Natural products historically represent a source of clinically approved
drugs that have contributed significantly to anticancer drug development. Melaleuca alternifolia Concentration (MAC) is an extract prepared from the native Australian
plant M. alternifolia (also a common
source of Tea Tree Oil). Initial investigations analysing the in vitro cytotoxicity of Melaleuca oils and its main components
against tumour cells revealed the presence of compounds with strong anticancer
activities. In vitro, MAC induced
cell death through the intrinsic mitochondrial pathway, while at lower
cytostatic concentrations induced autophagy and cell cycle arrest in G1 phase. In vivo, the anticancer properties of
MAC were examined using a spontaneous FVB/N c-neu murine model of breast cancer, with mice receiving
intratumoural treatments every 3 days. MAC suppressed tumour growth over a 30
day period and induction of cell death through the intrinsic mitochondrial
pathway was also replicated in vivo,
as determined by the presence of both intramitochondrial superoxide and TUNEL
positive regions within MAC treated tumours. Potential immunomodulatory
activity of MAC was examined in the 4T1 breast cancer model. MAC was
associated with increased CD3+CD4+ and CD3+CD8+
T cell populations as well as a reduction in CD3+CD4+CD25+Foxp3+
regulatory T cells in both tumour and blood. Furthermore, there was an increased
presence of Ly6GhiCD11b+ neutrophils in treated tumours
and bone marrow. Intratumourally, MAC also elevated the expression of CD80 on
Ly6GhiCD11b+ cells, indicating the presence of a
potential antigen presenting-type neutrophil population. In both models, MAC
treatment was not associated with any observable adverse effects. In
conclusion, MAC represents a promising anticancer
agent through its ability to induce apoptosis via the intrinsic mitochondrial
pathway as well as by reducing tumour growth and promoting an
anti-tumour immune response in mice with no observable adverse effects.
Additionally, the immunostimulatory response may also aid in combating the
prevalence of metastasis due to the increased immune cell presence.