| Rank |
Pathway / Axis |
Cancer Cells |
Normal Cells |
TSF |
Primary Effect |
Notes / Interpretation |
| 1 |
NF-κB inflammatory transcription |
NF-κB ↓; inflammatory/pro-survival gene programs ↓ |
Inflammatory stress ↓ |
P/R |
Anti-inflammatory and anti-survival signaling suppression |
Most canonical CAPE axis; supported by classic mechanistic work and newer radiosensitization studies. Central for cytokine, survival, and stress-response attenuation. |
| 2 |
PI3K/Akt / p70S6K / c-MYC |
Akt ↓; p70S6K ↓; c-MYC ↓; proliferation ↓ |
↔ / protective (context-dependent) |
R/G |
Cytostatic and pro-apoptotic pressure |
Strong relevance in prostate and NSCLC models; appears therapeutically leveraged in combination settings. |
| 3 |
Wnt / β-catenin / TCF |
β-catenin ↓; nuclear β-catenin ↓; cyclin D1 ↓; c-MYC ↓ |
↔ |
R/G |
Growth arrest and apoptosis support |
Well supported in colon cancer models; helps explain antiproliferative and differentiation-related effects. |
| 4 |
MMP invasion / metastasis axis |
MMP-2 ↓; MMP-9 ↓; MT1-MMP ↓; invasion ↓ |
ECM injury/inflammation ↓ (context-dependent) |
R/G |
Anti-invasive and anti-metastatic effect |
Useful translational axis because it links inflammatory signaling to motility and matrix remodeling. |
| 5 |
Mitochondria / metabolic reprogramming |
Mitochondrial membrane potential ↓; respiration shift toward glycolysis |
Potential radioprotective anti-inflammatory support in tissue slices |
P/R |
Stress amplification and therapeutic-window modulation |
Recent lung data suggest CAPE can destabilize tumor bioenergetics while dampening inflammatory injury signals in normal tissue contexts. |
| 6 |
Autophagy / chemosensitization |
Autophagy ↓; oxaliplatin sensitivity ↑ |
↔ |
R/G |
Adjunct sensitization to therapy |
Now a meaningful secondary axis; 2024 colon-cancer work supports autophagy inhibition as one mechanism of drug sensitization. |
| 7 |
Radiosensitization |
RadioS ↑ (adenocarcinoma-selective in some models) |
Radiation-associated inflammatory injury ↓ (context-dependent) |
R/G |
Potential therapeutic-window expansion |
Important emerging translational niche rather than a universal CAPE effect; appears histology- and context-dependent. |
| 8 |
ROS / NRF2 redox modulation (secondary) |
ROS ↔ / ↑ / ↓ (context-dependent); NRF2 ↔ / ↑ (secondary) |
ROS injury ↓; cytoprotective antioxidant tone ↑ (context-dependent) |
P/R/G |
Redox buffering or oxidative stress depending on setting |
CAPE is not best treated as a simple antioxidant. In tumors it may contribute to stress and death signaling, while in normal tissue it may support anti-inflammatory/radioprotective responses. |
| 9 |
COX-2 / lipoxygenase inflammatory eicosanoids |
COX-2-related signaling ↓; LOX-related signaling ↓ |
Inflammatory eicosanoid tone ↓ |
P/R |
Inflammation and microenvironment restraint |
Mechanistically plausible and historically supported, but generally more secondary than NF-κB/Akt/β-catenin in oncology framing. |
| 10 |
Clinical Translation Constraint |
Bioavailability ↓; exposure consistency ↓ |
Systemic delivery limitations ↑ |
— |
Formulation-limited translation |
Poor solubility, hydrolysis, and variable absorption limit confidence that common oral dosing reproduces stronger in vitro anticancer concentrations. |