Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Dr Mohan Z Mani

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Dr Mohan Z Mani,
Professor & Head,
Department of Dermatolgy,
Believers Church Medical College,
Thiruvalla, Kerala
On Sep 2018




Prof. Somashekhar Nimbalkar

"Over the last few years, we have published our research regularly in Journal of Clinical and Diagnostic Research. Having published in more than 20 high impact journals over the last five years including several high impact ones and reviewing articles for even more journals across my fields of interest, we value our published work in JCDR for their high standards in publishing scientific articles. The ease of submission, the rapid reviews in under a month, the high quality of their reviewers and keen attention to the final process of proofs and publication, ensure that there are no mistakes in the final article. We have been asked clarifications on several occasions and have been happy to provide them and it exemplifies the commitment to quality of the team at JCDR."



Prof. Somashekhar Nimbalkar
Head, Department of Pediatrics, Pramukhswami Medical College, Karamsad
Chairman, Research Group, Charutar Arogya Mandal, Karamsad
National Joint Coordinator - Advanced IAP NNF NRP Program
Ex-Member, Governing Body, National Neonatology Forum, New Delhi
Ex-President - National Neonatology Forum Gujarat State Chapter
Department of Pediatrics, Pramukhswami Medical College, Karamsad, Anand, Gujarat.
On Sep 2018




Dr. Kalyani R

"Journal of Clinical and Diagnostic Research is at present a well-known Indian originated scientific journal which started with a humble beginning. I have been associated with this journal since many years. I appreciate the Editor, Dr. Hemant Jain, for his constant effort in bringing up this journal to the present status right from the scratch. The journal is multidisciplinary. It encourages in publishing the scientific articles from postgraduates and also the beginners who start their career. At the same time the journal also caters for the high quality articles from specialty and super-specialty researchers. Hence it provides a platform for the scientist and researchers to publish. The other aspect of it is, the readers get the information regarding the most recent developments in science which can be used for teaching, research, treating patients and to some extent take preventive measures against certain diseases. The journal is contributing immensely to the society at national and international level."



Dr Kalyani R
Professor and Head
Department of Pathology
Sri Devaraj Urs Medical College
Sri Devaraj Urs Academy of Higher Education and Research , Kolar, Karnataka
On Sep 2018




Dr. Saumya Navit

"As a peer-reviewed journal, the Journal of Clinical and Diagnostic Research provides an opportunity to researchers, scientists and budding professionals to explore the developments in the field of medicine and dentistry and their varied specialities, thus extending our view on biological diversities of living species in relation to medicine.
‘Knowledge is treasure of a wise man.’ The free access of this journal provides an immense scope of learning for the both the old and the young in field of medicine and dentistry as well. The multidisciplinary nature of the journal makes it a better platform to absorb all that is being researched and developed. The publication process is systematic and professional. Online submission, publication and peer reviewing makes it a user-friendly journal.
As an experienced dentist and an academician, I proudly recommend this journal to the dental fraternity as a good quality open access platform for rapid communication of their cutting-edge research progress and discovery.
I wish JCDR a great success and I hope that journal will soar higher with the passing time."



Dr Saumya Navit
Professor and Head
Department of Pediatric Dentistry
Saraswati Dental College
Lucknow
On Sep 2018




Dr. Arunava Biswas

"My sincere attachment with JCDR as an author as well as reviewer is a learning experience . Their systematic approach in publication of article in various categories is really praiseworthy.
Their prompt and timely response to review's query and the manner in which they have set the reviewing process helps in extracting the best possible scientific writings for publication.
It's a honour and pride to be a part of the JCDR team. My very best wishes to JCDR and hope it will sparkle up above the sky as a high indexed journal in near future."



Dr. Arunava Biswas
MD, DM (Clinical Pharmacology)
Assistant Professor
Department of Pharmacology
Calcutta National Medical College & Hospital , Kolkata




Dr. C.S. Ramesh Babu
" Journal of Clinical and Diagnostic Research (JCDR) is a multi-specialty medical and dental journal publishing high quality research articles in almost all branches of medicine. The quality of printing of figures and tables is excellent and comparable to any International journal. An added advantage is nominal publication charges and monthly issue of the journal and more chances of an article being accepted for publication. Moreover being a multi-specialty journal an article concerning a particular specialty has a wider reach of readers of other related specialties also. As an author and reviewer for several years I find this Journal most suitable and highly recommend this Journal."
Best regards,
C.S. Ramesh Babu,
Associate Professor of Anatomy,
Muzaffarnagar Medical College,
Muzaffarnagar.
On Aug 2018




Dr. Arundhathi. S
"Journal of Clinical and Diagnostic Research (JCDR) is a reputed peer reviewed journal and is constantly involved in publishing high quality research articles related to medicine. Its been a great pleasure to be associated with this esteemed journal as a reviewer and as an author for a couple of years. The editorial board consists of many dedicated and reputed experts as its members and they are doing an appreciable work in guiding budding researchers. JCDR is doing a commendable job in scientific research by promoting excellent quality research & review articles and case reports & series. The reviewers provide appropriate suggestions that improve the quality of articles. I strongly recommend my fraternity to encourage JCDR by contributing their valuable research work in this widely accepted, user friendly journal. I hope my collaboration with JCDR will continue for a long time".



Dr. Arundhathi. S
MBBS, MD (Pathology),
Sanjay Gandhi institute of trauma and orthopedics,
Bengaluru.
On Aug 2018




Dr. Mamta Gupta,
"It gives me great pleasure to be associated with JCDR, since last 2-3 years. Since then I have authored, co-authored and reviewed about 25 articles in JCDR. I thank JCDR for giving me an opportunity to improve my own skills as an author and a reviewer.
It 's a multispecialty journal, publishing high quality articles. It gives a platform to the authors to publish their research work which can be available for everyone across the globe to read. The best thing about JCDR is that the full articles of all medical specialties are available as pdf/html for reading free of cost or without institutional subscription, which is not there for other journals. For those who have problem in writing manuscript or do statistical work, JCDR comes for their rescue.
The journal has a monthly publication and the articles are published quite fast. In time compared to other journals. The on-line first publication is also a great advantage and facility to review one's own articles before going to print. The response to any query and permission if required, is quite fast; this is quite commendable. I have a very good experience about seeking quick permission for quoting a photograph (Fig.) from a JCDR article for my chapter authored in an E book. I never thought it would be so easy. No hassles.
Reviewing articles is no less a pain staking process and requires in depth perception, knowledge about the topic for review. It requires time and concentration, yet I enjoy doing it. The JCDR website especially for the reviewers is quite user friendly. My suggestions for improving the journal is, more strict review process, so that only high quality articles are published. I find a a good number of articles in Obst. Gynae, hence, a new journal for this specialty titled JCDR-OG can be started. May be a bimonthly or quarterly publication to begin with. Only selected articles should find a place in it.
An yearly reward for the best article authored can also incentivize the authors. Though the process of finding the best article will be not be very easy. I do not know how reviewing process can be improved. If an article is being reviewed by two reviewers, then opinion of one can be communicated to the other or the final opinion of the editor can be communicated to the reviewer if requested for. This will help one’s reviewing skills.
My best wishes to Dr. Hemant Jain and all the editorial staff of JCDR for their untiring efforts to bring out this journal. I strongly recommend medical fraternity to publish their valuable research work in this esteemed journal, JCDR".



Dr. Mamta Gupta
Consultant
(Ex HOD Obs &Gynae, Hindu Rao Hospital and associated NDMC Medical College, Delhi)
Aug 2018




Dr. Rajendra Kumar Ghritlaharey

"I wish to thank Dr. Hemant Jain, Editor-in-Chief Journal of Clinical and Diagnostic Research (JCDR), for asking me to write up few words.
Writing is the representation of language in a textual medium i e; into the words and sentences on paper. Quality medical manuscript writing in particular, demands not only a high-quality research, but also requires accurate and concise communication of findings and conclusions, with adherence to particular journal guidelines. In medical field whether working in teaching, private, or in corporate institution, everyone wants to excel in his / her own field and get recognised by making manuscripts publication.


Authors are the souls of any journal, and deserve much respect. To publish a journal manuscripts are needed from authors. Authors have a great responsibility for producing facts of their work in terms of number and results truthfully and an individual honesty is expected from authors in this regards. Both ways its true "No authors-No manuscripts-No journals" and "No journals–No manuscripts–No authors". Reviewing a manuscript is also a very responsible and important task of any peer-reviewed journal and to be taken seriously. It needs knowledge on the subject, sincerity, honesty and determination. Although the process of reviewing a manuscript is a time consuming task butit is expected to give one's best remarks within the time frame of the journal.
Salient features of the JCDR: It is a biomedical, multidisciplinary (including all medical and dental specialities), e-journal, with wide scope and extensive author support. At the same time, a free text of manuscript is available in HTML and PDF format. There is fast growing authorship and readership with JCDR as this can be judged by the number of articles published in it i e; in Feb 2007 of its first issue, it contained 5 articles only, and now in its recent volume published in April 2011, it contained 67 manuscripts. This e-journal is fulfilling the commitments and objectives sincerely, (as stated by Editor-in-chief in his preface to first edition) i e; to encourage physicians through the internet, especially from the developing countries who witness a spectrum of disease and acquire a wealth of knowledge to publish their experiences to benefit the medical community in patients care. I also feel that many of us have work of substance, newer ideas, adequate clinical materials but poor in medical writing and hesitation to submit the work and need help. JCDR provides authors help in this regards.
Timely publication of journal: Publication of manuscripts and bringing out the issue in time is one of the positive aspects of JCDR and is possible with strong support team in terms of peer reviewers, proof reading, language check, computer operators, etc. This is one of the great reasons for authors to submit their work with JCDR. Another best part of JCDR is "Online first Publications" facilities available for the authors. This facility not only provides the prompt publications of the manuscripts but at the same time also early availability of the manuscripts for the readers.
Indexation and online availability: Indexation transforms the journal in some sense from its local ownership to the worldwide professional community and to the public.JCDR is indexed with Embase & EMbiology, Google Scholar, Index Copernicus, Chemical Abstracts Service, Journal seek Database, Indian Science Abstracts, to name few of them. Manuscriptspublished in JCDR are available on major search engines ie; google, yahoo, msn.
In the era of fast growing newer technologies, and in computer and internet friendly environment the manuscripts preparation, submission, review, revision, etc and all can be done and checked with a click from all corer of the world, at any time. Of course there is always a scope for improvement in every field and none is perfect. To progress, one needs to identify the areas of one's weakness and to strengthen them.
It is well said that "happy beginning is half done" and it fits perfectly with JCDR. It has grown considerably and I feel it has already grown up from its infancy to adolescence, achieving the status of standard online e-journal form Indian continent since its inception in Feb 2007. This had been made possible due to the efforts and the hard work put in it. The way the JCDR is improving with every new volume, with good quality original manuscripts, makes it a quality journal for readers. I must thank and congratulate Dr Hemant Jain, Editor-in-Chief JCDR and his team for their sincere efforts, dedication, and determination for making JCDR a fast growing journal.
Every one of us: authors, reviewers, editors, and publisher are responsible for enhancing the stature of the journal. I wish for a great success for JCDR."



Thanking you
With sincere regards
Dr. Rajendra Kumar Ghritlaharey, M.S., M. Ch., FAIS
Associate Professor,
Department of Paediatric Surgery, Gandhi Medical College & Associated
Kamla Nehru & Hamidia Hospitals Bhopal, Madhya Pradesh 462 001 (India)
E-mail: drrajendrak1@rediffmail.com
On May 11,2011




Dr. Shankar P.R.

"On looking back through my Gmail archives after being requested by the journal to write a short editorial about my experiences of publishing with the Journal of Clinical and Diagnostic Research (JCDR), I came across an e-mail from Dr. Hemant Jain, Editor, in March 2007, which introduced the new electronic journal. The main features of the journal which were outlined in the e-mail were extensive author support, cash rewards, the peer review process, and other salient features of the journal.
Over a span of over four years, we (I and my colleagues) have published around 25 articles in the journal. In this editorial, I plan to briefly discuss my experiences of publishing with JCDR and the strengths of the journal and to finally address the areas for improvement.
My experiences of publishing with JCDR: Overall, my experiences of publishing withJCDR have been positive. The best point about the journal is that it responds to queries from the author. This may seem to be simple and not too much to ask for, but unfortunately, many journals in the subcontinent and from many developing countries do not respond or they respond with a long delay to the queries from the authors 1. The reasons could be many, including lack of optimal secretarial and other support. Another problem with many journals is the slowness of the review process. Editorial processing and peer review can take anywhere between a year to two years with some journals. Also, some journals do not keep the contributors informed about the progress of the review process. Due to the long review process, the articles can lose their relevance and topicality. A major benefit with JCDR is the timeliness and promptness of its response. In Dr Jain's e-mail which was sent to me in 2007, before the introduction of the Pre-publishing system, he had stated that he had received my submission and that he would get back to me within seven days and he did!
Most of the manuscripts are published within 3 to 4 months of their submission if they are found to be suitable after the review process. JCDR is published bimonthly and the accepted articles were usually published in the next issue. Recently, due to the increased volume of the submissions, the review process has become slower and it ?? Section can take from 4 to 6 months for the articles to be reviewed. The journal has an extensive author support system and it has recently introduced a paid expedited review process. The journal also mentions the average time for processing the manuscript under different submission systems - regular submission and expedited review.
Strengths of the journal: The journal has an online first facility in which the accepted manuscripts may be published on the website before being included in a regular issue of the journal. This cuts down the time between their acceptance and the publication. The journal is indexed in many databases, though not in PubMed. The editorial board should now take steps to index the journal in PubMed. The journal has a system of notifying readers through e-mail when a new issue is released. Also, the articles are available in both the HTML and the PDF formats. I especially like the new and colorful page format of the journal. Also, the access statistics of the articles are available. The prepublication and the manuscript tracking system are also helpful for the authors.
Areas for improvement: In certain cases, I felt that the peer review process of the manuscripts was not up to international standards and that it should be strengthened. Also, the number of manuscripts in an issue is high and it may be difficult for readers to go through all of them. The journal can consider tightening of the peer review process and increasing the quality standards for the acceptance of the manuscripts. I faced occasional problems with the online manuscript submission (Pre-publishing) system, which have to be addressed.
Overall, the publishing process with JCDR has been smooth, quick and relatively hassle free and I can recommend other authors to consider the journal as an outlet for their work."



Dr. P. Ravi Shankar
KIST Medical College, P.O. Box 14142, Kathmandu, Nepal.
E-mail: ravi.dr.shankar@gmail.com
On April 2011
Anuradha

Dear team JCDR, I would like to thank you for the very professional and polite service provided by everyone at JCDR. While i have been in the field of writing and editing for sometime, this has been my first attempt in publishing a scientific paper.Thank you for hand-holding me through the process.


Dr. Anuradha
E-mail: anuradha2nittur@gmail.com
On Jan 2020

Important Notice

Original article / research
Year : 2022 | Month : January | Volume : 16 | Issue : 1 | Page : KC01 - KC07 Full Version

In-vitro Study of Macelignan as a Potential Anticancer Drug against Colorectal Cancer using HCT116 Cell Line


Published: January 1, 2022 | DOI: https://doi.org/10.7860/JCDR/2022/53339.15787
M Salma Kausar, BK Manjunath

1. Assistant Professor, Department of Biotechnology, The Oxford College of Engineering, Bengaluru, Karnataka, India. 2. Professor, Department of Biotechnology, The Oxford College of Engineering, Bengaluru, Karnataka, India.

Correspondence Address :
BK Manjunath,
10?sup>th Mile Stone, Bommanahalli, Hosur Road, Bengaluru, Karnataka, India.
E-mail: dr.manjunath.toce@gmail.com

Abstract

Introduction: Many recent studies have shown that lignans from many plant sources have an effective impact on cancer treatment and it is evident that many medicinal plants are rich in lignans. Genus Leucas is known for its medicinal use and is rich in lignans. Macelignan a polyphenolic derivative might play significant roles as clinically useful anticancer agents in treating Colorectal Cancer (CRC).

Aim: Isolation, characterisation and pharmacological profiling of bioactive compound lignan from Leucas aspera and Leucas cephalotes and to assess the anticancer potential using in-vitro methods using Human Colorectal Cancer (HCT116) cell lines.

Materials and Methods: This in-vitro study was conducted from August 2018 to January 2020 at The Oxford College of Engineering in Bengaluru, Karnataka, India. Anticancer potential of Macelignan was evaluated through 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, Reactive Oxygen Species (ROS) measurement, cell cycle study, apoptosis analysis, and gene expression studies. One-way Analysis of Variance (ANOVA) was performed for the total phenolic content estimation and the results were expressed as mean±SD with n=3 trials.

Results: The MTT assay result indicated that macelignan has an IC50 value of 22.8 μM with 73% of cells showing inhibition, ROS production was enhanced 2.5-fold at a maximum concentration at 100 μM. Macelignan (12.5 μM and 25 μM) significantly prevented cell growth in G0/G1 and G2 phases of the cell cycle, while the apoptotic study showed that 12.5 μM and 25 μM macelignan induced early and late apoptosis in HCT116 cells with 21.28% and 19.17%, 21.54 % and 29.02% apoptosis at cellular level, respectively. This set of tests sought to examine the effect of macelignan on the Caspase 3 gene expression in HCT116 cells by semi-quantitative Polymerase Chain Reaction (PCR). The study showed that Caspase 3 expression was upregulated up to 1.98 and 2.87 folds when treated with macelignan.

Conclusion: The macelignan could serve as a potent drug derivative for the treatment of colon cancer with further study on the mechanism of action, structure-activity relation, toxicity profiling, bioavailability.

Keywords

Apoptosis, Caspase 3, Cell growth, Cytotoxicity, Human colorectal cancer, Reactive oxygen species production

Cancer is one of the most serious health issues affecting the length and quality of human life and has been classified as one of the deadliest diseases affecting mankind worldwide. Limited success has been witnessed even with enormous effort put to cope with the disease. Since conventional therapeutic strategies do not meet the essential requirements for successful cancer therapy, the use of natural bioactive compounds isolated from medicinal plants such as Leucas aspera as anticancer agents has emerged as an alternative safe, inexpensive, and convenient method. Four of the most common cancers are lung, breast, prostate, and colon cancer (1).

Colorectal Cancer (CRC) is predominantly the 2nd most fatal cancer and the 3rd most widespread malignant tumour globally. A 2018 survey reported 1.8 million new CRC cases and 881,000 deaths, accounting for nearly 10% of new cancer cases and deaths on the global death scale (2). Generally, CRC is characterised as an uncharacteristic growth on the internal lining of colon epithelial cells that are surgically removed upon early diagnosis (3). The existing treatment for CRC consists of chemotherapy with solo drug fluoropyrimidine and numerous agent regimes including capecitabine, oxaliplatin, and irinotecan (4).

Leucas aspera Linn. (L.aspera) is a widely distributed herbaceous plant across the Indian subcontinent, which belongs to the family Lamiaceae and is an annual, branched plant. The taxonomic classification and anatomy of this plant are well documented through many research studies (5),(6),(7),(8). The plant is known to contain many potent metabolites like triterpenoids, oleanolic acid, urosolic acid, β-sitosterol, nicotine, sterols, glucoside, diterpenes, and phenolic compounds (8). Indian traditional medicines Ayurveda and Siddha use this plant. The plant is reported to have pharmacologic activities like carminative, antihistaminic, antipyretic, and antiseptic. It is used to treat diseases like jaundice, anorexia, dyspepsia, fever, helminthic infestation, respiratory and skin diseases (9).

From the study on green synthesis of silver nanoparticles of L.aspera, it has been reported that these plants serve as potent herbs (10), and have been reported to contain many phytotoxic components (11).

Leucas cephalotes another species commonly called “Dronapushpi” in Sanskrit belonging to the family Lamiaceae as L.aspera , is a weed and grows in monsoon. Reportedly, two protostane-type triterpenoids named leucastrins A and B and oleanolic acid were isolated from L.cephalotes (12). Triterpenoids β-sitosterol (13), stigmasterol (14), lupeol (15),(16), labellinic acid isolated were also reported from L.cephalotes (17). Aliphatic esters (18), essential oils (19),(20), flavones (20) were other metabolites that have been successfully isolated from L.cephalotes.

Macelignan, a class of secondary metabolite classified as phytolignan, a polyphenolic derivative might offer new anticancer therapeutic ability and play significant roles as clinically useful anticancer agents in treating CRC (21). In this context, the present study was undertaken to evaluate the anticancer efficacy of the macelignan isolated from L.aspera and L.cephalotes on CRC cell line HCT116, and a sincere attempt was made to provide scientific validation for the role of macelignan as a therapeutic lead molecule in treating CRC.

Material and Methods

This in-vitro study was conducted from August 2018 to January 2020 at the Oxford College of Engineering, Bengaluru, Karnataka, India. The experiment was carried out under a controlled laboratory environment, at the approved research centre and, this does not require ethical approval from regulatory committees.

Study Procedure

Collection of plant sample: The plants of L.aspera and L.cephalotes were collected from the Western Ghats region and Turahalli Forest of Karnataka, India. Taxonomical identification was performed and the samples were deposited with the Research and Development Centre, Department of Biotechnology, Oxford College of Engineering.

Preparation of plant extracts: Whole plants of L.aspera and L.cephalotes were washed, dried in shade, and pulverised with a blender. 100 gm of defatted plant residues were subjected to cold hydroethanolic extraction in ethanol: water (ratio 3:1), the samples were left to stand overnight and the extract was collected by vacuum filtration. The extract was concentrated and vacuum dried using a rotary flash evaporator (IKA, Germany).

Column chromatography: The polyphenols of both samples were separated using Sephadex LH-20 column chromatography. The column was mobilised by adding homogenised gel with a methanol solution concentration of 99.9%. Fractions containing polyphenols were pooled and subjected to High Performance Liquid Chromatography (HPLC) for purity (22).

Estimation of total phenolic content by Folin-Ciocalteu (FC) method: Phenolic content present in the extract reacts with the phosphomolybdic acid present in the FC reagent and forms a blue complex (molybdenum blue). Aliquots of the gallic acid standard (0.2-1.0 mL) and simultaneously 0.1 mL of crude extract and a sample eluted from column chromatography were taken and methanol was added to all tubes to increase the volume to 3.0 mL. Total 0.5 mL of Folin-Ciocalteu reagent was added to tubes and incubated for six minutes at Retention Time (RT) and 1.0 mL of 20% Na2CO3 was added and incubated for 1 hour in the dark. The developed blue colour was read at 650 nm. Gallic acid was used as the standard and total phenolics were expressed in Gallic Acid Equivalent (GAE)/100 mg (23),(24).

High Performance Liquid Chromatography (HPLC): Sephadex LH-20 Column chromatography was used to separate polyphenols. The column was mobilised by adding homogenised gel at a concentration using 99.9% methanol solution. Polyphenol-containing fractions were combined and submitted to phenolic content estimate and HPLC purity testing (Pharmacia Corporation) to obtain pure lignan using the ODS-reverse phase column (25).

Gas Chromatography-Mass Spectrometry (GCMS) analysis: Gas Chromatography (GC) analysis was carried out using Agilent 6890N GC equipped with photon multiplier tube as detector coupled to front injector type 1079. The chromatograph was fitted with HP 5 MS capillary column (30 m×0.25 mm i.d., film thickness 0.25 mm). The injector temperature was set at 250°C, and the oven temperature was initially set at 70°C, held for 4 minutes then programmed to 200°C at the rate of 10°C/min and finally held at 200°C for 13 minutes. Helium was used as a carrier gas with a flow rate of 1.5 mL/min. 0.2 μL of the sample (diluted with methanol 1:10) was injected in the splitless mode. The mass spectrometer was operated in the electron impact mode at 70 eV. Ion source and transfer line temperature were kept at 250°C. The mass spectra were obtained by centroid scan of the mass range from 50-600 amu. The compounds were identified based on the comparison of their Retention Indices (RI), Retention Time (RT), mass spectra of WILEY, NIST library data of the GC-MS system, and literature data (Robert A, 2005), (25).

Cell lines and culture medium: Stock cells of HCT116 cell lines obtained from American Type Culture Collection (ATCC), were grown in modified Roswell Park Memorial Institute (RPMI) 1640 media with 10% inactivated fetal bovine serum (FBS), penicillin (100 IU/ml), and streptomycin (100 μg/ml) to confluent in CO2 incubator at 37°C. The dissociation solution {0.2% trypsin, 0.02% EDTA, 0.05% glucose in Phosphate Buffered Saline (PBS)} was used to dissociate cell. The cellular viability was checked (26),(27).

Cytotoxicity assay: The cytotoxicity activity of crude extract and purified bioactive macelignan was studied by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay. HCT116 cell lines cultured at a concentration of 105 cells/well were seeded in a 96 well plate and incubated for 24 hours at 37°C. Doxorubicin and Dimethyl Sulfoxide (DMSO) were used as positive and negative controls. Further, the MTT assay kit (Himedia) guidelines were followed. The absorbance was read using a microplate reader at 590 nm (28). Half maximal inhibitory concentration (IC50) values were generated from the dose-response curves for different concentrations of test drugs (28).

Reactive Oxygen Species (ROS) measurement: Intracellular levels of ROS were determined using the 2’, 7’- Dichlorofluorescein Diacetate (DCFDA) method. DCFDA is a ROS-sensitive fluorescence indicator. HCT116 cells at a concentration of 5×105 cells/well were seeded in a 96-well titer plate and after 24 hour of incubation 100 μL of test compound with varying concentrations were added and incubated for 24 hour. Treated samples were removed from the plates and washed with 1X PBS to which 100 μL of 25 μM DCFDA solution was added and incubated at 37°C for 30 minutes. The fluorescence was measured using a microplate reader at 485/535 nm (29).

Apoptosis analysis: Apoptosis is a cell death process with morphological and biochemical characteristics that appear at different stages. Apoptosis begins with varying kinetics depending on the cell type and ends with cell disintegration and the creation of apoptotic bodies. Several alterations on the surface of apoptotic cells have previously been identified, including the expression of thrombospondin binding sites, the removal of sialic acid residues, and the exposure of phospholipid-like phosphatidylserine (PS) (30),(31). Annexin V, a member of the annexins family of anticoagulant proteins, has shown to be a valuable tool in detecting apoptotic cells since it preferentially attaches to negatively charged phospholipids such as PS in the presence of Ca2+ and has a low affinity to phosphatidylcholine and sphingomyelin (32).

The HCT116 cells were subjected to Flow cytometry by Annexin V- Fluorescein Isothiocyanate (FITC) staining to determine the apoptotic cell distribution. A 1×105 cells per well were seeded in a 96 well plate. After 18 hours, the cells were treated with different concentrations of the test sample to induce apoptosis. After 24 hours of incubation, cells were pelleted. The pellet was rinsed in cold PBS and resuspended in 1 mL 1X binding buffer. A 500 μL of cell suspension was aliquoted with 5 μL Annexin V and 10 μL of Propidium Iodide (PI), 15 minutes of incubation was done at RT in dark, followed by flow cytometric analysis (31),(32),(33).

Cell cycle analysis: Cell cycle distribution was analysed by flow cytometry using PI staining. Briefly, 1x106 cells were seeded and cultured for 24 hours in a 96-well plate with 2 mL serum-free media. Cells were later treated with different concentrations of test compound and incubated for 24 hours. Cells were pelleted and washed in 2 mL of 1X PBS and were fixed in 300 μL of sheath fluid and 1 mL of chilled 70% ethanol was added. Cell pellets were stained with PI (20 μg/mL) in presence of RNase A (0.05 mg/mL) and incubated for 15 minutes in the dark. Determination of percentage of cells in various stages of the cell cycle in treated and untreated populations was done using Fluorescence-Activated Cell Sorter (FACS) Caliber (BD Biosciences, San Jose, CA) (34).

Gene expression studies: About 1×106 cells cultured with P35 were subjected to test sample followed with RNA isolation with TRIzolTM Reagent (In-vitro gen,) according to the manufacturer’s instructions, and the extracted mRNA was further subjected to Reverse Transcription- PCR (RT-PCR). RT-PCR was carried out (Thermo Fischer VERITI Scientific system) to determine the levels of β-Actin mRNA and caspase 3 expressions. The cDNA was synthesised from 2 μg of RNA using the Verso cDNA synthesis kit (Thermo Fischer Scientific) with oligo dT primer and the assay was performed as per the manufacturer’s instructions (29). The optimal cycles were selected for amplification of these genes experimentally such that it was in the exponential range and would not reach a plateau. Results were measured quantitatively using the optical density of the bands (computerised imaging program Image J). The values were normalised to β-Actin intensity levels.

Statistical Analysis

One-way Analysis of Variance (ANOVA) was performed for the total phenolic content estimation and the results are expressed as mean±SD with n=3 trials. And non linear regression analysis using Graph Pad Prism 6 software was performed for the cytotoxicity study and graphical representation of the same has been incorporated in the results.

Results

1. Total Phenolic Content

In the present study, on the total phenolic content of L.aspera and L.cephalotes, L.cephalotes showed the highest phenolic content of 7400±152.75 mg of GAE/100 g of plant extract in comparison to L.aspera which recorded 7133±152.75 mg of GAE/100 gm of plant extract (Table/Fig 1)a,b. The results of this study reveal that both plants possess a considerable amount of phenolic content that offers potential radical scavenging ability.

2. High Performance Liquid Chromatography

This analysis spectra of an eluted fraction of L.aspera and L.cephalotes showed the bioactive compound with different RTs as shown in (Table/Fig 2),(Table/Fig 3). Various fractions were eluted by column chromatography and based on the chromatogram pattern the fractions were collected with similar Rf values and evaluated by GCMS. The hydroethanolic fraction of L.aspera and L.cephalotes yielded bioactive compounds when eluted with ethanol:water (3:1). The compounds obtained were fatty acid esters and phenolic derivatives which belong to various classes of flavonoids and lignans (Table/Fig 4),(Table/Fig 5),(Table/Fig 6),(Table/Fig 7). One of the common compounds found in both the samples was Macelignan belonging to the lignan family of polyphenolics which has previously not been reported as isolated from L.cephalotes whereas the other compounds have been reported to be isolated from another family of L.amiaceae. As macelignan though isolated is the novel compound isolated from L.cephalotes which has not formed part of any previous anticancer study, an attempt to purify it was done, and its anticancer properties were evaluated against CRC using the HCT116 cell line.

3. Cytotoxicity Test

The cytotoxicity of the isolated compound on HCT116 cells was evaluated using the MTT test. The IC50 of a drug was ascertained by building a dose-response curve and an examination of the effect of different concentrations of antagonists on reversing agonist activity was made. The IC50 value of macelignan was found to be 22.83 μM while that of doxorubicin was 15 μM. From a non linear regression analysis based on the sigmoid dose-response curve (variable), IC50 values for cytotoxicity tests were obtained. Statistically, a non linear regression graph obtained using Graph Pad Prism 6 (Graph pad, San Diego, CA, USA) revealed that [Table/Fig-8a,b] about 73% of the cells were inhibited at a maximum concentration (100 μM) by macelignan against doxorubicin which showed 79% inhibition. Therefore, it can be considered that macelignan exhibited a cytotoxicity property as good as the standard drug.

4. Macelignan Exhibited Better Apoptosis Effect and Reactive Oxygen Species (ROS) Measurement

Flow cytometry was used for quantitative measurement of cellular apoptosis following annexin V-FITC/PI double staining. Annexin V was used as a marker to detect early apoptosis and PI to late apoptosis and necrosis. The cells treated with 25 μM of doxorubicin, induced early and late apoptosis in HCT116 cells with 48.43% and 3.71%, respectively as 12.5 μM and 25 μM of macelignan induced early and late apoptosis in HCT116 cells with 21.28% and 19.17%, 21.54% and 29.02% apoptotic cells respectively. These conclusions are drawn upon observation indicated in the form of the cells scattered in the lower right and upper right region of the quadrant presented in the X-axis, as shown in (Table/Fig 9).

The results clearly show the programmed cell death-induced effect of macelignan was comparatively stronger than the control.

Intracellular ROS plays an important role in mediating cell death. The intracellular ROS levels in the HCT116 cells were measured using the DCFDA method. Measuring the fluorescence in terms of Relative Fluorescence Unit (RFU) at 485/535 nm, revealed macelignan enhanced the ROS production up to 2.5 folds at its maximum concentration (100 μM) in HCT116 cells (Table/Fig 10). The results obtained indicate elevated levels of ROS which generally is a result of greater mitochondrial membrane potential. From our study, we infer that the 2.5-fold increase of ROS production strongly supports the cancer cell death through ROS dependent mechanism (Table/Fig 11).

5. Cell Cycle Arrest and Gene Expression Studies

The effect of macelignan on cell cycle distribution was calculated using flow cytometry. Macelignan (12.5 μM and 25 μM) stimulated arrest in G0/G1 phase and G2 phase. The percentage of cells arrested at different stages in comparison to standard doxorubicin is shown in (Table/Fig 12). A schematic of overlay representing cell cycle arrest with different concentrations of macelignan along with doxorubicin is indicated in (Table/Fig 13). There is no direct study investigating the effect of the compound on caspase 3 gene expression on HCT116, hence the effectiveness of cells was determined by semiquantitative PCR. β-Actin was used as a control to normalise the gene expression. The study revealed that the caspase 3 expression was upregulated up to 1.98 and 2.87 folds in the treatment of macelignan (Table/Fig 14),(Table/Fig 15).

Discussion

Since ancient times, plants and their bioactive compounds such as phenols, terpenoids, flavonoids, sterols, and coumarins are in medicinal practices and several phytoconstituents from medicinal plants species inhibit the progression and development of cancer. Several isolated phytochemicals such as flavonoids, lignans, terpenes, saponins, vitamins, etc., play a significant role in inhibiting cancer cell-activating proteins, enzymes, and signalling pathways (35). These phytoconstituents work on various mechanisms of signaling pathways such as apoptosis and cell cycle arrest at G2/M phase, anti apoptotic proteins c-IAP and Bcl-2, activation of pro-apoptotic protein such as p21, p53, caspases 3, and caspase 9, induction of ROS, inhibition of topoisomerase-1 and cyclooxygenase, etc., (36),(37). Novel anticancer drugs could, therefore, be useful in ameliorating damage with less severe side effects than the synthetic drugs currently available.

In the present study, a systematic screening approach has been followed to isolate and purify macelignan from L.cephalotes and L.aspera. The obtained compound thus may behave in a way as to induce apoptosis in cancer cells. Another study looked into the effect of macelignan on P-gp and cytochrome P450 enzyme (CYP3A4)-mediated drug metabolism, with the goal of finding a way to improve the bioavailability of paclitaxel, an anti-neoplastic medicine with anti-tumoural properties (38). Several researchers have reported that macelignan could possess therapeutic properties and its subsequent isolation and screening from nutmeg have shown it to work as a potent biomolecule against obesity, diabetes and also as an antiaging molecule (39).

Studies by Lee KE et al., have reported macelignan, a natural lignan compound isolated from Myristica fragrans Houtt. (nutmeg), to possess antioxidant and anti-inflammatory activities when investigated on mechanisms of action in UV-irradiated human skin fibroblasts (Hs68) by RT-PCR, DCFDA assay, and ELISA (40). A review summarised by Paul S et al., suggests, that macelignan has been shown to possess a spectrum of pharmacological activities, including anti-bacterial, anti-inflammatory, anti-cancer, anti-diabetes, and hepatoprotective activities; recent studies have also suggested that it could have neuroprotective activities (21).

This study was aimed at isolating and screening macelignan as a potential anticancer drug molecule. The results obtained on the cytotoxic effect of macelignan against HCT116 showed good effect with 73% of the cancer cell inhibition at a maximum concentration of 100 μM, which was significantly compared with standard doxorubicin which showed inhibition of 79%. The effect of macelignan on apoptosis and ROS measurement are also suggestive that, this molecule could potentially induce programmed cell death at 12.5 μM and 25 μM concentrations, which was found to be better than the standard drug. The present study also infers a 2.5 fold increase in ROS production which makes macelignan a favorable bioactive molecule. The present study showed that macelignan at concentrations of 12.5 μM and 25 μM induced cell cycle arrest in the G0/G1 phase and G2 phase, and upregulation of caspase 3 gene up to 1.98 and 2.87 folds was observed.

Limitation(s)

Though the present study suggests that macelignan could be a lead derivative, as anticancer drug molecule for CRC type. However, further investigations such as in-vivo studies, detection of its bioavailability, preclinical and clinical studies and mechanism of action at molecular level are required to authenticate the claims. Furthermore, the plant under study should be mass produced and macelignan expression has to be enhanced for increased yield.

Conclusion

The present study concluded that the isolated natural bioactive compound from the hydroethanolic extraction method from L.cephalotes was identified as macelignan based on the gas chromatography mass spectrometry characterisation. Based on the findings of this investigation, it is clear that the medicinal plant in question has a secondary metabolite with therapeutic potential. These plant’s phytoconstituent and antioxidant profiles indicate that they can scavenge free radicals generated in the system and so can be utilised in the development of herbal formulations. The pure compound’s anticancer potential could be regarded as a novel source for obtaining the lead and developing a new herbal medicine formulation. However, more clinical research on its safety profile, dose, and absorption is needed to aid in the development of natural anticancer medication.

Acknowledgement

The authors would like to acknowledge the Management, Principal and R and D centre, Department of Biotechnology for the support extended to carry out the research work. The authors would like to acknowledge the financial assistance given by the Vision group of Science and Technology (VGST), Governement of Karnataka towards the research work.

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DOI and Others

DOI: 10.7860/JCDR/2021/53339.15787

Date of Submission: Nov 18, 2021
Date of Peer Review: Dec 05, 2021
Date of Acceptance: Dec 22, 2021
Date of Publishing: Jan 01, 2022

Author declaration :
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? NA
• Was informed consent obtained from the subjects involved in the study? NA
• For any images presented appropriate consent has been obtained from the subjects. NA

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