Emodin inhibits colon cancer by altering BCL-2 family proteins and cell survival pathways
Currently offered therapeutics to treat colon cancer (CoCa) are toxic when given at maximum tolerated dose to achieve optimal clinical response. Hence, less toxic therapeutic intervention is needed to treat CoCa. In this study, we investigated the effect of a natural agent, Emodin, on CoCa.
Cell viability (MTT) assay was used to determine the effect of Emodin on human CoCa and colon epithelial cells. Flow cytometric analysis was used to determine Emodin induced cell death. Antibody microarray and western blot analyses were used to determine Emodin induced molecular changes involved in cell death. Change in mitochondrial membrane potential in response to Emodin was determined by flow cytometric analysis. Expression and localization of Bcl-2 family proteins were assessed by western blot analysis.
Emodin decreased viability of CoCa cells and induced apoptosis in a time and dose-dependent manner compared to vehicle-treated control without significantly impacting normal colon epithelial cells. Emodin activated caspases, modulated Bcl-2 family of proteins and reduced mitochondrial membrane potential to induce CoCa cell death. Further, changes in Bcl-2 family protein expression and localization correlated with loss in mitochondrial membrane potential. Signaling (MAPK/JNK, PI3K/AKT, NF-κβ and STAT) pathways associated with cell growth, differentiation, and Bcl-2 family expression or function were negatively regulated by Emodin.
Ability of Emodin to impact molecular pathways involved in cell survival and apoptosis highlight the potential of this agent as a new and less toxic alternative for CoCa treatment.
KeywordsColon cancer Emodin Anthraquinone Apoptosis Mitochondria Bcl-2
mitochondrial outer membrane potential
Colorectal cancer is the third most diagnosed and second leading cause of cancer-related deaths in both men and women in the United States [1, 2]. Most cancers, including colon cancer (CoCa), progress by up-regulating cell growth and survival signaling while evading cell death [3, 4, 5, 6, 7, 8]. As a result, treatment modalities that not only reduce CoCa cell growth but also more importantly re-establish a proper balance in cell death and survival could be better treatment options. Current treatment options  fail to achieve optimal clinical response due to development of resistance and toxicity. Hence, less toxic and efficacious therapy is needed to treat CoCa.
Extensive research to assess the potential of nutrients and herbal extracts as a single agent or as an additive to conventional therapeutics has been conducted in cancer prevention and treatment [10, 11, 12, 13]. Biochemical and molecular investigations have demonstrated that several classes of compounds present in vegetables and fruits possess beneficial properties to fight against infection, inflammation, and oxidation . Anthraquinones are a class of natural compounds that exhibit many of these beneficial properties and induce cancer cell death [14, 15, 16, 17]. Emodin, an anthraquinone derived from more than 17 plant families worldwide, has been used for centuries as herbal laxative, anti-inflammatory or anti-microbial agent [17, 18, 19, 20]. Studies have shown that Emodin promotes apoptosis, inhibits DNA synthesis, and promotes free radical generation in breast, lung, and prostate cancers. Further, this agent has the ability to inhibit metastasis and increase the efficacy of other anti-cancer agents with minimal toxicity to normal cells [20, 21, 22, 23, 24, 25, 26, 27, 28]. Many of these anti-cancerous properties have been explored in CoCa, but the mechanistic studies defining the molecular pathways impacted by Emodin have not been fully defined. In this study, the molecular changes associated with Emodin-induced apoptosis, Bcl-2 family gene expression, and survival signaling in CoCa cells were evaluated. Our findings highlight the potential of Emodin as a potent anti-cancer agent in the treatment of advanced CoCa.
Emodin [1,3,8-trihydroxy-6-methylanthracene-9,10-dione; purity ≥ 95] was procured from LKT Laboratories (Cat#:518-82-1) (St. Paul, MN, USA) and DMSO was purchased from Corning Cellgro (Cat#:MT-25950CQC) (Manassas, VA, USA). For western blot analyses, rabbit derived antibodies specific for Bad (Cat#9239T), Bak (Cat#12105), Bax (Cat#5023), Bim (Cat#2933), total (Cat#9662) and cleaved-Caspase-3 (Asp175) (Cat#9664), cleaved-Caspase-9(Asp315) (Cat#20750), Cytochrome C (Cat#11940), phosphorylated (Thr202/Tyr204) (Cat#4370) and total (Cat#9102) p44/p42 MAPK ERK1/2, p53 (Cat#2527), PARP (Cat#9532), PDK1 (Cat#5662), p-PTEN(Ser380) (Cat#9551), PUMA (Cat#12450), Ras (Cat#3339), STAT-1 (Cat#9172), STAT-3 (Cat#30835S), and anti-rabbit IgG HRP-linked secondary antibody was purchased from CST (Denvers, MA, USA). Mouse derived antibodies specific for Bid (Cat#8762), cleaved (Asp387) (Cat#8592) and total (Cat#9746) Caspase-8, total Caspase-9 (Cat#9508), p-NF-κβ (S380) (Cat#6956), and anti-mouse IgG HRP-linked secondary antibody was purchased from CST (Danvers, MA, USA). β-actin mouse (C4) (Cat#sc-47778) mAb was purchased from Santa Cruz Biotechnology (Dallas, TX, USA). Bcl-2 mouse (Bcl-2-100) (Cat#13-8800) mAb was purchased from ThermoFisher Scientific (Waltham, MA, USA).
Cell lines and culture conditions
Human CoCa cells (DLD-1 and COLO-20) and normal colon epithelial cells (CCD 841 CoN) were purchased from the ATCC (Rockville, MD, USA). Cells were cultured in RPMI-1640 medium (Cat#MT10040CM) (Corning Cellgro, Manassas, VA, USA) supplemented with 10% FBS, amphotericin B (250 μg/mL), HEPES Buffer (238.3 μg/mL), streptomycin (100 μg/mL) and penicillin (100 U/mL) (Corning Cellgro, Manassas, VA, USA). All cells were cultured at 37 °C with 5% CO2 atmosphere. Prior to each experiment, cells were cultured in 2% FBS containing media for 24 h.
Normal colon epithelial and CoCa cells were seeded (1.5 × 104 cells/well) in triplicate in a 96-well plate for 24 h. Cells were treated with increasing concentrations of Emodin (0,10, 20, 40, and 80 μM), dissolved in DMSO (0.01% final concentration), or vehicle control (0.01% DMSO) for 24, 48, and 72 h. At the conclusion of each time point, 20 μL of MTT reagent (5 mg/mL in PBS) was added to each well and incubated for 2 h to allow formazan crystallization. Media was then discarded and formazan crystals were solubilized in DMSO. Absorbance was measured at 570 nm using a SpectraMax M5 spectrophotometer (Molecular Devices, San Jose, CA, USA). The half maximal effective concentration (EC50) of each cell line as determined by a linear regression using GraphPad Prism software (GraphPad Software, La Jolla, CA, USA) was used for subsequent experiments.
Cells were seeded (106 cells/well) in duplicate in 6-well plates for 24 h and treated with EC50 of Emodin or vehicle control (0.01% DMSO) for 24, 48, or 72 h. Cells were harvested, washed twice with ice-cold cell staining buffer and equal number of cells were then stained with FITC-Annexin V and 7-AAD using the Apoptosis Detection Kit (Cat#640922) (BioLegend, San Diego, CA, USA), according to manufacturer’s instructions. The fluorescence of the stained cells was acquired (30,000 events/sample) using a Guava flow cytometer (Millipore, Billerica, MA, USA) and analyzed using FlowJo 10.0.06 software (Treestar Inc., Ashland, OR, USA).
An apoptosis associated antibody microarray (Cat#APP069) (Full Moon BioSystems, Sunnyvale, CA, USA) consisting of 73 highly specific and well characterized antibodies against apoptosis and related survival signaling was used to evaluate effect of Emodin treatment on CoCa cells. Cells were treated with EC50 of Emodin or DMSO for 48 h. Protein extracts from all samples were collected and biotinylated (75μg protein/reaction) using the Antibody Array Assay Kit (Cat#KAS02) (Full Moon BioSystems). Samples were coupled with array slides and labeled with 0.5 mg/mL Cy3-Streptavidin as directed in the manufacturer’s instructions. The arrays were scanned for signal quantification by Full Moon BioSystems using an Axon GenePix 4000B microarray scanner (Molecular Devices, Sunnyvale, CA, USA). Each antibody was replicated six times and β-actin and GAPDH were used as internal controls. Average signal intensity of replicate spots was normalized first to the median signal of the slide, then to that internal control. Ratio of intensities of Emodin treated versus untreated samples was used as fold changes in protein expression. Heat map was generated using the CIMminer platform (https://discover.nci.nih.gov/cimminer/oneMatrix.do) developed by the Genomics and Bioinformatics Group at the NCI.
Mitochondrial membrane potential assay
Cells were seeded (106 cells/well) in 6-well plates for 24 h followed by treatment with Emodin, or vehicle (0.01% DMSO) for 24, 48, or 72 h. Cells were harvested, washed twice with ice cold PBS, resuspended in JC-1 containing assay buffer (Cat#30001) (Biotium Inc., Fremont, CA, USA), and stained as per the manufacturer’s instruction. Cells were then incubated for 15 min at 37 °C with 5% CO2, washed and resuspended in PBS. Fluorescence was acquired and analyzed as mentioned before.
Cytosolic and mitochondrial protein isolation
Cytosolic and mitochondrial protein fractions were extracted from vehicle-treated or Emodin treated CoCa cells using Mitochondria/Cytosol Fractionation Kit (Cat#K256-25) (BioVision Inc, Milpitas, CA, USA). Briefly, 4 × 106 cells were harvested, washed and centrifuged at 600g/5 min/4 °C. Cells were resuspended in cytosol extraction buffer mix, incubated on ice for 10 min, and homogenized on ice using Omni TH homogenizer (Omni Inc., Kennesaw, GA, USA). The homogenate was centrifuged at 700g/10 min/4 °C. Supernatant was collected and centrifuged at 10,000g/30 min/4 °C. That supernatant was used as the cytosolic fraction. The pellet was resuspended in mitochondrial extraction buffer mix, vortexed for 10 s, and used as the mitochondrial fraction.
Western blot analyses
Total protein from Emodin or vehicle-treated cells was isolated using RIPA buffer containing protease (Thermo Fisher Scientific, Waltham, MA, USA) and phosphatase inhibitors (Millipore Sigma, St. Louis, MO, USA). Protein was quantified by BCA method (Thermo Fisher Scientific, Waltham, MA, USA). Proteins (50 µg/lane) were loaded, resolved on 12% SDS-PAGE, and transferred to PVDF membranes. Membranes were incubated in blocking buffer (5% nonfat milk in PBST i.e. PBS/0.1% Tween-20) for 1 h at RT. Membranes were incubated with specific primary antibodies overnight at 4 °C followed by three washes with PBST, then incubated with respective secondary antibody for 2 h. Primary and secondary antibodies were diluted 1:1000 and 1: 2000, respectively in 3% non-fat milk dissolved in PBST. West Pico or Trident Femto Chemiluminescent substrate (GeneTex Inc., Irvine, CA, USA) was used to develop the bands, and Image J software (http://www.rsbweb.nih.gov/ij) was used to quantify the results.
The statistical significance between different groups was determined either by Student’s t test or by two-way ANOVA followed by Holm-Sidak’s post hoc test for multiple comparisons using GraphPad Prism version 6.0 (GraphPad Software Inc., La Jolla, CA, USA). The graphs presented are representative of three independent experiments. Statistical significance was established at p < 0.05 and results are shown as mean ± SEM.
Emodin reduces the cell viability of human colon cancer cells
All consequent experiments were done using 48 h EC50 which was found to be ~ 18 μM for DLD-1 (42% viability) and ~ 15 μM for COLO-201 (44% viability).
Emodin induces apoptosis in human colon cancer cells
To determine CoCa cell death induced by Emodin, a FITC-Annexin V/7-AAD assay was conducted. Annexin-V binds with high affinity to extracellular phosphatidylserine (PS) during apoptosis and 7-AAD exclusively binds DNA of apoptotic cells identifying stages of cell death following treatment (Fig. 1b, c). The percentages of cells in treated minus percentages of cells in untreated groups, as shown in parentheses, were used to infer the data. At 24 h, number of CoCa cells in early apoptotic (Annexin V-positive and 7-AAD-negative) phase (22% DLD-1; 30% COLO 201) increased after Emodin treatment compared to control. This trend continued after 48 h with higher number of early apoptotic cells (33% DLD-1; 24% COLO 201) in Emodin treated group compared to control. Interestingly, we did not see a significant shift in cells that were positive for both Annexin V and 7-AAD (late apoptotic population) when compared to control. The most significant increase (11% DLD-1; 7% COLO 201) in late apoptotic cells was seen after 72 h Emodin treatment. COLO 201 cells had a 15% increase in early apoptotic cells which could account for the small increase in late apoptotic population. These findings show that Emodin affects CoCa cell growth mainly by inducing apoptosis.
Emodin modulates the expression of anti- and pro-apoptotic molecules to induce cell death in colon cancer
In addition to caspases, antibody microarray (Fig. 2a) and western blot analysis (Fig. 2c) show a significant increase in p53 and decrease in PARP protein levels in response to Emodin treatment. There was ~ 1.6 fold increase in p53 protein in both cell lines in the array (Fig. 2a). Western blot showed significant (p < 0.05) increase in p53 in COLO 201 cells at 36 and 48 h compared to control. However, in DLD-1 an increase in p53 expression was only observed at 48 h, which was not statistically significant. Antibody microarray showed ~ 1.3 fold reduction in N-terminal PARP fragment in response to Emodin in both lines (Fig. 2a). There was a significant (p < 0.01) decrease in PARP at both 36 and 48 h in DLD-1 cells. In contrast to DLD-1 there was an increase in PARP expression in COLO 201 at 36 h, and no change in PARP was observed at 48 h (Fig. 2c).
Emodin disrupts mitochondrial outer membrane potential
Permeabilization of the mitochondrial outer membrane via a shift in membrane potential leading to release of intracellular proteins into the cytosol is a hallmark of intrinsic apoptosis. To investigate if Emodin-induced apoptosis affected mitochondria in human CoCa cells, mitochondrial outer membrane potential (MOMP) was assayed using JC-1 dye. The negative charge on mitochondria maintained by the membrane potential allows the JC-1 to oligomerize and accumulate in the mitochondrial matrix and fluorescently stain red. Monomeric JC-1 in the cytosol emits green fluorescence. So, JC-1 fluorescently stains both red (high delta/red elliptical gate) and green (low delta/green elliptical gate) in healthy cells. In apoptotic cells, JC-1 accumulation in the mitochondrial matrix is inhibited due to a collapse in membrane potential and they only fluorescently stain green (low delta/green elliptical gate) for the cytosolic JC-1. This allows apoptotic cells to be easily differentiated from healthy cells.
Emodin regulates expression and localization of Bcl-2 family proteins
In cytosolic fraction, Bax protein levels decreased (~ 1.5-fold) in DLD-1 cells while increased (~ 1.5-fold) in COLO 201 cells after Emodin treatment compared to vehicle-treated cells. Cytosolic Bcl-2 expression correlated with Bax expression as it was decreased (0.1-fold) in DLD-1 cells and increased (~ 0.8-fold) in COLO 201 cells following Emodin treatment. Cytosolic cytochrome c levels increased in both cell lines after Emodin treatment. Increase was significant in COLO 201 cells (0.7-fold, p <0.05) (Fig. 4c). In mitochondrial fractions, Bax levels were elevated in both CoCa lines but COLO 201 cells had larger increase (1.0-fold). Mitochondrial Bcl-2 levels decreased (DLD-1: 0.6-fold; COLO 201: 0.4-fold) in both CoCa cell lines (Fig. 4c). Mitochondrial cytochrome c was differentially modulated in the two CoCa cell lines. DLD-1 cells showed a decrease while COLO 201 cells showed increase in mitochondrial localization of cytochrome c (Fig. 4d).
Total cytochrome c levels decreased (DLD-1: 0.98 fold; COLO 201: 1.35 fold) in CoCa cells after Emodin treatment when compared to the control (Fig. 2a). Western blot analysis (Fig. 2c) showed a decrease in total cytochrome c levels at both 36 h and 48 h in DLD-1 cells, but COLO 201 cells showed an increase in total cytochrome c at 48 h. These changes were not significant (Fig. 2c).
Emodin modulates signaling pathways involved in colon cancer growth and proliferation
Expression of NF-κβ signaling components NF-κβ p50, NF-κβ p65 (Rel A), and IKΚβ were modulated by Emodin treatment (Fig. 5a, d). Emodin treatment decreased NF-κβ p50 expression in both cell types. The decrease was more in the COLO 201 (2.1-fold) cells at 48 h (Fig. 5a). NF-κβ p65 (RelA) expression decreased 0.8-fold following Emodin treatment in both cell types as observed by antibody array. However, NF-κβ p65 (RelA) Ser536 phosphorylation did not change significantly after Emodin treatment (Fig. 5d). IΚΚβ expression decreased marginally (0.4-fold) in the array when compared to control (Fig. 5a). Emodin also decreased survivin expression in CoCa cells. The decrease was significant at both 36 (p < 0.001) at 48 h (p < 0.01) in COLO 201 cells (Fig. 5d).
Phosphorylation of PI3K 110b at S19, a site necessary for the activation for PI3K, was significantly modulated by Emodin (Fig. 5b). In DLD-1 cells, PI3K expression in response to Emodin significantly decreased at 36 h (p < 0.05) and 48 h (p < 0.01), while it was significantly decreased only at 48 h (p < 0.05) in COLO 201 cells. PDK1 expression significantly decreased at 36 h (DLD-1: p < 0.05; COLO 201: p < 0.01) and 48 h (DLD-1: p < 0.01; COLO 201: p < 0.05) in CoCa cells. Phosphorylation of PTEN at S380, a negative regulator of PI3K/AKT signaling, significantly decreased at both 36 h (DLD-1: p < 0.01) and 48 h (p < 0.01) in CoCa cell lines after Emodin treatment. mTOR expression also significantly (p < 0.05) decreased 48 h after Emodin treatment. This information shows that Emodin regulates PI3K/AKT signaling in CoCa cells. Emodin also regulates STAT signaling pathways in CoCa cells (Fig. 5e). STAT1 significantly increased at 36 h (DLD-1: p < 0.001; COLO 201: p < 0.05) and 48 h (p < 0.05) in both cell lines. STAT3 expression decreased significantly at 36 h (p < 0.01) in DLD-1 cells whereas in COLO 201 cells showed an increase at 48 h when compared to control.
Colon cancer (CoCa) is a leading cause of cancer-related deaths worldwide [29, 30]. Though ~ 95% of CoCa cases are considered to be sporadic, early detection via routine health screenings has been effective in reducing CoCa risk by up to 90% in patients 50 years or older [1, 2, 3]. Unfortunately, a great number of patients succumb to advanced stage disease before adequate treatment can be received [21, 22]. Treatment for advanced stage CoCa primarily consists of corrective surgery in combination with chemotherapy. Adverse side effects such as chemo-resistance and micro-metastasis have been associated with these treatment options that show only a 14% 5-year survival rate [4, 5, 6, 7]. Due to these complications, there continues to be a need to explore new avenues to treat CoCa more effectively with minimal toxicity to patients.
Emodin, a naturally occurring anthraquinone, has a wide range of pharmacological properties that make it an attractive candidate for cancer therapeutics such as its ability to induce apoptosis, cell cycle arrest, and inhibit DNA synthesis [20, 21, 22, 23, 24, 25, 26, 27, 28]. In cancers affecting the digestive tract, Emodin decreased metastasis, reduced survival signaling, and enhanced antitumor effects of other chemotherapeutic agents [5, 31, 32, 33, 34, 35, 36]. Our data shows Emodin reduced the proliferation of CoCa cells in a concentration and time-dependent manner. This inhibition was achieved at relatively low concentrations (~ 20 μM) while toxicity to normal colon epithelium was relatively low. Reduced viability was mainly due to Emodin-induced apoptosis of CoCa cells. Though inhibition of proliferation has been documented, there is a lack of information regarding the molecular changes associated with Emodin induced apoptosis in CoCa. We provide a deeper molecular perspective on how Emodin induces apoptotic cell death in CoCa. Our data shows Emodin treatment induces apoptosis in CoCa by differentially modulating the expression of extrinsic and intrinsic apoptotic molecules, cell survival signaling, and the localization or activity of Bcl-2 family of proteins.
Bcl-2 family proteins are key regulators of intrinsic apoptosis as their expression, localization, and binding has been associated with mitochondrial dysfunction, leakage of cytochrome c, and downstream apoptotic activation [22, 32, 37, 38, 39]. Emodin’s ability to modulate both anti- and pro-apoptotic Bcl-2 family proteins during apoptosis has been observed in several cancer models. However, information on regulation of the expression, localization, and function of these proteins in CoCa apoptosis induced by Emodin is limited. We observed a direct modulation of Bcl-2 family proteins level and localization during Emodin-induced apoptosis. Total cell expression of pro-apoptotic Bcl-2 family proteins Bak and Bax were differentially increased in CoCa models compared to Bcl-2 levels. Analysis of cytosolic and mitochondrial fractions of CoCa cells revealed an increase in the levels of Bax in COLO 201 cells in contrast to anti-apoptotic Bcl-2 protein levels. Previous studies have indicated that increase in pro-apoptotic proteins Bax and Bak with decreased levels of anti-apoptotic proteins like Bcl-2 in both total and mitochondrial fractions are a major driving force in mitochondrial dysfunction and subsequent apoptosis in some anti-cancer treatments [16, 25, 29, 31, 32, 33]. Our data further supports these observations as Emodin regulated Bcl-2 family protein levels and localization that could lead to the observed loss of MOMP, increased cytosolic cytochrome c levels, and apoptosis.
Small subsets of pro-apoptotic Bcl-2 family proteins, known as BH3-only, were also differently modulated during Emodin-induced apoptosis. BH3-only proteins enhance apoptosis by targeting and inhibiting anti-apoptotic Bcl-2 proteins while enhancing pro-apoptotic Bcl-2 protein localization and potency . Emodin has been shown to increase the expression and activity of this protein subset in other cancer models, but such effect of Emodin on CoCa cells has not been fully elucidated. We found that Emodin differentially modulated the expression levels of BH3-only proteins Bad, Bid, Bim, and Puma in these CoCa cells during apoptosis. The expression levels and function of these proteins are known to be stimulated by tumor suppressor p53, which is mutated in both cell types we used. Our data showed that Emodin treatment increases p53 expression. Increased Bad protein expression seemed to facilitate pro-apoptotic BH3-only activity in DLD-1 cells while Bid, Bim, and Puma levels were reduced. It is known that decreased caspase-8 activity and low p53 expression reduce Bid and Puma activation in CoCa cells. Bim was reduced during Emodin-induced apoptosis in CoCa cells. Reduced Bim expression is a feature of some cancers and contributes to an apoptosis-resistant phenotype in advanced stage disease [31, 40]. Though no studies have reported this phenomenon, we postulate that although Emodin treatment reduces Bim, it may be compensated by up-regulation of other pro-apoptotic Bcl-2 proteins in CoCa. Our data indicates that Emodin’s ability to differentially regulate BH3-only protein expression maybe a key feature in its ability to induce CoCa apoptosis.
Effect of Emodin on NF-κβ signaling in cancer, including CoCa, is well documented. NF-κβ signaling regulates inflammation, stress, and B cell development, but also has been associated with function of Bcl-2 family proteins. NF-κβ signaling is regulated by the binding and inhibition of Ikβ proteins such as IKΚβ that forms a complex sequestering NF-κβ. In our study, Emodin decreased the expression of NF-κβ proteins-NF-κβ p50, NF-κβ p 65 (Rel A), and IKΚβ. Studies have shown that NF-κβ signaling enhances transcription and anti-apoptotic potency of Bcl-2 family proteins by increasing transcription of gene promoter site Bcl-2 p2 [41, 50]. Thus decreased NF-κβ expression correlates to reduced Bcl-2 expression in Emodin induced apoptosis in CoCa.
Signal transducers and activators of transcription (STATs) regulate growth, survival, and differentiation. Correlations have been made with STAT signaling and anti-apoptotic Bcl-2 expression, however, such correlations have not been investigated for Emodin induced apoptosis [38, 42]. Increased STAT1 expression after Emodin treatment correlated with increased pro-apoptotic Bcl-2 family expression except for Bim. This data was interesting as increased expression of pro-apoptotic proteins such as Bax have been shown to increase STAT activation as a result of ROS generation and increased TNF-α mediated cell death . TNF-α and Bax expression did increase during Emodin-induced apoptosis, which could correlate to increased STAT1 expression. Overall, our data shows that Emodin modulates survival signaling by regulating the expression and function of Bcl-2 family proteins during CoCa apoptosis (Fig. 6).
Emodin affects anti- and pro-survival signaling cascades essential in cell proliferation, differentiation, survival and apoptosis in CoCa. Emodin also regulates expression and localization of Bcl-2 family proteins. It could do so by regulating MAPK/JNK, PI3K/AKT, NF-κβ and STAT molecular signaling pathways that dictate Bcl-2 family protein functions. In all, Emodin could be a potential treatment option for CoCa as it differentially regulates many of the key apoptotic and survival signaling mechanisms.
IS conducted the experiments, analyzed data, and drafted the manuscript. NK and HM contributed in performing the experiment and manuscript development. SS was the principal investigator of the study. He conceptualized the study, designed the experiments, and edited and revised the manuscript. All authors read and approved the final manuscript.
The content of this manuscript benefited from Morehouse School of Medicine flow cytometry core.
The authors declare that they have no competing interests.
Availability of data and materials
The data sets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
Consent for publication
Ethics approval and consent to participate
This study was supported in part by the funds (R21 CA169716, SC1 CA180212, U54 CA118638, and U01 CA 179701) from the National Cancer Institute (NCI); National Institute of General Medical Sciences (GM05868) and Morehouse School of Medicine flow cytometry core supported by the NIMHD 5U54MD007602. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
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- 1.Society, A.C. American Cancer Society: Key Statistics for Colorectal Cancer. About colorectal cancer. 2019. https://www.cancer.org/cancer/colon-rectal-cancer/about/key-statistics.html#references. Accessed Feb 21 2018.
- 2.Howlader N, N.A., Krapcho M, Miller D, Bishop K, Altekruse SF, Kosary CL, Yu M, Ruhl J, Tatalovich Z, Mariotto A, Lewis DR, Chen HS, Feuer EJ CK. SEER Cancer Statistics Review. 2016. https://seer.cancer.gov/statfacts/html/colorect.html. Accessed Jan 23 2017
- 30.International W.C.R.F. World Cancer Research Fund International—Colorectal Cancer Statistics. 2017. http://www.wcrf.org/int/cancer-facts-figures/data-specific-cancers/colorectal-cancer-statistics. Accessed 23 Jan 2017
- 35.Zhao J, Xu J, Zhao J, Zhang R. Inhibitory effect of emodin on human colon cancer SW620 cells and possible mechanism. Biomed Res. 2017;28(22):9686–90.Google Scholar
- 48.Benistant C, Chapuis H, Roche S. A specific function for phosphatidylinositol 3-kinase alpha (p85alpha-p110alpha) in cell survival and for phosphatidylinositol 3-kinase beta (p85alpha-p110beta) in de novo DNA synthesis of human colon carcinoma cells. Oncogene. 2000;19(44):5083–90.CrossRefGoogle Scholar
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