“…The antitumor and antiproliferative activity of CTX in different cancer cell lines including leukemia, cervix, ovarian, lung, colon, renal, melanoma, and brain has been assessed in in vitro and in vivo studies. According to these studies, the antiproliferative activity occurs through apoptotic mechanisms, triggered by changes in mitochondrial membrane potential, cytochrome C release, and caspase-3 activation (Corin et al, 1993;Newman et al, 1993;Costa et al, 1998;Brigatte et al, 2016). CTX may also induce cell death by activation of autophagy mechanisms, which was demonstrated in breast tumor cells (Yan et al, 2007).…”