Abstract

The seeds of Millettia ferruginea are used in fishing, pesticides, and folk medicine in Ethiopia. Here, the anti-cancer effects of isoflavones isolated from M. ferruginea were evaluated in human ovarian cancer cells. We found that isoflavone ferrugone and 6,7-dimethoxy-3’,4’-methylenedioxy-8-(3,3-dimethylallyl)isoflavone (DMI) had potent cytotoxic effects on human ovarian cancer cell A2780 and SKOV3. Ferrugone and DMI treatment increased the sub-G1 cell population in a dose-dependent manner in A2780 cells. The cytotoxic activity of ferrugone and DMI was associated with the induction of apoptosis, as shown by an increase in annexin V-positive cells. Z-VAD-fmk, a broad-spectrum caspase inhibitor, and z-DEVD-fmk, a caspase-3 inhibitor, significantly reversed both the ferrugone and DMI-induced apoptosis, suggesting that cell death stimulated by the isoflavones is mediated by caspase-3-dependent apoptosis. Additionally, ferrugone-induced apoptosis was found to be caspase-8-dependent, while DMI-induced apoptosis was caspase-9-dependent. Notably, DMI, but not ferrugone, increased the intracellular levels of reactive oxygen species (ROS), and antioxidant N-acetyl-L-cysteine (NAC) attenuated the pro-apoptotic activity of DMI. These data suggest that DMI induced apoptotic cell death through the intrinsic pathway via ROS production, while ferrugone stimulated the extrinsic pathway in human ovarian cancer cells.

Highlights

  • Ovarian cancer is the most lethal gynecological disease in the world

  • We investigated the effects of the three isoflavones isolated from M. ferruginea, ferrugone, prebarbigerone, and DMI on the viability of two human ovarian cancer cells A2780 and SKOV3

  • We further investigated whether the cytotoxic effects of ferrugone and DMI were related to apoptotic cell death using annexin V-fluorescein isothiocyanate (FITC) staining assay

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Summary

Introduction

Ovarian cancer is the most lethal gynecological disease in the world. 225,000 women are diagnosed and about 140,200 women die each year from ovarian cancer [1]. Due to the non-specific symptoms, a majority of the patients are diagnosed when the disease is already advanced with poor prognosis [2]. The five-year survival rate of advanced ovarian cancer is only about 25%. Platinum-taxane chemotherapy following cytoreductive surgery is the standard treatment for ovarian cancer. Primary therapy may be of therapeutic benefit in about 80% of ovarian cancer patients, around 70% of the patients eventually relapse [3]. It is urgent to seek for new agents for the treatment of ovarian cancer. Natural products from plants have drawn great attention in this regard.

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