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  • Camellia Sinensis and its Potential Role in Breast Cancer Prevention and Management: A Review

  • National College of Pharmacy, Manasseri, Mukkam, Kozhikode, Kerala

Abstract

Camellia sinensis, the plant source of green, black, and oolong tea, is widely recognized for its rich content of polyphenolic compounds and long-standing medicinal value. Green tea, in particular, has attracted considerable scientific interest due to its potential role in the prevention and management of chronic diseases, including cancer. This review aims to critically summarize and evaluate existing preclinical and clinical evidence supporting the anticancer potential of Camellia sinensis against breast cancer. Numerous studies have demonstrated that bioactive constituents of green tea, especially catechins such as epigallocatechin-3-gallate (EGCG), exert inhibitory effects on breast cancer development through multiple biological mechanisms. These include suppression of cancer cell proliferation, induction of programmed cell death, modulation of estrogen-related signaling pathways, and inhibition of angiogenesis and metastasis. In addition, the strong antioxidant and anti-inflammatory properties of green tea polyphenols contribute to their protective role against oxidative stress-mediated breast carcinogenesis. Collectively, the available evidence highlights Camellia sinensis as a promising natural agent with potential complementary value in breast cancer prevention and therapy. However, further well-designed clinical studies are necessary to establish its clinical efficacy, safety, and optimal therapeutic application.

Keywords

Camellia sinensis, green tea, theaceae, breast cancer, EGCG, poly phenols

Introduction

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Green tea derived from  leaves of the Camellia sinensis plant, belonging to the family Theaceae, is widely cultivated evergreen shrub whose leaves and buds are the source of one of the most consumed beverages globally. Originating from East Asia, C. sinensis has been traditionally used not only for its refreshing properties but also for its medicinal benefits. The plant is rich in bioactive compounds such as caffeine , xanthine’s, theobromine, and tannins , including flavonoids, polyphenols, fats and vitamin C. Tea extracts exhibit numerous properties , including  antitumor, antioxidant, anticoagulant , antiviral etc.

Among these, the antitumor potential of green tea has gained significant attention in recent years, particularly in relation to breast cancer, which remains one of the most prevalent malignancies affecting women globally. The major polyphenol, epigallocatechin-3-gallate (EGCG), has been extensively studied for its ability to inhibit cancer cell proliferation, induce apoptosis, suppress angiogenesis, and interfere with metastasis.

 METHODOLOGY OF LITERATURE REVIE

A comprehensive literature search was carried out using databases such as PubMed, Scopus, ScienceDirect, and Google Scholar. Keywords are  used for the search. Studies involving in vitro, in vivo, and clinical evaluations of green tea or its bioactive compounds against breast cancer were prioritized.

Botanical aspect;

Scientific Classification:

Table:1-classification

Classification

Kingdom

Plantae

Order

Ericales

Family

Theaceae

Genus

Camellia

Species

C.sinensis

Binomial name

Camellia sinensis(L.)Kuntze

Table 2-Common names

Common Names

India

Chha

China

Cha

Russia

Chai

Africa

Itye

Italy

Te

England

Tea plant

United states

Tea

DESCRIPTION

Camellia sinensis is an evergreen shrub or small tree belonging to the family Theaceae, widely cultivated for its leaves and buds, which are processed to produce tea – one of the most consumed beverages worldwide. Leaves are simple, alternate, elliptic to lanceolate, 4–15 cm long and 2–5 cm wide, with finely serrated margins and glossy dark-green surface. Young leaves and buds are most commonly harvested for tea production. Flowers are white, fragrant, bisexual, solitary or in small clusters, about 2.5–4 cm in diameter, with 5–7 petals and numerous yellow stamens. Blooming usually occurs in autumn to winter. Fruits are small, round to oval capsule (1–2 cm in diameter), usually containing 1–3 seeds. Deep taproot system that helps the plant absorb water and nutrients, contributing to its drought tolerance. The  growth Conditions of Camellia sinensis Prefers subtropical to tropical climates, well-drained acidic soils, and elevations ranging from lowlands to high altitudes (up to 2,000 m). Shade and rainfall greatly influence leaf quality and flavor.

Figure number:1-Green tea

CHEMICAL CONSTITUENTS

Green tea contains a wide variety of bioactive compounds responsible for its medicinal and therapeutic properties the major groups are polyphenols, alkaloids, amino acids, vitamins, minerals and trace elements, chlorophyll, volatile organic compounds, carbohydrates and proteins. Polyphenols include epigallocatechin-3-gallate (EGCG), epigallocatechin (EGC), epicatechin-3-gallate (ECG), epicatechin (EC). Alkaloids include Caffeine (2–5%), theobromine and theophylline. L-Theanine is a unique amino acid in tea.

Pharmacognostical studies

Macroscopic Characteristics

The leaves of Camellia sinensis are typically elliptic to lanceolate in shape and measure a few centimeters in length. They possess an acute to tapering apex and a wedge-shaped base. The leaf margin is distinctly serrated, which serves as an important identifying feature. The upper surface of the leaf appears dark green, smooth, and glossy, while the lower surface is comparatively lighter in color. The leaves are leathery in texture, emit a characteristic pleasant odor, and exhibit a bitter and astringent taste due to the presence of tannins.

Microscopic Characteristics

Microscopically, the transverse section of the leaf reveals a well-defined dorsiventral structure. The upper epidermis consists of a single layer of compact cells covered with a thick cuticle and generally lacks stomata. Beneath this layer lies the palisade mesophyll, composed of one to two rows of elongated, chlorophyll-rich cells that facilitate photosynthesis.

The spongy mesophyll is located towards the lower side and is made up of loosely arranged parenchymatous cells with prominent intercellular spaces, aiding gaseous exchange. The lower epidermis is thin-walled and contains numerous anomocytic stomata, which is a key diagnostic microscopic feature. Vascular bundles are collateral in nature, with xylem oriented towards the upper surface and phloem towards the lower surface, and are surrounded by a bundle sheath. Calcium oxalate crystals are commonly observed within the mesophyll cells.

In vitro Evidence supporting anticancer study (breast cancer):

Camellia sinensis has shown notable anticancer activity against breast cancer in various in vitro studies. Extracts of green tea, particularly those rich in catechins such as epigallocatechin gallate (EGCG), were tested on different human breast cancer cell lines (including estrogen receptor–positive and negative cells). These studies demonstrated that green tea polyphenols inhibit cancer cell proliferation and induce programmed cell death (apoptosis). The extracts were also found to cause cell cycle arrest and suppress signaling pathways involved in tumor growth and metastasis. Additionally, Camellia sinensis showed antioxidant activity and reduced oxidative stress in cancer cells, contributing to its protective and anticancer effects.

In vivo Evidence supporting anticancer study (breast cancer):

In vivo studies using experimental animal models of breast cancer have supported the anticancer potential of Camellia sinensis. Administration of green tea extract or isolated catechins to tumor-bearing animals resulted in a significant reduction in tumor size and tumor growth rate. These effects were associated with increased apoptosis of cancer cells, inhibition of angiogenesis, and modulation of hormone-related pathways involved in breast cancer progression. Camellia sinensis also improved antioxidant defense mechanisms and reduced inflammation, thereby protecting normal tissues from cancer-induced damage. Overall, these findings suggest that green tea may play a supportive role in breast cancer prevention and management.

Table Number:3- Major Bioactive Constituents of Camellia Sinensis and Their Reported Anticancer Effects Against Breast Cancer

Bioactive constituent

Chemical class

Reported anticancer effects

Proposed mechanism of action

Epigallocatechin-3-gallate (EGCG)

Catechin (polyphenol)

Inhibits breast cancer cell proliferation; induces apoptosis

Cell cycle arrest, activation of apoptotic pathways, inhibition of angiogenesis

Epigallocatechin (EGC)

Catechin

Reduces tumor cell growth

Antioxidant activity, modulation of signaling pathways

Epicatechin-3-gallate (ECG)

Catechin

Suppresses cancer cell proliferation

Inhibition of tumor growth signaling

Epicatechin (EC)

Catechin

Antioxidant and cytoprotective effects

Reduction of oxidative stress

Flavonoids

Polyphenol

Antitumor and anti-inflammatory effects

Free-radical scavenging, inhibition of inflammatory mediators

Caffeine

Alkaloid

Enhances anticancer activity when combined with polyphenols

Modulation of cell cycle and apoptosis

L-Theanine

Amino acid

Supports anticancer effects indirectly

Enhancement of immune response and stress reductio

ANTI BREAST CANCER ACTIVITY OF CAMELLIA SINENSIS: PRECLINICAL EVIDENCE

Camellia sinensis is widely recognized for its potential protective and therapeutic effects against breast cancer, mainly attributed to its rich content of polyphenolic compounds, especially catechins such as epigallocatechin gallate (EGCG) [19]. These bioactive constituents exert anticancer effects by inhibiting breast cancer cell proliferation, inducing apoptosis, and modulating key molecular pathways involved in tumor growth and progression [20].

Experimental evidence suggests that Camellia sinensis extracts interfere with estrogen-related signaling and suppress the activation of growth-promoting receptors in breast cancer cells. Green tea polyphenols have also been reported to inhibit angiogenesis and metastasis by downregulating vascular endothelial growth factors and matrix metalloproteinases, thereby limiting tumor expansion and invasion [21]. Both in vitro and in vivo studies consistently demonstrate that green tea constituents regulate cell cycle progression and enhance programmed cell death in malignant breast tissues [22].

In addition to direct anticancer activity, Camellia sinensis exhibits strong antioxidant and anti-inflammatory properties, which contribute to the protection of normal tissues and reduction of oxidative stress associated with breast carcinogenesis. Animal studies have shown that supplementation with green tea extract reduces tumor volume, improves antioxidant enzyme levels, and minimizes histopathological damage in breast tissue. When used as an adjunct to conventional anticancer therapies, Camellia sinensis has been reported to enhance therapeutic efficacy while reducing treatment-related toxicity.

CONCLUSION

Camellia sinensis demonstrates considerable potential as a complementary therapeutic agent in the prevention and management of breast cancer. Its rich composition of bioactive polyphenols, particularly catechins such as epigallocatechin gallate (EGCG), contributes to a broad spectrum of pharmacological activities including antioxidant, anti-proliferative, pro-apoptotic, and anti-inflammatory effects. Experimental studies provide strong evidence of its ability to inhibit breast cancer cell growth, regulate cell cycle progression, suppress angiogenesis, and induce programmed cell death in malignant cells.

Beyond direct anticancer activity, Camellia sinensis plays a protective role by reducing oxidative stress and inflammation, thereby limiting DNA damage and supporting normal cellular function. Preclinical investigations also suggest that green tea constituents may enhance the effectiveness of conventional chemotherapeutic agents while reducing therapy-associated toxicity. These findings support the potential role of Camellia sinensis as a safe and effective complementary approach in breast cancer management. However, further large-scale clinical trials and detailed molecular studies are required to confirm its clinical efficacy, establish optimal dosing strategies, and ensure long-term safety before its integration into evidence-based breast cancer therapy.

ACKNOWLEDGEMENT

The author of this manuscript express sincere gratitude to the National college of Pharmacy, KUHS, for providing the research facilities and the faculty members for their support and encouragement throughout the study.

CONFLICT OF INTEREST

There is no conflict of interest to be declared.

REFERENCES

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  2. Cabrera C, Artacho R, Giménez R. Beneficial effects of green tea—A review. J Am Coll Nutr. 2006;25(2):79–99.
  3. Khan N, Mukhtar H. Tea polyphenols for health promotion. Life Sci. 2007;81(7):519–533.
  4. Yang CS, Wang H. Cancer preventive activities of tea catechins. Molecules. 2016;21(12):1679.
  5. Mukhtar H, Ahmad N. Tea polyphenols: Prevention of cancer and optimizing health. Am J Clin Nutr. 2000;71(6 Suppl):1698S–1702S.
  6. Chen D, Milacic V, Chen MS, Wan SB, Lam WH, Huo C, et al. Tea polyphenols, their biological effects and potential molecular targets. Histol Histopathol. 2008;23(4):487–496.
  7. Thangapazham RL, Singh AK, Sharma A, Warren J, Gaddipati JP, Maheshwari RK. Green tea polyphenols and its constituent epigallocatechin gallate inhibits proliferation of human breast cancer cells. Cancer Lett. 2007;245(1–2):232–241.
  8. Li MJ, Yin YC, Wang J, Jiang YF. Green tea compounds in breast cancer prevention and treatment. World J Clin Oncol. 2014;5(3):520–528.
  9. Yang CS, Hong J. Prevention of chronic diseases by tea: Possible mechanisms and human relevance. Annu Rev Nutr. 2013;33:161–181.
  10. Sartippour MR, Shao ZM, Heber D, Beatty P, Zhang L, Liu C, et al. Green tea inhibits vascular endothelial growth factor (VEGF) induction in human breast cancer cells. J Nutr. 2002;132(8):2307–2311.
  11. Gupta S, Ahmad N, Nieminen AL, Mukhtar H. Growth inhibition, cell-cycle dysregulation, and induction of apoptosis by green tea constituent (-)-epigallocatechin-3-gallate in androgen-sensitive and androgen-insensitive human prostate carcinoma cells. Toxicol Appl Pharmacol. 2000;164(1):82–90.
  12. Lee MJ, Maliakal P, Chen L, Meng X, Bondoc FY, Prabhu S, et al. Pharmacokinetics of tea catechins after ingestion of green tea and (−)-epigallocatechin-3-gallate by humans. Cancer Epidemiol Biomarkers Prev. 2002;11(10):1025–1032.
  13. Lambert JD, Elias RJ. The antioxidant and pro-oxidant activities of green tea polyphenols: A role in cancer prevention. Arch Biochem Biophys. 2010;501(1):65–72.
  14. Shrubsole MJ, Lu W, Chen Z, Shu XO, Zheng Y, Dai Q, et al. Drinking green tea modestly reduces breast cancer risk. J Nutr. 2009;139(2):310–316.
  15. Hou Z, Lambert JD, Chin KV, Yang CS. Effects of tea polyphenols on signal transduction pathways related to cancer chemoprevention. Mutat Res. 2004;555(1–2):3–19.
  16. Singh BN, Shankar S, Srivastava RK. Green tea catechin, epigallocatechin-3-gallate (EGCG): Mechanisms, perspectives and clinical applications. Biochem Pharmacol. 2011;82(12):1807–1821.
  17. Bose M, Lambert JD, Ju J, Reuhl KR, Shapses SA, Yang CS. The major green tea polyphenol, (−)-epigallocatechin-3-gallate, inhibits obesity, metabolic syndrome, and fatty liver disease in high-fat-fed mice. J Nutr. 2008;138(9):1677–1683.
  18. Katiyar SK, Mukhtar H. Tea antioxidants in cancer chemoprevention. J Cell Biochem Suppl. 1997;27:59–67.
  19. Yang GY, Liao J, Kim K, Yurkow EJ, Yang CS. Inhibition of growth and induction of apoptosis in human cancer cell lines by tea polyphenols. Carcinogenesis. 1998;19(4):611–616.
  20. Crew KD, Ho KA, Brown P, Greenlee H, Bevers TB, Arun B, et al. Effects of green tea extract on breast cancer biomarkers in women at high risk for breast cancer. Cancer Prev Res. 2012;5(2):233–241.
  21. Jankun J, Selman SH, Swiercz R, Skrzypczak-Jankun E. Why drinking green tea could prevent cancer. Nature. 1997;387(6633):561.
  22. Wang ZY, Huang MT, Lou YR, Xie JG, Reuhl KR, Newmark HL, et al. Inhibitory effect of green tea on the growth of established skin papillomas in mice. Cancer Res. 1992;52(23):6657–6665.
  23. Kim SJ, Amankwah E, Connors S, Park HY, Rincon M, Cornnell H, et al. Safety and chemopreventive effects of green tea polyphenols in women with breast cancer. Clin Cancer Res. 2014;20(20):5203–5211.
  24. Balentine DA, Wiseman SA, Bouwens LC. The chemistry of tea flavonoids. Crit Rev Food Sci Nutr. 1997;37(8):693–704.
  25. Crespy V, Williamson G. A review of the health effects of green tea catechins in in vivo animal models. J Nutr. 2004;134(12 Suppl):3431S–3440S.
  26. Hou Z, Sang S, You H, Lee MJ, Hong J, Chin KV, et al. Mechanism of action of tea polyphenols in cancer chemoprevention. Mol Nutr Food Res. 2006;50(2):115–126.
  27. Nagini S. Breast cancer: Current molecular therapeutic targets and new players. Anticancer Agents Med Chem. 2017;17(2):152–163.
  28. Butt MS, Sultan MT. Green tea: Nature’s defense against malignancies. Crit Rev Food Sci Nutr. 2009;49(5):463–473.
  29. Suganuma M, Okabe S, Sueoka E, Iida N, Komori A, Kim SJ, et al. Green tea and cancer chemoprevention. Mutat Res. 1999;428(1–2):339–344.
  30. Wang YC, Bachrach U. The specific anti-cancer activity of green tea (-)-epigallocatechin-3-gallate (EGCG). Amino Acids. 2002;22(2):131–143.

Reference

  1. Graham HN. Green tea composition, consumption, and polyphenol chemistry. Prev Med. 1992;21(3):334–350.
  2. Cabrera C, Artacho R, Giménez R. Beneficial effects of green tea—A review. J Am Coll Nutr. 2006;25(2):79–99.
  3. Khan N, Mukhtar H. Tea polyphenols for health promotion. Life Sci. 2007;81(7):519–533.
  4. Yang CS, Wang H. Cancer preventive activities of tea catechins. Molecules. 2016;21(12):1679.
  5. Mukhtar H, Ahmad N. Tea polyphenols: Prevention of cancer and optimizing health. Am J Clin Nutr. 2000;71(6 Suppl):1698S–1702S.
  6. Chen D, Milacic V, Chen MS, Wan SB, Lam WH, Huo C, et al. Tea polyphenols, their biological effects and potential molecular targets. Histol Histopathol. 2008;23(4):487–496.
  7. Thangapazham RL, Singh AK, Sharma A, Warren J, Gaddipati JP, Maheshwari RK. Green tea polyphenols and its constituent epigallocatechin gallate inhibits proliferation of human breast cancer cells. Cancer Lett. 2007;245(1–2):232–241.
  8. Li MJ, Yin YC, Wang J, Jiang YF. Green tea compounds in breast cancer prevention and treatment. World J Clin Oncol. 2014;5(3):520–528.
  9. Yang CS, Hong J. Prevention of chronic diseases by tea: Possible mechanisms and human relevance. Annu Rev Nutr. 2013;33:161–181.
  10. Sartippour MR, Shao ZM, Heber D, Beatty P, Zhang L, Liu C, et al. Green tea inhibits vascular endothelial growth factor (VEGF) induction in human breast cancer cells. J Nutr. 2002;132(8):2307–2311.
  11. Gupta S, Ahmad N, Nieminen AL, Mukhtar H. Growth inhibition, cell-cycle dysregulation, and induction of apoptosis by green tea constituent (-)-epigallocatechin-3-gallate in androgen-sensitive and androgen-insensitive human prostate carcinoma cells. Toxicol Appl Pharmacol. 2000;164(1):82–90.
  12. Lee MJ, Maliakal P, Chen L, Meng X, Bondoc FY, Prabhu S, et al. Pharmacokinetics of tea catechins after ingestion of green tea and (−)-epigallocatechin-3-gallate by humans. Cancer Epidemiol Biomarkers Prev. 2002;11(10):1025–1032.
  13. Lambert JD, Elias RJ. The antioxidant and pro-oxidant activities of green tea polyphenols: A role in cancer prevention. Arch Biochem Biophys. 2010;501(1):65–72.
  14. Shrubsole MJ, Lu W, Chen Z, Shu XO, Zheng Y, Dai Q, et al. Drinking green tea modestly reduces breast cancer risk. J Nutr. 2009;139(2):310–316.
  15. Hou Z, Lambert JD, Chin KV, Yang CS. Effects of tea polyphenols on signal transduction pathways related to cancer chemoprevention. Mutat Res. 2004;555(1–2):3–19.
  16. Singh BN, Shankar S, Srivastava RK. Green tea catechin, epigallocatechin-3-gallate (EGCG): Mechanisms, perspectives and clinical applications. Biochem Pharmacol. 2011;82(12):1807–1821.
  17. Bose M, Lambert JD, Ju J, Reuhl KR, Shapses SA, Yang CS. The major green tea polyphenol, (−)-epigallocatechin-3-gallate, inhibits obesity, metabolic syndrome, and fatty liver disease in high-fat-fed mice. J Nutr. 2008;138(9):1677–1683.
  18. Katiyar SK, Mukhtar H. Tea antioxidants in cancer chemoprevention. J Cell Biochem Suppl. 1997;27:59–67.
  19. Yang GY, Liao J, Kim K, Yurkow EJ, Yang CS. Inhibition of growth and induction of apoptosis in human cancer cell lines by tea polyphenols. Carcinogenesis. 1998;19(4):611–616.
  20. Crew KD, Ho KA, Brown P, Greenlee H, Bevers TB, Arun B, et al. Effects of green tea extract on breast cancer biomarkers in women at high risk for breast cancer. Cancer Prev Res. 2012;5(2):233–241.
  21. Jankun J, Selman SH, Swiercz R, Skrzypczak-Jankun E. Why drinking green tea could prevent cancer. Nature. 1997;387(6633):561.
  22. Wang ZY, Huang MT, Lou YR, Xie JG, Reuhl KR, Newmark HL, et al. Inhibitory effect of green tea on the growth of established skin papillomas in mice. Cancer Res. 1992;52(23):6657–6665.
  23. Kim SJ, Amankwah E, Connors S, Park HY, Rincon M, Cornnell H, et al. Safety and chemopreventive effects of green tea polyphenols in women with breast cancer. Clin Cancer Res. 2014;20(20):5203–5211.
  24. Balentine DA, Wiseman SA, Bouwens LC. The chemistry of tea flavonoids. Crit Rev Food Sci Nutr. 1997;37(8):693–704.
  25. Crespy V, Williamson G. A review of the health effects of green tea catechins in in vivo animal models. J Nutr. 2004;134(12 Suppl):3431S–3440S.
  26. Hou Z, Sang S, You H, Lee MJ, Hong J, Chin KV, et al. Mechanism of action of tea polyphenols in cancer chemoprevention. Mol Nutr Food Res. 2006;50(2):115–126.
  27. Nagini S. Breast cancer: Current molecular therapeutic targets and new players. Anticancer Agents Med Chem. 2017;17(2):152–163.
  28. Butt MS, Sultan MT. Green tea: Nature’s defense against malignancies. Crit Rev Food Sci Nutr. 2009;49(5):463–473.
  29. Suganuma M, Okabe S, Sueoka E, Iida N, Komori A, Kim SJ, et al. Green tea and cancer chemoprevention. Mutat Res. 1999;428(1–2):339–344.
  30. Wang YC, Bachrach U. The specific anti-cancer activity of green tea (-)-epigallocatechin-3-gallate (EGCG). Amino Acids. 2002;22(2):131–143.

Photo
Arathi Krishna K V
Corresponding author

National College of Pharmacy, Manasseri, Mukkam, Kozhikode, Kerala

Photo
Anil Kumar V
Co-author

National College of Pharmacy, Manasseri, Mukkam, Kozhikode, Kerala

Arathi Krishna K V, Anil Kumar V, Camellia Sinensis and its Potential Role in Breast Cancer Prevention and Management: A Review, Int. J. of Pharm. Sci., 2026, Vol 4, Issue 10, 2744-2750. https://doi.org/10.5281/zenodo.23425294

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