Abstract

Lung cancer is the second-most deadly malignancy worldwide, of which smoking is considered a major risk factor and causes 75–80% of lung cancer-related deaths. Costunolide (CTD) extracted from plant species Saussurea, Aucklandia, and Inula exhibits potent anticancer properties, specifically in lung cancer and leukemia. Several nanoemulsions were prepared and optimized using a three-factor Box–Behnken experimental design. The optimized green nanoemulsion (GNE) showed a vesicle size of 199.56 nm. The IC50 values revealed that A549 cells were significantly more sensitive to the optimized CTD formula than the plain formula and raw CTD. A cell cycle analysis revealed that the optimized CTD formula treatment resulted in significant cell cycle arrest at the S phase. The results also indicated that treatment with the CTD formula significantly increased caspase-3, Bax, Bcl-2, and p53 mRNA expression compared to the plain formula and CTD raw. In terms of the inflammatory markers, the optimized formula significantly reduced the activity of TNF-α and NF-κB in comparison with the plain formula and raw drug only. Overall, the findings from the study proved that a CTD GNE formulation could be a promising therapeutic approach for the treatment of lung cancer.

Highlights

  • According to the World Health Organization’s (WHO) estimated top 20 causes of death in 2016, cancer was listed as the first [1]

  • According to the WHO, lung cancer is classified as non-small cell lung cancer (NSCLC), which represents 85%, and small cell lung cancer (SCLC), which represents

  • To determine whether the casp volved in CTD-green nanoemulsion (GNE)-induced apoptosis, we examined the expression of casp

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Summary

Introduction

According to the World Health Organization’s (WHO) estimated top 20 causes of death in 2016, cancer was listed as the first [1]. Lung cancer is the main cause of cancer-related death among men, especially in developed countries, and it is becoming more common among women [2]. 2008, 1.6 million new cases of lung cancer were reported in 91 countries around world, and. 1.4 million deaths were documented as a result of lung cancer in 17 countries [4]. Many environmental and lifestyle factors lead to developing lung cancer, cigarette smoking habits are strongly attached to the incidence of lung cancer and its mortality rate [5,6]. According to the WHO, lung cancer is classified as non-small cell lung cancer (NSCLC), which represents 85%, and small cell lung cancer (SCLC), which represents

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