... As cancer is a complicated disease with high mortality rate, it is conceivable that clinical investigation of anticancer drugs cannot be easily performed. Thus, more (Huang et al. 2000), induction of apoptosis through Casp activation, increased Bax expression, NF-ĸB down regulation and induction of PARP cleavage (Khan et al. 2016), increase in p53 gene specific mRNA (Yazdanpanahi et al. 2014), decrease invasion and metastasis via downregulation of COX-2, MMP-9, CXCR4, and VEGF (Park, 2011a, b), suppression of VEGFR2 signaling pathways and angiogenesis (Pang et al. 2009), induction of differentiation and inhibition of topoisomerase II (Zhao et al. 2003), inhibition of Akt phosphorylation, GSKb, and cyclin D1 (Chou et al. 2017) Human leukemia HL-60, K 562, U937, MOLT-4, THP-1 cell culture (Huang et al. 2000;Hostanska et al. 2002), human brain tumor (Hostanska et al. 2002), human colorectal cancer (Shen et al. 2012b), cervical cancer cells (Bhushan et al. 2009), prostate cancer cells (Pang et al. 2009), mouse melanoma and human fibrosarcoma cells (Zhao et al. 2003), meningioma cells (Park et al. 2002) DMBA-initiated mice (Huang et al. 2000), mouse colorectal cancer tumors (Yadav et al. 2012), heterotopic (subcutaneous) human pancreatic cancer xenograft nude mouse (Ni et al. 2012), Ehrlich ascitic tumor, Ehrlich ascitic carcinoma and sarcoma-180 tumor model (Qurishi et al. 2013), orthotopic pancreatic cancer nude mouse (Park et al. 2011b), azoxymethane/dextran sodium sulfate-induced colon cancer (Chou et al. 2017) (continued) (Jie et al. 2014), antiangiogenic activity ), decrease in DNA damage and micronucleus formation (Lamy et al. 2012), involvement of Bax/Bcl2, ANLN and S100P pathways (Savio et al. 2015), risk of tumorigenesis (Shukla and Arora 2003) (continued) (Lin et al. 2013) Antimitotic activity via inhibition of tubulin polymerization (Bhattacharyya, et al. 2008), endoplasmic reticulum stress and mitochondrial dysfunction by production of ROS (Kumar et al. 2016a;Larocque et al. 2014 mechanistic studies regarding the safety and efficacy of the newly introduced drugs should be considered to provide better support for the clinical evaluation of these agents. Furthermore, isolated phytochemicals from natural sources can be assessed as new backbones for chemical modifications to design antineoplastic agents with higher efficacy and fewer adverse effects. ...