Abstract

The treatment for ovarian cancers includes chemotherapies which use drugs such as cisplatin, paclitaxel, carboplatin, platinum, taxanes, or their combination, and other molecular target therapies. However, these current therapies are often accompanied with side effects. Vernonia calvoana (VC) is a valuable edible medicinal plant that is widespread in West Africa. In vitro data in our lab demonstrated that VC crude extract inhibits human ovarian cancer cells in a dose-dependent manner, suggesting its antitumor activity. From the VC crude extract, we have generated 10 fractions and VC fraction 7 (F7) appears to show the highest antitumor activity towards ovarian cancer cells. However, the mechanisms by which VC F7 exerts its antitumor activity in cancer cells remain largely unknown. We hypothesized that VC F7 inhibits cell proliferation and induces DNA damage and cell cycle arrest in ovarian cells through oxidative stress. To test our hypothesis, we extracted and fractionated VC leaves. The effects of VC F7 were tested in OVCAR-3 cells. Viability was assessed by the means of MTS assay. Cell morphology was analyzed by acridine orange and propidium iodide (AO/PI) dye using a fluorescent microscope. Oxidative stress biomarkers were evaluated by the means of lipid peroxidation, catalase, and glutathione peroxidase assays, respectively. The degree of DNA damage was assessed by comet assay. Cell cycle distribution was assessed by flow cytometry. Data generated from the MTS assay demonstrated that VC F7 inhibits the growth of OVCAR-3 cells in a dose-dependent manner, showing a gradual increase in the loss of viability in VC F7-treated cells. Data obtained from the AO/PI dye assessment revealed morphological alterations and exhibited characteristics such as loss of cellular membrane integrity, cell shrinkage, cell membrane damage, organelle breakdown, and detachment from the culture plate. We observed a significant increase (p < 0.05) in the levels of malondialdhyde (MDA) production in treated cells compared to the control. A gradual decrease in both catalase and glutathione peroxidase activities were observed in the treated cells compared to the control. Data obtained from the comet assay showed a significant increase (p < 0.05) in the percentages of DNA cleavage and comet tail length. The results of the flow cytometry analysis indicated VC F7 treatment caused cell cycle arrest at the S-phase checkpoint. Taken together, our results demonstrate that VC F7 exerts its anticancer activity by inhibiting cell proliferation, inducing DNA damage, and causing cell cycle arrest through oxidative stress in OVAR-3 cells. This finding suggests that VC F7 may be a potential alternative dietary agent for the prevention and/or treatment of ovarian cancer.

Highlights

  • Ovarian cancer is classified as the leading cause of death in gynecological cancer among women [1,2]

  • The results showed that Vernonia calvoana (VC) fraction 7 (F7) treatment significantly decreased the viability of OVCAR-3 cells (Figure 1)

  • These results revealed that the OVCAR-3 cells are more sensitive to VC F7 treatment with an estimated inhibition dose (IC50) equal to 18.56 μg/mL

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Summary

Introduction

Ovarian cancer is classified as the leading cause of death in gynecological cancer among women [1,2]. The American College of Obstetricians and Gynecologists and the Society of Gynecologic Oncology recommend that females with BRCA1 and/or BRCA2 mutations should consider the use of oral contraceptives which may reduce the risk of developing ovarian cancer by approximately 50% among high-risk females [4,5,6,7]. Due to the location of the ovaries in the female reproductive system, ovarian cancer is considered a “silent killer”, and over 70% of cases are diagnosed at the advanced stages [8,9]. There was an approximate of 22,240 new cases of ovarian cancer diagnosed and about 14,070 ovarian cancer deaths in North America [10]. 5% of female cancer deaths are attributed to low survival rates, largely due to late stage diagnoses [11]

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