Abstract

Hinokitiol is a natural tropolone derivative that is present in the heartwood of cupressaceous plants, and has been extensively investigated for its anti-inflammatory, antioxidant, and antitumor properties in the context of various diseases. To date, the effects of hinokitiol on endometrial cancer (EC) has not been explored. The purpose of our study was to investigate the anti-proliferative effects of hinokitiol on EC cells. Cell viability was determined with an MTT (3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay, and the quantification of apoptosis and reactive oxygen species (ROSs) was performed by using flow cytometry, while protein expression was measured with the Western blotting technique. Hinokitiol significantly suppressed cell proliferation through the inhibition of the expression of cell-cycle mediators, such as cyclin D1 and cyclin-dependent kinase 4 (CDK4), as well as the induction of the tumor suppressor protein p53. In addition, hinokitiol increased the number of apoptotic cells and increased the protein expression of cleaved-poly-ADP-ribose polymerase (PARP) and active cleaved-caspase-3, as well as the ratio of Bcl-2-associated X protein (Bax) to B-cell lymphoma 2 (Bcl-2). Interestingly, except for KLE cells, hinokitiol induced autophagy by promoting the accumulation of the microtubule-associated protein light chain 3B (LC3B) and reducing the sequestosome-1 (p62/SQSTM1) protein level. Furthermore, hinokitiol triggered ROS production and upregulated the phosphorylation of extracellular-signal-regulated kinase (p-ERK1/2) in EC cells. These results demonstrate that hinokitiol has potential anti-proliferative and pro-apoptotic benefits in the treatment of endometrial cancer cell lines (Ishikawa, HEC-1A, and KLE).

Highlights

  • The prevalence of endometrial cancer (EC) has rapidly risen worldwide in recent years, including in the United States [1] and in Taiwan [2]

  • Hinokitiol Induces an Anti-Proliferative Effect on Endometrial Cancer Cells

  • To evaluate the cytotoxicity of hinokitiol, treated human endometrial cancer cell examined the expression of regulatory proteins we of the cell cycle after hinokitiol treatment

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Summary

Introduction

The prevalence of endometrial cancer (EC) has rapidly risen worldwide in recent years, including in the United States [1] and in Taiwan [2]. It is estimated that 417,367 new cases of and 97,370 deaths from corpus uteri ( known as endometrial cancer) happened worldwide in 2020 [3]. According to its different clinical features, EC can be subdivided into (i) endometrioid endometrial cancer (EEC, or type 1), (ii) serous endometrial cancer (SEC, or type 2), (iii) clear-cell endometrial cancer (CCEC, or type 2), and (iv) mixed endometrial cancer and uterine carcinoma (USC) [4,5]. To strengthen observers’ consensus on the histological classification of tumors and to improve the prognosis of EC patients, many studies have been dedicated to incorporating molecular classification with The. Cancer Genome Atlas (TCGA) analysis, which includes TP53 mutations, into routine clinical histological diagnostic evaluations [6]. Mutations in p53 lead to the loss of tumor suppressor activity while promoting the survival and proliferation of malignant tumors [7]

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