ABSTRACT
Anoectochilus roxburghii Lind. (A. roxburghii) has promising anti-oxidant, hyperglycemic, hepatoprotective, and immunomodulatory activities as well as anti-tumor effects. However, the pharmacological actions of in vitro cultured plants remain to be determined. Therefore, the objective of the study was to assess in vitro cytotoxicity and in vivo potential toxicity of an extract derived from in vitro cultivated A. roxburghii, termed as iARE. The total flavonoid content and predominant flavonoid compounds of extract were identified and quantitatively analyzed. The in vitro cytotoxicity of iARE was examined using several cancer and normal cell lines. The apoptotic activity and expression of apoptosis-associated genes were also examined in MCF7 cells to determine the underlying mechanisms related to anti-proliferative effects. In vivo potential toxicity of iARE was assessed following acute and subchronic oral administration in Sprague Dawley rats. Quercetin, kaempferol, and isorhamnetin were three flavonoid components identified in iARE. The extract exerted cytotoxic effects on various cancer cells but not normal fibroblasts. Apoptosis in MCF7 cells was induced by iARE in a concentration-dependent manner associated with increased Bax/Bcl-2 ratio and reduced mitochondrial membrane potential ΔΨm, leading to release of cytochrome c, activation of caspase-3/7 and caspase-9, and cleavage of PARP. In the acute oral toxicity study, no mortality or toxicological signs were observed in rats at 1000 or 5000 mg/kg. In a subchronic oral toxicity study, iARE at a dosage of up to 1000 mg/kg produced no mortality or treatment-related adverse effects on general behavior, food intake, body weight, relative organ weights. No apparent marked changes in the histopathology of the liver and kidney were detected. Data demonstrated that iARE induced in vitro cytotoxic effects in cancer cells are associated with lackof invivo toxicity. Thus, iARE was suggested to be considered as apotential therapeutic candidate for cancer treatment.
List of abbreviations
ALT: Alanine aminotransferase
AST: Aspartate aminotransferase
CytC: Cytochrome c
DAPI: 4′,6-diamidino-2-phenylindole
DMSO: Dimethyl sulfoxide
FACS: Fluorescence activated cell sorting
FITC: Fluorescein isothiocyanate
HDL: High-density lipoprotein
HPLC: High-performance liquid chromatography
HRP: Horseradish peroxidase
iARE:in vitro cultured A. roxburghii extract
LDH: Lactate dehydrogenase
MCV: Mean corpuscular volume
MCH: Mean corpuscular Hb
MCHC: Mean corpuscular Hb concentration
NAC: N-acetylcysteine
PARP: Poly (ADP-ribose) polymerase
PI: Propidium iodide
qRT-PCR: Real-time quantitative reverse transcription PCR
RLU: Relative light unit
Z-VAD-FMK: Carbobenzoxy-valyl-alanyl-aspartyl-[O-methyl]-fluoromethylketone
ΔΨm: Mitochondrial transmembrane potential
Acknowledgments
We would like to thank Dr. Van Son Dang, Institute of Tropical Biology, Vietnam Academy of Science and Technology for helping us with the botanical identification of Anoectochilus roxburghii Lind. There is no conflict of interest.
Disclosure Statement
The authors declare no competing interests.
Ethics approval
All animals used and protocols adopted in these studies were approved by the Animal Care and Use Committee of Institute of Tropical Biology, Vietnam Academy of Science and Technology (Ethics No. 180-2019/ITB).
Authors’ contributions
All research is done by the authors. Chinh Chung Doan, Thanh Long Le, Nguyen Quynh Chi Ho, Thi Thuy Nguyen, Do Dang Giap, Duc Thang Do, and Thi Phuong Mai Nguyen performed the experiments. Thanh Long Le, Chinh Chung Doan, Thi Phuong Thao Nguyen and Dang Giap Do designed experiments, analyzed data and prepared manuscript. Chinh Chung Doan and Nghia Son Hoang supervised the studies. Chinh Chung Doan and Thanh Long Le prepared and revised the manuscript. The manuscript was read and approved by all authors.
Submission declaration and verification
The manuscript has not been published in another journal in full or in part. All authors approved the manuscript and this submission.