Natural Compounds against Cancer, Inflammation, and Oxidative StressView this Special Issue
Research Article | Open Access
Dongdong Sun, Weixing Shen, Feng Zhang, Huisen Fan, Jiani Tan, Liu Li, Changliang Xu, Haibin Zhang, Ye Yang, Haibo Cheng, "-Hederin Arrests Cell Cycle at G2/M Checkpoint and Promotes Mitochondrial Apoptosis by Blocking Nuclear Factor-B Signaling in Colon Cancer Cells", BioMed Research International, vol. 2018, Article ID 2548378, 11 pages, 2018. https://doi.org/10.1155/2018/2548378
-Hederin Arrests Cell Cycle at G2/M Checkpoint and Promotes Mitochondrial Apoptosis by Blocking Nuclear Factor-B Signaling in Colon Cancer Cells
Colon cancer represents the third most common malignancy worldwide. New drugs with high efficaciousness and safety for the treatment of colon cancer are urgently needed in clinical context. Here, we were aimed to evaluate the antitumor activity of the natural compound α-hederin in human colon cancer cells. We treated SW620 cells with interleukin-6 (IL-6) in vitro to mimic the paracrine inflammatory microenvironment of tumor cells. α-Hederin concentration dependently reduced the viability of IL-6-stimulated SW620 cells. α-Hederin increased the number of IL-6-stimulated SW620 cells at the G2/M phase and reduced the mRNA and protein expression of cyclin B1 and CDK1. Moreover, α-hederin induced apoptosis and loss of mitochondrial membrane potential in IL-6-stimulated SW620 cells. α-Hederin downregulated Bcl-2 expression, upregulated Bax expression, and promoted cytochrome c release from mitochondria into cytoplasm. Additionally, α-hederin elevated the levels of cleaved-caspase-9, cleaved-caspase-3, and cleaved-PARP, but had little effects on the levels of cleaved-caspase-8. Moreover, α-hederin prevented the nuclear translocation of nuclear factor-κB (NF-κB) and reduced the phosphorylation of IκBα and IKKα, suggesting the blockade of NF-κB signaling. NF-κB inhibitor PDTC not only produced similar proapoptotic effects on IL-6-stimulated SW620 cells as α-hederin did, but also synergistically enhanced α-hederin’s proapoptotic effects. Furthermore, α-hederin inhibited the phosphorylation of ERK in IL-6-stimulated SW620 cells, which was involved in α-hederin blockade of NF-κB nuclear translocation. Altogether, α-hederin suppressed viability, induced G2/M cell cycle arrest, and stimulated mitochondrial and caspase-dependent apoptosis in colon cancer cells, which were associated with disruption of NF-κB and ERK pathways, suggesting α-hederin as a promising candidate for intervention of colon cancer.
Colon cancer represents the third most frequently diagnosed malignancy all over the world. Although the incidence has been decreased during the past decade, colon cancer still has considerably high morbidity compared with other cancers . Despite the surgical resection as a primary curative management for the early stage of colon cancer, a growing number of patients are in the advanced stage at the time of diagnosis because of the lack of effective screening . Chemotherapy still serves as a common therapeutic strategy for colon cancer. Unfortunately, many patients eventually relapse, and chemotherapy resistance occurs . Thus, development of novel agents with high efficaciousness and safety against colon cancer is of extreme importance.
Apoptosis is a genetically controlled cell death, playing an important role in regulation of development, cell proliferation, and stress responses . Tumorigenesis has long-termly been linked to alterations of apoptotic pathways . The mechanisms underlying tumor chemotherapy resistance are also largely associated with the activation of antiapoptotic pathways and the sensitivity of tumor cells to drug-induced apoptosis is determined by the balance between the antiapoptotic and proapoptotic signals . Mitochondria play a pivotal role in apoptosis. During apoptosis, some key events occur in mitochondria, including the loss of mitochondrial membrane potential (MMP), reduced ratio of Bcl-2/Bax, and release of cytochrome c (Cyt c). Particularly, MMP is a key parameter of mitochondrial apoptosis . On the other hand, excessive activation of nuclear factor κB (NF-κB) has been observed in many solid tumors, especially in colon cancer . NF-κB with transcription activity facilitates the progression of colon cancer by regulating the expression of a range of apoptosis-related genes, including Bcl-2, Bcl-xl, Survivin, etc. NF-κB also mediates survival mechanisms through upregulating antiapoptotic genes. Therefore, NF-κB signaling is a causative factor in chemotherapy resistance .
Natural products provide promising candidate agents for cancer chemotherapy. α-Hederin is a monodesmosidic triterpenoid saponin isolated from the leaves of Hedera helix. Recent studies have demonstrated that α-hederin had multiple pharmacological effects such as anti-virus, anti-oxidation, anti-inflammation, etc. [9, 10]. In current study, we examined the effects of α-hederin on the fate of colon cancer cells, and to explore the underlying mechanisms focusing on the NF-κB pathway. Because tumorigenesis and progression are commonly driven by inflammatory microenvironment, we treated colon cancer cells with interleukin 6 (IL-6, a well-known inflammatory cytokine) to mimic the inflammatory microenvironment in vitro.
2. Materials and Methods
2.1. Reagents and Antibodies
α-Hederin of purity over 99% was provided by Shanghai Yuanye Biotechnology Co., Ltd. (Shanghai, China). NF-κB specific inhibitor pyrrolidine dithiocarbamate (PDTC), JAK2/STAT3 signaling specific inhibitor AG490, and ERK specific inhibitor U0126 were obtained from Selleck Chemicals (Houston, TX, USA). Dimethyl sulfoxide (DMSO) was used to dissolve the above compounds for experiments, and single treatment with DMSO was used as negative control. Recombinant human IL-6 cytokine was obtained from Solarbio Life Science (Beijing, China). The primary antibodies used for Western blot analyses against cyclin B1, CDK1, Bcl-2, Bax, Cyt c, cleaved-caspase-9, cleaved-caspase-3, cleaved-caspase-8, cleaved-PARP, NF-κB(p65), p-IκBα, IκBα, p-IKKα, IKKα, p-ERK, ERK, COX IV, lamin B1, and GAPDH were purchased from Bioworld Technology, Inc. (MN, USA).
2.2. Cell Culture
Human colon cancer HCT116 and SW620 cells were provided by the Cell Bank of Chinese Academy of Sciences (Shanghai, China). Cells were cultured in RPMI-1640 medium incubated with 10% fetal bovine serum (FBS), 50 U/ml penicillin, and 50 μg/ml streptomycin according to our previous methods . Cells were grown at 37°C in a 5% CO2 incubator.
2.3. Cell Viability Assay
HCT116 or SW620 cells were seeded in 96-well plates and then treated with vehicle, IL-6, and/or α-hederin, or AG490 at different concentrations for 24 h. Cell Counting Kit-8 (Nanjing Enogene Biotechnology. Co., Ltd., Nanjing, China) was used to evaluate cell viability according to the protocol as we previously reported . The spectrophotometric absorbance at 450 nm was determined using a SPECTRAmax™ microplate spectrophotometer (Molecular Devices, Sunnyvale, CA, USA). Cell viability was presented as the percentage of control values.
2.4. Cell Cycle Analysis by Flow Cytometry
SW620 cells were seeded in 6-well plates and then treated with vehicle, IL-6, and/or α-hederin at different concentrations for 24 h. Cells were fixed, and cell cycles were monitored using a cellular DNA flow cytometric analysis kit (Nanjing KeyGen Biotech Co., Ltd., Nanjing, China) in accordance with the protocol. Percentages of cells within the G0/G1, S, and G2/M phases were detected using flow cytometry (FACSCalibur; Becton, Dickinson and Company, Franklin Lakes, NJ, USA). Results were from triplicate experiments.
2.5. Hoechst 33258 Staining
SW620 cells were seeded in 6-well plates and then treated with vehicle, IL-6, and/or α-hederin, or PDTC at different concentrations for 24 h. Apoptosis was evaluated using a Hoechst 33258 staining kit provided by Beyotime Institute of Biotechnology (Haimen, China) according to the protocol. Morphology of apoptotic cells was observed using a fluorescence microscope (Nikon, Tokyo, Japan). The nucleus of apoptotic cells takes up the Hoechst reagent and exhibits a bright blue fluorescence. Results were from experiments in triplicate.
2.6. Flow Cytometry Analysis of MMP
SW620 cells were seeded in 6-well plates and then treated with vehicle, IL-6, and/or α-hederin at different concentrations for 24 h. MMP was determined using flow cytometry. Briefly, cells were incubated separately with 5 mM JC-1 dye provided by Beyotime Institute of Biotechnology (Haimen, China) at 37°C for 30 min followed by centrifugation (300 g, 5 min) and suspension in phosphate buffer solution. The fluorescence-labeled cells were monitored by flow cytometry at the excitation and emission wavelengths of 530 nm and 590 nm, respectively, using FACS Calibur Flow Cytometry System (BD Biosciences, Franklin Lakes, NJ, USA). Results were from experiments in triplicate.
2.7. Immunofluorescence Staining
SW620 cells were seeded in 6-well plates, and then treated with vehicle, IL-6, and/or α-hederin at different concentrations for 24 h. Then, cells were incubated with the primary antibody against NF-κB(p65) and fluorescence-conjugated secondary antibodies in succession as we previously reported . DAPI was used to stain the nucleus. Photographs were taken at random fields, and results were from experiments in triplicate.
2.8. Real-Time PCR
SW620 cells were treated with various reagents at different concentrations for 24 h. RNA isolation and real-time PCR were performed according to the procedures we previously described . Briefly, the total RNA was isolated using TRIzol reagent (Invitrogen, Carlsbad, CA, USA), and the first-strand cDNA was synthesized with 1 μg of total RNA using a PrimeScript RT reagent kit (TakaraBio, Tokyo, Japan). The real-time PCR was conducted using IQTM SYBR Green supermix and the iQ5 real-time detection system (Bio-Rad Laboratories, Hercules, CA, USA). The reaction mixtures contained 7.5 μl SYBR Green I dye master mix (Quanta), 2 pM forward primers, and 2 pM reverse primers. Thermocycle conditions included initial denaturation at 50°C and 95°C (10 min each), 40 cycles at 95°C (15 s) and 60°C (1 min). Glyceraldehyde phosphate dehydrogenase (GAPDH) was used as the invariant control. Relative mRNA levels were determined by the method. Sequences of primers were listed in Table 1. Results were from experiments in triplicate.
2.9. Western Blot Analyses
SW620 cells were treated with various reagents at different concentrations for 24 h. Protein isolation and detection were performed according to the methods as we previously reported . Briefly, the whole-cell lysates were prepared using radioimmunoprecipitation analyses buffer supplemented with protease and/or phosphatase inhibitors. In some experiments, mitochondrial and cytosol proteins were extracted, respectively, using a cytosol protein extraction kit (Nanjing KeyGen Biotech Co., Ltd., Nanjing, China) for detecting the release of Cyt c from mitochondria. In another set of experiments, nuclear proteins were prepared using a Bioepitope Nuclear and Cytoplasmic Extraction Kit provided by Bioworld Technology Co., Ltd. (Saint Louis Park, MN, USA). The protein concentrations were determined using a BCA assay kit (Pierce, USA). Proteins (50 μg/well) were separated by SDS-polyacrylamide gel, and then transferred to a PVDF membrane (Millipore, Burlington, MA, USA) followed by being blocked with 5% skim milk in Tris-buffered saline containing 0.1% Tween 20. Target proteins were monitored by their primary antibodies, and subsequently by horseradish peroxidase-conjugated secondary antibodies. Protein bands were visualized using chemiluminescence reagent (Millipore, Burlington, MA, USA). Equivalent loading was confirmed using the antibodies against GAPDH, or COX IV, or lamin B1. The abundance of target proteins was densitometrically detected using Quantity Ones 4.4.1 (Bio-Rad Laboratories, Berkeley, CA, USA). The variation in the density of bands was presented as fold changes after normalized to GAPDH, or COX IV, or lamin B1, or the total proteins.
2.10. Statistical Analyses
Data were expressed as mean ± SD, and analyzed using SPSS16.0 software. The significance of difference was determined by one-way ANOVA with the post hoc Dunnett’s test, and values of P<0.05 were set as statistically significant.
3.1. α-Hederin Arrests Cell Cycle at G2/M Checkpoint in IL-6-Stimulated SW620 Cells
We initially examined the effects of α-hederin on the viability of colon cancer cells. Our previous studies have shown that α-hederin reduced the viability of SW620 cells at relatively low concentrations in a dose-dependent manner, and α-hederin at the low concentration of 1 μg/ml produced a significant inhibitory effect . Herein, α-hederin only at the high concentration of 10 μg/ml significantly reduced the viability of HCT116 cells, suggesting that SW620 cells were more sensitive to α-hederin treatment (Figure 1(a)). Therefore, we used SW620 cells treated with IL-6 at 6.25 ng/ml for subsequent experiments. This concentration of IL-6 was determined by our previous studies . Reduced cell viability can be caused by cell cycle arrest. We used flow cytometry to analyze the cell cycle, and found that α-hederin increased the number of cells at the G2/M phase, indicating that the cell cycle at the G2/M checkpoint was arrested (Figure 1(b)). Cyclins and cyclin-dependent kinases (CDKs) are known to control cell cycle, and, for the G2/M phase transition, cyclin B1 and CDK1 are critically involved . We thus assumed that these two molecules might be affected by α-hederin. Real-time PCR analyses showed that IL-6 significantly increased the mRNA expression of cyclin B1 and CDK1, but α-hederin reduced their mRNA expression concentration dependently in IL-6-stimulated SW620 cells (Figure 1(c)). Western blot analyses consistently demonstrated that the protein levels of these molecules were also significantly elevated by IL-6, but were decreased by α-hederin in a concentration-dependent manner (Figure 1(d)). Collectively, these results suggested that α-hederin reduced viability and arrested cell cycle associated with downregulation of cyclin B1 and CDK2 in colon cancer cells.
3.2. α-Hederin Induces Mitochondrial Apoptosis in IL-6-Stimulated SW620 Cells
We next explored whether apoptosis was involved in α-hederin’s inhibitory effects on colon cancer cells. Hoechst staining indicated DNA condensation and fragmentation with brilliant blue staining in IL-6-treated SW620 cells in the presence of α-hederin (Figure 2(a)). Flow cytometry analyses showed that α-hederin concentration-dependently reduced MMP in IL-6-treated SW620 cells (Figure 2(b)). The subsequent Western blot data demonstrated that α-hederin concentration-dependently reduced the expression of the anti-apoptotic molecule Bcl-2 and increased the expression of the proapoptotic molecule Bax in IL-6-treated SW620 cells (Figure 3(a)). In addition, increased release of Cyt c from mitochondria into cytoplasm induced by α-hederin was also observed (Figure 3(b)). Furthermore, α-hederin concentration-dependently upregulated cleaved-caspase-9, cleaved-caspase-3, and cleaved-PARP, whereas cleaved-caspase-8 was not apparently affected (Figure 3(c)), indicating the involvement of extrinsic apoptosis. Taken together, these findings strongly indicated that α-hederin triggered mitochondrial apoptosis pathway associated with activation of caspase cascades in colon cancer cells.
3.3. Blockade of NF-κB Signaling Is Required for α-Hederin Induction of Mitochondrial Apoptosis in IL-6-Stimulated SW620 Cells
We investigated the involvement of NF-κB signaling in order to define the mechanisms underlying α-hederin-induced colon cell apoptosis. Western blot analyses of nuclear lysate showed that IL-6 increased the nuclear abundance of NF-κB, but α-hederin concentration dependently reduced NF-κB nuclear abundance (Figure 4(a)). Immunofluorescence staining demonstrated consistent results, showing that α-hederin at 10 μg/ml obviously abolished IL-6-induced NF-κB nuclear translocation in SW620 cells (Figure 4(b)). Moreover, IL-6 apparently increased the phosphorylation of IκBα (the deactivated form of this molecule), the inhibitor of NF-κB; but α-hederin concentration-dependently decreased IκBα phosphorylation (Figure 4(c)). IL-6 also apparently increased the phosphorylation of IKKα (the activated form of this molecule), the inhibitor of IKKα; but α-hederin concentration dependently decreased IκBα phosphorylation (Figure 4(c)). These results clearly demonstrated that α-hederin blocked NF-κB signaling, which could be associated with the induction of apoptosis in colon cancer cells. To validate this association, NF-κB selective inhibitor PDTC was used to treat SW620 cells alone or combined with α-hederin. Hoechst staining results showed that PDTC induced apoptosis in SW620 cells and its combination with α-hederin produced more potent effects (Figure 5(a)). Furthermore, PDTC, similar to α-hederin, downregulated the Bcl-2 expression and upregulated the abundance of Bax, cleaved-caspase-9, cleaved-caspase-3, and cleaved-PARP in IL-6-treated SW620 cells, and notably, combination of PDTC and α-hederin resulted in more potent regulatory effects on the protein expression of these molecules (Figure 5(b)). On the other hand, our recent studies suggested that α-hederin inhibited epithelial-to-mesenchymal transition (EMT) by interrupting JAK2/STAT3 signaling in SW620 cells . Here, our additional assays showed that JAK/STAT3 signaling inhibitor AG490 at 50 μM, unlike α-hederin, failed to repress the viability of SW620 cells (Figure 6(a)), suggesting that the JAK2/STAT3 signaling might specifically regulate the EMT of colon cancer cells. Moreover, the ERK signaling plays a key role in cancer cell fate decision . We here observed that α-hederin reduced IL-6-indcued ERK phosphorylation in SW620 cells (Figure 6(b)). ERK inhibitor U0126 at 20 μM inhibited NF-κB nuclear accumulation in SW620 cells, and combination of U0126 and α-hederin produced more potent inhibitory effects (Figure 6(c)), suggesting that inhibition of ERK signaling could be an upstream molecular event for α-hederin-induced apoptosis in SW620 cells. Taken together, these results suggested that α-hederin blockade of NF-κB signaling was involved in induction of mitochondrial and caspase-dependent apoptosis in colon cancer cells.
Increasing evidence suggests α-hederin as a good candidate for cancer chemotherapy. Herein, we treated colon cancer cells with IL-6 to mimic the paracrine inflammatory microenvironment of tumor cells. We found that α-hederin significantly reduced cell viability and induced apoptosis in a concentration-dependent manner in colon cancer cells. Our study demonstrated that α-hederin caused G2/M arrest in SW620 cells, resulting in decreased cell viability. Cell proliferation is controlled by cell cycle progression, which is a highly regulated process . The cell cycle is constituted by four non-overlapping phases in sequence, namely, the G1, S, G2, and M phases. Each phase contains a checkpoint that can arrest cell cycle arrest and initiate repair mechanisms . Normal cells commonly use the G1 checkpoint to repair DNA damage. Tumor cells, however, are more dependent on the G2 checkpoint for protecting against DNA damage . These discoveries highlight the G2 checkpoint as a selective target for treatment of cancer. In addition, cell cycle is mediated by a highly conserved protein kinase family. Cyclins can activate CDKs through forming complexes with CDKs, among which the cyclin B1/CDK1 complex is critically important for the G2 to M phase transition . In the present study, flow cytometric analyses showed that α-hederin induced G2/M phase cell cycle arrest in colon cancer cells, and G2/M phase accumulation peaked at 24 h of treatment, suggesting the occurrence of sequential events of cell cycle arrest. Furthermore, G2/M phase arrest is known to be mediated by reduced formation of cyclin B1/CDK1 complex during cell cycle progression . In current study, we found that α-hederin arrested SW620 cells in G2/M phase through downregulating the expression of cyclin B1 and CDK1 at both transcriptional and protein levels. This could result in reduced abundance of cyclin B1/CDK1 complex within cells. Our findings were consistent with the established molecular recognition and strongly suggested that α-hederin could be developed as a selective agent for colon cancer treatment.
To elucidate the underlying mechanism, we examined α-hederin’s effects on apoptosis in colon cancer cells. Cell cycle arrest induced by drugs can cause inefficient repair, leading to apoptosis if the damage is unrepairable . Mitochondria are the major organelles involved in apoptosis signaling. Mitochondrial apoptosis pathway can be initiated by intracellular stimuli and mediated by the Bcl-2 family proteins, which function as sensors to integrate the survival and death signals. The ratio of Bcl-2/Bax is a pivotal determinant, and reduced Bcl-2/Bax ratio can result in mitochondrial outer membrane permeabilization and Cyt c release, and finally activate caspase-9 and caspase-3, culminating in cellular fragmentation [18, 19]. Here, our data demonstrated that α-hederin led to decreased ratio of Bcl-2/Bax and disrupted MMP accompanied by increased release of Cyt c into cytoplasm, suggesting the initiation of mitochondrial-mediated apoptosis. In addition, caspase-9, caspase-3, and PARP-1 were all activated, indicating caspase-associated apoptosis induced by α-hederin. Interestingly, the extrinsic apoptosis pathway might not be involved, because caspase-8 was not markedly activated. Taken together, these findings suggested that α-hederin selectively stimulated colon cancer cells to undergo intrinsic apoptosis dependent on caspase activation.
NF-κB can promote cell survival and proliferation. Increased NF-κB activity is positively associated with many types of cancers . Thus we investigated the expression and phosphorylation of some key components in NF-κB pathway to further reveal the mechanisms underlying α-hederin-induced apoptosis. We demonstrated that α-hederin inhibited IL-6-induced nuclear translocation of NF-κB. These effects could prevent NF-κB to transcriptionally activate the genes involved in cell proliferation. Disruption of NF-κB pathway by α-hederin contributed to its inhibitory effects on cell cycle progression and apoptosis induction in colon cancer cells. These molecular insights could make α-hederin a more valuable candidate for cancer chemotherapy, given that invasion and metastasis of tumor cell are closely related to inflammation, while NF-κB is exactly a pivotal player in inflammation-induced tumor progression and metastasis . Inhibition of NF-κB could lead to innovative approach for the treatment of cancer . Our investigation demonstrated that α-hederin disrupted NF-κB signaling in colon cancer cells, contributing to its induction of mitochondrial apoptosis. Furthermore, we preliminary explored the upstream molecule event of α-hederin effects. We ruled out the role of JAK2/STAT3 signaling, because pharmacological inhibition of this pathway had little effect on the viability of SW620 cells. We turned to the ERK signaling, which has a broad array of cellular functions including proliferation, survival, apoptosis, motility, transcription, metabolism and differentiation . We observed that α-hederin inhibited ERK signaling contributing to the disruption of NF-κB signaling and presumably to the induction of apoptosis in colon cancer cells. These findings were consistent with a number of previous studies where inhibition of ERK activity led to or associated with apoptosis of colon cancer cells [23–28]. However, there were also contrast results showing that activation of ERK induced apoptosis in colon cancer cells [29, 30]. To account for the discrepancies, we will deeply investigate the distinct mechanisms underlying α-hederin inhibition of ERK signaling implicated in regulation of colon cancer cell fate.
In conclusion, α-hederin reduced viability, arrested cell cycle at the G2/M checkpoint, and induced mitochondrial and caspase-dependent apoptosis in SW620 cells. These effects were associated with the blockade of NF-κB signaling and inhibition of ERK. Our results strongly suggested α-hederin as a promising candidate for colon cancer therapy.
The data used to support the findings of this study are available from the corresponding author upon request.
Conflicts of Interest
The authors of this work have no conflicts of interest to declare regarding the publication of this paper.
This work was financially supported by the National Natural Science Foundation of China (No. 81673559, 81403079, and 81573910), the Natural Science Foundation of Jiangsu Province (No. BK20161045), the Natural Science Foundation of Colleges and Universities in Jiangsu Province (No. 16KJB360001), and a project funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions.
- S. J. D. O'Keefe, “Diet, microorganisms and their metabolites, and colon cancer,” Nature Reviews. Gastroenterology & Hepatology, vol. 13, no. 12, pp. 691–706, 2016.
- B. K. Edwards, E. Ward, B. A. Kohler et al., “Annual report to the nation on the status of cancer, 1975–2006, featuring colorectal cancer trends and impact of interventions (risk factors, screening, and treatment) to reduce future rates,” Cancer, vol. 116, no. 3, pp. 544–573, 2010.
- J. Guo, S. Xu, X. Huang et al., “Drug Resistance in Colorectal Cancer Cell Lines is Partially Associated with Aneuploidy Status in Light of Profiling Gene Expression,” Journal of Proteome Research, vol. 15, no. 11, pp. 4047–4059, 2016.
- M. A. Savitskaya and G. E. Onishchenko, “Mechanisms of apoptosis,” Biochemistry (Moscow), vol. 80, no. 11, pp. 1393–1405, 2015.
- L. Cao, X. B. Quan, W. J. Zeng, X. O. Yang, and M. J. Wang, “Mechanism of hepatocyte apoptosis,” Journal of Cell Death, vol. 9, pp. 19–29, 2016.
- R. W. Birkinshaw and P. E. Czabotar, “The BCL-2 family of proteins and mitochondrial outer membrane permeabilisation,” Seminars in Cell & Developmental Biology, vol. 72, pp. 152–162, 2017.
- S. Wang, Z. Liu, L. Wang, and X. Zhang, “NF-kappaB signaling pathway, inflammation and colorectal cancer,” Cellular & Molecular Immunology, vol. 6, no. 5, pp. 327–334, 2009.
- B. Hoesel and J. A. Schmid, “The complexity of NF-κB signaling in inflammation and cancer,” Molecular Cancer, vol. 12, p. 86, 2013.
- J. Schulte-Michels, A. Wolf, S. Aatz et al., “α-Hederin inhibits G protein-coupled receptor kinase 2-mediated phosphorylation of β2-adrenergic receptors,” Phytomedicine, vol. 23, no. 1, pp. 52–57, 2016.
- J. H. Lorent, C. Léonard, M. Abouzi, F. Akabi, J. Quetin-Leclercq, and M.-P. Mingeot-Leclercq, “α-Hederin Induces Apoptosis, Membrane Permeabilization and Morphologic Changes in Two Cancer Cell Lines Through a Cholesterol-Dependent Mechanism,” Planta Medica, vol. 82, no. 18, pp. 1532–1539, 2016.
- D. Sun, W. Shen, F. Zhang et al., “α-Hederin inhibits interleukin 6-induced epithelial-to-mesenchymal transition associated with disruption of JAK2/STAT3 signaling in colon cancer cells,” Biomedicine & Pharmacotherapy, vol. 101, pp. 107–114, 2018.
- S. Maddika, S. R. Ande, S. Panigrahi et al., “Cell survival, cell death and cell cycle pathways are interconnected: implications for cancer therapy,” Drug Resistance Updates, vol. 10, no. 1-2, pp. 13–29, 2007.
- M. Kohno, S. Tanimura, and K.-I. Ozaki, “Targeting the extracellular signal-regulated kinase pathway in cancer therapy,” Biological & Pharmaceutical Bulletin, vol. 34, no. 12, pp. 1781–1784, 2011.
- A. Montagnoli, J. Moll, and F. Colotta, “Targeting cell division cycle 7 kinase: A new approach for cancer therapy,” Clinical Cancer Research, vol. 16, no. 18, pp. 4503–4508, 2010.
- T. Kawabe, “G2 checkpoint abrogators as anticancer drugs,” Molecular Cancer Therapeutics, vol. 3, no. 4, pp. 513–519, 2004.
- W.-J. Shangguan, H. Li, and Y.-H. Zhang, “Induction of G2/M phase cell cycle arrest and apoptosis by ginsenoside Rf in human osteosarcoma MG-63 cells through the mitochondrial pathway,” Oncology Reports, vol. 31, no. 1, pp. 305–313, 2014.
- S. Haupt, M. Berger, Z. Goldberg, and Y. Haupt, “Apoptosis—the p53 network,” Journal of Cell Science, vol. 116, no. 20, pp. 4077–4085, 2003.
- J. E. Chipuk, T. Moldoveanu, F. Llambi, M. J. Parsons, and D. R. Green, “The BCL-2 family reunion,” Molecular Cell, vol. 37, no. 3, pp. 299–310, 2010.
- C. Wang and R. J. Youle, “The role of mitochondria in apoptosis,” Annual Review of Genetics, vol. 43, pp. 95–118, 2009.
- F. H. Sarkar and Y. Li, “NF-kappaB: A potential target for cancer chemoprevention and therapy,” Frontiers in Bioscience, vol. 13, no. 8, pp. 2950–2959, 2008.
- M. O. Hengartner, “The biochemistry of apoptosis,” Nature, vol. 407, no. 6805, pp. 770–776, 2000.
- J. W. Ramos, “The regulation of extracellular signal-regulated kinase (ERK) in mammalian cells,” The International Journal of Biochemistry & Cell Biology, vol. 40, no. 12, pp. 2707–2719, 2008.
- C. Li, S. Gao, X. Li, C. Li, and L. Ma, “Procaine inhibits the proliferation and migration of colon cancer cells through inactivation of the ERK/MAPK/FAK pathways by regulation of RhoA,” Oncology Research : Featuring Preclinical and Clinical Cancer Therapeutics, vol. 26, no. 2, pp. 209–217, 2018.
- K. Li, Q. Guo, J. Yang et al., “FOXD3 is a tumor suppressor of colon cancer by inhibiting EGFR-Ras-Raf-MEK-ERK signal pathway,” Oncotarget, vol. 8, no. 3, pp. 5048–5056, 2017.
- A. A. Tahir, N. F. A. Sani, N. A. Murad, S. Makpol, W. Z. W. Ngah, and Y. A. M. Yusof, “Combined ginger extract & Gelam honey modulate Ras/ERK and PI3K/AKT pathway genes in colon cancer HT29 cells,” Nutrition Journal, vol. 14, p. 31, 2015.
- S.-A. Yang, S.-H. Paek, N. Kozukue, K.-R. Lee, and J.-A. Kim, “α-Chaconine, a potato glycoalkaloid, induces apoptosis of HT-29 human colon cancer cells through caspase-3 activation and inhibition of ERK 1/2 phosphorylation,” Food and Chemical Toxicology, vol. 44, no. 6, pp. 839–846, 2006.
- C.-H. Liao, S. Sang, C.-T. Ho, and J.-K. Lin, “Garcinol modulates tyrosine phosphorylation of FAK and subsequently induces apoptosis through down-regulation of Src, ERK, and Akt survival signaling in human colon cancer cells,” Journal of Cellular Biochemistry, vol. 96, no. 1, pp. 155–169, 2005.
- E. Im and J. D. Martinez, “Ursodeoxycholic Acid (UDCA) Can Inhibit Deoxycholic Acid (DCA)-induced Apoptosis via Modulation of EGFR/Raf-1/ERK Signaling in Human Colon Cancer Cells,” Journal of Nutrition, vol. 134, no. 2, pp. 483–486, 2004.
- H. Randhawa, K. Kibble, H. Zeng, M. P. Moyer, and K. M. Reindl, “Activation of ERK signaling and induction of colon cancer cell death by piperlongumine,” Toxicology in Vitro, vol. 27, no. 6, pp. 1626–1633, 2013.
- B. Sung, J. Ravindran, S. Prasad, M. K. Pandey, and B. B. Aggarwal, “Gossypol induces death receptor-5 through activation of the ROS-ERK-CHOP pathway and sensitizes colon cancer cells to TRAIL,” The Journal of Biological Chemistry, vol. 285, no. 46, pp. 35418–35427, 2010.
Copyright © 2018 Dongdong Sun et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.