 106, 574–579 (2003).

    Article  CAS  PubMed  Google Scholar 

  54. Wu, A. H., Tseng, C. C., Van Den Berg, D. & Yu, M. C. Tea intake, COMT genotype, and breast cancer in Asian-American women. Cancer Res. 63, 7526–7529 (2003).

    CAS  PubMed  Google Scholar 

  55. Bonner, M. R. et al. Green tea consumption, genetic susceptibility, PAH-rich smoky coal, and the risk of lung cancer. Mutat. Res. 582, 53–60 (2005).

    Article  CAS  PubMed  Google Scholar 

  56. Li, N., Sun, Z., Han, C. & Chen, J. The chemopreventive effects of tea on human oral precancerous mucosa lesions. Proc. Soc. Exp. Biol. Med. 220, 218–224 (1999).

    CAS  PubMed  Google Scholar 

  57. Ahn, W. S. et al. Protective effects of green tea extracts (polyphenon E and EGCG) on human cervical lesions. Eur. J. Cancer Prev. 12, 383–390 (2003).

    Article  PubMed  Google Scholar 

  58. Bettuzzi, S. et al. Chemoprevention of human prostate cancer by oral administration of green tea catechins in volunteers with high-grade prostate intraepithelial neoplasia: a preliminary report from a one-year proof-of-principle study. Cancer Res. 66, 1234–1240 (2006). This is the first demonstration that green tea polyphenols prevented the progression of high-grade PIN to prostate cancer.

    Article  CAS  PubMed  Google Scholar 

  59. Shimizu, M. et al. Green tea extracts for the prevention of metachronous colorectal adenomas: a pilot study. Cancer Epidemiol. Biomarkers Prev. 17, 3020–3025 (2008).

    Article  CAS  PubMed  Google Scholar 

  60. Conney, A. H. et al. Stimulatory effect of oral administration of tea, coffee or caffeine on UVB-induced apoptosis in the epidermis of SKH-1 mice. Toxicol. Appl. Pharmacol. 224, 209–213 (2007).

    Article  CAS  PubMed  Google Scholar 

  61. Srividhya, R., Jyothilakshmi, V., Arulmathi, K., Senthilkumaran, V. & Kalaiselvi, P. Attenuation of senescence-induced oxidative exacerbations in aged rat brain by (−)-epigallocatechin-3-gallate. Int. J. Dev. Neurosci. 26, 217–223 (2008).

    Article  CAS  PubMed  Google Scholar 

  62. Senthil Kumaran, V., Arulmathi, K., Srividhya, R. & Kalaiselvi, P. Repletion of antioxidant status by EGCG and retardation of oxidative damage induced macromolecular anomalies in aged rats. Exp. Gerontol. 43, 176–183 (2008).

    Article  CAS  PubMed  Google Scholar 

  63. Higdon, J. V. & Frei, B. Tea catechins and polyphenols: health effects, metabolism, and antioxidant functions. Crit. Rev. Food Sci. Nutr. 43, 89–143 (2003).

    Article  CAS  PubMed  Google Scholar 

  64. Inami, S. et al. Tea catechin consumption reduces circulating oxidized low-density lipoprotein. Int. Heart J. 48, 725–732 (2007).

    Article  CAS  PubMed  Google Scholar 

  65. Hsu, S. P. et al. Chronic green tea extract supplementation reduces hemodialysis-enhanced production of hydrogen peroxide and hypochlorous acid, atherosclerotic factors, and proinflammatory cytokines. Am. J. Clin. Nutr. 86, 1539–1547 (2007).

    Article  CAS  PubMed  Google Scholar 

  66. Hakim, I. A. et al. Effect of increased tea consumption on oxidative DNA damage among smokers: a randomized controlled study. J. Nutr. 133, 3303S–3309S (2003).

    Article  CAS  PubMed  Google Scholar 

  67. Schwartz, J. L., Baker, V., Larios, E. & Chung, F. L. Molecular and cellular effects of green tea on oral cells of smokers: a pilot study. Mol. Nutr. Food Res. 49, 43–51 (2005).

    Article  CAS  PubMed  Google Scholar 

  68. Yang, G. Y., Liao, J., Kim, K., Yurkow, E. J. & Yang, C. S. Inhibition of growth and induction of apoptosis in human cancer cell lines by tea polyphenols. Carcinogenesis 19, 611–616 (1998).

    Article  CAS  PubMed  Google Scholar 

  69. Na, H. K. & Surh, Y. J. Modulation of Nrf2-mediated antioxidant and detoxifying enzyme induction by the green tea polyphenol EGCG. Food Chem. Toxicol. 46, 1271–1278 (2008).

    Article  CAS  PubMed  Google Scholar 

  70. Shen, G. et al. Comparison of (−)-epigallocatechin-3-gallate elicited liver and small intestine gene expression profiles between C57BL/56J mice and C57BL/6J/Nrf2 (-/-) mice. Pharm. Res. 22, 1805–1820 (2005).

    Article  CAS  PubMed  Google Scholar 

  71. Chow, H. H. et al. Modulation of human glutathione S-transferases by polyphenon E intervention. Cancer Epidemiol. Biomarkers Prev. 16, 1662–1666 (2007).

    Article  CAS  PubMed  Google Scholar 

  72. Tang, L. et al. Modulation of aflatoxin biomarkers in human blood and urine by green tea polyphenols intervention. Carcinogenesis 29, 411–417 (2008).

    Article  CAS  PubMed  Google Scholar 

  73. Bonkovsky, H. L. Hepatotoxicity associated with supplements containing Chinese green tea (Camellia sinensis). Ann. Intern. Med. 144, 68–71 (2006).

    Article  PubMed  Google Scholar 

  74. Lambert, J. D., Sang, S. & Yang, C. S. Possible controversy over dietary polyphenols: benefits vs risks. Chem. Res. Toxicol. 20, 583–585 (2007). This article discusses possible benefits and risks of taking green tea extract as a dietary supplement.

    Article  CAS  PubMed  Google Scholar 

  75. Tachibana, H., Koga, K., Fujimura, Y. & Yamada, K. A receptor for green tea polyphenol EGCG. Nature Struct. Mol. Biol. 11, 380–381 (2004). This is the first report of the identification of EGCG targets in a cell line.

    Article  CAS  Google Scholar 

  76. Umeda, D., Yano, S., Yamada, K. & Tachibana, H. Green tea polyphenol epigallocatechin-3-gallate signaling pathway through 67-kDa laminin receptor. J. Biol. Chem. 283, 3050–3058 (2008).

    Article  CAS  PubMed  Google Scholar 

  77. Leone, M. et al. Cancer prevention by tea polyphenols is linked to their direct inhibition of antiapoptotic Bcl-2-family proteins. Cancer Res. 63, 8118–8121 (2003).

    CAS  PubMed  Google Scholar 

  78. Ermakova, S. et al. The intermediate filament protein vimentin is a new target for epigallocatechin gallate. J. Biol. Chem. 280, 16882–16890 (2005). This is the first report of the identification of an EGCG target protein by affinity chromatography and molecular studies.

    Article  CAS  PubMed  Google Scholar 

  79. Li, M. et al. Direct inhibition of insulin-like growth factor-I receptor kinase activity by (−)-epigallocatechin-3-gallate regulates cell transformation. Cancer Epidemiol. Biomarkers Prev. 16, 598–605 (2007).

    Article  CAS  PubMed  Google Scholar 

  80. He, Z. et al. Fyn is a novel target of (−)-epigallocatechin gallate in the inhibition of JB6 C141 cell transformation. Mol. Carcinog. 47, 172–183 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  81. Ermakova, S. P. et al. (−)-Epigallocatechin gallate overcomes resistance to etoposide-induced cell death by targeting the molecular chaperone glucose-regulated protein 78. Cancer Res. 66, 9260–9269 (2006).

    Article  CAS  PubMed  Google Scholar 

  82. Shim, J. H. et al. (−)-Epigallocatechin gallate regulates CD3-mediated T cell receptor signaling in leukemia through the inhibition of ZAP-70 kinase. J. Biol. Chem. 283, 28370–28379 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  83. Mitsiades, C. S. et al. Inhibition of the insulin-like growth factor receptor-1 tyrosine kinase activity as a therapeutic strategy for multiple myeloma, other hematologic malignancies, and solid tumors. Cancer Cell 5, 221–230 (2004).

    Article  CAS  PubMed  Google Scholar 

  84. Shimizu, M., Deguchi, A., Hara, Y., Moriwaki, H. & Weinstein, I. B. EGCG inhibits activation of the insulin-like growth factor-1 receptor in human colon cancer cells. Biochem. Biophys. Res. Commun. 334, 947–953 (2005).

    Article  CAS  PubMed  Google Scholar 

  85. Vittal, R. et al. Gene expression changes induced by green tea polyphenol (−)-epigallocatechin-3-gallate in human bronchial epithelial 21BES cells analyzed by DNA microarray. Mol. Cancer Ther. 3, 1091–1099 (2004).

    CAS  PubMed  Google Scholar 

  86. Kuzuhara, T., Sei, Y., Yamaguchi, K., Suganuma, M. & Fujiki, H. DNA and RNA as new binding targets of green tea catechins. J. Biol. Chem. 281, 17446–17456 (2006).

    Article  CAS  PubMed  Google Scholar 

  87. Dong, Z., Ma, W., Huang, C. & Yang, C. S. Inhibition of tumor promoter-induced activator protein 1 activation and cell transformation by tea polyphenols, (−)-epigallocatechin gallate, and theaflavins. Cancer Res. 57, 4414–4419 (1997).

    CAS  PubMed  Google Scholar 

  88. Chung, J. Y., Huang, C., Meng, X., Dong, Z. & Yang, C. S. Inhibition of activator protein 1 activity and cell growth by purified green tea and black tea polyphenols in H-ras-transformed cells: structure–activity relationship and mechanisms involved. Cancer Res. 59, 4610–4617 (1999).

    CAS  PubMed  Google Scholar 

  89. Chung, J. Y., Park, J. O., Phyu, H., Dong, Z. & Yang, C. S. Mechanisms of inhibition of the Ras–MAP kinase signaling pathway in 30.7b Ras 12 cells by tea polyphenols (−)-epigallocatechin-3-gallate and theaflavin-3,3′-digallate. FASEB J. 15, 2022–2024 (2001).

    Article  CAS  PubMed  Google Scholar 

  90. Liang, Y. C., Lin-Shiau, S. Y., Chen, C. F. & Lin, J. K. Inhibition of cyclin-dependent kinases 2 and 4 activities as well as induction of Cdk inhibitors p21 and p27 during growth arrest of human breast carcinoma cells by (−)-epigallocatechin-3-gallate. J. Cell Biochem. 75, 1–12 (1999).

    Article  CAS  PubMed  Google Scholar 

  91. Nam, S., Smith, D. M. & Dou, Q. P. Ester bond-containing tea polyphenols potently inhibit proteasome activity in vitro and in vivo. J. Biol. Chem. 276, 13322–13330 (2001).

    Article  CAS  PubMed  Google Scholar 

  92. Gupta, S., Ahmad, N., Nieminen, A. L. & Mukhtar, H. Growth inhibition, cell-cycle dysregulation, and induction of apoptosis by green tea constituent (−)-epigallocatechin-3-gallate in androgen-sensitive and androgen-insensitive human prostate carcinoma cells. Toxicol. Appl. Pharmacol. 164, 82–90 (2000).

    Article  CAS  PubMed  Google Scholar 

  93. Gupta, S., Hussain, T. & Mukhtar, H. Molecular pathway for (−)-epigallocatechin-3-gallate-induced cell cycle arrest and apoptosis of human prostate carcinoma cells. Arch. Biochem. Biophys. 410, 177–185 (2003).

    Article  CAS  PubMed  Google Scholar 

  94. Smith, D. M. et al. Synthetic analogs of green tea polyphenols as proteasome inhibitors. Mol. Med. 8, 382–392 (2002).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  95. Garbisa, S. et al. Tumor invasion: molecular shears blunted by green tea. Nature Med. 5, 1216 (1999).

    Article  CAS  PubMed  Google Scholar 

  96. Garbisa, S. et al. Tumor gelatinases and invasion inhibited by the green tea flavanol epigallocatechin-3-gallate. Cancer 91, 822–832 (2001).

    Article  CAS  PubMed  Google Scholar 

  97. Annabi, B. et al. Green tea polyphenol (−)-epigallocatechin 3-gallate inhibits MMP-2 secretion and MT1-MMP-driven migration in glioblastoma cells. Biochim. Biophys. Acta 1542, 209–220 (2002).

    Article  CAS  PubMed  Google Scholar 

  98. Taniguchi, S. et al. Effect of (−)-epigallocatechin gallate, the main constituent of green tea, on lung metastasis with mouse B16 melanoma cell lines. Cancer Lett. 65, 51–54 (1992).

    Article  CAS  PubMed  Google Scholar 

  99. Fang, M. Z. et al. Tea polyphenol (−)-epigallocatechin-3-gallate inhibits DNA methyltransferase and reactivates methylation-silenced genes in cancer cell lines. Cancer Res. 63, 7563–7570 (2003).

    CAS  PubMed  Google Scholar 

  100. Navarro-Peran, E. et al. The antifolate activity of tea catechins. Cancer Res. 65, 2059–2064 (2005).

    Article  CAS  PubMed  Google Scholar 

  101. Shin, E. S. et al. Catechin gallates are NADP+-competitive inhibitors of glucose-6-phosphate dehydrogenase and other enzymes that employ NADP+ as a coenzyme. Bioorg. Med. Chem. 16, 3580–3586 (2008).

    Article  CAS  PubMed  Google Scholar 

  102. Ishii, T. et al. Covalent modification of proteins by green tea polyphenol (−)-epigallocatechin-3-gallate through autoxidation. Free Radic. Biol. Med. 45, 1384–1394 (2008).

    Article  CAS  PubMed  Google Scholar 

  103. Lo, H. W. & Hung, M. C. Nuclear EGFR signalling network in cancers: linking EGFR pathway to cell cycle progression, nitric oxide pathway and patient survival. Br. J. Cancer 94, 184–188 (2006).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  104. Liang, Y. C., Lin-shiau, S. Y., Chen, C. F. & Lin, J. K. Suppression of extracellular signals and cell proliferation through EGF receptor binding by (−)-epigallocatechin gallate in human A431 epidermoid carcinoma cells. J. Cell Biochem. 67, 55–65 (1997).

    Article  CAS  PubMed  Google Scholar 

  105. Shimizu, M. et al. (−)-Epigallocatechin gallate and polyphenon E inhibit growth and activation of the epidermal growth factor receptor and human epidermal growth factor receptor-2 signaling pathways in human colon cancer cells. Clin. Cancer Res. 11, 2735–2746 (2005).

    Article  CAS  PubMed  Google Scholar 

  106. Adachi, S. et al. The inhibitory effect of (−)-epigallocatechin gallate on activation of the epidermal growth factor receptor is associated with altered lipid order in HT29 colon cancer cells. Cancer Res. 67, 6493–6501 (2007).

    Article  CAS  PubMed  Google Scholar 

  107. Adachi, S. et al. (−)-Epigallocatechin gallate causes internalization of the epidermal growth factor receptor in human colon cancer cells. Carcinogenesis 29, 1986–1993 (2008).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  108. Masuda, M. et al. Epigallocatechin-3-gallate decreases VEGF production in head and neck and breast carcinoma cells by inhibiting EGFR-related pathways of signal transduction. J. Exp. Ther. Oncol. 2, 350–359 (2002).

    Article  CAS  PubMed  Google Scholar 

  109. Peschard, P. & Park, M. From Tpr-Met to Met, tumorigenesis and tubes. Oncogene 26, 1276–1285 (2007).

    Article  CAS  PubMed  Google Scholar 

  110. Birchmeier, C., Birchmeier, W., Gherardi, E. & Vande Woude, G. F. Met, metastasis, motility and more. Nature Rev. Mol. Cell Biol. 4, 915–925 (2003).

    Article  CAS  Google Scholar 

  111. Bigelow, R. L. & Cardelli, J. A. The green tea catechins, (−)-Epigallocatechin-3-gallate (EGCG) and (−)-Epicatechin-3-gallate (ECG), inhibit HGF/Met signaling in immortalized and tumorigenic breast epithelial cells. Oncogene 25, 1922–1930 (2006).

    Article  CAS  PubMed  Google Scholar 

  112. Lim, Y. C. et al. (−)-Epigallocatechin-3-gallate (EGCG) inhibits HGF-induced invasion and metastasis in hypopharyngeal carcinoma cells. Cancer Lett. 271, 140–152 (2008).

    Article  CAS  PubMed  Google Scholar 

  113. Sartippour, M. R. et al. Green tea inhibits vascular endothelial growth factor (VEGF) induction in human breast cancer cells. J. Nutr. 132, 2307–2311 (2002).

    Article  CAS  PubMed  Google Scholar 

  114. Rodriguez, S. K. et al. Green tea catechin, epigallocatechin-3-gallate, inhibits vascular endothelial growth factor angiogenic signaling by disrupting the formation of a receptor complex. Int. J. Cancer 118, 1635–1644 (2006).

    Article  CAS  PubMed  Google Scholar 

  115. Zhu, B. H. et al. (−)-Epigallocatechin-3-gallate inhibits growth of gastric cancer by reducing VEGF production and angiogenesis. World J. Gastroenterol. 13, 1162–1169 (2007).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  116. Sukhthankar, M. et al. A green tea component suppresses posttranslational expression of basic fibroblast growth factor in colorectal cancer. Gastroenterology 134, 1972–1980 (2008).

    Article  PubMed  Google Scholar 

  117. Ciardiello, F. et al. Inhibition of growth factor production and angiogenesis in human cancer cells by ZD1839 (Iressa), a selective epidermal growth factor receptor tyrosine kinase inhibitor. Clin. Cancer Res. 7, 1459–1465 (2001).

    CAS  PubMed  Google Scholar 

  118. Weinstein, I. B. & Joe, A. Oncogene addiction. Cancer Res. 68, 3077–3080; discussion 3080 (2008).

    Article  CAS  PubMed  Google Scholar 

  119. Stoner, G. D. et al. Cancer prevention with freeze-dried berries and berry components. Semin. Cancer Biol. 17, 403–410 (2007).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  120. Shumway, B. S. et al. Effects of a topically applied bioadhesive berry gel on loss of heterozygosity indices in premalignant oral lesions. Clin. Cancer Res. 14, 2421–2430 (2008).

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

This work was supported by National Institutes of Health grants CA120915, CA122474 and CA133021.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Chung S. Yang.

Related links

Related links

DATABASES

National Cancer Institute Drug Dictionary

PPE

FURTHER INFORMATION

Chung S. Yang's homepage

Clinical trials

Glossary

Dietary recalls

A human dietary assessment procedure in which subjects are asked to recall their food consumptions over a certain time frame.

Polyphenon E

A standard green tea polyphenol preparation containing 65% (−)-epigallocatechin-3-gallate.

Atorvastatin

An inhibitor of 3-hydroxy-3-methyl-glutaryl CoA reductase and a commonly used cholesterol-lowering drug with the trade name Lipitor.

Aflatoxin

A carcinogenic toxin produced by fungi that induces hepatic damage and leads to liver cancer.

IC50

The concentration of a drug giving a 50% inhibition of the activity of a target enzyme.

Lipid raft

A dynamic assembly of plasma membrane enriched in certain cholesterols, sphingolipids, saturated phospholipids and cell signalling proteins.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yang, C., Wang, X., Lu, G. et al. Cancer prevention by tea: animal studies, molecular mechanisms and human relevance. Nat Rev Cancer 9, 429–439 (2009). https://doi.org/10.1038/nrc2641

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrc2641

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing