Life sciences · Journal article
Frontiers in Pharmacology · September 28, 2026
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Perilla frutescens, an edible medicinal plant from East Asia, produces diverse bioactive phytochemicals with anticancer activity, including perillaldehyde (PAH), rosmarinic acid (RA), luteolin, apigenin, and alpha-linolenic acid (ALA). These compounds exert multi-target anticancer effects through apoptosis, autophagy, and ferroptosis. PAH triggers ferroptosis in gastric cancer via the System Xc-/GSH/GPX4 axis and P62-Keap1-Nrf2 pathway, while inducing protective autophagy in colorectal cancer through SRD5A1 and PI3K/AKT modulation. RA directly binds KRAS(G12C) and suppresses NSCLC via KRAS/AKT/ERK, and inhibits stress-induced TNBC metastasis through Src inactivation. Perilla leaf extracts activate Hippo-YAP/TAZ signaling in breast cancer. ALA-rich perilla seed oil (PSO) mitigates tumorigenesis in colitis-associated colorectal cancer models and restores gut microbial homeostasis. This review synthesizes current molecular evidence on perilla compounds in cancer therapy, focusing on apoptosis-autophagy-ferroptosis crosstalk. The multi-target characteristics position perilla-derived compounds as adjuvant cancer therapy candidates, though bioavailability and clinical translation still challenges remain.