Abstract

The purpose of this study was to investigate the anti-cancer property of grape seed extract (GSE) during early stages of developing liver cancer using a two-stage carcinogenic model combining diethylnitrosamine (DEN) and 2-Acetyl Aminofluorene (2-AAF). Administration of GSE at doses 25, 50 and 100 mg/kg per day started at the beginning of promotion periods and continued for 14 weeks. GSE dramatically inhibited pre-neoplastic foci formation as well as significantly decreased the number and the area of placental glutathione-S-transferase in livers of DEN-2AAF-treated rats by approximately 4 & 10 fold deductions, respectively. GSE’s effects were associated with induced apoptosis, reduced cell proliferation, decreased oxidative stress and down regulation of histone deacetylase activity and inflammation makers, such as cyclooxygenase 2, inducible nitric oxide synthase, nuclear factor-kappa B-p65 and p- phosphorylated tumor necrosis factor receptor expressions in liver. GSE treatment also decreased the viability of HepG2 cells and induced early and late apoptosis through activating caspase-3 and Bax. Furthermore, GSE induced G2/M and G1/S cell cycle arrest. The present study provides evidence that the GSE’s anticancer effect is mediated through the inhibition of cell proliferation, induction of apoptosis, modulating oxidative damage and suppressing inflammatory response.

Highlights

  • Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related death both in developed and under-developed countries[1]

  • High-performance liquid chromatography (HPLC) analysis revealed that the Catechin (33.44) and epicatechin (13.03) were the most important phenolic compounds of grape seed extract (GSE)

  • This study investigated the protective effects of the herbal drug, GSE, on the early hepatic pre-neoplastic events, using a two-stage carcinogenic model combining DEN and 2AAF

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Summary

Introduction

Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related death both in developed and under-developed countries[1]. Initiation is followed by a growth stimulus (Fasting and re-feeding) during treatment with promoting agent such as 2-Acetyl Aminofluorene (2-AAF) that induces selective proliferation of the initiated cell population over non initiated cells in the target tissue[9,21]. This well-described model of HCC was utilized to study the mechanism of the anti-cancer action of GSE during the early stages of hepatocellular tumor promotion by evaluating its antioxidant, pro-apoptotic, anti-proliferative, histone deacetylase (HDAC) inhibitory and anti-inflammatory effects. HepG2 cells were used here to shed more light on the mechanism by which GSE exerts its anticancer activity against liver cancer in vitro

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