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ORIGINAL RESEARCH article

Front. Oncol.

Sec. Cancer Cell Signaling

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1579470

This article is part of the Research TopicPhytochemical Interventions to CancerView all 7 articles

A Systematic Review and Meta-analysis of the Effects of of Green Tea Extracts and Polyphenols in Female Hormone-Dependent Cancers for Benefit-Risk Evaluation

Provisionally accepted
Jin-jing  HeJin-jing He1Yan-fang  ZhangYan-fang Zhang2,3Ze-huang  HeZe-huang He3Zheng  LeiZheng Lei1*
  • 1Department of Breast Surgery, Zhejiang Cancer Hospital, Hangzhou, China
  • 2The 903rd Hospital of The Chinese People’s Liberation Army, Hangzhou, Jiangsu Province, China
  • 3Zhejiang Hospital, Hangzhou, Zhejiang Province, China

The final, formatted version of the article will be published soon.

Female hormone-dependent cancers rely on estrogen for growth and include breast, uterine and ovarian cancers. Although preclinical studies indicate that green tea extracts and polyphenols derived from green tea exhibit anti-tumor effects without mimicking estrogen like phytoestrogens, clinical evidence remains scarce. To explore the potential of green tea products in inhibiting these cancers, we conducted a meta-analysis of preclinical data. We evaluated the effects of green tea extract (GTE), green tea polyphenol-enriched product (GTP), and epigallocatechin gallate (EGCG) on tumor growth indices in mouse and rat models of breast, ovarian, and uterine cancers. A comprehensive search of PubMed, Web of Science, and Google Scholar (1998-2024) identified 20 studies for inclusion. Pooled analysis showed significant reductions in tumor volume (Hedge's g = -2.332, 95% CI = -3.067 to -1.596, p = 0.000) and tumor weight (Hedge's g = -2.105, 95% CI = -2.746 to -1.463, p = 0.000). Subgroup analysis revealed that GTE and EGCG reduced breast and ovarian tumors, while EGCG had no significant impact on uterine cancer. Significant heterogeneity was observed across studies. No consistent adverse effects were reported in the included studies, though liver function parameters were not assessed. These findings highlight the necessity for targeted clinical trials to assess the distinct benefits of each tea-based product for various cancer types.

Keywords: green tea extract, Green tea polyphenols, breast cancer, ovarian cancer, Uterine Cancer, Meta-analysis Normal (Web)

Received: 12 Mar 2025; Accepted: 21 Aug 2025.

Copyright: © 2025 He, Zhang, He and Lei. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Zheng Lei, Department of Breast Surgery, Zhejiang Cancer Hospital, Hangzhou, China

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