Abstract

Neuroblastoma is the most common extracranial solid tumor in children. Approximately half of the affected patients are diagnosed with high-risk poor prognosis disease, and novel therapies are needed. Sanguinarine is a benzophenanthridine alkaloid which has anti-microbial, anti-oxidant and anti-inflammatory properties. The aim of this study is whether sanguinarine has in vitro apoptotic effects and which apoptotic genes might be affected in the human neuroblastoma cell lines SH-SY5Y (N-myc negative), Kelly (N-myc positive, ALK positive), and SK- N-BE(2). Cell viability was analysed with WST-1 and apoptotic cell death rates were determined using TUNEL. After RNA isolation and cDNA conversion, expression of 84 custom array genes of apoptosis was determined. Sanguinarine caused cell death in a dose dependent manner in all neuroblastoma cell lines except SK-N-BE(2) with rates of 18% in SH-SY5Y and 21% in Kelly human neuroblastoma cells. Cisplatin caused similar apoptotic cell death rates of 16% in SH-SY5Y and 23% in Kelly cells and sanguinarine-cisplatin combinations caused the same rates (18% and 20%). Sanguinarine treatment did not affect apoptototic gene expression but decreased levels of anti-apoptotic genes NOL3 and BCL2L2 in SH-SY5Y cells. Caspase and TNF related gene expression was affected by the sanguinarine-cisplatin combination in SH-SY5Y cells. The expression of regulation of apoptotic genes were increased with sanguinarine treatment in Kelly cells. From these results, we conclude that sanguinarine is a candidate agent against neuroblastoma.

Highlights

  • Neuroblastoma is the most common extracranial solid tumors of childhood and the most frequently diagnosed neoplasm during infancy (Missaoui et al, 2011; National cancer institute, 2014)

  • The aim of this study is whether sanguinarine has in vitro apoptotic effects and which apoptotic genes might be affected in the human neuroblastoma cell lines SH-SY5Y (N-myc negative), Kelly (N-myc positive, ALK positive), and SKN-BE(2)

  • The impact of sanguinarine on Sanguinarine-mediated apoptosis has been shown occurring through multiple pathways, including activation of nuclear factor-κB (NF-κB) (Chaturvedi et al, 1997), cell cycle arrest (Adhami et al, 2004), and mitochondrial damage (Adhami et al, 2003)

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Summary

Introduction

Neuroblastoma is the most common extracranial solid tumors of childhood and the most frequently diagnosed neoplasm during infancy (Missaoui et al, 2011; National cancer institute, 2014). It accounts for more than 7% of malignancies in patients younger than 15 years and around 15% of all paediatric oncology deaths. Children younger than 18 month of age fare better than older children with the same disease stage. N-myc amplification predicts a poor outcome in all age/stage groups. Half of all patients with neuroblastoma are diagnosed with high-risk poor prognosis disease, and novel therapies are needed (Brodeur et al, 2011; Mehdiabadi et al, 2013; Wiangnon et al, 2011; Gao et al, 2014; Zhang et al, 2014)

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