Abstract

BackgroundAnnona muricata L. was identified as a popular medicinal plant in treatment regimens among cancer patients in Jamaica by a previously conducted structured questionnaire. Ethnomedically used plant parts, were examined in this study against human prostate cancer cells for the first time and mechanisms of action elucidated for the most potent of them, along with the active phytochemical, annonacin.MethodsNine extracts of varying polarity from the leaves and bark of A. muricata were assessed initially for cytotoxicity using the MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay on PC-3 prostate cancer cells and the ethyl acetate bark (EAB) extract was identified as the most potent. EAB extract was then standardized for annonacin content using High-performance Liquid Chromatography - Mass Spectrometry (HPLC-MS) and shown to be effective against a second prostate cancer cell line (DU-145) also. The mode of cell death in DU-145 cells were assessed via several apoptotic assays including induction of increased reactive oxygen species (ROS) production, reduction of mitochondrial membrane potential, activation of caspases and annexin V externalization combined with morphological observations using confocal microscopy. In addition, the potential to prevent metastasis was examined via inhibition of cell migration, vascular endothelial growth factor (VEGF) and angiogenesis using the chorioallantoic membrane assay (CAM).ResultsAnnonacin and EAB extract displayed selective and potent cytotoxicity against the DU-145 prostate carcinoma cells with IC50 values of 0.1 ± 0.07 μM and 55.501 ± 0.55 μg/mL respectively, without impacting RWPE-1 normal prostate cells, in stark contrast to chemotherapeutic docetaxel which lacked such selectivity. Docetaxel’s impact on the cancerous DU-145 was improved by 50% when used in combination with EAB extract. Insignificant levels of intracellular ROS content, depolarization of mitochondrial membrane, Caspase 3/7 activation, annexin V content, along with stained morphological evaluations, pointed to a non-apoptotic mode of cell death. The extract at 50 μg/mL deterred cell migration in the wound-healing assay, while inhibition of angiogenesis was displayed in the CAM and VEGF inhibition assays for both EAB (100 μg /mL) and annonacin (0.5 μM).ConclusionsTaken together, the standardized EAB extract and annonacin appear to induce selective and potent cell death via a necrotic pathway in DU-145 cells, while also preventing cell migration and angiogenesis, which warrant further examinations for mechanistic insights and validity in-vivo.

Highlights

  • Annona muricata L. was identified as a popular medicinal plant in treatment regimens among cancer patients in Jamaica by a previously conducted structured questionnaire

  • Since reactive oxygen species (ROS) generations were previously observed for A. muricata leaf and twig extracts in HL-60 leukemia cells [35], we evaluated such potential by ethyl acetate bark (EAB) extract and annonacin on Human prostate carcinoma cell line (DU-145) cells

  • Selective cytotoxic effect of A. muricata extracts on Human prostate carcinoma cell line (PC-3) prostate cancer cells and RWPE-1 normal prostate cells Nine extracts of varying polarity including three extracts per solvent prepared using the leaf, bark and leaf:bark combination in a 1:1 ratio were analyzed for their cytotoxic potential

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Summary

Introduction

Annona muricata L. was identified as a popular medicinal plant in treatment regimens among cancer patients in Jamaica by a previously conducted structured questionnaire. Small molecular secondary metabolites found expressed in plants have played a key, adaptive role aiding in their evolution from single cellular organisms coping in a harsh chemical soup, to being multicellular, terrestrial organisms, equipped to gain reproductive vantages or vade off overgrazers and diseases [1]. These vastly diverse group of small molecules that provide the plant with such advantages other than their primary functions of respirations, have inspired man-kind to experiment on plants over millennia for solutions to their own health problems. A recent survey among cancer patients in the country [11] helped identify common ethnomedical practices in the island nation and Annona muricata L. emerged as a popular ingredient, in line with findings emerging from Indonesia, [12] and Trinidad [13]

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