INTEGRATIVE REVIEW ON BONE MARROW CANCER: RISK PROFILE, HERBAL INTERVENTIONS, AND ALTERATIONS IN RBC FUNCTION: A REVIEW
Sai Sunil More, Pradnya Khelbude, Suyash Kamble, Rani Mehtre , Vijaysinh Sable
Lokmangal College of Pharmacy, Wadala, Solapur, Maharashtra
Abstract
Acute myeloid leukemia (AML) and multiple myeloma (MM) harm the bone marrow and lower normal blood cell production, which leads to anemia. Chemotherapy and targeted treatments kill cancer cells but also increase oxidative stress and reduce red blood cell (RBC) formation. Herbal compounds like curcumin, resveratrol, quercetin, EGCG, and withanolides show strong anti-leukemia and anti-myeloma effects by influencing NF-κB, STAT3, and PI3K/Akt pathways. Extracts from plants such as green tea, Withania somnifera, and Tinospora cordifolia help support RBC production and protect bone marrow cells. Combining herbal polyphenols with drugs like bortezomib improves treatment outcomes and lessens side effects. Plant-based compounds may also boost immunotherapy with monoclonal antibodies such as elotuzumab and daratumumab. These herbs activate pathways like Nrf2/HO-1 and JAK2/STAT5 to enhance antioxidant defenses and increase erythropoiesis. Research indicates that mixing herbal medicine with standard treatments may improve patient survival and tolerance while aiding bone marrow recovery.
Keywords: Acute myeloid leukemia and multiple myeloma harm bone marrow, lower red blood cell production, and raise oxidative stress, leading to anemia [1][2]. Tumor growth is driven by changes in the microenvironment and the activation of NF-κB and STAT3/PI3K/Akt pathways [3][5][6]. Herbal medicines that are rich in bioactive compounds can block these pathways, cause tumor cell death, and boost antioxidant responses [7]. They also enhance immunity and red blood cell production through Nrf2/HO-1 and JAK2/STAT5 signaling [8][9]. When used alongside standard treatments, these herbs help lessen side effects related to therapy [10].
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EPRA International Journal of Research & Development (IJRD)
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Published on : 2026-05-28
| Vol | : | 11 |
| Issue | : | 5 |
| Month | : | May |
| Year | : | 2026 |