Astragaloside IV
Saponin from astragalus inducing apoptosis, inhibiting metastasis/NF-κB; chemo-sensitizing in preclinical cancer models.
Forms: Purified astragaloside IV capsules/tablets (standardized) · Astragalus root extract enriched in AS-IV · Injection (TCM preparation, clinical use)
Simple Summary
Astragaloside IV is a compound from the astragalus plant that triggers cancer cell death and may prevent tumor spread in lab studies. It could make chemotherapy more effective against lung and colon cancers.
Evidence at a glance
Strong preclinical anticancer activity across multiple models; chemosensitization signals; human data limited to astragalus extracts.
How it may work
Astragaloside IV (AS-IV), a saponin from Astragalus membranaceus, induces apoptosis in cancer cells through mitochondrial disruption, ROS generation, and caspase activation. It inhibits NF-κB signaling to reduce inflammation and angiogenesis, modulates macrophage polarization to curb metastasis, and enhances chemosensitivity by overcoming drug resistance. Preclinical studies demonstrate anti-proliferative effects in lung, colorectal, breast, and other cancers.
Targets & pathways
Curated mechanistic targets reported for this agent — how it may act on cells, not proof of a clinical effect.
- Apoptosis (cancer cells)↑Caspase activation; Bcl-2 downregulation
- NF-κB↓Inhibits inflammation and survival signaling
- Metastasis↓Reduces invasion/migration via macrophage modulation
- Chemosensitivity↑Synergy with cisplatin, paclitaxel, gefitinib
- Tumor proliferation↓Cell cycle arrest (preclinical)
- Immune↑Enhances T-cell function; anti-inflammatory
Often studied / combined with
Combinations reported in the literature, not a protocol or a recommendation.
- Chemotherapy (cisplatin, paclitaxel): Enhances sensitivity and apoptosis in preclinical studies.
- Gefitinib: Sensitizes NSCLC cells via SIRT6 regulation.
Overlapping mechanisms
- Apoptosis ↑, NF-κB ↓: Complements other NF-κB inhibitors; monitor for additive effects.
Safety & interactions
Severity and how well-established each signal is are shown separately. Verify everything with your oncologist or pharmacist — absence here does not mean safe.
- immunosuppressantsMonitorModerateTheoreticalImmune-boosting may counteract effects.
- chemotherapy (platinum agents)MonitorTheoreticalPreclinical synergy with cisplatin; potential enhanced toxicity/efficacy.
- antidiabeticsDose AdjustMildTheoreticalAdditive hypoglycemic effects.
Timing
- With-meal: Improves absorption and GI tolerance.
- AM
- PM
References
- PMID 38193000 — AS-IV in colorectal cancer
- PMID 30157903 — NF-κB inhibition mechanisms
- PMID 33448320 — Apoptosis in lung cancer
- PMID 36874003 — Anti-metastatic effects
- PMID 37793276 — Chemosensitization review
- PMID 27960166 — Breast cancer synergy with paclitaxel
- PMID 36367181 — Macrophage modulation
Research
No published studies for Astragaloside IV yet
New studies appear here once they’ve been reviewed. Browse all studies.
Dose: as studied, not a recommendation
Ranges seen in adjunct / practice use: 5–10 mg (oral) 5-10 mg/day; divided doses with meals, Standard supplement dose 5-10 mg/day; preclinical human-equivalent from 2.5-20 mg/kg in mice. TCM astragalus injections contain ~0.08 mg/mL AS-IV; consult for oncology use..
Trials studying Astragaloside IV
No actively-recruiting trials matched right now. Recruiting is not the same as proven. Search ClinicalTrials.gov →