Figures
Abstract
Hyaluronidase has been emerging as a potential target for cancer treatment. Herein, the anticancer effects against A549 NSCLC cells and hyaluronidase inhibitory activity of the ethanol extract of Xenostegia tridentata (L.) D.F. Austin & Staples and its subfractions were investigated. In correlation with their hyaluronidase inhibition, the hexane subfraction exhibited the most potent cytotoxicity, and the ethyl acetate subfraction could significantly inhibit the cancer cell migration. The hexane and ethyl acetate fractions were then further isolated to identify the active compounds responsible for the anticancer and hyaluronidase inhibitory activities. Among the 10 isolated compounds, lutein (5), a previously reported anti-lung cancer agent, showed the strongest inhibition on hyaluronidase enzyme activity. Its anticancer activities were validated. Notably, in addition to demonstrating the potential of X. tridentata extract for NSCLC treatment, this study discloses that hyaluronidase is a potential target for the anticancer activities of lutein. The cellular mechanisms underlying the hyaluronidase inhibitory activity of X. tridentata extract need to be further explored to fully understand how this inhibition contributes to its anti-cancer effects.
Citation: Chatwichien J, Semakul N, Yimklan S, Suwanwong N, Naksing P, Ruchirawat S (2024) Lutein derived from Xenostegia tridentata exhibits anticancer activities against A549 lung cancer cells via hyaluronidase inhibition. PLoS ONE 19(12): e0315570. https://doi.org/10.1371/journal.pone.0315570
Editor: Vinh Le Ba, University of Bergen: Universitetet i Bergen, NORWAY
Received: September 23, 2024; Accepted: November 26, 2024; Published: December 16, 2024
Copyright: © 2024 Chatwichien et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Data Availability: All relevant data are within the manuscript and its Supporting Information files.
Funding: JC: Office of the Permanent Secretary, Ministry of Higher Education, Science, Research and Innovation (OPS-MHESI) [grant number RGNS 64-239] and Chulabhorn Graduate Institute JC: Chulabhorn Royal Academy (Fundamental Fund: fiscal year 2024 by National Science Research and Innovation Fund [FRB670024/0240 Project code 198480]) NS: the Postdoctoral Research Fund from Chulabhorn Graduate Institute [grant number CGIP(2022)/ 01].
Competing interests: The authors have declared that no competing interests exist.
1. Introduction
Lung cancer is one of the most common cancer types with a low 5-year survival rate [1]. Due to the increasing air pollution and infectious respiratory diseases, the global number of new patients has kept increasing significantly every year [2]. Since non-small-cell lung cancer (NSCLC) is the major type (approximately 85%) of lung cancer, searching for effective NSCLC treatment and prevention is urgently needed.
Hyaluronan (HA), an acidic polysaccharide composed of different numbers of repeating disaccharide units of D-glucuronic acid (GlcA) and N-acetyl-D-glucosamine (GlcNAc) linked with glycosidic bonds, is one of the major nonprotein components of the extracellular matrix (ECM) of animals [3]. Different sizes of HA are synthesized by the transmembrane enzymes, HA synthases (HAS1-3), and extruded from the cytoplasm to the ECM. Conversely, the polymer chain of HA can be degraded mainly by two factors which are oxygen free radicals and hyaluronidases. Hyal1-2, PH-20, HYBID (hyaluronan binding protein involved in hyaluronan depolymerization), and TMEM2 (transmembrane protein 2) have been identified as hyaluronidases involved in hyaluronan degradation in human tissues [4]. Depending on the size, HA interacts with its receptors differently, leading to dissimilar biological effects [5,6]. CD44 and RHAMM (receptor for HA-mediated motility) are known as the two main HA receptors [7]. Besides serving as a structural element and an extracellular reservoir to hold large amounts of water and metal ions to maintain tissue homeostasis, high molecular weight-HA (HMW-HA) possesses antiangiogenic and antiproliferative properties. HMW-HA binding with CD44 mediates CD44 clustering, resulting in the activation of the tumor-suppressive Hippo pathway [8]. In contrast, low molecular weight-HA (LMW-HA) possesses pro-tumor functions. LMW-HA can non-covalently interact with different receptors (e.g. CD44, RHAMM and TLRs), mediating signaling cascades related to many cellular functions, including cell proliferation, differentiation, and migration [9].
In addition to other known cancer targets, the HA-synthesizing and -degrading enzymes, as well as HA receptors (e.g.CD44 and RHAMM) are upregulated in NSCLC cells, resulting in enhanced HA turnover through its synthesis and degradation [10]. A high level of the resulting LMW-HA corresponds with tumor progression and metastasis [11,12]. Both HA synthases and hyaluronidases are therefore emerging as promising targets for cancer treatment [13–15]. Previous reports have shown that inhibition of the interaction between LMW-HA and CD44/RHAMM can be a potential approach for lung cancer treatment. For example, the downregulation of RHAMM could induce A549 NSCLC cell apoptosis upon radiotherapy [16]. Insulin-like growth factor binding protein-3 (IGFBP-3) was found to inhibit A549 cell viability by binding to HA and blocking HA-CD44 signaling [17]. Emodin [18] and triptolide [19] could downregulate HAS2 expression in NSCLC cells, reducing the HA production and secretion, and consequently inducing the cell-cycle arrest and inhibiting the cell proliferation. 3-Fluoro-N-(2-((1,2,3,4-tetrahydroacridin-9-yl)amino)ethyl)benzamide, a 3-fluorobenzoic acid derivative, was found to inhibit hyaluronidase activity, corresponding to its antiproliferation against A549 cells [20].
In addition to synthetic molecules, many crude extracts and naturally occurring compounds were shown to possess hyaluronidase inhibitory activity. For example, the crude hydroalcoholic extract and its butanol subfraction from the leaves of Ravenala madagascariensis (Sonn.) could inhibit hyaluronidase activity [21]. Bioassay-guided isolation and metabolomic analysis led to the identification of flavonoids, narcissin, rutin, and quercetin-3-O-glucoside, as promising hyaluronidase inhibitors. The extract containing rosmarinic acid, a phenylpropanoid, from Melissa Officinalis Linn. possessed anti-allergic activity presumably by its potent suppressive effect on hyaluronidase [22]. Five phenylpropanoids including clinopodic acid C, lycopic acid A, clinopodic acid E and lycopic acid B, isolated from Lycopus lucidus Turcz (Lamiaceae), showed hyaluronidase inhibitory activity comparable to that of rosmarinic acid [23]. Plants are therefore a potential source of hyaluronidase inhibitors.
Xenostegia tridentata (L.) D.F. Austin & Staples was recorded as a main component in Prasaranadi Kashayam, a well-known traditional Indian medicine [24]. As folk wisdom, this medicinal plant has been used to cure many diseases, including rheumatism, skin infections, fever, diabetes, diarrhea, and urinary disorders. Flavonoids, phenolics, ergosine alkaloids, pyrrolidine alkaloids like hygrine and nicotine have been isolated from the plant [25]. In addition to previous extensive studies on its broad biological activities, including antioxidant, antidiabetic, anti-inflammatory, anti-arthritis, analgesic, wound healing, antimicrobial and larvicidal activities [26–29], our group recently discovered that the ethanol extract of X. tridentata also possesses anti-allergic activity in both in vitro and in vivo models [30]. Corresponding to the literature that X. tridentata is a flavonoid- and polyphenol-rich plant, 3,5-dicaffeoylquinic acid, quercetin-3-O-rhamnoside, kaempferol-3-O-rhamnoside, and luteolin-7-O-glucoside isolated from the ethyl acetate subfraction were found to be responsible for the observed anti-allergic activities. Despite extensive studies of the phytochemicals and bioactivities of X. tridentata, knowledge of its chemical components is still limited, and its anticancer activity has never been revealed.
Hyaluronidase is a potential anticancer target and many polyphenols and flavonoids such as luteolin, quercetin, and kaempferol, the components present in X. tridentata, are known to possess hyaluronidase inhibitory activity. Accordingly, the anticancer activities against A549 cells and hyaluronidase inhibition of the extracts from X. tridentata were evaluated in this study. Bioassay-guided isolation was also performed to identify the active hyaluronidase inhibitors derived from the plant.
2. Materials and methods
2.1. General information
All chemicals and solvents used were at least of analytical grade. Solvents were purchased from RCI Labscan Limited. Cisplatin and quercetin were purchased from TCI Japan and Sigma Aldrich, respectively. 1H and 13C NMR spectra were recorded at 298 K on a Bruker Avance 300 MHz or a Bruker ASCEND 600 MHz NMR spectrometer. High-resolution mass spectra (HRMS) were obtained using ESI or APCI ionization mode on an Orbitrap Fusion Tribrid mass spectrometer (Thermo, Massachusetts, USA).
2.2. Preparation of X. tridentata crude extracts
Plant material.
Xenostegia tridentata (L.) D.F. Austin & Staples was harvested in Chonburi province, Thailand 13°05’54.2”N and 101°09’47.2”E in January 2018. The plant species was kindly identified by Dr. Pranee Nangam at Faculty of Science, Naresuan University and the specimen was deposited at the PNU plant herbarium, Department of Biology, Faculty of Science, Naresuan University, Thailand (Voucher ID: 004662). The sample was washed with distilled water and shade-dried before grinding into powder and storing at -20°C until used. Since the plant sample was collected from roadside area, the study did not need specific permissions or licenses.
Preparation of crude ethanol extract.
The powder of the air-dried aerial part (50.0 g) of X. tridentata was macerated with absolute ethanol (500 mL) at room temperature for 24 h. The extract was filtered, and the residue was re-extracted twice as described. The filtrates were combined and evaporated under vacuum at 40°C to dryness by using a rotary evaporator to yield crude ethanol extract (cr. EtOH) as a green viscous liquid (5.2 g, yield: 10.4%).
Partition of crude ethanol extract.
The crude EtOH extract (5.0 g) was added with 50 mL of distilled water. Sequential extraction with hexane (5 x 50 mL), ethyl acetate (5 x 50 mL), and n-butanol (2 x 50 mL), respectively, was performed. Each of the resulting partitions and the remaining fraction (water) were combined separately and concentrated under vacuum at 40°C to yield four subfractions, namely Hex (2.1 g, yield: 42%), EA (0.2 g, yield: 4%), BuOH (0.6 g, yield: 12%), and H2O (1.2 g, yield: 24%), respectively.
2.3. Evaluation of anticancer activities
Cell culture.
A549 and L929 cell lines were obtained from National center for genetic engineering and biotechnology (BIOTEC) and Prof. Tanapat Palaga, department of microbiology, faculty of science, Chulalongkorn university, respectively. Cells were cultured in Dulbecco’s modified Eagle’s medium (DMEM; Gibco) supplemented with 10% fetal bovine serum (FBS; HyClone) and 1% penicillin-streptomycin (Gibco), under 5% CO2, at 37°C.
MTT assay.
The cytotoxicity was determined by using 3-(4,5-Dimethylthiazol-2-yl)-2,5-Diphenyltetrazolium Bromide (MTT) assay. Briefly, the cells were seeded at 10,000 cells/well in a 96-well plate and allowed to grow for 16 h before incubation with solutions of the samples at the designated concentrations or DMSO (vehicle control) in the culture medium. After 48 h of incubation, the cells were added with MTT solution (0.5 mg/mL in culture medium) and incubated at 37°C for 3 hours. The solution was then replaced with 100 μL of DMSO, and absorbance at 570 nm was measured using a microplate reader (Varioskan LUX multimode microplate reader, Thermo Scientific). The %inhibition was calculated relative to the vehicle control, and IC50 values were calculated by using GraphPad Prism 5.0 software.
Scratch assay.
The inhibition of cancer cell migration was evaluated by using a scratch assay. A549 cells were plated into a 24-well plate at a density of 2x105 cells/well and allowed to form a confluent monolayer for 24 h. Subsequently, the monolayer was scratched with a sterile pipette tip (200 μL) and washed with PBS buffer to remove floating and detached cells. The cells were then treated with the sample or DMSO (vehicle control) in culture medium. The scratched areas were photographed (magnification, x4) at 0, 24, and 48 h. The degree of cell migration was quantified by measuring the percentage change in wound area at each time point relative to the initial wound area.
2.4. Determination of hyaluronidase inhibitory activity
The hyaluronidase inhibitory activity of the extracts and compounds derived from X. tridentata was determined by using a turbidimetric assay. The experiment was performed by following the protocol of Hyaluronidase Inhibitor Screening Assay Kit (Sigma Aldrich) with modification. In brief, 40 μL of hyaluronidase enzyme solution (10 U/mL, Sigma Aldrich: H3506) in enzyme buffer (20 mM sodium phosphate with 77 mM sodium chloride and 0.01% (w/v) bovine serum albumin, pH 7.0 at 37°C) was incubated with 20 μL of the tested samples or DMSO (vehicle control) in assay buffer (300 mM sodium phosphate, pH 5.35 at 37°C) for 15 min at room temperature. Then, 40 μL of 0.3% (w/v) hyaluronic acid (Sigma Aldrich: H5388) in the assay buffer was added, and the mixture was further incubated for 20 min at room temperature. The enzymatic reaction was then stopped by adding 160 μL of stop buffer (24 mM sodium acetate, 79 mM acetic acid with 0.1% (w/v) bovine serum albumin, pH 3.75 at 25°C) and the mixture was incubated for 10 min at room temperature. Enzyme activity was then quantified by measuring absorbance at 600 nm using a microplate reader (Varioskan LUX multimode microplate reader, Thermo Scientific) to determine turbidity caused by the remaining of the undegraded hyaluronic substrate. The percentage inhibition was calculated according to the following equation.
Where, ODNEC = OD value at 600 nm of the no enzyme control (NEC)
2.5. Immunofluorescence staining for hyaluronan
A549 cells were grown and treated on a cell culture chamber slide. After 24 h of incubation, the cells were washed with PBS before fixing with 4% formaldehyde in PBS for 10 min at room temperature. The cells were permeabilized with 0.1% Triton X-100 in PBS for 5 min. After thorough washing with PBS, blocking was performed by incubation with 5% BSA in PBS for 1 h at room temperature. To determine the hyaluronan content, the cells were incubated with 2 μg/mL biotinylated- hyaluronic acid binding protein (b-HABP) in PBS at 4°C overnight. After washing with PBS, Alexa-Flour 488-Streptavidin conjugate (Invitrogen, Thermo Fisher Scientific, 2 μg/mL in 1% BSA in PBS) was added and incubated for 1 h at room temperature in the dark. DAPI (1 μg/mL) in PBS was used to stain the nuclei. The cells were washed with PBS before mounting on coverslips using MOWIOL mounting medium. The fluorescent signals were then visualized by using a fluorescent microscope (Nikon Eclipse Ti2-E). The mean fluorescent intensity was analyzed by using NIS-Elements imaging software.
2.6. Quantification of LMW hyaluronan
The culture medium of A549 cells treated with the samples for 24 h was collected and centrifuged through Amicon Ultra-0.5 centrifugal filters (100 kDa molecular weight cutoff) at 14000 g for 10 min. The filtrate was then diluted in wash buffer (0.05% v/v Tween-20 in PBS) for LMW-HA quantification by ELISA. Briefly, a 96-well plate (NUNC Maxisorp, Thermo Scientific, USA) was precoated with 1 μg/mL HABP in coating buffer (50 mM carbonate buffer (pH 9.6)) at 4°C overnight and blocked with 1% BSA in PBS at room temperature for 1 h. After washing with the wash buffer, 100 μL of the prepared samples were then transferred into the treated plate and incubated at 4°C overnight. After washing, the samples were incubated with 100 μL b-HABP (0.5 μg/mL) in wash buffer at room temperature for 1 h. Excess b-HABP was then removed by washing with wash buffer. The bound b-HABP was determined by incubating with 100 μL streptavidin-horse radish peroxidase (1:2000 dilution in wash buffer, Biotechne R&D system, DY998) and developing with 100 μL TMB (3, 3’,5, 5’-tetramethylbenzidine, Sigma Aldrich, T4444). The reaction was terminated with 50 μL 2M H2SO4 and the absorbance was measured at 450 nm by using a microplate reader (Varioskan LUX multimode microplate reader, Thermo Scientific). The amount of LMW-HA was calculated according to the standard curve of hyaluronic acid (Sigma Aldrich: H5388).
2.7. Compound isolation
2.0 g of the hexane subfraction was further isolated by using silica gel (70–230 mesh, from Silicycle with catalog number R10040B) column chromatography. The column (30 x 5 cm) was sequentially eluted with EtOAc:Hexane 0:10–10:0 (v/v) and MeOH:CH2Cl2 2:8 (v/v), respectively. The fractions obtained from the column were combined into 6 fractions (F1-6), based on thin-layer chromatography (TLC) profiles. By using silica gel column chromatography, fractions F3 and F5 were further isolated by elution with EtOAc:Hexane 0:10–1:9 (v/v) followed by EtOAc:CH2Cl2 0:10–1:9 (v/v) for F3, and EtOAc:CH2Cl2 0:10–2:8 (v/v) for F5, to yield compounds 1–6. The chemical structures of the isolated compounds were elucidated by using NMR spectroscopy and mass spectrometry techniques and compared with previously published data. For the ethyl acetate fraction, compounds 7–10 were isolated according to our previous report [30]. HPLC analysis was performed to determine the purity of the isolated compounds.
2.8. X-ray crystallographic analysis of compound 1
A suitable crystal of compound 1 (C30H50O) was selected and mounted on a SuperNova, Single source at offset/far, HyPix3000 diffractometer. The crystal was kept at 293(2) K during data collection. Using Olex2, the structure was solved with the SHELXT structure solution program using Intrinsic Phasing and refined with the SHELXL refinement package using Least Squares minimization [31–33]. The crystal structure was refined in monoclinic, space group C2 (no. 5), a = 36.695(4) Å, b = 7.6196(15) Å, c = 10.733(2) Å, β = 92.017(15)°, V = 2999.1(9) Å3, Z = 4, 3706 reflections measured (3.798° ≤ 2θ ≤ 54.462°), 2628 unique (Rint = 0.0752, Rsigma = 0.1630) which were used in all calculations. The final R1 was 0.0897 (I > 2σ(I)) and wR2 was 0.3009 (all data). The crystallographic information is listed in S1 Table.
2.9. Computational simulation
Protein and ligand preparation.
The crystal structure of human hyaluronidase 1 (Hyal-1) with a resolution of 2.0 Å was obtained from the Protein Data Bank (https://www.rcsb.org; PDB ID: 2PE4) [34] and downloaded using the accession number 2PE4. To prepare the protein for docking simulation, chain A of Hyal-1 was selected, bound ligands and water molecules were removed, using BIOVIA Discovery Studio Visualizer (2021) and saved in PDB format. The protein file was opened in AutoDockTools 1.5.6 and saved in PDBQT format.
The selected ligands (compounds 1–10, quercetin, and hyaluronan) were drawn using ChemDraw Profesional 16.0, viewed on BIOVIA Discovery Studio Visualizer (2021), and saved in PDB format. The ligand files were opened in AutoDockTools 1.5.6 and saved in PDBQT format.
Grid box preparation.
The grid box for molecular docking was created with AutoGrid in AutoDockTools 1.5.6 using the previously reported grid box center coordinates [35] to cover all amino acid residues at the active site [34]. The grid box dimensions were specified at 80 Å for the x, y, and z axes, respectively. The grid box center coordinates were specified at 37.045, -17.292, and -11.844 for the x, y, and z axes, respectively [35].
Molecular docking.
Computational simulation studies were conducted using AutoDock4 [36]. The configuration file was prepared using the aforementioned grid box center coordinates and dimensions. The simulation was performed for 1,000 runs for each compound. Once the docking simulations were completed, the results were visualized and analyzed using BIOVIA Discovery Studio Visualizer (2021).
3. Results and discussion
3.1. Anticancer effects of X. tridentata extracts against A549 cells
In this study, ethanol was used as the extracting solvent due to its polarity and ability to efficiently dissolve a wide range of bioactive compounds. The crude ethanol extract of X. tridentata and its subfractions were evaluated for the cytotoxicity against A549 cells. As shown in Fig 1A, from MTT assay, the crude ethanol extract inhibited A549 cancer cell growth in a dose-dependent manner, albeit with weak potency. Among subfractions, hexane extract exhibited the strongest cytotoxicity, with significantly higher activity than that of the crude ethanol extract and other subfractions at 250 μg/mL. To examine selectivity of the active extracts toward cancer cells, the MTT assay was also performed on L929 normal cells. The result shown in Fig 1B indicated that both the crude ethanol extract and the hexane subfraction were more toxic to cancer cells than to normal cells with selectivity indexes of 1.3 and 1.6, respectively. Interestingly, although the ethyl acetate subfraction possessed only a weak cytotoxic effect, it showed the significant inhibitory activity on A549 cell migration at both 24 and 48 hours of incubation, and its activity was higher than that of the ethanol extract (Fig 2). Although the crude ethanol extract of X. tridentata exhibited only moderate anticancer activity, findings from the aforementioned study indicated that further refinement enhanced its efficacy, warranting additional investigation into its active components and mode of action.
a) A549 cells were treated with the crude EtOH extract, subfractions or cisplatin (reference compound) at the designated concentrations for 48 h. The cell viability was determined by using MTT. The percentage of inhibition was calculated based on the absorbance at 570 nm, relative to the absorbance of the vehicle control. *p < 0.05, compared to the vehicle control. b) Selective toxicity of crude EtOH extract and Hex subfraction against cancer cells. The selectivity index (SI) was calculated as the ratio of the IC₅₀ value against L929 normal cells to the IC₅₀ value against A549 cancer cells.
a) A549 cells were plated into a 24-well plate at a density of 2x105 cells/well and allowed to form a confluent monolayer for 24 h. The monolayer was scratched and washed with PBS buffer to remove floating and detached cells. The cells were then treated with the extracts (50 μg/mL), cisplatin (10 μM) or DMSO (vehicle control) in culture medium. The scratched areas were photographed (magnification, x4) at 0, 24, and 48 h. b) The extent of cell migration was evaluated by measuring the percentage change in wound area at each time point relative to the initial wound area. The data are presented as mean ± SD (n = 3). *p < 0.05, compared to the control.
3.2. Hyaluronidase inhibitory activity of X. tridentata extracts
To evaluate the inhibition of hyaluronidase activity, a turbidity assay was performed. The result shown in Table 1 indicated that the hyaluronidase inhibitory activity was not observed for the crude ethanol extract of X. tridentata at the maximum tested concentration of 200 μg/mL. However, its ethyl acetate and hexane subfractions, respectively, exhibited good and moderate dose-dependent inhibition in the same manner as quercetin, a known hyaluronidase inhibitor. To evaluate the inhibition at the cellular level, hyaluronan of A549 cells was visualized and quantified by using immunofluorescence staining. As shown in Fig 3, A549 cells treated with the crude ethanol extract, the hexane and ethyl acetate subfractions, and quercetin showed a cable-like structure (green fluorescence signal), suggesting a higher amount of HMW-HA, as compared with the vehicle control experiment. Interestingly, the trend was not consistent with that of the turbidity assay where the ethyl acetate fraction showed the best inhibitory activity, presumably due to the different sources of hyaluronidases used. The enzyme used in the turbidity assay was obtained from Sigma-Aldrich (H3506) and it contained mainly Hyal-1 and Hyal-2. On the other hand, the most overexpressed hyaluronidase found in A549 cells is TMEM2 [37,38]. Nonetheless, the hyaluronidase inhibitory activity of the crude ethanol extract and the hexane and ethyl acetate subfractions correlated with the aforementioned anticancer effects. The hexane and ethyl acetate fractions were consequently further isolated to identify potential hyaluronidase inhibitors derived from X. tridentata.
a) Representative images of A549 cells treated with X. tridentata extracts (200 μg/mL), quercetin (100 μM) or DMSO (vehicle control) for 24 h before staining with biotinylated-HABP (b-HABP) and Alexa-Flour 488-Streptavidin conjugate (green) and DAPI (blue). The images were captured with 40x objective and integrated 1.5x tube lens. b) Quantification of the mean fluorescent intensity (green) of A549 cells treated with the samples as compared to that of DMSO. The data are presented as mean ± SD. *p < 0.05, compared to the control.
3.3. Isolation of hyaluronidase inhibitors from X. tridentata extracts
The NMR spectrum of the hexane subfraction suggested the presence of a complex mixture of nonpolar components, including glycerides and fatty acids. Nonetheless, upon isolation by using silica gel column chromatography technique, six known compounds including fernenol (1), methyl-3,4-seco-8βH-fernadienoate (2), 2(4’-hydroxyphenyl)-ethyl behenate (3), 3,4-seco-8βH-fernadienoaic acid (4), lutein (5) and glyceryl palmitate (6) were isolated, as depicted in Fig 4. Their chemical structures were elucidated by using NMR and HRMS techniques and compared with previously reported spectra (see S1 and S2 Figs). The structure of fernenol (1) was also confirmed by using single-crystal X-ray diffraction (Fig 4). For the ethyl acetate subfraction, the phenolic and flavonoid glycoside compounds 7–10 were obtained, according to our previous report [30]. The chemical structures are shown in Fig 5. The HPLC chromatograms of the isolated compounds are shown in S2 Fig.
The asymmetric unit of compound 1 is shown.
3.4. Hyaluronidase inhibitory activity of the compounds isolated from X. tridentata
From the turbidity assay (Table 2), compounds 1–10 isolated from the hexane and ethyl acetate subfractions showed dose-dependent inhibition of hyaluronidase activity at different potencies. According to the literature, many naturally occurring compounds, including phenolic compounds, flavonoids, triterpenes, and fatty acids have been reported to possess hyaluronidase inhibitory activity [10,39]. Correspondingly, our results showed that the phenolic and flavonoid compounds (7–10), isolated from the ethyl acetate subfraction, exhibited moderate inhibitory activity. 3,5-dicaffeoylquinic acid (8) possessed higher inhibitory activity than the isolated flavonoid glycosides. Quercetin-3-O-rhamnoside (9), exhibited weaker activity than its corresponding aglycone, quercetin [40]. The compounds isolated from the hexane subfraction also exhibited the inhibition in a dose-dependent manner, however with weaker activity than that of phenolic and flavonoid compounds, except lutein (5). Although numerous biological activities of these compounds have been previously reported, the information on their anticancer effects is still limited, and their hyaluronidase inhibition has never been revealed. Fernenol (1), a pentacyclic triterpene, was reported as a component in many plant extracts, for example, Citrullus Colocynthis L. and Artemisia Vulgaris L [41–43]. According to the literature search, only its antifungal activity has been reported [44]. The only report about 2(4’-hydroxyphenyl)-ethyl behenate (3) was its isolation from Buddleja cordata subsp. cordata and its moderated antituberculosis activity [45]. The tetracyclic triterpenes, 3,4-seco-8βH-fernadienoic acid (4) and its methyl ester (2), were isolated from Euphoebia Chamaesyce [46]. Interestingly, compound 4 was found to possess stronger activity than its ester derivative, compound 2, on the antiproliferation against human cancer cell lines, including A549 [47], and DNA topoisomerase inhibition [48].
Since compound 5, among all tested compounds, showed to be the most potent hyaluronidase inhibitor in our in vitro assay, the cell-based hyaluronidase inhibitory activity of compound 5 was then visualized by immunofluorescence staining. As shown in Fig 6A and 6B, the green fluorescence intensity of A549 cells treated with compound 5 was dose-dependently increased, indicating higher hyaluronidase inhibition, as compared to the vehicle control experiment. In addition, ELISA was performed to determine the amount of LMW HA. As shown in Fig 6C, the levels of LMW HA in the culture medium of A549 cells treated with crude ethanol, its hexane subfraction, and compound 5 were significantly lower than that of vehicle control, assuring their ability to inhibit the HA degradation. Notably, this is the first report on the ability of lutein on hyaluronidase inhibition despite many studies on its potential as an anticancer agent against A549 cells [49–52].
a) Representative images of A549 cells treated with compound 5 (50 and 100 μM) or DMSO (vehicle control) for 24 h before staining with biotinylated-HABP (b-HABP) and Alexa-Flour 488-Streptavidin conjugate (green) and DAPI (blue). The images were captured with 40x objective and integrated 1.5x tube lens. b) Quantification of the mean fluorescent intensity (green) of A549 cells treated with the samples as compared to that of DMSO. The data are presented as mean ± SD. *p<0.05, as compared to the control. c) ELISA quantification of low molecular weight (LMW) hyaluronic acid in the culture medium of A549 cells treated with the extract of X. tridentata (200 μM), compound 5 (100 μM) or DMSO (vehicle control) for 24 h. The data are presented as mean ± SD. *p < 0.05, compared to the control.
To understand the molecular interactions crucial for hyaluronidase inhibition, molecular docking studies of all of the isolated compounds (compounds 1–10) and hyaluronan were performed in comparison with quercetin [53,54] to analyze their binding interaction with Hyal-1, using the protocols as described in the ‘Materials and Methods’ section. The binding energies and amino acid interactions of the aforementioned molecules in Hyal-1 are summarized in Table 3.
As shown in Table 3, the computational simulation results of compounds with highly favorable binding energies (compounds 5, 8, and quercetin) correlated well with the results from the inhibition assay (Table 2). Although compounds 1, 2, and 4 also showed favorable in silico binding energies, they exhibit relatively low in vitro inhibitory activity most likely due to their poor solubilities in the assay buffer, based on our observation. On the other hand, the docking of hyaluronan showed the expected relatively unfavorable binding energy, but the result may not accurately represent the actual binding pose of the hyaluronan with much longer chain lengths in Hyal-1 in nature. The rest of the studied compounds exhibit the in silico binding energies that roughly correlated with the trend observed in the in vitro inhibition assay. Since compound 5 (Lutein) showed the distinct efficacious in vitro inhibitory (Table 2) activity and in silico binding energy (-11.70 kcal/mol) compared to other compounds in this study, its binding interactions with Hyal-1 were further analyzed, in comparison with quercetin and other compounds.
Among all of the studied compounds, compound 5 (Lutein) was the only compound that binds across the active site of Hyal-1 (from the Western region, across the center, to the Eastern region of the binding site, Fig 7A and 7B) [34], while the others either bind slightly above the active site (compounds 1 and 3; see S3 Fig), at the center only (compounds 4 and 9; see S3 Fig), at the Eastern region only (compounds 2, 10, and quercetin; see S3 Fig and Fig 7A and 7D), or around the center and the Eastern region (compounds 6, 7, 8, and hyaluronan; see S3 Fig). This optimal binding pose also made compound 5 the only compound in this study that interacts with both TYR75 and TYR210 (two of the residues on each end of the catalytic cleft responsible for the binding of sugar molecules) [34] via hydrogen-bond interactions by using the 3’ and 3 hydroxyl groups on both ends of the molecule (Fig 7C). Furthermore, this binding pose allows compound 5 to interact with TYR202, TYR286, and TRP321 (Fig 7A-7C), which is located on the catalytic cleft of the active site of Hyal-1 [34], via hydrophobic interactions. On the other hand, in combination with other interactions, the interactions of quercetin with the important amino residues ASP129 and GLU131 (involved in the catalytic cleavage of the β(1,4)-linkages) [55] via π-anion interactions (Fig 7E) most likely explain the good in silico binding energy and the observed in vitro biological activities. Nevertheless, lutein (with 2 hydrogen bonds and 6 nonbonded interactions) exhibits significantly better in silico binding energy (Table 3) and better in vitro biological activities (Table 2) than both quercetin (with 0 hydrogen bonds and 7 nonbonded interactions) and compound 8 (with 7 hydrogen bonds and 5 nonbonded interactions). Based on our docking simulation, these observations are plausibly the result of the hydrogen-bond interaction of lutein with TYR75 (Eastern region) and TYR210 (Western region) combined with its multiple hydrophobic interactions with amino acid residues (TYR202, TYR210, TYR286, and TYP321) along the aromatic-residue-enriched sugar binding cleft [34] (Fig 7A-7C), which is important for Hyal-1 activity [55]. These interactions ultimately contribute to the observed potency of this particular molecule.
a) Docking poses of quercetin (orange) and lutein (5) in Hyal-1 (cyan, PDB ID: 2PE4) with four of the important amino acid residues highlighted in green; 3D representations of lutein b) and quercetin d) in the binding cleft with highlighted hydrogen-bond donor (purple) and acceptor (green) surface; 2D representation of amino acid interactions with c) lutein and e) quercetin. Note: Orange = π-anion interactions, pink = π-π interaction, light pink = π-alkyl/alky interaction, purple = π-σ interaction, green = conventional hydrogen bond interaction, and light green = π-donor hydrogen bond interaction.
3.5. Anticancer activities of compound 5 (lutein)
Lutein is a tetraterpenoid present in fruits, vegetables, and egg yolks. Previous studies have revealed that lutein possesses promising chemopreventive effects and anticancer activity against various types of cancers, including lung cancer [49–52]. Herein, the anticancer activities of compound 5 (lutein) isolated from X. tridentata were validated and compared with those of compounds 1 and 2. The result correlated with the literature [49–52] indicating that compound 5 could dose-dependently inhibit A549 NSCLC cell growth with moderate potency (Fig 8A). From the scratch assay, compound 5, among the tested compounds, showed significant inhibition of cancer cell migration as compared to the control (Fig 8B and 8C), corresponding to its hyaluronidase inhibitory activity. A previous study revealed that lutein inhibited A549 cell proliferation by inducing DNA damage and consequently G0/G1 cell cycle arrest and apoptosis [50]. Mechanistically, Zhang W.L., et al. reported that lutein-induced A549 cell apoptosis through the inhibition of PI3K/Akt pathway, an intracellular signaling cascade related to cancer cell proliferation and migration [51]. Since many hyaluronidase inhibitors have been reported to inhibit cancer cell growth and migration by inducing intracellular ROS generation [56] and targeting the PI3K/Akt pathway [57–59], as an addition to the reported mechanism, our study suggested that compound 5 exerted the previously mentioned anticancer effects through the inhibition of hyaluronidase activity. Interestingly, despite the weak hyaluronidase inhibitory activity of compound 1, it exhibited high potency in inhibiting A549 cell proliferation, presumably through other targets.
a) Dose-response curve of compounds 1, 2, 5, and cisplatin. A549 cells were treated with different concentrations of the compounds for 48 h. The cell viability was determined by using MTT. The percentage of inhibition was calculated based on the absorbance at 570 nm, relative to the absorbance of the vehicle control. b) Inhibition of cell migration. A549 cells were seeded in a 24-well plate and incubated for 24 hours to form a confluent monolayer. The monolayer was scratched and rinsed with PBS buffer to remove any floating or detached cells. Cells were then treated with compounds 1, 2, 5 (20 μM) or DMSO (vehicle control) in culture medium. Images of the scratched areas were captured (4x magnification) at 0, 24, and 48 hours. The level of cell migration was quantified by measuring the percentage change in wound area at each time point relative to the initial wound area. The data are presented as mean ± SD. *p < 0.05, as compared to the control. c) The wound captured at different time points (0, 24, and 48 h).
4. Conclusions
In summary, the ethanol extract of X. tridentata exerted anticancer activities against A549 NSCLC cells. Among the subfractions, the hexane extract exhibited the most potent antiproliferation and the ethyl acetate extract could significantly inhibit the cancer cell migration. The results corresponded to their hyaluronidase inhibitory activity. Compound isolation of the hexane and ethyl acetate fractions yielded compounds 1–10. Among them, lutein (5) was found to be the most potent hyaluronidase inhibitor. The docking study suggested that lutein could bind to the binding site of Hyal-1 more efficiently than quercetin, according to the additional hydrogen-bond and hydrophobic interactions between lutein and the amino acid residues of the aromatic-residue-enriched sugar binding cleft, which is important for Hyal-1 activity. Lutein has been known to exert promising broad bioactivities, including anti-lung cancer. This work revealed that hyaluronidase could be a target of lutein, affecting PI3K/Akt pathway, the signaling cascade involved in a reported anticancer mechanism of lutein. The more in-depth study on the cellular mechanism of the X. tridentata extract and lutein on their anticancer activities is underway in our laboratory.
Supporting information
S1 Table. Crystallographic data of compound 1.
https://doi.org/10.1371/journal.pone.0315570.s001
(PDF)
S1 Fig. Spectroscopic data of the isolated compounds.
https://doi.org/10.1371/journal.pone.0315570.s002
(PDF)
S2 Fig. HPLC chromatograms of the isolated compounds from ethyl acetate subfraction.
https://doi.org/10.1371/journal.pone.0315570.s003
(PDF)
Acknowledgments
The authors would like to thank Dr. Sutthida Wongsuwan for her assistance with the cell culture experiments and Miss Praneet Paiboonsombat for her support in project administration.
References
- 1. Zappa C, Mousa SA. Non-small cell lung cancer: Current treatment and future advances. Transl Lung Cancer Res. 2016;5(3):288–300. pmid:27413711
- 2. Berg CD, Schiller JH, Boffetta P, et al. Air pollution and lung cancer: A review by international association for the study of lung cancer early detection and screening committee. J Thorac Oncol. 2023;18(10):1277–1289. pmid:37277094
- 3. Girish K, Kemparaju K, Nagaraju S, Vishwanath B. Hyaluronidase inhibitors: A biological and therapeutic perspective. Curr Med Chem. 2009;16(18):2261–2288. pmid:19519390
- 4. Kobayashi T, Chanmee T, Itano N. Hyaluronan: Metabolism and function. Biomolecules. 2020;10(11):1525. pmid:33171800
- 5. Yang C, Cao M, Liu H, et al. The high and low molecular weight forms of hyaluronan have distinct effects on CD44 clustering. J Biol Chem. 2012;287(51):43094–43107. pmid:23118219
- 6. Liu M, Tolg C, Turley E. Dissecting the dual nature of hyaluronan in the tumor microenvironment. Front Immunol. 2019;10(947). pmid:31134064
- 7. Misra S, Hascall VC, Markwald RR, Ghatak S. Interactions between hyaluronan and its receptors (CD44, RHAMM) regulate the activities of inflammation and cancer. Front Immunol. 2015;6(201). pmid:25999946
- 8. Ooki T, Murata-Kamiya N, Takahashi-Kanemitsu A, Wu W, Hatakeyama M. High-molecular-weight hyaluronan is a Hippo pathway ligand directing cell density-dependent growth inhibition via PAR1b. Dev Cell. 2019;49(4):590–604.e9. pmid:31080060
- 9. Liu Y, Li L, Wang L, et al. ‘Two-faces’ of hyaluronan, a dynamic barometer of disease progression in tumor microenvironment. Discov Oncol. 2023;14(1). pmid:36698043
- 10. Papaemmanouil CD, Peña-García J, Banegas-Luna AJ, et al. ANTIAGE-DB: A database and server for the prediction of anti-aging compounds targeting elastase, hyaluronidase, and tyrosinase. Antioxidants. 2022;11(11):2268. pmid:36421454
- 11. Schmaus A, Sleeman JP. Hyaluronidase-1 expression promotes lung metastasis in syngeneic mouse tumor models without affecting accumulation of small hyaluronan oligosaccharides in tumor interstitial fluid. Glycobiology. 2014;25(3):258–268. pmid:25354852
- 12. Chow G, Tauler J, Mulshine JL. Cytokines and growth factors stimulate hyaluronan production: Role of hyaluronan in epithelial to mesenchymal-like transition in non-small cell lung cancer. J Biomed Biotechnol. 2010;2010(485468). pmid:20671927
- 13. Michalczyk M, Humeniuk E, Adamczuk G, Korga-Plewko A. Hyaluronic acid as a modern approach in anticancer therapy-Review. Int J Mol Sci. 2023;24(103). pmid:36613567
- 14. McAtee CO, Barycki JJ, Simpson MA. Emerging roles for hyaluronidase in cancer metastasis and therapy. Adv Cancer Res. 2014;123(402):1–34. pmid:25081524
- 15. Passi A, Vigetti D, Buraschi S, Iozzo R V. Dissecting the role of hyaluronan synthases in the tumor microenvironment. FEBS J. 2019;286(15):2937–2949. pmid:30974514
- 16. Gao C, Liu S, Wang Y, Cha G, Xu X. Effect of receptor for hyaluronan-mediated motility inhibition on radiosensitivity of lung adenocarcinoma A549 cells. Transl Cancer Res. 2019;8(2):410–421. pmid:35116773
- 17. Price D, Muterspaugh R, Clegg B, et al. IGFBP-3 blocks hyaluronan-CD44 signaling, leading to increased acetylcholinesterase levels in A549 cell media and apoptosis in a p53-dependent manner. Sci Rep. 2020;10(1):1–17. pmid:32193421
- 18. Li M, Jin S, Cao Y, Xu J, Zhu S, Li Z. Emodin regulates cell cycle of non-small lung cancer (NSCLC) cells through hyaluronan synthase 2 (HA2)-HA-CD44/receptor for hyaluronic acid-mediated motility (RHAMM) interaction-dependent signaling pathway. Cancer Cell Int. 2021;21(19):1–12. pmid:33407495
- 19. Song JM, Molla K, Anandharaj A, et al. Triptolide suppresses the in vitro and in vivo growth of lung cancer cells by targeting hyaluronan-CD44/RHAMM signaling. Oncotarget. 2017;8(16):26927–26940. pmid:28460475
- 20. Kłosiński K, Girek M, Czarnecka K, Pasieka Z, Skibiński R, Szymański P. Biological assessment of new tetrahydroacridine derivatives with fluorobenzoic moiety in vitro on A549 and HT-29 cell lines and in vivo on animal model. Hum Cell. 2020;33(3):859–867. pmid:32449113
- 21. Mohamed EM, Hetta MH, Rateb ME, et al. Bioassay-guided isolation, metabolic profiling, and docking studies of hyaluronidase inhibitors from Ravenala madagascariensis. Molecules. 2020;25(7):1714. pmid:32276509
- 22. Ippoushi K, Yamaguchi Y, Itou H, Azuma K, Higashio H. Evaluation of inhibitory effects of vegetables and herbs on hyaluronidase and identification of rosmarinic acid as a hyaluronidase inhibitor in Lemon Balm (Melissa officinalis L.). Food Sci Technol Res. 2000;6(1):74–77.
- 23. Murata T, Watahiki M, Tanaka Y, Miyase T, Yoshizaki F. Hyaluronidase inhibitors from Takuran, Lycopus lucidus. Chem Pharm Bull. 2010;58(3):394–397. pmid:20190448
- 24. Austin DF. Sendera-clandi (Xenostegia tridentata (L.) D.F. Austin & Staples, Convolvulaceae): A medicinal creeper. Ethnobot Res Appl. 2014;12:433–454.
- 25. Van LV, Pham EC, Nguyen CV, Duong NTN, Thi TVL, Truong TN. In vitro and in vivo antidiabetic activity, isolation of flavonoids, and in silico molecular docking of stem extract of Merremia tridentata (L.). Biomed. Pharmacother. 2022;146:112611. pmid:35062075
- 26. Sowndhararajan K, Chin NL. Antioxidant and anti-ulcer effects of ethyl acetate fraction of Merremia tridentata (L.) Hallier F. root. Agric Agric Sci Procedia. 2014;2:406–414.
- 27. Sowndhararajan K, Joseph JM, Arunachalam K, Manian S. Evaluation of Merremia tridentata (L.) Hallier F. for in vitro antioxidant activity. Food Sci Biotechnol. 2010;19(3):663–669.
- 28. Arunachalam K, Parimelazhagan T. Antidiabetic activity of aqueous root extract of Merremia tridentata (L.) Hall. F. in streptozotocin-induced-diabetic rats. Asian Pac J Trop Med. 2012;5(3):175–179. pmid:22305780
- 29. Kamalutheen M, Gopalakrishnan S, Ismail TS. Anti-inflammatory and anti-arthritic activities of Merremia tridentata (L.) Hall. F. E-Journal Chem. 2009;6(4):943–948. https://doi.org/10.1155/2009/670617.
- 30. Suntivich R, Songjang W, Jiraviriyakul A, Ruchirawat S, Chatwichien J. LC-MS/MS metabolomics-facilitated identification of the active compounds responsible for anti-allergic activity of the ethanol extract of Xenostegia tridentata. PLoS One. 2022;17(4):e0265505. pmid:35427369
- 31. Dolomanov O V., Bourhis LJ, Gildea RJ, Howard JAK, Puschmann H. OLEX2: A complete structure solution, refinement and analysis program. J Appl Crystallogr. 2009;42(2):339–341.
- 32. Sheldrick GM. SHELXT—Integrated space-group and crystal-structure determination. Acta Crystallogr Sect A Found Crystallogr. 2015;71(1):3–8. pmid:25537383
- 33. Sheldrick GM. Crystal structure refinement with SHELXL. Acta Crystallogr Sect C Struct Chem. 2015;71(Md):3–8. pmid:25567568
- 34. Chao KL, Muthukumar L, Herzberg O. Structure of human hyaluronidase-1, a hyaluronan hydrolyzing enzyme involved in tumor growth and angiogenesis. Biochemistry. 2007;46(23):6911–6920. pmid:17503783
- 35. Nazmi TKT, Aminudin NI, Hamzah N. Molecular docking and ADME profiling of xanthorrhizol derivatives as hyaluronidase inhibitors. Malaysian J Chem. 2022;24(2):120–130.
- 36. Morris GM, Huey R, Lindstrom W, et al. AutoDock4 and AutoDockTools4: Automated docking with selective receptor flexibility. J Comput Chem. 2009;30:2785–2791. pmid:19399780
- 37. Karalis T, Shiau AK, Gahman TC, Skandalis SS, Heldin CH, Heldin P. Identification of a small molecule inhibitor of hyaluronan synthesis, DDIT, targeting breast cancer cells. Cancers (Basel). 2022;14(23):5800. pmid:36497283
- 38. Kolliopoulos C, Chatzopoulos A, Skandalis SS, Heldin CH, Heldin P. Traf4/6 is needed for cd44 cleavage and migration via rac1 activation. Cancers (Basel). 2021;13(5):1021. pmid:33804427
- 39. Gębalski J, Graczyk F, Załuski D. Paving the way towards effective plant-based inhibitors of hyaluronidase and tyrosinase: a critical review on a structure–activity relationship. J Enzyme Inhib Med Chem. 2022;37(1):1120–1195. pmid:35470749
- 40. Rodney G, Swanson AL, Wheeler LM, Smith GN, Worrel CS. The effect of a series of flavonoids on hyaluronidase and some other related enzymes. J Biol Chem. 1950;183(2):739–747.
- 41. Ahmed M, Qin P, Ji M, An R, Guo H, Shafi J. Spinasterol, 22,23-dihydrospinasterol and fernenol from Citrullus Colocynthis L. with aphicidal activity against cabbage aphid Brevicoryne Brassicae L. Molecules. 2020;25(9):2184. pmid:32392823
- 42. Kundu SK, Chatterjee A, Rao AS. Isolation of fernenol from Artemisia Vulgaris L. Aust J Chem. 1968;21:1931–1933.
- 43. Kundu SK, Chatterjee A, Rao AS. Terpenoids. LXXXVIII. Isolation of fernenol, a new pentacyclic alcohol from Artemisia vulgaris L. Tetrahedron Lett. 1966;7(10):1043–1047.
- 44. Yenjit P, Issarakraisila M, Intana W, Chantrapromma K. Fungicidal activity of compounds extracted from the pericarp of Areca catechu against Colletotrichum gloeosporioides in vitro and in mango fruit. Postharvest Biol Technol. 2010;55(2):129–132.
- 45. Acevedo L, Martínez E, Castañeda P, et al. New phenylethanoids from Buddleja cordata subsp. cordata. Planta Med. 2000;66(3):257–261. pmid:10821053
- 46. Tanaka R, Ida T, Kita S, Kamisako W, Matsunaga S. A 3,4-seco-8βH-fernadienoic acid and other constituents from Euphorbia Chamaesyce. Phytochemistry. 1996;41(4):1163–1168.
- 47. Tanaka R, Wada S, Yamada T, Yamori T. Potent antitumor activity of 3,4-seco-8βH-ferna-4(23),9(11)-dien-3-oic acid (EC-2) and 3,4-seco-oleana-4(23),18-dien-3-oic acid (EC-4), evaluated by an in vitro human cancer cell line panel. Planta Med. 2006;72(14):1347–1349. pmid:17051463
- 48. Wada SI, Tanaka R, Iida A, Matsunaga S. In vitro inhibitory effects of DNA topoisomerase II by fernane-type triterpenoids isolated from a Euphorbia genus. Bioorganic Med Chem Lett. 1998;8(20):2829–2832. pmid:9873631
- 49. Yamagata K, Fujiwara A, Onodera D, Motoki T. Lutein regulates the expression of apoptosis-related genes and stem cell markers in A549 human lung cancer cells. Nat Prod Commun. 2017;12(6):897–900.
- 50. Zhang S yu, Lu Y yi, He X liang, et al. Lutein inhibits tumor progression through the ATR/Chk1/p53 signaling pathway in non-small cell lung cancer. Phyther Res. 2023;37(4):1260–1273. pmid:37041670
- 51. Zhang WL, Zhao YN, Shi ZZ, Cong D, Bai YS. Lutein inhibits cell growth and activates apoptosis via the PI3K/AKT/mTOR signaling pathway in A549 human non-small-cell lung cancer cells. J Environ Pathol Toxicol Oncol. 2018;37(4):341–350. pmid:30806240
- 52. Fuad NIN, Sekar M, Gan SH, Lum PT, Vaijanathappa J, Ravi S. Lutein: A comprehensive review on its chemical, biological activities and therapeutic potentials. Pharmacogn J. 2020;12(6):1769–1778.
- 53. Lee JH, Kim GH. Evaluation of antioxidant and inhibitory activities for different subclasses flavonoids on enzymes for rheumatoid arthritis. J Food Sci. 2010;75(7):H212–H217. pmid:21535545
- 54. Wróbel-Biedrawa D, Grabowska K, Galanty A, Sobolewska D, Podolak I. A flavonoid on the brain: Quercetin as a potential therapeutic agent in central nervous system disorders. Life. 2022;12(4):591. pmid:35455082
- 55. Zhang L, Bharadwaj AG, Casper A, Barkley J, Barycki JJ, Simpson MA. Hyaluronidase activity of human Hyal1 requires active site acidic and tyrosine residues. J Biol Chem. 2009;284(14):9433–9442. pmid:19201751
- 56. Pathak G, Singh S, Kumari P, et al. Cirsilineol inhibits proliferation of lung squamous cell carcinoma by inducing ROS mediated apoptosis. Food Chem Toxicol. 2020;143:111550. pmid:32640357
- 57. He SQ, Gao M, Fu YF, Zhang YN. Glycyrrhizic acid inhibits leukemia cell growth and migration via blocking AKT/mTOR/STAT3 signaling. Int J Clin Exp Pathol. 2015;8(5):5175–5181. pmid:26191214
- 58. Kohi S, Sato N, Koga A, Hirata K, Harunari E, Igarashi Y. Hyaluromycin, a novel hyaluronidase inhibitor, attenuates pancreatic cancer cell migration and proliferation. J Oncol. 2016;2016:9063087. pmid:28096814
- 59. Mascaró M, Pibuel MA, Lompardía SL, et al. Low molecular weight hyaluronan induces migration of human choriocarcinoma JEG-3 cells mediated by RHAMM as well as by PI3K and MAPK pathways. Histochem Cell Biol. 2017;148:173–187. pmid:28365860