| Rank | Pathway / Axis | Cancer Cells | Normal Cells | TSF | Primary Effect | Notes / Interpretation |
|---|---|---|---|---|---|---|
| 1 | NF-κB inflammatory transcription | NF-κB ↓; pro-inflammatory cytokine programs ↓ (context) | Inflammation tone ↓ | R, G | Anti-inflammatory / anti-survival transcription | EA is repeatedly reported to suppress NF-κB activity and reduce inflammatory cytokine expression in tumor and inflammation models. |
| 2 | PI3K → AKT (± mTOR) survival axis | PI3K/AKT ↓ (reported); proliferation ↓ | ↔ | R, G | Growth/survival suppression | Multiple cancer studies/reviews report EA-associated suppression of PI3K/AKT signaling linked to G1 arrest and apoptosis. |
| 3 | Cell-cycle control (G1 arrest emphasis) | Cell-cycle arrest ↑ (often G1); Cyclin/CDK programs ↓ (context) | ↔ | G | Cytostasis | Frequently observed as a later phenotype-level outcome; commonly reported alongside reduced proliferation. |
| 4 | Intrinsic apoptosis (mitochondrial / caspase-linked) | Apoptosis ↑; caspase activation ↑ (context) | ↔ (generally less activation) | G | Apoptosis execution | Often downstream of survival signaling suppression and/or stress signaling; reported across multiple tumor types. |
| 5 | Nrf2 antioxidant response (Keap1/Nrf2/ARE) | Stress adaptation modulation (context-dependent) | Nrf2 ↑; antioxidant enzymes ↑ (context) | R, G | Endogenous antioxidant upshift | EA is commonly described as activating Nrf2/ARE programs in oxidative-stress models; tumor direction is model-dependent and should not be overstated. |
| 6 | ROS / oxidative stress | Oxidative stress tone ↓ (often); ROS direction can vary by model | ROS injury ↓ | P, R, G | Redox buffering (context-dependent) | EA is widely characterized as antioxidant/anti-inflammatory; in cancer models, oxidative stress effects can be secondary to pathway reprogramming. |
| 7 | Invasion / metastasis programs (MMPs / EMT) | MMPs ↓; migration/invasion ↓ (reported) | ↔ | G | Anti-invasive phenotype | Often reported as downstream outcomes tied to NF-κB and survival signaling changes; keep as “reported” (not universal). |
| 8 | Angiogenesis signaling (VEGF & angiogenic outputs) | VEGF ↓; angiogenic outputs ↓ (reported) | ↔ | G | Anti-angiogenic support | Typically observed as later reductions in pro-angiogenic expression/secretion or angiogenesis assays. |
| 9 | One-carbon / microbiome conversion to urolithins (translation driver) | Systemic activity often mediated by urolithins (e.g., urolithin A) rather than free EA | — | — | PK / metabolite constraint | EA and ellagitannins are transformed by gut microbiota into urolithins, bioavailable metabolites; inter-individual variation in “metabotypes” affects exposure and effects. |
| 10 | Bioavailability constraint (oral exposure) | Free EA systemic exposure often limited (without formulation / metabolite reliance) | — | — | Translation constraint | EA has absorption/metabolism constraints; measuring metabolites (urolithins) is often more informative than EA alone. |
Time-Scale Flag (TSF): P / R / G