Single heavy-atom connectivity model of neutral indole-3-carbinol with nine carbon, one nitrogen, and one oxygen center.
Chemical-identity reconstruction Editorially reviewed

Heavy-atom connectivity orientation for neutral indole-3-carbinol. Hydrogens, a measured conformation, crystal packing, DIM, cruciferous-food source, supplement formulation, dose, metabolism, EGFR or drug interactions, microbiome effects, ovarian protection, efficacy, safety, and clinical claims are intentionally omitted; this is an educational reconstruction.

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Indole-3-carbinolintervention
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Indole-3-carbinol (I3C) and its metabolite 3,3'-diindolylmethane (DIM)—derived from cruciferous vegetables and also produced by gut bacteria from tryptophan metabolism—as multi-mechanism agents for ovarian cancer. Three independent papers support I3C through distinct pathways: EGFR inhibition (platinum resistance), bortezomib sensitization, and cisplatin chemoprotection.

This makes I3C one of the most well-triangulated supplement candidates for OC, though no human clinical trial exists yet.

Evidence map3 cited passagesInspect provenance +
01
EGFR Inhibition (Dash 2015)

Source: (computational prediction)

02
Bortezomib Sensitization (Taylor-Harding 2012)

Source: (in vitro + animal model)

03
Cisplatin Chemoprotection (Zhu 2026)

Source: (animal model)

Contents1. Evidence2. Mechanism3. Clinical Context

Evidence#

EGFR Inhibition (Dash 2015)#

  • I3C and DIM show significant inhibitory activity against EGFR tyrosine kinase in platinum-resistant OC (molecular docking + ADME)
  • Source:[1]In silico analysis of indole-3-carbinol and its metabolite DIM as EGFR tyrosine kinase inhibitors in platinum resistant ovarian cancerDash R, Hosen SMZ, Karim MR et al. · 2015Open reference 1 (computational prediction)

Bortezomib Sensitization (Taylor-Harding 2012)#

  • I3C sensitized OC cell lines to bortezomib; combination caused cell cycle arrest and apoptosis via ER stress and cytoskeletal disruption
  • In vivo co-treatment significantly inhibited tumor growth in mice
  • Source:[2]Indole-3-carbinol synergistically sensitises ovarian cancer cells to bortezomib treatmentTaylor-Harding B, Agadjanian H, Nassanian H et al. · 2012Open reference 2 (in vitro + animal model)

Cisplatin Chemoprotection (Zhu 2026)#

  • I3C alleviates cisplatin-induced ovarian damage by inhibiting fibrosis through TGF-beta1/Smad pathway
  • Preserves ovarian function during chemotherapy
  • Source:[3]Indole-3-carbinol alleviates cisplatin-induced ovarian damage by inhibiting ovarian fibrosis through the TGF-beta1/Smad pathwayZhu F, Li F, Zhang R et al. · 2026Open reference 3 (animal model)

Mechanism#

I3C acts through at least three independent pathways. EGFR kinase inhibition: Targets platinum resistance directly. ER stress induction: Sensitizes tumor cells to proteasome inhibition.

TGF-beta1/Smad inhibition: Protects healthy ovarian tissue from chemotherapy damage.

Gut microbiome connection: I3C is an indole metabolite related to microbial tryptophan metabolism. The protective indole metabolites IPA and indoxyl sulfate (suppressed by antibiotics in OC) are in the same metabolic family.

Clinical Context#

I3C is available as a dietary supplement and from cruciferous vegetable consumption. The safety profile is well-established. The gap is human clinical trial data specifically in OC—preclinical evidence across three independent mechanisms argues strongly for clinical investigation.

Generated evidence record

References 3

Numbered by first appearance in the article, then reconciled with its declared source list.

  1. 1

    Dash R, Hosen SMZ, Karim MR et al. (2015). In silico analysis of indole-3-carbinol and its metabolite DIM as EGFR tyrosine kinase inhibitors in platinum resistant ovarian cancer. Journal of Applied Pharmaceutical Science.

  2. 2

    Taylor-Harding B, Agadjanian H, Nassanian H et al. (2012). Indole-3-carbinol synergistically sensitises ovarian cancer cells to bortezomib treatment. British Journal of Cancer.

  3. 3

    Zhu F, Li F, Zhang R et al. (2026). Indole-3-carbinol alleviates cisplatin-induced ovarian damage by inhibiting ovarian fibrosis through the TGF-beta1/Smad pathway. Journal of Ovarian Research.

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