| 1 |
RNF114 ubiquitin ligase axis |
RNF114 substrate recognition ↓; p21 stabilization ↑; proliferation ↓ |
Likely context-dependent; selectivity depends on dependency on RNF114-regulated substrates |
R/G |
Cell-cycle suppression and targeted-protein-degradation relevance |
High mechanistic importance because nimbolide has a defined electrophilic target interaction and can be used as a covalent recruiter scaffold. |
| 2 |
Mitochondrial ROS and SOD2 |
ROS ↑; SOD2 ↓; mitochondrial stress ↑; apoptosis ↑ |
Potential oxidative-stress risk at sufficient exposure; selectivity is model-dependent |
R/G |
Oxidative apoptosis and metastasis suppression |
Core in pancreatic cancer models; may be especially relevant where tumor cells depend on antioxidant buffering. |
| 3 |
Apoptosis and caspase activation |
Caspase 3 ↑; caspase 8 ↑; caspase 9 ↑; survival ↓ |
Lower effect reported in some normal-cell comparisons, but not universally established |
G |
Programmed cell death induction |
Central downstream phenotype across many cancer models. |
| 4 |
STAT3 inflammatory survival signaling |
STAT3 phosphorylation ↓; anti-apoptotic transcription ↓; invasion ↓ |
Could suppress normal inflammatory or repair signaling if systemic exposure is high |
R/G |
Reduced proliferation, survival, and metastatic signaling |
Important in prostate and pancreatic cancer contexts; likely intersects with ROS and NF-κB effects. |
| 5 |
NF-κB and Wnt beta catenin |
NF-κB activation ↓; IκB degradation ↓; Wnt beta catenin signaling ↓ |
Potential immune and epithelial-homeostasis effects are context-dependent |
R/G |
Anti-inflammatory, anti-survival, and anti-proliferative signaling |
Broadly reported in neem/nimbolide literature, but pathway dominance varies by tumor model. |
| 6 |
Autophagy survival axis |
Cytoprotective autophagy ↓; apoptosis ↑ |
Autophagy effects may be protective or harmful depending on tissue stress state |
G |
Removal of tumor stress-adaptation capacity |
Secondary but therapeutically relevant where autophagy supports tumor survival. |
| 7 |
EMT migration invasion metastasis |
EMT markers ↓; migration ↓; invasion ↓; metastatic traits ↓ |
Could affect normal wound-healing pathways at sufficient exposure |
G |
Anti-metastatic phenotype |
Strong preclinical relevance; not yet clinically validated. |
| 8 |
Angiogenesis |
Pro-angiogenic signaling ↓ |
Physiologic angiogenesis may be affected in repair contexts |
G |
Reduced tumor vascular support |
Best treated as secondary/contextual unless a specific cancer model demonstrates angiogenesis as the dominant effect. |
| 9 |
PARP1 trapping and BRCA synthetic lethality |
PARP1 trapping ↑; BRCA-mutated vulnerability ↑ |
DNA repair stress possible in proliferating normal cells |
R/G |
DNA-repair vulnerability exploitation |
Mechanistically interesting and industry-relevant, but narrower than the general ROS and ubiquitin-ligase mechanisms. |
| 10 |
Clinical Translation Constraint |
In-vitro potency does not guarantee tumor exposure; formulation-dependent activity |
Safety margin uncertain for systemic use; crude neem products are not equivalent to purified nimbolide |
G |
Limits clinical interpretation |
Major constraints are poor solubility, uncertain human PK, lack of oncology trials, botanical heterogeneity, and neem toxicity concerns. |