Skip to main content
Log in

Dietary supplementation of silymarin is associated with decreased cell proliferation, increased apoptosis, and activation of detoxification system in hepatocellular carcinoma

Molecular and Cellular Biochemistry Aims and scope Submit manuscript

Cite this article

Abstract

Hepatocellular carcinoma (HCC) incidence rates are increasing in many parts of the world. HCC’s limited treatment remedies and the poor prognosis emphasize the importance in developing an effective chemoprevention for this disease. Here, we investigated the molecular mechanisms involved in the chemoprevention of silymarin in N-nitrosodiethylamine (NDEA)-induced rat model of HCC. Liver of the rats treated with NDEA showed higher proliferation index and glycoconjugates. NDEA treatment also increased the level of anti-apoptotic proteins with simultaneous decrease in the level of pro-apoptotic proteins along with increased accumulation of Cytochrome c in mitochondria. The carcinogenic insult also increased microsomal phase I metabolizing enzymes with a simultaneous decrease in the Phase II detoxifying enzyme glutathione-S-transferase (GST). Whereas dietary silymarin administration along with NDEA treatment significantly decreased the proliferation and down regulated the expression of anti-apoptotic proteins with simultaneously increased expression of pro-apoptotic proteins along with the release of Cytochrome c to cytosol there by activating the intrinsic apoptotic pathway. Silymarin administration also decreased the level of glycoproteins and activated the phase II detoxifying enzyme GST. These results demonstrate that suppression of HCC by silymarin in vivo involves inhibition of proliferation, activation of apoptosis, and efficient detoxification.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Jemal ABF, Center MM, Ferlay J, Ward E, Forman D (2011) Global cancer statistics. CA Cancer J Clin 61:69–90

    Article  PubMed  Google Scholar 

  2. Daniele B, Di Maio M (2009) Target therapy for hepatocellular carcinoma: is sorafenib for everybody? J Clin Gastroenterol 43:389–390

    Article  PubMed  Google Scholar 

  3. Llovet JM, Ricci S, Mazzaferro V, Hilgard P, Gane E, Blanc JF, de Oliveira AC, Santoro A, Raoul JL, Forner A, Schwartz M, Porta C, Zeuzem S, Bolondi L, Greten TF, Galle PR, Seitz JF, Borbath I, Haussinger D, Giannaris T, Shan M, Moscovici M, Voliotis D, Bruix J (2008) Sorafenib in advanced hepatocellular carcinoma. N Engl J Med 359:378–390

    Article  CAS  PubMed  Google Scholar 

  4. Hecht SS (1997) Approaches to cancer prevention based on an understanding of N-nitrosamine carcinogenesis. Proc Soc Exp Biol Med 216:181–191

    Article  CAS  PubMed  Google Scholar 

  5. Ramakrishnan G, Jagan S, Kamaraj S, Anandakumar P, Devaki T (2009) Silymarin attenuated mast cell recruitment thereby decreased the expressions of matrix metalloproteinases-2 and 9 in rat liver carcinogenesis. Invest New Drugs 27:233–240

    Article  CAS  PubMed  Google Scholar 

  6. Joos S, Musselmann B, Szecsenyi J (2011) Integration of complementary and alternative medicine into family practices in Germany: results of a national survey. Evid Based Complement Alternat Med 2011:495813. doi:10.1093/ecam/nep019

    Article  PubMed  PubMed Central  Google Scholar 

  7. Polyak SJ, Morishima C, Lohmann V, Pal S, Lee DY, Liu Y, Graf TN, Oberlies NH (2010) Identification of hepatoprotective flavonolignans from silymarin. Proc Natl Acad Sci 107:5995–5999

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Katiyar SK (2005) Silymarin and skin cancer prevention: anti-inflammatory, antioxidant and immunomodulatory effects (Review). Int J Oncol 26:169–176

    CAS  PubMed  Google Scholar 

  9. Bhatia N, Zhao J, Wolf DM, Agarwal R (1999) Inhibition of human carcinoma cell growth and DNA synthesis by silibinin, an active constituent of milk thistle: comparison with silymarin. Cancer Lett 147:77–84

    Article  CAS  PubMed  Google Scholar 

  10. Ramakrishnan G, Augustine TA, Jagan S, Vinodhkumar R, Devaki T (2007) Effect of silymarin on N-nitrosodiethylamine induced hepatocarcinogenesis in rats. Exp Oncol 29:39–44

    CAS  PubMed  Google Scholar 

  11. Ploton D, Menager M, Jeannesson P, Himber G, Pigeon F, Adnet JJ (1986) Improvement in the staining and in the visualization of the argyrophilic proteins of the nucleolar organizer region at the optical level. Histochem J 18:5–14

    Article  CAS  PubMed  Google Scholar 

  12. Ramakrishnan G, Elinos-Baez CM, Jagan S, Augustine TA, Kamaraj S, Anandakumar P, Devaki T (2008) Silymarin downregulates COX-2 expression and attenuates hyperlipidemia during NDEA-induced rat hepatocellular carcinoma. Mol Cell Biochem 313:53–61

    Article  CAS  PubMed  Google Scholar 

  13. Niebes P (1972) Determination of enzymes and degradation products of glycosaminoglycan metabolism in the serum of healthy and varicose subjects. Clin Chim Acta 42:399–408

    Article  CAS  Google Scholar 

  14. Wagner WD (1979) A more sensitive assay discriminating galactosamine and glucosamine in mixtures. Anal Biochem 94:394–396

    Article  CAS  PubMed  Google Scholar 

  15. Warren L (1959) The thiobarbituric acid assay of sialic acids. J Biol Chem 234:1971–1975

    CAS  PubMed  Google Scholar 

  16. Fry JR (1981) Preparation of mammalian hepatocytes. Methods Enzymol 77:130–137

    Article  CAS  PubMed  Google Scholar 

  17. Omura T, Sato R (1964) The carbon monoxide-binding pigment of liver microsomes. I. Evidence for its hemoprotein nature. J Biol Chem 239:2370–2378

    CAS  PubMed  Google Scholar 

  18. Phillips AH, Langdon RG (1962) Hepatic triphosphopyridine nucleotide-cytochrome c reductase: isolation, characterization, and kinetic studies. J Biol Chem 237:2652–2660

    CAS  PubMed  Google Scholar 

  19. Habig WH, Pabst MJ, Jakoby WB (1974) Glutathione-S-transferases. The first enzymatic step in mercapturic acid formation. J Biol Chem 249:7130–7139

    CAS  PubMed  Google Scholar 

  20. Stoimenov I, Helleday T (2009) PCNA on the crossroad of cancer. Biochem Soc Trans 37:605–613

    Article  CAS  PubMed  Google Scholar 

  21. Borzio M, Trere D, Borzio F, Ferrari AR, Bruno S, Roncalli M, Colloredo G, Leandro G, Oliveri F, Derenzini M (1998) Hepatocyte proliferation rate is a powerful parameter for predicting hepatocellular carcinoma development in liver cirrhosis. Mol Pathol 51:96–101

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Rodrigues OR, Antonangelo L, Yagi N, Minamoto H, Schmidt Junior AF, Capelozzi VL, Goldenberg S, Saldiva PH (1997) Prognostic significance of argyrophilic nucleolar organizer region (AgNOR) in resected non-small cell lung cancer (NSCLC). Jpn J Clin Oncol 27:298–304

    Article  CAS  PubMed  Google Scholar 

  23. Trere D, Derenzini M, Sirri V, Montanaro L, Grigioni W, Faa G, Columbano GM, Columbano A (1996) Qualitative and quantitative analysis of AgNOR proteins in chemically induced rat liver carcinogenesis. Hepatology 24:1269–1273

    Article  CAS  PubMed  Google Scholar 

  24. Jagan S, Ramakrishnan G, Anandakumar P, Kamaraj S, Devaki T (2008) Antiproliferative potential of gallic acid against diethylnitrosamine-induced rat hepatocellular carcinoma. Mol Cell Biochem 319:51–59

    Article  CAS  PubMed  Google Scholar 

  25. Pich A, Chiusa L, Navone R (2004) Prognostic relevance of cell proliferation in head and neck tumors. Ann Oncol 15:1319–1329

    Article  CAS  PubMed  Google Scholar 

  26. Thirunavukkarasu C, Sakthisekaran D (2003) Influence of sodium selenite on glycoprotein contents in normal and N-nitrosodiethylamine initiated and phenobarbital promoted rat liver tumors. Pharmacol Res 48:167–173

    Article  CAS  PubMed  Google Scholar 

  27. Senthilnathan P, Padmavathi R, Magesh V, Sakthisekaran D (2006) Chemotherapeutic efficacy of paclitaxel in combination with Withania somnifera on benzo(a)pyrene-induced experimental lung cancer. Cancer Sci 97:658–664

    Article  CAS  PubMed  Google Scholar 

  28. Goldhirsch A, Berger E, Muller O, Maibach R, Misteli S, Buser K, Roesler H, Brunner K (1988) Ovarian cancer and tumor markers: sialic acid, galactosyltransferase and CA-125. Oncology 45:281–286

    Article  CAS  PubMed  Google Scholar 

  29. Dabelsteen E (1996) Cell surface carbohydrates as prognostic markers in human carcinomas. J Pathol 179:358–369

    Article  CAS  PubMed  Google Scholar 

  30. Manoharan S, Padmanabhan M, Kolanjiappan K, Ramachandran CR, Suresh K (2004) Analysis of glycoconjugates in patients with oral squamous cell carcinoma. Clin Chim Acta 339:91–96

    Article  CAS  PubMed  Google Scholar 

  31. Joo M, Lee HK, Kang YK (2003) Expression of beta-catenin in hepatocellular carcinoma in relation to tumor cell proliferation and cyclin D1 expression. J Korean Med Sci 18:211–217

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Derksen PW, Tjin E, Meijer HP, Klok MD, MacGillavry HD, van Oers MH, Lokhorst HM, Bloem AC, Clevers H, Nusse R, van der Neut R, Spaargaren M, Pals ST (2004) Illegitimate WNT signaling promotes proliferation of multiple myeloma cells. Proc Natl Acad Sci USA 101:6122–6127

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  33. Saldanha G, Ghura V, Potter L, Fletcher A (2004) Nuclear beta-catenin in basal cell carcinoma correlates with increased proliferation. Br J Dermatol 151:157–164

    Article  CAS  PubMed  Google Scholar 

  34. Calvisi DF, Ladu S, Factor VM, Thorgeirsson SS (2004) Activation of beta-catenin provides proliferative and invasive advantages in c-myc/TGF-alpha hepatocarcinogenesis promoted by phenobarbital. Carcinogenesis 25:901–908

    Article  CAS  PubMed  Google Scholar 

  35. Deane NG, Parker MA, Aramandla R, Diehl L, Lee WJ, Washington MK, Nanney LB, Shyr Y, Beauchamp RD (2001) Hepatocellular carcinoma results from chronic cyclin D1 overexpression in transgenic mice. Cancer Res 61:5389–5395

    CAS  PubMed  Google Scholar 

  36. Ramakrishnan G, Raghavendran HR, Vinodhkumar R, Devaki T (2006) Suppression of N-nitrosodiethylamine induced hepatocarcinogenesis by silymarin in rats. Chem Biol Interact 161:104–114

    Article  CAS  PubMed  Google Scholar 

  37. Hara A, Sakata K, Yamada Y, Kuno T, Kitaori N, Oyama T, Hirose Y, Murakami A, Tanaka T, Mori H (2005) Suppression of beta-catenin mutation by dietary exposure of auraptene, a citrus antioxidant, in N,N-diethylnitrosamine-induced hepatocellular carcinomas in rats. Oncol Rep 14:345–351

    CAS  PubMed  Google Scholar 

  38. Watson AJ (2004) Apoptosis and colorectal cancer. Gut 53:1701–1709

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Vousden KH, Ryan KM (2009) p53 and metabolism. Nat Rev Cancer 9:691–700

    Article  CAS  PubMed  Google Scholar 

  40. Yonish-Rouach E, Grunwald D, Wilder S, Kimchi A, May E, Lawrence JJ, May P, Oren M (1993) p53-Mediated cell death: relationship to cell cycle control. Mol Cell Biol 13:1415–1423

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Donehower LA, Harvey M, Slagle BL, McArthur MJ, Montgomery CA Jr, Butel JS, Bradley A (1992) Mice deficient for p53 are developmentally normal but susceptible to spontaneous tumours. Nature 356:215–221

    Article  CAS  PubMed  Google Scholar 

  42. Harvey M, Vogel H, Morris D, Bradley A, Bernstein A, Donehower LA (1995) A mutant p53 transgene accelerates tumour development in heterozygous but not nullizygous p53-deficient mice. Nat Genet 9:305–311

    Article  CAS  PubMed  Google Scholar 

  43. Martins CP, Brown-Swigart L, Evan GI (2006) Modeling the therapeutic efficacy of p53 restoration in tumors. Cell 127:1323–1334

    Article  CAS  PubMed  Google Scholar 

  44. Ventura A, Kirsch DG, McLaughlin ME, Tuveson DA, Grimm J, Lintault L, Newman J, Reczek EE, Weissleder R, Jacks T (2007) Restoration of p53 function leads to tumour regression in vivo. Nature 445:661–665

    Article  CAS  PubMed  Google Scholar 

  45. Xue W, Zender L, Miething C, Dickins RA, Hernando E, Krizhanovsky V, Cordon-Cardo C, Lowe SW (2007) Senescence and tumour clearance is triggered by p53 restoration in murine liver carcinomas. Nature 445:656–660

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Vousden KH, Lane DP (2007) p53 in health and disease. Nat Rev Mol Cell Biol 8:275–283

    Article  CAS  PubMed  Google Scholar 

  47. Banks D, Wu M, Higa LA, Gavrilova N, Quan J, Ye T, Kobayashi R, Sun H, Zhang H (2006) L2DTL/CDT2 and PCNA interact with p53 and regulate p53 polyubiquitination and protein stability through MDM2 and CUL4A/DDB1 complexes. Cell Cycle 5:1719–1729

    Article  CAS  PubMed  Google Scholar 

  48. Ramakrishnan G, Lo Muzio L, Elinos-Baez CM, Jagan S, Augustine TA, Kamaraj S, Anandakumar P, Devaki T (2009) Silymarin inhibited proliferation and induced apoptosis in hepatic cancer cells. Cell Prolif 42:229–240

    Article  CAS  PubMed  Google Scholar 

  49. Vaux DL, Cory S, Adams JM (1988) Bcl-2 gene promotes haemopoietic cell survival and cooperates with c-myc to immortalize pre-B cells. Nature 335:440–442

    Article  CAS  PubMed  Google Scholar 

  50. Cory S, Adams JM (2002) The Bcl2 family: regulators of the cellular life-or-death switch. Nat Rev Cancer 2:647–656

    Article  CAS  PubMed  Google Scholar 

  51. Cory S, Adams JM (2005) Killing cancer cells by flipping the Bcl-2/Bax switch. Cancer Cell 8:5–6

    Article  CAS  PubMed  Google Scholar 

  52. Miyashita T, Krajewski S, Krajewska M, Wang HG, Lin HK, Liebermann DA, Hoffman B, Reed JC (1994) Tumor suppressor p53 is a regulator of bcl-2 and bax gene expression in vitro and in vivo. Oncogene 9:1799–1805

    CAS  PubMed  Google Scholar 

  53. Altieri DC (2003) Validating survivin as a cancer therapeutic target. Nat Rev Cancer 3:46–54

    Article  CAS  PubMed  Google Scholar 

  54. Ambrosini G, Adida C, Altieri DC (1997) A novel anti-apoptosis gene, survivin, expressed in cancer and lymphoma. Nat Med 3:917–921

    Article  CAS  PubMed  Google Scholar 

  55. Ikeguchi M, Ueta T, Yamane Y, Hirooka Y, Kaibara N (2002) Inducible nitric oxide synthase and survivin messenger RNA expression in hepatocellular carcinoma. Clin Cancer Res 8:3131–3136

    CAS  PubMed  Google Scholar 

  56. Hoffman WH, Biade S, Zilfou JT, Chen J, Murphy M (2002) Transcriptional repression of the anti-apoptotic survivin gene by wild type p53. J Biol Chem 277:3247–3257

    Article  CAS  PubMed  Google Scholar 

  57. Mirza A, McGuirk M, Hockenberry TN, Wu Q, Ashar H, Black S, Wen SF, Wang L, Kirschmeier P, Bishop WR, Nielsen LL, Pickett CB, Liu S (2002) Human survivin is negatively regulated by wild-type p53 and participates in p53-dependent apoptotic pathway. Oncogene 21:2613–2622

    Article  CAS  PubMed  Google Scholar 

  58. Mesri M, Wall NR, Li J, Kim RW, Altieri DC (2001) Cancer gene therapy using a survivin mutant adenovirus. J Clin Invest 108:981–990

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  59. Hockenbery, D. M. Targeting mitochondria for cancer therapy. Environ Mol Mutagen 51, 476-89.

  60. Garrido C, Galluzzi L, Brunet M, Puig PE, Didelot C, Kroemer G (2006) Mechanisms of cytochrome c release from mitochondria. Cell Death Differ 13:1423–1433

    Article  CAS  PubMed  Google Scholar 

  61. Kluck RM, Bossy-Wetzel E, Green DR, Newmeyer DD (1997) The release of cytochrome c from mitochondria: a primary site for Bcl-2 regulation of apoptosis. Science 275:1132–1136

    Article  CAS  PubMed  Google Scholar 

  62. Smith DJ, Ng H, Kluck RM, Nagley P (2008) The mitochondrial gateway to cell death. IUBMB Life 60:383–389

    Article  CAS  PubMed  Google Scholar 

  63. Gonzalez FJ, Yu AM (2006) Cytochrome P450 and xenobiotic receptor humanized mice. Annu Rev Pharmacol Toxicol 46:41–64

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Steinkellner H, Rabot S, Freywald C, Nobis E, Scharf G, Chabicovsky M, Knasmuller S, Kassie F (2001) Effects of cruciferous vegetables and their constituents on drug metabolizing enzymes involved in the bioactivation of DNA-reactive dietary carcinogens. Mutat Res 480–481:285–297

    Article  PubMed  Google Scholar 

  65. Verna L, Whysner J, Williams GM (1996) N-nitrosodiethylamine mechanistic data and risk assessment: bioactivation, DNA-adduct formation, mutagenicity, and tumor initiation. Pharmacol Ther 71:57–81

    Article  CAS  PubMed  Google Scholar 

  66. Selvendiran K, Thirunavukkarasu C, Singh JP, Padmavathi R, Sakthisekaran D (2005) Chemopreventive effect of piperine on mitochondrial TCA cycle and phase-I and glutathione-metabolizing enzymes in benzo(a)pyrene induced lung carcinogenesis in Swiss albino mice. Mol Cell Biochem 271:101–106

    Article  CAS  PubMed  Google Scholar 

  67. Talalay P, Fahey JW, Holtzclaw WD, Prestera T, Zhang Y (1995) Chemoprotection against cancer by phase 2 enzyme induction. Toxicol Lett 82–83:173–179

    Article  PubMed  Google Scholar 

  68. Kohno H, Tanaka T, Kawabata K, Hirose Y, Sugie S, Tsuda H, Mori H (2002) Silymarin, a naturally occurring polyphenolic antioxidant flavonoid, inhibits azoxymethane-induced colon carcinogenesis in male F344 rats. Int J Cancer 101:461–468

    Article  CAS  PubMed  Google Scholar 

  69. Yannai S, Day AJ, Williamson G, Rhodes MJ (1998) Characterization of flavonoids as monofunctional or bifunctional inducers of quinone reductase in murine hepatoma cell lines. Food Chem Toxicol 36:623–630

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors wish to thank Prof. Lorenzo Lo Muzio, University of Foggia, Italy for his kind gift of antibodies to β-catenin and Survivin, Prof. Carmen Martha Elinos-baez, UNAM, Mexico for his kind gift of antibodies to Bcl-2 and Bax, Prof. Nalini Rajamannan, Northwestern Universitry, USA for the kind gift of antibody to PCNA, Prof. Ron Jemmerson, University of Minnesota, USA for his kind gift of antibody to Cyt c, Prof. Hyder Raza, uaeu, UAE for his kind gift of antibody to Caspase-3, Dr. C Lazzari, Regina Elena cancer institute, Italy for his kind gift of antibody to p53. The funding by Indian Council of Medical Research is gratefully acknowledged.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Devaki Thiruvengadam.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Gopalakrishnan, R., Sundaram, J., Sattu, K. et al. Dietary supplementation of silymarin is associated with decreased cell proliferation, increased apoptosis, and activation of detoxification system in hepatocellular carcinoma. Mol Cell Biochem 377, 163–176 (2013). https://doi.org/10.1007/s11010-013-1582-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11010-013-1582-1

Keywords

Navigation