Abstract

Mistletoe (Viscum album) extracts have been used as alternative and complementary therapeutic preparations in multiple cancers for decades. Mistletoe lectins (ML-I, ML-II, and ML-III) are considered to be the main anticancer components of such preparations. In the present study, ML-II was transiently expressed in Nicotiana benthamiana using the pEAQ-HT expression system. Expression levels of up to 60 mg/kg of the infiltrated plant tissue were obtained, and a three-fold increase was achieved by adding the endoplasmic reticulum (ER) retention signal KDEL to the native ML-II sequence. The native protein containing His-tag and KDEL was purified by immobilized metal affinity chromatography (IMAC) and gel filtration. We found that the recombinant ML-II lectin was glycosylated and retained its carbohydrate-binding activity. In addition, we demonstrated that plant produced ML-II displayed anticancer activity in vitro, inhibiting non-small cell lung cancer H460 and A549 cells with EC50 values of 4 and 3.5 µg/mL, respectively. Annexin V-448A and PI double staining revealed that cell cytotoxicity occurred via apoptosis induction. These results indicate that ML-II transiently expressed in N. benthamiana plants is a promising candidate as an anticancer agent, although further optimization of production and purification methods is required to enable further in vitro testing, as well as in vivo assays.

Highlights

  • Cancer remains a leading cause of death worldwide with an estimated 9.6 million deaths in2018 [1]

  • We demonstrated that plant produced ML-II displayed anticancer activity in vitro, inhibiting non-small cell lung cancer H460 and A549 cells with EC50 values of 4 and 3.5 μg/mL, respectively

  • Partial assembly of the whole protein was observed with the expression of both sequences

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Summary

Introduction

Cancer remains a leading cause of death worldwide with an estimated 9.6 million deaths in2018 [1]. Cancer remains a leading cause of death worldwide with an estimated 9.6 million deaths in. According to the American Cancer Society, more than 1.8 million new cancer diagnoses are expected with 606, 520 cancer related deaths in 2020 [2]. In the USA, cancer is the second most common cause of death only after heart disease [3]. Cancer treatment typically includes surgery, chemotherapy and/or radiotherapy, and more recently immunotherapy [5,6,7]. Despite major improvements over the years in cancer therapy and early diagnosis, cancer patients still opt for complementary treatment to reduce the pain associated with conventional therapies and to increase their quality of life [8,9]. It has been reported that more than 50% of cancer patients use complementary treatment [10]

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