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Peiminine induces apoptosis in HepG2 cells. (A) HepG2 cells treated with peiminine were stained using DAPI solution and observed by fluorescence microscopy (×400). (B) Genomic DNA of HepG2 cells treated with peiminine for 24 h was assessed by agarose gel electrophoresis. (C) Annexin V-FITC/propidium iodide (PI) staining of HepG2 cells treated with peiminine for 24 h was determined by flow cytometry. (D) The apoptotic rate of HepG2 cells exposed to peiminine for 24 h was analyzed by flow cytometry. Data are presented as the mean±SD from three independent experiments. https://doi.org/10.1371/journal.pone.0201864.g002

Peiminine induces apoptosis in HepG2 cells. (A) HepG2 cells treated with peiminine were stained using DAPI solution and observed by fluorescence microscopy (×400). (B) Genomic DNA of HepG2 cells treated with peiminine for 24 h was assessed by agarose gel electrophoresis. (C) Annexin V-FITC/propidium iodide (PI) staining of HepG2 cells treated with peiminine for 24 h was determined by flow cytometry. (D) The apoptotic rate of HepG2 cells exposed to peiminine for 24 h was analyzed by flow cytometry. Data are presented as the mean±SD from three independent experiments. https://doi.org/10.1371/journal.pone.0201864.g002

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Peiminine is a compound isolated from Bolbostemma paniculatum (Maxim) Franquet (Cucurbitaceae family), which has demonstrated antitumor activities. But its precise molecular mechanism underlying antitumor activity remain elusive. In this study, peiminine-induced apoptosis towards human hepatocellular carcinoma and its molecular mechanism were inves...

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... Peiminine has been previously demonstrated to reduce the viability of HepG2 cells in a time-and dose-dependent manner and had an IC 50 of 4.58 lg/mL at 24 h. The result suggests that peiminine can induce apoptosis in human hepatocellular carcinoma HepG2 cells through extrinsic and intrinsic apoptotic pathways (Chao et al., 2019). Peiminine exhibits its anticancer activity by inhibiting glioblastoma in vitro and in vivo through cell cycle arrest and autophagic flux blocking (Zhao et al., 2018). ...
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Fritillaria cirrhosa D. Don is a well-known medicinal plant of Kashmir Himalaya. Traditionally, it has been used to treat several diseases, including cancer. However, the molecular mechanism behind anticancer activity remains unclear. Therefore, in the present study, we have performed high performance- liquid chromatography-mass spectrometry (HR-LC/MS), network pharmacology, molecular docking and molecular dynamic (MD) simulation methods were used to explore the underlying molecular mechanism of F. cirrhosa for the treatment of breast cancer (BC). The targets of F. cirrhosa for treating BC were predicted using databases like SwissTargetPrediction, Gene Cards and OMIM. Protein–protein interaction analysis and network construction were performed using the Search Tool for the Retrieval of Interacting Genes/Proteins programme, and analysis of Gene Ontology term enrichment and Kyoto Encyclopedia of Genes and Genomes pathway enrichment was done using the Cytoscape programme. In addition, molecular docking was used to investigate intermolecular interactions between the compounds and the proteins using the Autodock tool. MD simulations studies were also used to explore the stability of the representative AKT1 gene peiminine and Imperialine-3-b-glucoside. In addition, experimental treatment of F. cirrhosa was also verified. HR-LC/MS detected the presence of several secondary metabolites. Afterward, molecular docking was used to verify the effective activity of the active ingredients against the prospective targets. Additionally, Peiminine and Imperialine-3-b-glucoside showed the highest binding energy score against AKT-1 (–12.99kcal/mol and −12.08kcal/mol). AKT1 with Peiminine and Imperialine-3-b-glucoside was further explored for MD simulations. During the MD simulation study at 100 nanoseconds, a stable complex formation of AKT1 þ Peiminine and Imperialine-3-b-glucoside was observed. The binding free energy calculations using MM/GBSA showed significant binding of the ligand with protein (DG: −79.83±3.0kcal/mol) between AKT1 þ Peiminine was observed. The principal component analysis exhibited a stable converged structure by achieving global motion. Lastly, F. cirrhosa extracts also exhibited momentous anticancer activity through in vitro studies. Therefore, present study revealed the molecular mechanism of F. cirrhosa constituents for the effective treatment of BC by deactivating various multiple gene targets, multiple pathways particularly the PI3K-Akt signaling pathway. These findings emphasized the momentous anti-BC activity of F. cirrhosa constituents.
... In recent years, phlegm-resolving CHMs have gradually received attention and been applied in the clinical treatment of PLC. Some of the above six phlegm-resolving herbs and their active ingredients or extracts have now been shown to have inhibitory effects on LC cells (Darvesh et al., 2012;XU et al., 2015;Chao et al., 2019). However, TCM treatment is a systemic process, and there are synergistic or antagonistic effects between various ingredients or their targets. ...
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... The anticancer effects of peiminine may also be related to its anti-inflammatory activity. Peiminine induces apoptosis in HepG2 cells to evade local inflammatory reactions and tissue damage (Chao et al., 2019). Peiminine downregulates the expression of inflammatory cytokines in cancer cells, decreasing the levels of COX-2, TNF-α, IL-1β, as well as suppressing NF-κB signaling (Lim et al., 2018). ...
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... Peiminine was further shown to reduce the expression of the long non-coding RNA LINC00659, which leads to upregulated miR-760 expression and ultimately inhibited colorectal cancer cell viability . Peiminine also decreases poly (ADP-ribose) polymerase (PARP) activity in hepatoma cells, and increases the expression of Bax, caspase-3, caspase-8, caspase-9, and cleaved PARP1, ultimately leading to apoptosis (Chao et al., 2019). It can also act as a chemosensitizer for doxorubicin in gastric cancer treatment by modulating the EGFR/FAK pathway (Tang et al., 2018). ...
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... Anti-cancer drugs often suppress cancer cells by apoptotic induction [25,26]. Apoptotic cells exposed several distinguishing characteristics such as cell shrinkage, the condensation of chromatin, nuclear DNA fragmentation, phosphatidylserine expression, and plasma membrane blebbing [27,28]. In this study, HepG2 cells maintained epithelial appearance in the low SFA-CHCl3 extract-treated groups. ...
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The present study evaluated the effects of Sophora flavescens Ait. root extract on the proliferation of human hepatoma cell line HepG2. HPLC-UV analysis showed that the highest matrine and oxymatrine contents were obtained in the chloroform extract, compared to ethanol extract and ethyl acetate extract. The morphological analysis revealed that the chloroform extract of Sophora flavescens Ait. (SFA-CHCl3 extract) induced alterations of HepG2 cell morphology, resulting in the shrinkage of cells, the formation of debris, and cell detachment. The proliferation of HepG2 cells was inhibited by SFA-CHCl3 extract treatment. Cell cycle analysis exhibited that the cell proportion of the G0/G1 phase of HepG2 cells with SFA-CHCl3 extract treatment was decreased, while the cell proportion of the G2/M phase was increased. Flow cytometry analysis indicated a dramatic increase in the apoptotic percentage of HepG2 cells over the time of SFA-CHCl3 extract treatment. The SFA-CHCl3 extract also caused morphological changes in HepG2 nuclear, including chromatin condensation and DNA fragmentation. SFA-CHCl3 extract treatment induced the bax up-regulation and the bcl-2 down-regulation in HepG2 cells. These results revealed that SFA-CHCl3 extract could be a potential apoptosis inducer in HepG2 cells.
... Numerous drugs exert their antitumor functions by inducing cell apoptosis (Sun et al., 2004;Hu and Xiao, 2015). Peiminine induces apoptosis through both extrinsic and intrinsic apoptotic pathways in liver cancer, represses proliferation and growth of colorectal carcinoma by inducing autophagic cell death, and serves as an adriamycin chemosensitizer via the EGFR/FAK pathway in gastric cancer (Lyu et al., 2015;Tang et al., 2018;Chao et al., 2019). Similarly, in this study, the rate of OS cell apoptosis was significantly increased after peiminine treatment. ...
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Huxie Huaji (HXHJ) Ointment is a famous traditional Chinese medicinal prescription and is commonly used for the clinical treatment of hepatocellular carcinoma by boosting immunity and detoxification. However, the scientific evidence for the effect of HXHJ Ointment on hepatocellular carcinoma and the underlying molecular mechanism are lacking. The present study aimed to identify the effects of HXHJ Ointment on hepatocellular carcinoma in vitro and in vivo as well as investigating the mechanistic basis for the anticancer effect of HXHJ ointment. First, liquid chromatography-mass spectrometry was used to verify the composition of HXHJ Ointment and quality control. Second, in vitro, Cell Counting Kit (CCK8) cell viability assay and Hoechst 33342 staining assay were performed to explain the cell apoptosis. The protein levels of tumor suppressor protein (p53), B-cell lymphoma 2 gene (Bcl-2), cytochrome C (Cyt-C), and aspartate proteolytic enzyme-3 (caspase-3) were examined by immunofluorescence. Finally, in vivo, hematoxylin and eosin (H&E) staining was used to observe the pathological changes in hepatocellular carcinoma samples. Western blots and immunohistochemistry were used to detect the anticancer properties of HXHJ ointment. The results in vitro showed that 20% HXHJ Ointment serum could significantly inhibit HepG2 cell proliferation, increased tumor suppressor gene p53, downregulated antiapoptotic protein Bcl-2, promoted the release of mitochondrial Cyt-C, activated caspase-3, and induced HepG2 cell apoptosis. Furthermore, in vivo experiments showed that HXHJ Ointment could effectively inhibit tumor growth in nude mice xenotransplanted with HepG2 cells, changed the morphology of tumor cells, and regulated the expression of apoptosis-related protein pathway p53/Bcl-2/Cyt-C/caspase-3. HXHJ Ointment can significantly inhibit the development of hepatocellular carcinoma, and its mechanism may be related to the regulation of p53/Bcl-2/Cyt-C/caspase-3 signaling pathway to induce cell mitochondrial apoptosis. 1. Introduction Hepatocellular carcinoma (HCC) is a more common malignancy than the majority of cancers and ranks second in the world’s top causes of cancer-related mortality [1]. Progress has been made in the diagnosis and therapy and we are encouraged by the recent success, while survival benefits remain modest due to the difficulty in being diagnosed early and the disease progressing quickly [2]. Currently, the major clinical treatment strategies for HCC include surgery, radiotherapy, and chemotherapy [3]. Unfortunately, radiotherapy and chemotherapy are not suitable for everyone and have the drawbacks of “kill a thousand enemies, hurt yourself eight hundred.” Moreover, those who have undergone hepatectomy or liver transplantation are frequently subject to survival declines due to recurrence and metastasis [4]. Thus, there is an urgent need for more effective treatment to reduce the rate of recurrence and metastasis, relieve clinical symptoms of HCC, and improve long-term patient survival and high quality of life. Studies on looking for the new drugs that can kill tumor cells and enhance the body’s immunity may provide insight into novel therapeutic strategies. Traditional Chinese medicine (TCM), especially the formulas, has been used clinically for more than five thousand years in China and Asia. Various studies have shown that traditional Chinese medicine formulas (TCMF) have a marked effect on the treatment of liver cancer [5]. With an overall concept, it has a unique therapeutic effect and fewer side effects on HCC patients. It can not only inhibit tumor growth but also alleviate patients’ clinical symptoms and improve their quality of life [6]. Apoptosis is one such cell death pathway which allows a damaged or stressed cell to deconstruct in a regulated manner without causing inflammation and has garnered much attention in the cancer field, with hopes of eliminating malignant cells through its activation. Accumulating evidence has suggested that the mitochondrial pathway of apoptosis in a cell is one of the most important hallmarks of HCC [7, 8]. In mammals, activation of caspases is under the tight control of the Bcl-2 family proteins, named in reference to the first discovered mammalian cell death regulator [9, 10]. These proteins mainly act by regulating the release of caspases activators from mitochondria. Mitochondria appear today as the central executioner of apoptosis. Cyt-C is one of the apoptotic factors released by mitochondria into the cytoplasm and can bind to Apaf-1 (apoptosis protease activating factor) and induce cell apoptosis. The p53 tumor suppressor protein plays a central role in the regulation of apoptosis. Thus, documentation of changes to the expression of these markers would provide insights as to the mechanism whereby TCMF might be of value in the treatment of HCC. Huxie Huaji (HXHJ) Ointment is a classic anticancer prescription and clinical studies have shown that HXHJ Ointment can improve patient quality of life and extend survival time when used to treat advanced primary liver cancer. It can significantly enhance the therapeutic effect and reduce tumor resistance in combination with Western Medicine chemotherapy. In our previous study, we found that HXHJ Ointment could significantly inhibit the proliferation of H22 cells by inducing the imbalance of the expression ratio of Bax and Bcl-2 proteins in vitro [11]. In the current study, our aim was to confirm the effects of HXHJ Ointment on HepG2 cells and tumor growth. Elucidation of the apoptosis mechanisms and molecular biology in HCC underlying HXHJ Ointment will provide more comprehensive and precise insight into clinical guidance. 2. Materials and Methods 2.1. Materials Huxie Huaji (HXHJ) Ointment was made up of ten herbs, Codonopsis Radix, Astragali Radix, Herba Hedyotidis Diffusae, Agrimonia pilosa Ledeb., Scutellaria barbata D. Don., Reynoutria japonica Houtt., Smilax china L., Fructus Ligustri Lucidi, Buthus martensii Karsch, and Gekko swinhonis Guenther in the proportion 20 : 30 : 15 : 15 : 10 : 10 : 5 : 3 : 2 : 2. All the crude drugs were obtained from the Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine (Changsha, China). The voucher specimens were stored in the Herbal Medicine Room (Institute of Traditional Chinese Medicine, Hunan Academy of Traditional Chinese Medicine, Changsha). Cisplatin injection was purchased from Baxter International Co., Ltd. (Illinois, USA), with batch number 8H259A. The CCK8 kit was purchased from Shanghai Qihai Biomedical Technology Co., Ltd. (Shanghai, China). DMEM/F12 medium and fetal bovine serum (FBS) were purchased from Gibco (New York, USA). Nuclear dye Hoechst 33258 and DAPI were purchased from Solarbio (Beijing, China). Bcl-2, caspase-3, Cyt-C, and p53 primary antibodies were purchased from Proteintech (Wuhan, China). GAPDH was purchased from ImmunoWay (New York, USA). Phosphodiesterase inhibitor, goat anti-mouse secondary antibody, and goat anti-rabbit secondary antibody were purchased from Auragene (Changsha, China). DAB color reagent kit was purchased from Beijing Zhongshan Jinqiao Biotechnology Co., Ltd. (Beijing, China). 2.2. HXHJ Sample Preparation and Quality Control by Using HPLC and HPLC-Q-TOF 2.2.1. HXHJ Sample Preparation According to the Chinese Pharmacopoeia (2015 edition), the HXHJ sample mixture was immersed in deionized water (6 times its total weight) overnight. Subsequently, they were decocted for 1 hour for the first time. Then, the extraction was repeated by adding deionized water (4 times its weight) and boiled for 1 hour. Finally, the two extracts were mixed. A part of the extract was concentrated and centrifuged to an appropriate concentration for HPLC-MS analysis, and the remaining part was freeze-dried for further use. The final amount of the extracted HXHJ powder was 230.34 g (yield, 14.28% (w/w)). The main pharmacologically active ingredients are known (Figure 1). (a)
... Anticancer therapies that induce intracellular oxidative stress condition via the accelerated accumulation of ROS and / or interfere with the redox equilibrium through suppression of ROS elimination by inhibiting the antioxidant systems have been developed [74,75]. It is known that increased ROS levels cause damage to the cellular components (lipids, proteins, DNA), disturb the redox conditions and ultimately disrupt cell homeostasis. ...
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