RSS-Feed abonnieren
DOI: 10.1055/a-2219-9801
Zingiber zerumbet: A Scoping Review of its Medicinal Properties
Abstract
Zingiber zerumbet, a plant native to tropical and subtropical Asia, has a vast range of traditional uses and has been continuously studied for its medicinal properties. However, a systematic methodological approach in evidence synthesis on the plantʼs efficacy is lacking, and there is a need to elicit the current research status of this plant. This scoping review was conducted to systematically explore and collate the available scientific evidence on the efficacy of Z. zerumbet and its main phytoconstituents in various formulations, their biological mechanisms, and their safety. Results included 54 articles consisting of animal studies, while there were no published human studies. Only half of the included studies provided adequate reporting on the quality-related details of Z. zerumbet formulations. Identified pharmacological activities were analgesic, anti-inflammatory, anti-diabetic, anti-hyperlipidemic, anti-neoplastic, immunomodulatory, antioxidant, antipyretic, hepatoprotective, nephroprotective, gastroprotective, and locomotor-reducing activities. Notably, the ethanolic extract of Z. zerumbet was found to be well tolerated for up to 28 days. In conclusion, Z. zerumbet and zerumbone have various pharmacological effects, especially in analgesic and anti-inflammatory models. However, there is still a pressing need for comprehensive safety data to conduct clinical trials.
Supporting Information
- Ergänzendes Material
The herbal intervention qualitative, quantitative, and standardisation checklist, the PRISMA scoping review checklist, the keyword search strategy, and the data extraction table layout are provided in the Supporting Information.
Publikationsverlauf
Eingereicht: 13. Juni 2023
Angenommen nach Revision: 01. November 2023
Accepted Manuscript online:
30. November 2023
Artikel online veröffentlicht:
20. Dezember 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Malaysia Biodiversity Information System (MyBIS). Zingiber zerumbet . In: Malaysia Biodiversity Information System, Ministry of Energy and Natural Resources, Malaysia Biodiversity Centre & Forest Research Institute Malaysia. Malaysia Biodiversity Centre; 2023. Accessed December 12, 2023 at: https://www.mybis.gov.my/sp/42507
- 2 Centre for Agriculture and Bioscience International (CABI). Zingiber zerumbet (shampoo ginger). In: Invasive Species Compendium. Centre for Agriculture and Bioscience International. CABI Compendium; 2023. Accessed December 12, 2023 at: https://www.cabidigitallibrary.org/doi/10.1079/cabicompendium.57539
- 3 Plants of the World Online (POWO). Zingiber zerumbet (L.) Roscoe ex Sm. In: Royal Botanical Gardens KEW Plants of the World Online. 2017. Accessed December 12, 2023 at: https://powo.science.kew.org/taxon/urn:lsid:ipni.org:names:798401-1
- 4 Department of Botany. Flora of the Marquesas Islands. In: Marquesas Flora Specimen Query. Washington, D.C.: Smithsonian Institution; 2007. Accessed December 12 2023 at: https://naturalhistory2.si.edu/botany/marquesasflora/specs.cfm
- 5 Missouri Botanical Garden, St. Louis, MO, Harvard University Herbaria, Cambridge, MA. Zingiber zerumbet (Linnaeus) Smith. In: Flora of North America Editorial Committee. eds 1993+. St. Louis, MO, Cambridge, MA.: Flora of North America (FNA); 1993: 22 Accessed December 12, 2023 at: www.efloras.org/florataxon.aspx?flora_id=taxon_id=200028481
- 6 Sharifi-Rad M, Varoni EM, Salehi B, Sharifi-Rad J, Matthews KR, Ayatollahi SA, Kobarfard F, Ibrahim SA, Mnayer D, Zakaria ZA, Sharifi-Rad M, Yousaf Z, Iriti M, Basile A, Rigano D. Plants of the genus Zingiber as a source of bioactive phytochemicals: From tradition to pharmacy. Molecules 2017; 22 DOI: 10.3390/molecules22122145.
- 7 Burkill I. A Dictionary of the Economic Products of the Malay Peninsula. 2. Kuala Lumpur, Malaysia: Ministry of Agriculture and Cooperative: Ministry of Agriculture and Cooperative; 1966
- 8 Singh CB, Nongalleima K, Brojendrosingh S, Swapana Ningombam. Lokendrajit N, Singh LW. Biological and chemical properties of Zingiber zerumbet Smith: A review. Phytochem Rev 2012; 11: 113-125 DOI: 10.1007/s11101-011-9222-4.
- 9 Yob NJ, Jofrry SM, Affandi MM, Teh LK, Salleh MZ, Zakaria ZA. Zingiber zerumbet (L.) Smith: A review of its ethnomedicinal, chemical, and pharmacological uses. Evid Based Complement Alternat Med 2011; 2011: 543216 DOI: 10.1155/2011/543216.
- 10 Koga AY, Beltrame FL, Pereira AV. Several aspects of Zingiber zerumbet: A review. Rev Bras Farmacogn 2016; 26: 385-391 DOI: 10.1016/j.bjp.2016.01.006.
- 11 Haque MA, Jantan I. Recent updates on the phytochemistry, pharmacological, and toxicological activities of Zingiber zerumbet (L.) Roscoe ex Sm. Curr Pharm Biotechnol 2017; 18: 696-720 DOI: 10.2174/1389201018666171115115458.
- 12 Batista FA, Mar JM, de Souza AKA, de Paula BS. Study of the osteoinductor property in bone repair of the species Zingiber Zerumbet (bitter ginger). Res Soc Dev 2023; 12: e9112239947 DOI: 10.33448/rsd-v12i2.39947.
- 13 Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan 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. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. PLoS Med 2021; 18: e1003583 DOI: 10.1371/journal.pmed.1003583.
- 14 Jantan I, Haque MA, Ilangkovan M, Arshad L. Zerumbone from Zingiber zerumbet inhibits innate and adaptive immune responses in Balb/C mice. Int Immunopharmacol 2019; 73: 552-559 DOI: 10.1016/j.intimp.2019.05.035.
- 15 Shieh YH, Huang HM, Wang CC, Lee CC, Fan CK, Lee YL. Zerumbone enhances the Th1 response and ameliorates ovalbumin-induced Th2 responses and airway inflammation in mice. Int Immunopharmacol 2015; 24: 383-391 DOI: 10.1016/j.intimp.2014.12.027.
- 16 Ghazalee NS, Jantan I, Arshad L, Haque MA. Immunosuppressive effects of the standardized extract of Zingiber zerumbet on innate immune responses in Wistar rats. Phytother Res 2019; 33: 929-938 DOI: 10.1002/ptr.6285.
- 17 Hamid A, Ibrahim FW, Ming TH, Nasrom MN, Eusoff N, Husain K, Abdul Latif M. Zingiber zerumbet L. (Smith) extract alleviates the ethanol-induced brain damage via its antioxidant activity. BMC Complement Altern Med 2018; 18: 101 DOI: 10.1186/s12906-018-2161-5.
- 18 Leung WS, Yang ML, Lee SS, Kuo CW, Ho YC, Huang-Liu R, Lin HW, Kuan YH. Protective effect of zerumbone reduces lipopolysaccharide-induced acute lung injury via antioxidative enzymes and Nrf2/HO-1 pathway. Int Immunopharmacol 2017; 46: 194-200 DOI: 10.1016/j.intimp.2017.03.008.
- 19 Yang HL, Lee CL, Korivi M, Liao JW, Rajendran P, Wu JJ, Hseu YC. Zerumbone protects human skin keratinocytes against UVA-irradiated damages through Nrf2 induction. Biochem Pharmacol 2018; 148: 130-146 DOI: 10.1016/j.bcp.2017.12.014.
- 20 Myint MM, Khine MM. Structural Elucidation of Two Flavonoid Compounds and Screening On Antipyretic Activity from the Rhizome of Zingiber zerumbet (L.) Roscoe ex Sm. In: 2nd Myanmar Korea Conference 114 Research Journal. Myanmar: 2019. Accessed December 12, 2023 at: https://www.dagonuniversity.edu.mm/wp-content/uploads/2019/08/15-Moh-Moh-myint-1.pdf
- 21 Batubara I, Suparto IH, Sadiah S, Matsuoka R, Mitsunaga T. Effect of Zingiber zerumbet essential oils and zerumbone inhalation on body weight of Sprague Dawley rat. Pak J Biol Sci 2013; 16: 1028-1033 DOI: 10.3923/pjbs.2013.1028.1033.
- 22 Hamid A, Lee LS, Karim SR, Jufri NF. Hepatoprotective effects of zerumbone against paracetamol-induced acute hepatotoxicity in rats. Malays J Med Sci 2018; 25: 64-71 DOI: 10.21315/mjms2018.25.2.7.
- 23 Kim JW, Yang D, Jeong H, Park IS, Lee MH, Lim CW, Kim B. Dietary zerumbone, a sesquiterpene, ameliorates hepatotoxin-mediated acute and chronic liver injury in mice. Phytother Res 2019; 33: 1538-1550 DOI: 10.1002/ptr.6346.
- 24 Abdul Hamid Z, Budin SB, Wen Jie N, Hamid A, Husain K, Mohamed J. Nephroprotective effects of Zingiber zerumbet Smith ethyl acetate extract against paracetamol-induced nephrotoxicity and oxidative stress in rats. J Zhejiang Univ Sci B 2012; 13: 176-185 DOI: 10.1631/jzus.B1100133.
- 25 Sidahmed HM, Hashim NM, Abdulla MA, Ali HM, Mohan S, Abdelwahab SI, Taha MM, Fai LM, Vadivelu J. Antisecretory, gastroprotective, antioxidant and anti-Helicobcter pylori activity of zerumbone from Zingiber zerumbet (L.) Smith. PLoS One 2015; 10: e0121060 DOI: 10.1371/journal.pone.0121060.
- 26 Ogawa K, Miyoshi T, Kitayama T, Ito M. Locomotor-reducing effects and structural characteristics of inhaled zerumbone and tetrahydrozerumbone derivatives. Biol Pharm Bull 2014; 37: 1559-1563 DOI: 10.1248/bpb.b14-00314.
- 27 Ogawa K, Yabe H, Kitayama T, Ito M. Locomotor-reducing activity of sesquiterpenes related to Zingiber zerumbet essential oil and hexahydrozerumbone derivatives. Biol Pharm Bull 2016; 39: 1077-1080 DOI: 10.1248/bpb.b16-00141.
- 28 Chang CJ, Tzeng TF, Liou SS, Chang YS, Liu IM. Acute and 28-day subchronic oral toxicity of an ethanol extract of Zingiber zerumbet (L.) Smith in rodents. Evid Based Complement Alternat Med 2012; 2012: 608284 DOI: 10.1155/2012/608284.
- 29 Sulaiman MR, Perimal EK, Akhtar MN, Mohamad AS, Khalid MH, Tasrip NA, Mokhtar F, Zakaria ZA, Lajis NH, Israf DA. Anti-inflammatory effect of zerumbone on acute and chronic inflammation models in mice. Fitoterapia 2010; 81: 855-858 DOI: 10.1016/j.fitote.2010.05.009.
- 30 Sulaiman MR, Tengku Mohamad TA, Shaik Mossadeq WM, Moin S, Yusof M, Mokhtar AF, Zakaria ZA, Israf DA, Lajis N. Antinociceptive activity of the essential oil of Zingiber zerumbet . Planta Med 2010; 76: 107-112 DOI: 10.1055/s-0029-1185950.
- 31 Chang CJ, Tzeng TF, Liou SS, Chang YS, Liu IM. Absence of genotoxic and mutagenic effects of Zingiber zerumbet (L.) Smith (Zingiberaceae) extract. Evid Based Complement Alternat Med 2012; 2012: 406296 DOI: 10.1155/2012/406296.
- 32 Hwang S, Jo M, Hong JE, Park CO, Lee CG, Yun M, Rhee KJ. Zerumbone suppresses enterotoxigenic bacteroides fragilis infection-induced colonic inflammation through inhibition of NF-κΒ. Int J Mol Sci 2019; 20 DOI: 10.3390/ijms20184560.
- 33 Kim M, Miyamoto S, Yasui Y, Oyama T, Murakami A, Tanaka T. Zerumbone, a tropical ginger sesquiterpene, inhibits colon and lung carcinogenesis in mice. Int J Cancer 2009; 124: 264-271 DOI: 10.1002/ijc.23923.
- 34 Taha MM, Abdul AB, Abdullah R, Ibrahim TA, Abdelwahab SI, Mohan S. Potential chemoprevention of diethylnitrosamine-initiated and 2-acetylaminofluorene-promoted hepatocarcinogenesis by zerumbone from the rhizomes of the subtropical ginger (Zingiber zerumbet). Chem Biol Interact 2010; 186: 295-305 DOI: 10.1016/j.cbi.2010.04.029.
- 35 Tanaka T, Shimizu M, Kohno H, Yoshitani S, Tsukio Y, Murakami A, Safitri R, Takahashi D, Yamamoto K, Koshimizu K, Ohigashi H, Mori H. Chemoprevention of azoxymethane-induced rat aberrant crypt foci by dietary zerumbone isolated from Zingiber zerumbet . Life Sci 2001; 69: 1935-1945 DOI: 10.1016/s0024-3205(01)01277-2.
- 36 Gopalsamy B, Chia JSM, Farouk AAO, Sulaiman MR, Perimal EK. Zerumbone-induced analgesia modulated via potassium channels and opioid receptors in chronic constriction injury-induced neuropathic pain. Molecules 2020; 25: 3880 DOI: 10.3390/molecules25173880.
- 37 Gopalsamy B, Farouk AAO, Tengku Mohamad TAS, Sulaiman MR, Perimal EK. Antiallodynic and antihyperalgesic activities of zerumbone via the suppression of IL-1β, IL-6, and TNF-α in a mouse model of neuropathic pain. J Pain Res 2017; 10: 2605-2619 DOI: 10.2147/jpr.S143024.
- 38 Sulaiman MR, Perimal EK, Zakaria ZA, Mokhtar F, Akhtar MN, Lajis NH, Israf DA. Preliminary analysis of the antinociceptive activity of zerumbone. Fitoterapia 2009; 80: 230-232 DOI: 10.1016/j.fitote.2009.02.002.
- 39 Tushar. Basak S, Sarma GC, Rangan L. Ethnomedical uses of Zingiberaceous plants of Northeast India. J Ethnopharmacol 2010; 132: 286-296 DOI: 10.1016/j.jep.2010.08.032.
- 40 Lim XY, Chan JSW, Japri N, Lee JC, Tan TYC. Carica papaya L. Leaf: A systematic scoping review on biological safety and herb-drug interactions. Evid Based Complement Alternat Med 2021; 2021: 5511221 DOI: 10.1155/2021/5511221.
- 41 Balekundri A, Mannur V. Quality control of the traditional herbs and herbal products: A review. Future J Pharm Sci 2020; 6: 67 DOI: 10.1186/s43094-020-00091-5.
- 42 Arksey H, OʼMalley L. Scoping studies: Towards a methodological framework. Int J Soc Res Methodol 2005; 8: 19-32 DOI: 10.1080/1364557032000119616.
- 43 Hooijmans CR, Rovers MM, de Vries RB, Leenaars M, Ritskes-Hoitinga M, Langendam MW. SYRCLEʼs risk of bias tool for animal studies. BMC Med Res Methodol 2014; 14: 43 DOI: 10.1186/1471-2288-14-43.
- 44 Cochrane Collaboration. Review Manager (RevMan 5) [Version 5.4]. Copenhagen: Cochrane Collaboration; 2020
- 45 Chien TY, Huang SK, Lee CJ, Tsai PW, Wang CC. Antinociceptive and anti-inflammatory effects of zerumbone against mono-iodoacetate-induced arthritis. Int J Mol Sci 2016; 17: 249 DOI: 10.3390/ijms17020249.
- 46 Zakaria ZA, Mohamad AS, Chear CT. et al. Antiinflammatory and antinociceptive activities of Zingiber zerumbet methanol extract in experimental model systems. Med Princ Pract 2010; 19: 287-294 DOI: 10.1159/000312715.
- 47 Zakaria ZA, Mohamad AS, Chear CT, Wong YY, Israf DA, Sulaiman MR. Zerumbone alleviates chronic constriction injury-induced allodynia and hyperalgesia through serotonin 5-HT receptors. Biomed Pharmacother 2016; 83: 1303-1310 DOI: 10.1016/j.biopha.2016.08.052.
- 48 Chia JSM, Farouk AAO, Mohamad TAST, Sulaiman MR, Zakaria H, Hassan NI, Perimal EK. Zerumbone ameliorates neuropathic pain symptoms via cannabinoid and PPAR receptors using in vivo and in silico models. Molecules 2021; 26 DOI: 10.3390/molecules26133849.
- 49 Zulazmi NA, Gopalsamy B, Farouk AA, Sulaiman MR, Bharatham BH, Perimal EK. Antiallodynic and antihyperalgesic effects of zerumbone on a mouse model of chronic constriction injury-induced neuropathic pain. Fitoterapia 2015; 105: 215-221 DOI: 10.1016/j.fitote.2015.07.011.
- 50 Khalid MH, Akhtar MN, Mohamad AS, Perimal EK, Akira A, Israf DA, Lajis N, Sulaiman MR. Antinociceptive effect of the essential oil of Zingiber zerumbet in mice: Possible mechanisms. J Ethnopharmacol 2011; 137: 345-351 DOI: 10.1016/j.jep.2011.05.043.
- 51 Fadhel S, Rasedee A, Abdullah N. Zerumbone-loaded nanostructured lipid carrier gel facilitates wound healing in rats. Rev Bras Farmacogn 2020; 30: 272-278 DOI: 10.1007/s43450-020-00023-7.
- 52 Liu WY, Tzeng TF, Liu IM. Healing potential of zerumbone ointment on experimental full-thickness excision cutaneous wounds in rat. J Tissue Viability 2017; 26: 202-207 DOI: 10.1016/j.jtv.2017.04.002.
- 53 Ho YC, Lee SS, Yang ML, Huang-Liu R, Lee CY, Li YC, Kuan YH. Zerumbone reduced the inflammatory response of acute lung injury in endotoxin-treated mice via Akt-NFκB pathway. Chem Biol Interact 2017; 271: 9-14 DOI: 10.1016/j.cbi.2017.04.017.
- 54 Lee CY, Chen SP, Su CH, Ho YC, Yang ML, Lee SS, Huang-Liu R, Yang CP, Chen CJ, Kuan YH. Zerumbone from Zingiber zerumbet ameliorates lipopolysaccharide-induced ICAM-1 and cytokines expression via p38 MAPK/JNK-IκB/NF-κB Pathway in mouse model of acute lung injury. Chin J Physiol 2018; 61: 171-180 DOI: 10.4077/cjp.2018.Bag562.
- 55 Murakami A, Hayashi R, Tanaka T, Kwon KH, Ohigashi H, Safitri R. Suppression of dextran sodium sulfate-induced colitis in mice by zerumbone, a subtropical ginger sesquiterpene, and nimesulide: Separately and in combination. Biochem Pharmacol 2003; 66: 1253-1261 DOI: 10.1016/s0006-2952(03)00446-5.
- 56 Zakaria ZA, Mohamad AS, Ahmad MS, Mokhtar AF, Israf DA, Lajis NH, Sulaiman MR. Preliminary analysis of the anti-inflammatory activity of essential oils of Zingiber zerumbet . Biol Res Nurs 2011; 13: 425-432 DOI: 10.1177/1099800410386590.
- 57 Tzeng TF, Hong TY, Tzeng YC, Liou SS, Liu IM. Consumption of polyphenol-rich Zingiber Zerumbet rhizome extracts protects against the breakdown of the blood-retinal barrier and retinal inflammation induced by diabetes. Nutrients 2015; 7: 7821-7841 DOI: 10.3390/nu7095369.
- 58 Hong TY, Tzeng TF, Liou SS, Liu IM. The ethanol extract of Zingiber zerumbet rhizomes mitigates vascular lesions in the diabetic retina. Vascul Pharmacol 2016; 76: 18-27 DOI: 10.1016/j.vph.2015.08.015.
- 59 Tzeng TF, Liou SS, Tzeng YC, Liu IM. Zerumbone, a phytochemical of subtropical ginger, protects against hyperglycemia-induced retinal damage in experimental diabetic rats. Nutrients 2016; 8: 449 DOI: 10.3390/nu8080449.
- 60 Tzeng TF, Liou SS, Chang CJ, Liu IM. The ethanol extract of Zingiber zerumbet attenuates streptozotocin-induced diabetic nephropathy in rats. Evid Based Complement Alternat Med 2013; 2013: 340645 DOI: 10.1155/2013/340645.
- 61 Tzeng TF, Liou SS, Chang CJ, Liu IM. Zerumbone, a tropical ginger sesquiterpene, ameliorates streptozotocin-induced diabetic nephropathy in rats by reducing the hyperglycemia-induced inflammatory response. Nutr Metab (Lond) 2013; 10: 64 DOI: 10.1186/1743-7075-10-64.
- 62 Chang CJ, Tzeng TF, Chang YS, Liu IM. Beneficial impact of Zingiber zerumbet on insulin sensitivity in fructose-fed rats. Planta Med 2012; 78: 317-325 DOI: 10.1055/s-0031-1298136.
- 63 Husen R, Pihie AH, Nallappan M. Screening for antihyperglycaemic activity in several local herbs of Malaysia. J Ethnopharmacol 2004; 95: 205-208 DOI: 10.1016/j.jep.2004.07.004.
- 64 Ahn J, Lee H, Jung CH, Choi WH, Ha TY. Zerumbone ameliorates high-fat diet-induced adiposity by restoring AMPK-regulated lipogenesis and microRNA-146b/SIRT1-mediated adipogenesis. Oncotarget 2017; 8: 36984-36995 DOI: 10.18632/oncotarget.16974.
- 65 Chang CJ, Tzeng TF, Liou SS, Chang YS, Liu IM. Regulation of lipid disorders by ethanol extracts from Zingiber zerumbet in high-fat diet-induced rats. Food Chem 2012; 132: 460-467 DOI: 10.1016/j.foodchem.2011.11.022.
- 66 Chang CJ, Liou SS, Tzeng TF, Liu IM. The ethanol extract of Zingiber zerumbet Smith attenuates non-alcoholic fatty liver disease in hamsters fed on high-fat diet. Food Chem Toxicol 2014; 65: 33-42 DOI: 10.1016/j.fct.2013.11.048.
- 67 Tzeng TF, Liou SS, Chang CJ, Liu IM. Zerumbone, a natural cyclic sesquiterpene of Zingiber zerumbet Smith, attenuates nonalcoholic fatty liver disease in hamsters fed on high-fat diet. Evid Based Complement Alternat Med 2013; 2013: 303061 DOI: 10.1155/2013/303061.
- 68 Tzeng TF, Lu HJ, Liou SS, Chang CJ, Liu IM. Lipid-lowering effects of zerumbone, a natural cyclic sesquiterpene of Zingiber zerumbet Smith, in high-fat diet-induced hyperlipidemic hamsters. Food Chem Toxicol 2014; 69: 132-139 DOI: 10.1016/j.fct.2014.03.036.
- 69 Park JH, Park GM, Kim JK. Zerumbone, sesquiterpene photochemical from ginger, inhibits angiogenesis. Korean J Physiol Pharmacol 2015; 19: 335-340 DOI: 10.4196/kjpp.2015.19.4.335.
- 70 Huang GC, Chien TY, Chen LG, Wang CC. Antitumor effects of zerumbone from Zingiber zerumbet in P-388D1 cells in vitro and in vivo . Planta Med 2005; 71: 219-224 DOI: 10.1055/s-2005-837820.
- 71 Ali H, Hasi RY, Islam M, Haque MS, Alkhanani MF, Almalki AH, Haque S, Sayyed RZ, Yeasmin T. Antioxidant, cytotoxic and apoptotic activities of the rhizome of Zingiber zerumbet Linn. in Ehrlich ascites carcinoma bearing Swiss albino mice. Sci Rep 2022; 12: 12150 DOI: 10.1038/s41598-022-15498-8.
- 72 Shin JW, Ohnishi K, Murakami A, Lee JS, Kundu JK, Na HK, Ohigashi H, Surh YJ. Zerumbone induces heme oxygenase-1 expression in mouse skin and cultured murine epidermal cells through activation of Nrf2. Cancer Prev Res (Phila) 2011; 4: 860-870 DOI: 10.1158/1940-6207.Capr-10-0354.
- 73 Choi SH, Lee YJ, Seo WD, Lee HJ, Nam JW, Lee YJ, Kim J, Seo EK, Lee YS. Altered cross-linking of HSP27 by zerumbone as a novel strategy for overcoming HSP27-mediated radioresistance. Int J Radiat Oncol Biol Phys 2011; 79: 1196-1205 DOI: 10.1016/j.ijrobp.2010.10.025.