Research Article | Open Access
Antiproliferative and Apoptosis-Inducing Activities of 4-Isopropyl-2,6-bis(1-phenylethyl)phenol Isolated from Butanol Fraction of Cordyceps bassiana
The Cordyceps species have been widely used for treating various cancer diseases. Although the Cordyceps species have been widely known as an alternative anticancer remedy, which compounds are responsible for their anticancer activity is not fully understood. In this study, therefore, we examined the anticancer activity of 5 isolated compounds derived from the butanol fraction (Cb-BF) of Cordyceps bassiana. For this purpose, several cancer cell lines such as C6 glioma, MDA-MB-231, and A549 cells were employed and details of anticancer mechanism were further investigated. Of 5 compounds isolated by activity-guided fractionation from BF of Cb-EE, KTH-13, and 4-isopropyl-2,6-bis(1-phenylethyl)phenol, Cb-BF was found to be the most potent antiproliferative inhibitor of C6 glioma and MDA-MB-231 cell growth. KTH-13 treatment increased DNA laddering, upregulated the level of Annexin V positive cells, and altered morphological changes of C6 glioma and MDA-MB-231 cells. In addition, KTH-13 increased the levels of caspase 3, caspase 7, and caspase 9 cleaved forms as well as the protein level of Bax but not Bcl-2. It was also found that the phosphorylation of AKT and p85/PI3K was also clearly reduced by KTH-13 exposure. Therefore, our results suggest KTH-13 can act as a potent antiproliferative and apoptosis-inducing component from Cordyceps bassiana, contributing to the anticancer activity of this mushroom.
The Cordyceps species are a representative of insect-born mushrooms which have been prescribed as well-known traditional herbal medicines in Korea, China, and Japan . These mushrooms are ethnopharmacologically known to enhance longevity, endurance, and vitality for normal healthy people, but also to ameliorate various human diseases such as skin diseases, chronic bronchitis, asthma, and tuberculosis [1, 2]. Through systematic studies, it has been revealed that this mushroom helps expanding of life span of cancer patients by displaying direct anticancer activities. In addition, other numerous pharmacological activities, such as antioxidative, antiviral, antifibrotic, anti-inflammatory, antinociceptive, antiangiogenic, antiplatelet aggregation, and antidiabetic effect, stress the significant medicinal value of this mushroom [2–5].
So far, only few compounds with anticancer activities have been identified from Cordyceps species. These compounds include cordycepin isolated from Cordyceps militaris, and CME-1, a water-soluble polysaccharide fraction from Cordyceps sinensis mycelia. Although some polysaccharides (e.g., -glucans) are reported to enhance an anticancer activity of innate immunity, studies on those compounds with direct anticancer activities have not yet been fully elucidated. In this study, we evaluated anticancer activity of a newly identified compound, KTH-13 [4-isopropyl-2,6-bis(1-phenylethyl)phenol (Figure 1)], from artificially cultivated fruit bodies of Cordyceps bassiana through activity-guided fractionation. To check whether this compound is able to directly suppress the viability of cancer cells, we tested its antiproliferative activity and investigated the anticancer mechanism by characterization of its proapoptotic pathway.
2. Materials and Methods
Cordyceps bassiana identified by Professor Jae Mo Sung (Kangwon National University, Chuncheon, Korea) was obtained from Mush-Tech (Chuncheon, Korea). A voucher specimen of this (number 278-Cb-1) was deposited in the herbarium of our laboratory. (3-4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide, tetrazole (MTT), propidium iodide (PI), and staurosporine were purchased from Sigma Chemical Co. (St. Louis, MO, USA). A FITC Annexin V Apoptosis Detection Kit was from eBioscience (San Diego, CA, USA). Foetal bovine serum (FBS) and RPMI1640 were obtained from GIBCO (Grand Island, NY, USA). C6 glioma, MDA-MB-231, and A549 cells were purchased from ATCC (Rockville, MD, USA). All other chemicals were purchased from Sigma. Phosphospecific and total antibodies against caspases (3, 7, 8, and 9), Bax, Bcl-2, AKT, p85/PI3K, mTOR, Src, p65, and β-actin were obtained from Cell Signalling (Beverly, MA, USA).
2.2. General Experimental Procedures
All of the NMR spectra were measured on a Varian UNITY INOVA 500 spectrometer or on a Bruker AMX 500 spectrometer operating at 500 MHz for 1H-NMR and 125 MHz for 13C-NMR in DMSO- using TMS as an internal standard. EI-MS was measured on a Hewlett Packard model 5989B GC/MS spectrometer. The HPLC apparatus (Waters Alliance series 2795 system) was composed of a vacuum degasser, a quaternary pump, a photodiode array detector (PDA), an autoinjector, and a column compartment with a thermostat. A Luna 5 μ C18(2) 100 A column (4.6 × 150 mm 5 μm, Phenomenex) was used for isolation and purification of the compounds. A silica gel (70–230 mesh, Merck) and a Sephadex LH-20 (GE Healthcare) were used for open column chromatography. TLC was performed on silica gel (60 F254, Merck).
2.3. Extraction and Isolation
Dried and powdered fresh fruiting bodies of C. bassiana (3.0 kg) were extracted with 100% EtOH to prepare the Cb-EE. After removing the polysaccharide layer and performing lyophilisation, the powder was then reextracted with n-hexane, n-butanol, ethyl acetate (three times, each with 250 mL) subsequently to obtain hexane fraction (HF), butanol fraction (BF), and ethyl acetate fraction (EAF), by using a reflux apparatus upon removal of the solvent in vacuo. Of subfractions, BF was separated by silica gel column chromatography and eluted with CHCl3-MeOH mixtures of increasing polarity (100 : 020 : 0) to afford seven fractions (Si-0~Si-100). Mixed fractions of Si-90 and Si-100 were purified by reverse phase C18 column chromatography using CH3CN in H2O to produce 5 compounds [KTH-7-1: (E)-2-(2-(3-acetoxy-2-(acetoxymethyl)propyl)-5-(((2-hydroxyethoxy) methyl)amino)-5-oxopent-3-en-1-yl)propane-1,3-diyl diacetate (Bassiamide A), KTH-7-2: (E)-2-(15-(3-acetoxy-2-(acetoxymethyl)propyl)-5-(acetoxymethyl)-2,12-dioxo-3,6,8,11-tetraoxahexadec-13-en-16-yl)propane-1,3-diyl diacetate (Bassiamate), KTH-13: 4-isopropyl-2,6-bis(1-phenylethyl)phenol (IPr-PEPhenol), KTH-15-2: 1-(N-methylbenzamido)-3-(tetradecanoyloxy)propan-2-yl benzoate, and KTH-17: (Z)-1-acetoxy-3-(oleoyloxy)propan-2-yl 4-isopropylcyclohex-2-enecarboxylate (AOGTE)]. To identify chemical structures of these compounds, additional phytochemical studies were continuously carried out, as reported previously . Their physicochemical and spectroscopic data are included in supplementary figures. (See Supplementary Material available online at http://dx.doi.org/10.1155/2015/739874).
2.4. Cell Culture
C6 glioma, MDA-MB-231, and A549 cells were cultured in RPMI 1640 medium supplemented with 10% heat-inactivated FBS, glutamine, and antibiotics (penicillin and streptomycin) at 37°C in 5% CO2. For each experiment, cells were detached with trypsin/EDTA solution. At the cell density used in our experiments (2 106 cells/mL), the proportion of dead cells was less than 1% according to Trypan blue dye exclusion tests.
2.5. Cell Viability Test
After preincubation of C6 glioma, MDA-MB-231, and A549 cells (1 × 106 cells/mL) for 18 h, testing compounds or fractions were added to the cells and incubated for 24 or 48 h under 2.5% FBS conditions. The cytotoxic effect of KTH-13 was then evaluated by a conventional MTT assay, as previously reported [7, 8]. Three hours prior to culture termination, 10 μL of MTT solution (10 mg/mL in phosphate-buffered saline (PBS), pH 7.4) was added to the cultures, and the cells were continuously cultured until termination of the experiment. The incubation was halted by the addition of 15% sodium dodecyl sulphate to each well to solubilise the formazan . The absorbance at 570 nm () was measured using a Spectramax 250 microplate reader.
2.6. DNA Fragmentation Assay
DNA was isolated using GeneAll assay kit (Seoul, Korea) according to the manufacturer’s protocol . Briefly KTH-13- or staurosporine-treated cells were pelleted and were lysed by adding proteinase K and 200 μL of lysis buffer provided in the kit. The samples were incubated at 56°C until complete lysis. 200 μL of lysis buffer was again added and incubated at 70°C for 10 min. After adding absolute ethanol to the samples, the mixture was transferred to SV column and centrifuge at 6000 rpm to collect the DNA. The column was washed twice with washing buffer and centrifuged at full speed to dry the membrane and remove residual ethanol which may interfere with subsequent reactions. DNA was eluted in 50 μL of elution buffer supplied with the kit and collected in fresh Eppendorf tube. The DNA samples were then subjected to 1.5% agarose gel electrophoresis at 100 V for 2.5 h at room temperature. Tris acetate EDTA was used as the running buffer and DNA bands were visualized under UV light.
2.7. Annexin V-PI Staining Apoptosis Assay
Apoptosis was determined using FITC Annexin V Apoptosis Detection Kit based on the membrane changes (phosphatidylserine based) [11, 12]. Cells were plated in 60 mm culture dish at a seeding density of 5 105 cells/dish and KTH-13 was added to the culture media to the specified final concentration. Vehicle was added alone to the culture medium serving as the untreated control. The subsequent procedures were carried out according to the instructions provided by the manufacturer. Briefly, after 24 h, cells were harvested, washed twice with PBS, and resuspended in 1X binding buffer. Annexin-V FITC and PI were added and incubated for 15 min at room temperature (25°C) in the dark. Fluorescence from a population of 1 105 cells was detected using the BD FACSCan flow cytometer (Becton Dickenson, Mountain View, CA, USA) and CellQuest Pro (IVD) software (Becton Dickenson, Mountain View, CA, USA). The assays were done in duplicate and repeated in three independent experiments.
2.8. Morphological Change Test
KTH-13-treated C6 glioma and MDA-MB-231 cells were incubated for indicated times. Images of the cells in culture at each time point were obtained using an inverted phase contrast microscope, attached to a video camera, and captured using NIH image software as reported previously .
2.9. Preparation of Cell Lysates and Immunoblotting Analysis
C6 glioma cells (5 106 cells/mL) were washed three times in cold PBS containing 1 mM sodium orthovanadate and then lysed in lysis buffer (20 mM Tris-HCl, pH 7.4, 2 mM EDTA, 2 mM ethyleneglycotetraacetic acid, 50 mM β-glycerophosphate, 1 mM sodium orthovanadate, 1 mM dithiothreitol, 1% Triton X-100, 10% glycerol, 10 μg/mL aprotinin, 10 μg/mL pepstatin, 1 mM benzimide, and 2 mM PMSF) for 30 min with rotation at 4°C. The lysates were clarified by centrifugation at 16,000 ×g for 10 min at 4°C and then stored at −20°C until needed.
Whole cells were then analyzed using immunoblotting [13, 14]. Proteins were separated on 10% SDS-polyacrylamide gels and transferred by electroblotting onto a polyvinylidene difluoride (PVDF) membrane. Membranes were blocked for 60 min in Tris-buffered saline containing 3% FBS, 20 mM NaF, 2 mM EDTA, and 0.2% Tween 20 at room temperature. The membranes were incubated for 60 min with specific primary antibodies at 4°C, washed three times with the same buffer, and then incubated for an additional 60 min with HRP-conjugated secondary antibodies. The total and phosphorylated levels of the signaling enzymes and transcription factors were visualized using an ECL system (Amersham, Little Chalfont, Buckinghamshire, UK), as previously reported.
2.10. Statistical Analysis
All data presented in this paper are the mean ± standard deviation (SD) of an experiment performed with six samples. For statistical comparisons, the results were analysed using ANOVA/Scheffe’s post hoc test and Kruskal-Wallis/Mann-Whitney tests. A value <0.05 was considered statistically significant. All statistical tests were performed using SPSS software (SPSS Inc., Chicago, IL, USA). Similar experimental data were also obtained in an additional independent set of experiments performed with the same number of samples.
3. Results and Discussion
Anticancer activities of Cordyceps have already been reported previously. Thus, it was reported that the hot water extracts of Cordyceps militaris cultured mycelia (CMMY) and cultivated fruiting bodies (CMFB) are able to kill various human leukemia cells . The proliferation of cancer cell lines, HepG2 (liver), MCF-7 (breast), and A549 (lung) was found to be suppressed by culture medium of Cordyceps sinensis with polyphenols and flavonoids . Jiangxienone, isolated from a culture of Cordyceps jiangxiensis, has been reported to suppress the proliferation of human gastric adenocarcinoma SGC-7901 cells and human lung carcinoma A549 cells with a potency of IC50 values ranging from 1.38 to 2.93 μM . In addition, Cordyceps pruinosa butanol fraction was also revealed to induce cytotoxic activity against HeLa cells via the upregulation of apoptosis . These results imply a possibility that Cordyceps species generally have antiproliferative and proapoptotic activities. To test this hypothesis, we aimed to investigate whether the artificially cultivated Cordyceps bassiana fruit bodies and their chemical ingredients are capable of lowering the viability of cancer cells by demonstrating their effects on various cancer cell lines, including rat C3 glioma cells and human breast cancer MDA-MB-231 cells.
As shown in other Cordyceps species , butanol (BF) and hexane (HF) fractions exhibited strong antiproliferative activities at 100 and 200 μg/mL (Figure 1(b)) of solvent fractions with variable yields (Figure 1, Table 1, and Supplementary Figure 1). After considering the chemical property of other previous studies performed with Cordyceps pruinosa , we further fractionated BF by silica gel column chromatography to prepare another 7 subfractions (Figure 1(a)). In fact, the cytotoxic activity of BF was shown in fractions Si-90 and -100 (Figure 1(c) and Supplementary Figure 2). Through an additional fractionation process by prep-HPLC, we were finally able to identify 5 compounds (Figure 1(d)) from the peaks in the chromatogram (see Supplementary Figure 3).
Next, we tested whether the isolated compounds are able to suppress the viability of cancer cells. As Figure 2(a) shows, of the 5 compounds, KTH-13 exhibited a strong antiproliferative activity against C6 glioma cells. Through continuous tests with other cell lines, it was also found that the viability of MDA-MB-231 cells was also dose-dependently suppressed by this compound. The IC50 values of KTH-13 with 50 to 60 μM were summarized in Tables 2 and 3. These results, therefore, drew us into a further investigation of the compound’s anticancer mechanism.
To further confirm whether the suppressive activity of KTH-13 is generated by proapoptotic or pronecrotic activity of this compound, we next examined the pattern of DNA fragmentations. Figure 3(a) depicts similar patterns of DNA ladders between KTH-13 and a control compound, staurosporine, treated for 24 h, indicating that both KTH-13 and staurosporine are able to induce apoptotic processes in C6 glioma, in which the latter is previously reported . In agreement with this result (Figure 3(a)), C6 glioma cells stained with Annexin V-FITC, an early apoptotic marker , displayed a dose-dependent increase pattern of FITC level from 5.8 to 17.4% at 50 to 100 μM of KTH-13 (Figure 3(b)). Under the same conditions, standard compound, staurosporine (STS), also significantly increased the numbers of apoptotic cells (Figure 3(b)). More interestingly, KTH-13 triggered actin cytoskeleton-dependent morphological changes in MDA-MB-231 cells and C6 glioma cells (Figure 3(c)). Such occurrences induced by KTH-13 seem to be accompanied when cells are differentiated and apoptotic, which linked to growth arrest and cell death [22, 23].
Since KTH-13 seems to induce apoptosis of C6 glioma cells, we next examined the molecular mechanism of its proapoptotic activity by measuring cleaved caspase patterns. First, whether the KTH-13-induced apoptosis is generated by either a death receptor-mediated extrinsic pathway or a mitochondrial-dependent intrinsic pathway was determined by identification of caspase 8 or 9. As Figure 4(a) shows, it was revealed that KTH-13-induced apoptotic activity might be mediated by mitochondrial pathway. Thus, this compound upregulated the cleaved form of caspase 3 (Figure 4(a)), caspase 7 (Figure 4(b)), and caspase 9 (Figure 4(c)). However, the level of full length caspase 8 was not altered by KTH-13, indicating that this compound does not affect caspase 8-dependent apoptotic pathway (Figure 4(c)). In addition, KTH-13 triggered the upregulation of Bax and downregulation of Bcl-2 (Figure 4(d)), required for the complex formation between Apaf-1 and procaspase 9 to activate caspase 9 . Therefore, these results strongly suggest that KTH-13 is able to induce proapoptotic signaling via provoking mitochondrial-dependent intrinsic pathway. Meanwhile, it was reported that cordycepin-induced apoptotic pathway is not accompanied with an increased level of cleaved caspase 3 in C6 glioma cells . Cordycepol C, a novel sesquiterpene isolated from the cultured mycelia of Cordyceps ophioglossoides, was also known to trigger caspase-independent apoptosis in HepG2 cells . These prior reports could indicate that KTH-13-mediated apoptosis might be distinct from that of cordycepin and cordycepol C.
Because cell survival signaling is also linked to regulation of proapoptotic signaling, we finally examined whether KTH-13 can also regulate cell survival signaling cascade. As Figure 5(a) shows, interestingly, this compound strongly suppressed the phosphorylation of AKT and its upstream enzyme p85/PI3K, implying that KTH-13 can also modulate AKT-mediated survival signaling. However, the facts that the phosphorylation of mTOR, a downstream enzyme phosphorylated by AKT, and Src phosphorylation, an upstream signaling enzyme contributed to AKT activation, were not suppressed (Figure 5(b)) strongly indicate that KTH-13-mediated inhibition of PI3K/AKT might be limited to heightening proapoptotic signaling managed by caspase activity. Indeed, it was reported that PI3K/AKT pathway is involved in suppression of caspase 3 activity . Thus, it is likely that PI3K/AKT inhibition by KTH-13 could affect the activation of caspase 3. However, since details of relationship between AKT inhibition and mitochondrial damage-induced apoptotic pathway remain unclear, our future works will be focused on verifying such cross regulation by KTH-13.
In conclusion, we demonstrated that, of the 5 isolated compounds by activity-guided fractionation from BF of Cb-EE, KTH-13 was found as the strongest inhibitor of C6 glioma and MDA-MB-231 cell viability. The growth inhibitory activity of KTH-13 was due to proapoptotic activity managed by mitochondria-dependent intrinsic pathway composed of caspases 9 and 3, as well as the inhibition of PI3K/AKT, as summarized in Figure 6. Therefore, our results suggest the value of Cordyceps bassiana and propose the putative use of KTH-13 isolated from this mushroom as the main component of Cordyceps bassiana-containing anticancer remedy. Since we have already established a total synthetic procedure for preparing KTH-13 (data not shown), we will also further derivatize this compound to maximize its anticancer potency. Finally, by exploring additional in vivo experiments, we will also confirm whether KTH-13 preserves its effective anticancer activity when orally administered.
The authors alone are responsible for the content and writing of the paper.
Conflict of Interests
The authors report no conflict of interests.
Ji Hye Kim, Yunmi Lee, and Gi Ho Sung equally contributed to this work.
This work was carried out with the support of the Cooperative Research Program for Agriculture Science & Technology Development (Project no. PJ009241), Rural Development Administration, Korea, and was supported by Research Grant from Kangwon National University (no. 120140187).
Supplementary Fig. 1. Fractionation procedure to prepare solvent fractions by sequential solvent fractionation and thin layer chromatography profiles of C. bassiana ethanol extract (1) and its sub-fractions (5 to 8). The crude ethanol extract was subfractinated by sequential fractionation procedure with various solvents to afford eight sub-fractions. Ingredients in these fractions were also detected by thin layer chromatography.
Supplementary Fig. 2. Fractionation procedure to prepare fractions by silica column chromatography and thin layer chromatography profiles of these fractions at 254 and 366 nm. The fractions were chromatographed over a silica gel column to afford seven sub-fractions. Ingredients in these fractions were detected by thin layer chromatography.
Supplementary Fig. 3. Isolated compounds from peaks separated by prep-HPLC. Ingredient compounds displaying each peak in each fraction were purified by preparative HPLC. The structure of isolated compounds in each peak was identified by spectroscopic analysis.
Supplementary Fig. 4. Spectroscopic profile of KTH-13. (A) Mass spectrum of KTH-13. Electrospray ionization tandem mass spectrometry (ESI MS) of KTH-13 was measured on an Agilent 1100 liquid chromatography/mass spectrometry (LC/MS) spectrometer with a Phenomenex Luna C18 analytical column. (B) 1H-NMR profile of KTH-13. 1H-NMR spectra of KTH-13 were recorded on a Bruker Avance 300 (300 MHz) and Bruker DPX 400 (400 MHz). Chemical shifts are reported in parts per million (ppm) downfield relative to tetramethylsilane as an internal standard.
Supplementary Fig. 5. Mass spectrum of KTH-7-1. ESI MS of KTH-7-1 was measured on an Agilent 1100 LC/MS spectrometer with a Phenomenex Luna C18 analytical column.
Supplementary Fig. 6. Mass spectrum of KTH-7-2. ESI MS of KTH-7-2 was measured on an Agilent 1100 LC/MS spectrometer with a Phenomenex Luna C18 analytical column.
Supplementary Fig. 7. Mass spectrum of KTH-15-2. ESI MS of KTH-15-2 was measured on an Agilent 1100 LC/MS spectrometer with a Phenomenex Luna C18 analytical column.
Supplementary Fig. 8. Mass spectrum of KTH-17. ESI MS of KTH-17 was measured on an Agilent 1100 LC/MS spectrometer with a Phenomenex Luna C18 analytical column.
- T. B. Ng and H. X. Wang, “Pharmacological actions of Cordyceps, a prized folk medicine,” Journal of Pharmacy and Pharmacology, vol. 57, no. 12, pp. 1509–1519, 2005.
- X. Zhou, Z. Gong, Y. Su, J. Lin, and K. Tang, “Cordyceps fungi: natural products, pharmacological functions and developmental products,” Journal of Pharmacy and Pharmacology, vol. 61, no. 3, pp. 279–291, 2009.
- H. G. Kim, B. Shrestha, S. Y. Lim et al., “Cordycepin inhibits lipopolysaccharide-induced inflammation by the suppression of NF-κB through Akt and p38 inhibition in RAW 264.7 macrophage cells,” European Journal of Pharmacology, vol. 545, no. 2-3, pp. 192–199, 2006.
- H. Zhang, “Immunopharmacological effect of Cordyceps sinensis,” Zhong Xi Yi Jie He Za Zhi, vol. 10, no. 9, pp. 570–571, 1990.
- D.-H. Lee, H.-H. Kim, H.-J. Cho et al., “Cordycepin-Enriched WIB801C from Cordyceps militaris Inhibits Collagen-Induced Mobilization via cAMP-Dependent Phosphorylation of Inositol 1, 4, 5-Trisphosphate Receptor in Human Platelets,” Biomolecules & Therapeutics, vol. 22, no. 3, pp. 223–231, 2014.
- H. J. Noh, J. Y. Yoon, G. S. Kim et al., “Benzyl alcohol derivatives from the mushroom Hericium erinaceum attenuate LPS-stimulated inflammatory response through the regulation of NF-kappaB and AP-1 activity,” Immunopharmacology and Immunotoxicology, vol. 36, no. 5, pp. 349–354, 2014.
- D. Gerlier and N. Thomasset, “Use of MTT colorimetric assay to measure cell activation,” Journal of Immunological Methods, vol. 94, no. 1-2, pp. 57–63, 1986.
- M. Y. Kim and J. Y. Cho, “20S-dihydroprotopanaxadiol, a ginsenoside derivative, boosts innate immune responses of monocytes and macrophages,” Journal of Ginseng Research, vol. 37, no. 3, pp. 293–299, 2013.
- M.-Y. Kim and J. Y. Cho, “20S-dihydroprotopanaxatriol modulates functional activation of monocytes and macrophages,” Journal of Ginseng Research, vol. 37, no. 3, pp. 300–307, 2013.
- K. C. Kim, M. J. Piao, J. Zheng et al., “Fucodiphlorethol G purified from ecklonia cava suppresses ultraviolet B radiation-induced oxidative stress and cellular damage,” Biomolecules and Therapeutics (Seoul), vol. 22, no. 4, pp. 301–307, 2014.
- W. Im, J. Y. Chung, J. Bhan et al., “Sun ginseng protects endothelial progenitor cells from senescence associated apoptosis,” Journal of Ginseng Research, vol. 36, no. 1, pp. 78–85, 2012.
- S. E. Lee and Y. S. Park, “Korean red ginseng water extract inhibits COX-2 expression by suppressing p38 in acrolein-treated human endothelial cells,” Journal of Ginseng Research, vol. 38, no. 1, pp. 34–39, 2014.
- M. Y. Kim, B. C. Yoo, and J. Y. Cho, “Ginsenoside-Rp1-induced apolipoprotein A-1 expression in the LoVo human colon cancer cell line,” Journal of Ginseng Research, vol. 38, no. 4, pp. 251–255, 2014.
- H. M. Ko, S. H. Joo, P. Kim et al., “Effects of Korean Red Ginseng extract on tissue plasminogen activator and plasminogen activator inhibitor-1 expression in cultured rat primary astrocytes,” Journal of Ginseng Research, vol. 37, no. 4, pp. 401–412, 2013.
- S.-M. Chou, W.-J. Lai, T.-W. Hong et al., “Synergistic property of cordycepin in cultivated Cordyceps militaris-mediated apoptosis in human leukemia cells,” Phytomedicine, vol. 21, no. 12, pp. 1516–1524, 2014.
- E. J. Lee, K. H. Jang, S. Y. Im et al., “Physico-chemical properties and cytotoxic potential of Cordyceps sinensis metabolites,” Natural Product Research, vol. 29, no. 5, pp. 455–459, 2015.
- J. H. Xiao, Z. H. Sun, W. D. Pan, Y. H. Lü, D. X. Chen, and J. J. Zhong, “Jiangxienone, a new compound with potent cytotoxicity against tumor cells from traditional chinese medicinal mushroom cordyceps jiangxiensis,” Chemistry and Biodiversity, vol. 9, no. 7, pp. 1349–1355, 2012.
- H. G. Kim, H. Song, D. H. Yoon et al., “Cordyceps pruinosa extracts induce apoptosis of HeLa cells by a caspase dependent pathway,” Journal of Ethnopharmacology, vol. 128, no. 2, pp. 342–351, 2010.
- Y. K. Rao, S. H. Fang, and Y. M. Tzeng, “Evaluation of the anti-inflammatory and anti-proliferation tumoral cells activities of Antrodia camphorata, Cordyceps sinensis, and Cinnamomum osmophloeum bark extracts,” Journal of Ethnopharmacology, vol. 114, no. 1, pp. 78–85, 2007.
- J.-Y. Koh, M. B. Wie, B. J. Gwag et al., “Staurosporine-induced neuronal apoptosis,” Experimental Neurology, vol. 135, no. 2, pp. 153–159, 1995.
- Z. Bacsó, R. B. Everson, and J. F. Eliason, “The DNA of annexin V-binding apoptotic cells is highly fragmented,” Cancer Research, vol. 60, no. 16, pp. 4623–4628, 2000.
- T. Mashima, M. Naito, and T. Tsuruo, “Caspase-mediated cleavage of cytoskeletal actin plays a positive role in the process of morphological apoptosis,” Oncogene, vol. 18, no. 15, pp. 2423–2430, 1999.
- J. H. Kim, Y. G. Lee, S. Yoo et al., “Involvement of Src and the actin cytoskeleton in the antitumorigenic action of adenosine dialdehyde,” Biochemical Pharmacology, vol. 85, no. 8, pp. 1042–1056, 2013.
- S. B. Bratton, J. Lewis, M. Butterworth, C. S. Duckett, and G. M. Cohen, “XIAP inhibition of caspase-3 preserves its association with the Apaf-1 apoptosome and prevents CD95- and Bax-induced apoptosis,” Cell Death and Differentiation, vol. 9, no. 9, pp. 881–892, 2002.
- Y. Chen, S.-H. Yang, D.-Y. Hueng, J.-P. Syu, C.-C. Liao, and Y.-C. Wu, “Cordycepin induces apoptosis of C6 glioma cells through the adenosine 2A receptor-p53-caspase-7-PARP pathway,” Chemico-Biological Interactions, vol. 216, no. 1, pp. 17–25, 2014.
- Y.-S. Sun, L.-X. Lv, Z. Zhao et al., “Cordycepol C induces caspase-independent apoptosis in human hepatocellular carcinoma HepG2 cells,” Biological and Pharmaceutical Bulletin, vol. 37, no. 4, pp. 608–617, 2014.
- P. A. Efron, M. K. Chen, M. Iyengar, W. Dai, A. Nagaram, and E. A. Beierle, “Differential response of neuroblastoma cells to TRAIL is independent of PI3K/AKT,” Journal of Pediatric Surgery, vol. 41, no. 6, pp. 1072–1080, 2006.
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