Natural compounds as inducers of cell death || Induction of Apoptosis by Polyphenolic Compounds in...
Transcript of Natural compounds as inducers of cell death || Induction of Apoptosis by Polyphenolic Compounds in...
185M. Diederich and K. Noworyta (eds.), Natural Compounds as Inducers of Cell Death: Volume 1, DOI 10.1007/978-94-007-4575-9_8, © Springer Science+Business Media Dordrecht 2012
Abstract Apoptosis, one of the main types of programmed cell death, is a kind of defense mechanism that eliminates the cells that are abnormal or not needed and plays a critical role for the development and maintenance of tissue homeostasis. Apoptosis can be triggered by various physiological and pathological stimuli. Apoptotic path-ways require activation of caspases, a group destructive cystein proteases responsible for the cleavage of the key cellular proteins. Recent studies indicate that are two main apoptotic pathways, including extrinsic or death receptor pathway and intrinsic or mitochondrial pathway. Many natural compounds induce apoptosis in various cancer cells by acting through these pathways. These compounds are either antioxidants or inducers of antioxidant defense mechanism. Polyphenols (alone or in combination) are major constituents of plant-derived antioxidants that induce apoptosis by variety of mechanisms in cancer cells and reduce the risk of cancer. This chapter is focused on the effects of polyphenols such as resveratrol, quercetin and tannic acid on apoptosis in various cancers such as breast, colon and prostate cancers.
8.1 Introduction
Apoptosis or programmed cell death plays a major role in the control of normal development in multicellular organisms and tissue homeostasis. Defects in the mechanism of apoptosis might lead to various abnormalities ranging from autoim-mune diseases to cancer (Lorenzo and Susin 2004 ) . On the other hand, induction of apoptosis might act as a protective mechanism against cancer. This mechanism is responsible for the apoptosis-related degradation and death of cells and occurs via various activation signals (D’Archivio et al. 2008 ) . Apoptosis is mainly the result of
D. Turgut Cosan (*) • A. Soyocak Department of Medical Biology , Eskisehir Osmangazi University , 26480 Eskisehir , Turkeye-mail: [email protected]; [email protected]
Chapter 8 Induction of Apoptosis by Polyphenolic Compounds in Cancer Cells
Didem Turgut Cosan and Ahu Soyocak
186 D. Turgut Cosan and A. Soyocak
two pathways activated by intracellular and extracellular signals and is characterized with several morphological changes including cell shrinkage, nuclear DNA fragmen-tation and membrane blebbing (Debatin 2004 ) . The cytoplasmic (extrinsic) pathway of apoptosis activated by extracellular signals occurs via the death receptors that belong to a subgroup of TNF receptor super family. Activation of these receptors located on the cell membrane of target cell by related ligands induces the apoptotic pathway (Sprick and Walczak 2004 ; Bradshaw and Edward Dennis 2003 ) . Mitochondrial (intrinsic) pathway of apoptosis activated by intracellular signals is triggered by release of cytochrome-c to cytoplasm from intermembrane area of mitochondria and activation of the apoptosome complex consisting of cytosolic factor Apaf-1, ATP and active caspase 9. Caspases and members of the Bcl-2 protein family are involved in both of these apoptotic pathways. Caspases are members of a cystein protease family and are synthesized in the form of inactive zymogens activated by proteolytic cleavage. Overall caspases act as initiator (caspase 2,8,9,10) and effectors (caspase 3,6,7) in the apoptotic process. Members of the Bcl-2 family consist of proteins that either trigger (proapoptotic) or prevent (antiapoptotic) apoptosis. Among this family, while proteins including Bcl-2, Bcl-X
L and Mcl-1 prevent apoptosis, other proteins including Bax,
Bad, Bid, Bak, Bcl-xs trigger apoptosis (Bradshaw and Edward Dennis 2003 ; Burlacu 2003 ; Twomey and McCarthy 2005 ) . In addition, there are several other proteins that are involved in the apoptotic cell death whose names and functions have been sum-marized in Table 8.1 .
Many natural compounds including polyphenols induce apoptosis in various cancer cells by acting through these pathways. Polyphenols are major constituents of plant-derived antioxidants that induce apoptosis by a variety of mechanisms in cancer cells and reduce the risk of cancer.
Polyphenols in diet are extremely important for their favorable effects on health particularly due to their anti-cancer features (Ramos 2008 ) . These polyphenols are found in fruits, vegetables, seeds and beverages and are classi fi ed as stillbens (e.g. resveratrol), fl avonoids (e.g. quercetin), tannins (e.g. tannic acid), phenolic acids and analogues, lignans and others according to their chemical structures (Ramos 2008 ; Huang et al. 2010 ) .
Most dietary polyphenolic compounds including resveratrol, quercetin and tannic acid have an inhibitory role on carcinogenesis with the induction of apoptosis by several different mechanisms. The present chapter will focus the molecular basis of chemopreventive activity of some polyphenols (resveratrol, quercetin and tannic acid), addressing their effects on the induction of apoptosis in cancer cells (Fig. 8.1 ). Abbreviations are listed in Table 8.2 .
8.1.1 Induction of Apoptosis by Resveratrol
Apoptotic effects of resveratrol (3,5,4 ¢ trihydroxystilbene), a member of the stilben family, has been investigated in cancer cell lines in several studies. Other effects of resveratrol are summarized in Table 8.3 .
1878 Induction of Apoptosis by Polyphenolic Compounds in Cancer Cells
Tabl
e 8.
1 Pr
otei
ns in
volv
ed in
apo
ptos
is
Apo
ptot
ic p
rote
ins
Func
tion
Ref
eren
ces
Dea
th li
gand
s ( e
.g. F
asL
,TN
F a ,
TR
AIL
) T
hese
are
eff
ectiv
e in
the
cyto
plas
mic
(ex
trin
sic)
pat
hway
of
apop
tosi
s. T
he
extr
insi
c pa
thw
ay is
initi
ated
by
the
inte
ract
ion
betw
een
the
spec
i fi c
ligan
ds a
nd th
e su
rfac
e re
cept
ors
whi
ch a
re a
ble
to d
eliv
er a
dea
th s
igna
l fr
om th
e ex
trac
ellu
lar
mic
roen
viro
nmen
t to
the
cyto
plas
m. I
nduc
tion
of
apop
tosi
s th
roug
h ex
trin
sic
path
way
is th
eref
ore
very
rap
id
Bra
dsha
w a
nd E
dwar
d D
enni
s ( 2
003 )
and
Reu
ter
et a
l. ( 2
008 )
D
eath
rec
epto
r ( F
as ( C
D95
) ,T
NF
R1,
TR
AIL
R )
Cas
pase
fam
ily (
e.g.
Cap
ase
3,6,
7,2,
8,9,
10)
Cas
pase
s ar
e m
embe
rs o
f a
cyst
ein
prot
ease
fam
ily a
nd a
re s
ynth
esiz
ed in
the
form
of
inac
tive
zym
ogen
s ac
tivat
ed b
y pr
oteo
lytic
cle
avag
e. T
he
intr
acel
lula
r tr
ansm
issi
on o
f th
e ap
opto
tic s
igna
l is
regu
late
d by
cas
pase
fa
mily
Bra
dsha
w a
nd E
dwar
d D
enni
s ( 2
003 )
and
Hol
denr
iede
r an
d St
iebe
r ( 2
004 )
Bcl
-2 f
amily
(e.
g. B
cl-2
,Bcl
-xl,
Mcl
-1,B
ax, B
ad, B
id, B
ak,
Bcl
-xs,
Nox
a, P
UM
A)
Bcl
-2 f
amily
pro
tein
s ca
n ta
rget
the
mito
chon
dria
and
reg
ulat
ed m
embr
ane
perm
eabi
lizat
ion
Deb
atin
( 20
04 )
and
Bra
dsha
w
and
Edw
ard
Den
nis
( 200
3 )
Smac
/Dia
blo
Smac
/DIA
BL
O, a
mito
chon
dria
l pro
tein
, can
blo
ck I
AP
med
iate
d ca
spas
e in
hibi
tion
by b
indi
ng X
IAP
Bra
dsha
w a
nd E
dwar
d D
enni
s ( 2
003 )
Htr
A2/
Om
i O
mi/H
trA
2 is
a m
itoch
ondr
ial s
erin
e pr
otea
se th
at is
rel
ease
d in
to th
e cy
toso
l du
ring
apo
ptos
is to
ant
agon
ize
inhi
bito
rs o
f ap
opto
sis
(IA
Ps)
and
cont
ribu
te to
cel
l dea
th
Yan
g et
al.
( 200
3 )
AIF
A
IF is
rel
ease
d fr
om m
itoch
ondr
ia in
apo
ptot
ic c
ondi
tions
, it t
rigg
ers
cell
deat
h ei
ther
dir
ectly
, thr
ough
inte
ract
ion
with
DN
A, o
r in
dire
ctly
, thr
ough
re
activ
e ox
ygen
spe
cies
pro
duct
ion
Lor
enzo
and
Sus
in (
2004
)
IAP
(e.g
. Sur
vivi
n, I
XA
P)
IAPs
are
blo
cks
activ
ity o
f ca
spas
es a
nd m
ay ta
rget
act
ive
casp
ases
for
de
grad
atio
n D
ebat
in (
2004
) an
d B
rads
haw
an
d E
dwar
d D
enni
s ( 2
003 )
c-FL
IP
FLIP
mol
ecul
es c
onst
itute
one
of
the
nega
tive
regu
lato
rs o
f de
ath
rece
ptor
in
duce
d ap
opto
sis
Los
and
Wal
czak
( 20
02 )
Cyt
ochr
ome
c T
he m
itoch
ondr
ial p
athw
ay is
initi
ated
by
the
rele
ase
of a
popt
ogen
ic f
acto
rs
such
as
cyto
chro
me
c, f
rom
the
mito
chon
dria
l int
erm
embr
ane
spac
e. T
he
rele
ase
of c
ytoc
hrom
e c
into
the
cyto
sol t
rigg
ers
casp
ase-
3 ac
tivat
ion
thro
ugh
form
atio
n of
the
cyto
chro
me-
c/A
paf-
1/ca
spas
e-9–
cont
aini
ng
apop
toso
me
com
plex
Deb
atin
( 20
04 )
(con
tinue
d)
188 D. Turgut Cosan and A. Soyocak
Tabl
e 8.
1 (c
ontin
ued)
Apo
ptot
ic p
rote
ins
Func
tion
Ref
eren
ces
Apa
f-1
Apa
f1 p
lays
a c
entr
al r
ole
in th
e co
mm
on e
vent
s of
mito
chon
dria
-dep
ende
nt
apop
tosi
s in
mos
t dea
th p
athw
ays.
Apa
f-1
med
iate
d cl
uste
ring
of
casp
ase-
9 in
to in
apo
ptos
ome
requ
ires
the
pres
ence
of
cyto
chro
me
c
Los
and
Wal
czak
( 20
02 )
and
Yos
hida
et a
l. ( 1
998 )
P21
(WA
F-1/
CIP
-1)
p21
is a
pot
ent c
yclin
-dep
ende
nt k
inas
e in
hibi
tor
(CK
I). p
21 p
lays
an
esse
ntia
l rol
e in
gro
wth
arr
est a
fter
DN
A d
amag
e R
eute
r et
al.
( 200
8 ) , G
arte
l and
Ty
ner
( 200
2 ) , a
nd C
oque
ret
( 200
3 )
P27
(Kip
-1)
p27
is a
pot
ent c
yclin
-dep
ende
nt k
inas
e in
hibi
tor
(CK
I). F
ollo
win
g an
ti-m
ito-
geni
c si
gnal
s or
DN
A d
amag
e, p
27 b
ind
to c
yclin
-CD
K c
ompl
exes
to
inhi
bit t
heir
cat
alyt
ic a
ctiv
ity a
nd in
duce
cel
l-cy
cle
arre
st
Coq
uere
t ( 20
03 )
and
Agg
arw
al
and
Shis
hodi
a ( 2
006 )
P38
The
indu
ctio
n of
apo
ptos
is is
acc
ompa
nied
by
imm
edia
te a
nd s
usta
ined
ac
tivat
ion
of p
38 m
itoge
n-ac
tivat
ed p
rote
in k
inas
e (M
APK
) A
ctiv
atio
n of
th
e p3
8 si
gnal
ing
path
way
occ
urs
upst
ream
of
casp
ase
activ
atio
n
Kra
lova
et a
l. ( 2
008 )
P53
P53
is a
tum
or-s
uppr
esso
r an
d tr
ansc
ript
ion
fact
or. I
t is
a cr
itica
l reg
ulat
or in
m
any
cellu
lar
proc
esse
s in
clud
ing
cell
sign
al tr
ansd
uctio
n, c
ellu
lar
resp
onse
to D
NA
-dam
age,
gen
omic
sta
bilit
y, c
ell c
ycle
con
trol
, and
ap
opto
sis
Agg
arw
al a
nd S
hish
odia
( 20
06 )
PI3K
T
he p
hosp
hatid
ylin
osito
l-3-
kina
se (
PI3K
) si
gnal
ing
path
way
is c
ruci
al f
or
man
y as
pect
s of
cel
l gro
wth
and
sur
viva
l and
is f
requ
ently
dis
rupt
ed in
hu
man
can
cers
Reu
ter
et a
l. ( 2
008 )
Akt
A
ct in
activ
ates
pro
-apo
ptot
ic f
acto
rs li
ke B
ad, w
hich
con
trol
s th
e re
leas
e of
cy
toch
rom
e c,
pro
casp
ase-
9 an
d Fo
rkhe
ad tr
ansc
ript
ion
fact
ors.
Akt
als
o ac
tivat
es a
nti-
apop
totic
gen
es, i
nclu
ding
cyc
lic-A
MP
resp
onse
ele
men
t-bi
ndin
g pr
otei
n (C
RE
B)
and
IĸB
kin
ase
(IK
K)
lead
ing
to N
F-B
nuc
lear
lo
caliz
atio
n an
d th
e su
bseq
uent
tran
scri
ptio
n of
sur
viva
l gen
es, s
uch
as
Bcl
-xL
, cas
pase
inhi
bito
rs a
nd c
-Myb
Reu
ter
et a
l. ( 2
008 )
pRb
The
ret
inob
last
oma
prot
ein
(Rb)
has
bee
n re
cogn
ized
as
an im
port
ant c
ell
cycl
e re
gula
tor
activ
ely
invo
lved
in p
reve
ntin
g ce
lls f
rom
und
ergo
ing
apop
tosi
s. T
he a
ctiv
ity o
f R
b is
reg
ulat
ed th
roug
h its
pho
spho
ryla
tion
stat
e by
cel
l cyc
le-d
epen
dent
pro
tein
kin
ases
(C
DK
s) a
nd C
DK
inhi
bito
rs
(CD
KIs
)
Fan
and
Stee
r ( 1
999 )
1898 Induction of Apoptosis by Polyphenolic Compounds in Cancer Cells
8.1.1.1 Breast Cancer Cells and Resveratrol
Resveratrol induces apoptotic process in several breast cancer cell lines by up- or down-regulating certain pro- and anti-apoptotic proteins, respectively, that have a role in the intrinsic pathway (e.g., Bcl-2, Bcl-XL, Bak and Bax). For instance resveratrol inhibits expression of Bcl-XL anti-apoptotic protein and increases levels of bak and bax proapoptotic proteins(Nakagawa et al. 2001 ; Kim et al. 2004 ; Pozo-Guisado et al. 2005 ; Sakamoto et al. 2010 ) . Moreover, resveratrol induces apoptosis by increasing the activities of caspase 3 and 9 (Nakagawa et al. 2001 ; Kim et al. 2004 ; Alkhalaf et al. 2008 ; Sareen et al. 2007 ) . Analysis of the resveratrol-induced mechanisms in T47D breast cancer cells indicate that it induces apoptosis by activating death receptor pathway via FADD (CD95) in the extrinsic pathway (Clement et al. 1998 ) .
Alkhalaf et al. ( 2008 ) have shown that resveratrol induces PARP degradation with caspase 3 activation in MDA-MD-231 breast cancer cell line (Alkhalaf et al. 2008 ) . Furthermore, it has been reported that resveratrol induces apoptosis in T47D
Fig. 8.1 The effects of dietary polyphenolic compounds, including resveratrol, quercetin and tannic acid, in regulation of various molecules in intrinsic and extrinsic pathways of apoptosis. Apoptosis can be triggered in a cell through either the intrinsic or extrinsic pathways. Dietary polyphenols exert their effects by altering levels or activity of single or multiple apoptotic pathways depending on a cancer type or the structure of the compounds
190 D. Turgut Cosan and A. Soyocak
Table 8.2 Abbreviations
AIF Apoptosis inducing factor AMPK 5 ¢ adenosine monophosphate (AMP)-activated protein kinase Apaf-1 Apoptosis protease activation factor-1 Bad BCL2-antagonist of cell death Bak BCL2-antagonist/killer Bax BCL2-associated X protein Bcl-2 B-cell leukemia/lymphoma 2 Bcl-X
L /BCL2L1 BCL2-like 1
Bid BH3 interacting domain death agonist Caspase Cysteine-aspartic-acid-protease Cdc Cell division cycle Cdk Cyclin-dependent kinase CIP1 Cdk-interacting protein 1 DD Death domain DR Death receptor EGCG Epigallocatechin gallate EGFR Epidermal growth factor ERK Extracellular signal regulated kinase ER Estrogen receptor FADD Fas-associated DD Kinase FasR (CD95/APO-1) Fas receptor FLICE FADD like interleukin-1 b converting enzyme FLIP FLICE like inhibitory protein HSP-70 Heat shock protein 70 Omi/HtrA2 High temperature requirement protein A2(Omi) IAP Inhibitor of apoptosis protein I B Inhibitor of K B JNK c-jun N-terminal kinase MAP Mitogen-activated protein Mcl-1 Myeloid cell leukemia sequence 1 NF- B Nuclear factor- Kappa B NO Nitric oxide NOS Nitric oxide synthase Noxa NADPH oxidase activator 1 P21 (Waf-1/Cip-1) Cyclin-dependent kinase inhibitor (CDKI) P27 (Kip-1) Cyclin-dependent kinase inhibitor 1B P38 Mitogen-activated protein kinase P53 Tumor suppressor protein PARP Poly (ADP-ribose) polymerase PI3K Phosphoinositide 3-kinase Stat 3 Signal transducer and activator of transcription 3 Akt Related to protein kinase A and C (RAC), Protein kinase B (PKB) pRb Retinoblastoma protein PUMA p53 up-regulated modulator of apoptosis ROS Reactive oxygen species Smac/Diablo Second mitochondria-derived activator of caspase/Direct IAP
binding protein (continued)
1918 Induction of Apoptosis by Polyphenolic Compounds in Cancer Cells
breast cancer cells that is associated with activation of p53 (Alkhalaf 2007 ) . Pozo-Guisado et al. ( 2002 ) showed that resveratrol induces CDK inhibitors, such as p27 and p21 in MCF-7 breast cancer cells, suggesting that resveratrol also inhibits cell cycle progression (Pozo-Guisado et al. 2002 ) .
Furthermore, resveratrol has been shown to induce activity of JNKs and p38 of the MAP kinase family as well as inhibiting NF-kB, PI3K and Akt (Pozo-Guisado et al. 2005 ; Sakamoto et al. 2010 ; Filomeni et al. 2007 ; Li et al. 2006 ) . At higher doses, resveratrol is also capable of inhibiting the proliferation of breast cancer cells and reducing their growth and viability (Nakagawa et al. 2001 ; Pozo-Guisado et al. 2002 ; Schmitt et al. 2002 ; Mgbonyebi et al. 1998 ; Scarlatti et al. 2003 ) . Studies have reported that resveratrol-induced growth inhibition is associated with changes in cell cycle at several levels including sub-G1, sub G0/G1, G1/S and G2/M (Nakagawa et al. 2001 ; Kim et al. 2004 ; Sakamoto et al. 2010 ; Pozo-Guisado et al. 2002 ; Scarlatti et al. 2003 ; Wang et al. 2009a ) .
Resveratrol can induce antiproliferative and apoptotic effects in highly metastatic and invasive breast cancer cell line, MDA-MB-231, by induction of ceramide, which is the mediator of various intracellular processes including proliferation, apoptosis, differentiation, and aging (Scarlatti et al. 2003 ) .
8.1.1.2 Colon Cancer Cells and Resveratrol
Several studies demonstrated that both the intrinsic and extrinsic apoptotic pathways contribute to cell death induced by resveratrol treatment (Kim et al. 2009 a; Cosan et al. 2009 ) . Studies in CaCo-2, HCT-116, SW620, and HT-29 colon cancer cells have demonstrated that resveratrol inhibits cell proliferation and commits cells to apoptosis (Szendel et al. 2000 ; Wolter et al. 2001 ; Juan et al. 2008 ; Zhang et al. 2009 ) . Delmas et al. ( 2003 ) have reported that resveratrol activates certain caspases in SW480 human colon cancer cells and might trigger apoptosis by inducing the redistribution of Fas receptor on cell membrane (Delmas et al. 2003 ) . Trincheri et al. ( 2007 ) have shown that resveratrol activates the intrinsic pathway in DLD1 and HT29 cell lines, whereas the study by Pohland et al. ( 2006 ) suggested that apoptosis occurred via the death receptor dependent pathway in HCT 116 cells with Bax and Bak de fi ciency (Trincheri et al. 2007 ; Pohland et al. 2006 ) . However, Mahyar et al. ( 2002 ) have shown that resveratrol triggers apoptosis through both Bax-dependent and independent mechanisms in HCT 116 cells (Mahyar-Roemer et al. 2002 ) . In study on HCT 116 cells,
Table 8.2 (continued)
AIF Apoptosis inducing factor TNF Tumor necrosis factor TNFR TNF receptor TRAIL Tumor necrosis factor related apoptosis inducing ligand TRAIL-R TRAIL receptor WAF1 Wild type p53 activated protein-1 XIAP X-linked Inhibitor of apoptosis protein
192 D. Turgut Cosan and A. Soyocak
Tabl
e 8.
3 Po
lyph
enol
ic c
ompo
unds
and
thei
r kn
own
biol
ogic
al a
ctiv
ities
Poly
phen
olic
com
poun
ds (
repr
esen
tativ
e ph
eolic
s)
Sour
ces
Bio
logi
cal a
ctiv
ities
of
poly
phen
olic
com
poun
ds
Res
vera
trol
Ber
ries
(C
orre
et a
l. 20
05 ; A
zız
et a
l. 20
03 ; G
usm
an e
t al.
2001
) A
lter
atio
n of
eic
osan
oid
synt
hesi
s (C
orre
et a
l. 20
05 ; A
zız
et a
l. 20
03 ; G
usm
an e
t al.
2001
) G
rape
s (C
orre
et a
l. 20
05 ; A
zız
et a
l. 20
03 ; G
usm
an e
t al.
2001
) A
ntib
acte
rial
act
ivit
ies
(Gus
man
et a
l. 20
01 )
Gro
undn
uts
(Per
vaız
200
3 )
Ant
icar
cino
geni
c ac
tivi
ties
(C
orre
et a
l. 20
05 ;
Igna
tow
icz
and
Bae
r-D
ubow
ska
2001
) A
ntic
oagu
lant
pro
pert
ies
(Cor
re e
t al.
2005
; Ig
nato
wic
z an
d B
aer-
Dub
owsk
a 20
01 )
Pean
uts
(Cor
re e
t al.
2005
) ; A
zız
et a
l. 20
03 ; G
usm
an e
t al.
2001
) A
ntii
n fl am
mat
ory
acti
viti
es (
Cor
re e
t al.
2005
; A
zız
et a
l. 20
03 ; G
usm
an e
t al.
2001
; Ig
nato
wic
z an
d B
aer-
Dub
owsk
a 20
01 )
Poly
gonu
m c
uspi
datu
m (
Cor
re e
t al.
2005
; A
zız
et a
l. 20
03 ; P
erva
ız 2
003 )
A
ntim
utaj
en p
rope
rtie
s (A
zız
et a
l. 20
03 )
Red
win
e (A
zız
et a
l. 20
03 )
Ant
ioxi
dant
pro
pert
ies
(Cor
re e
t al.
2005
; Azı
z et
al.
2003
; Gus
man
et a
l. 20
01 ; I
gnat
owic
z an
d B
aer-
Dub
owsk
a 20
01 ; P
erva
ız 2
003 )
C
ardi
opro
tect
ive
(Cor
re e
t al.
2005
; Per
vaız
20
03 )
Che
lati
on o
f cop
per
(Azı
z et
al.
2003
; Gus
man
et
al.
2001
) In
hibi
tion
of l
ipid
per
oxid
atio
n (C
orre
et a
l. 20
05 ; A
zız
et a
l. 20
03 ; G
usm
an e
t al.
2001
) In
hibi
tion
of p
late
let a
ggre
gati
on (
Cor
re e
t al.
2005
; Azı
z et
al.
2003
; Per
vaız
200
3 )
Neu
ropr
otec
tive
(Pe
rvaı
z 20
03 )
Oes
trog
enic
/ant
i-oe
stro
geni
c ac
tivi
ty (
Gus
man
et
al.
2001
) Va
sore
laxi
ng a
ctiv
itie
s (C
orre
et a
l. 20
05 ; A
zız
et a
l. 20
03 )
1938 Induction of Apoptosis by Polyphenolic Compounds in Cancer Cells Po
lyph
enol
ic c
ompo
unds
(re
pres
enta
tive
pheo
lics)
So
urce
s B
iolo
gica
l act
iviti
es o
f po
lyph
enol
ic c
ompo
unds
Que
rcet
in
A
pple
s (B
isch
off
2008
; Ahe
rne
and
O’B
rien
200
2 ; M
iddl
eton
et a
l. 20
00 )
Ant
iall
ergi
c ac
tivi
ty (
Bis
chof
f 20
08 )
Ber
ries
(B
isch
off
2008
; Ahe
rne
and
O’B
rien
200
2 )
Ant
icat
arac
t effe
cts
(Bis
chof
f 20
08 )
Bro
ccol
i (B
isch
off
2008
; Ahe
rne
and
O’B
rien
200
2 )
Ant
ihyp
erte
nsiv
e ac
tivi
ty (
Pere
z-V
izca
ino
et a
l. 20
09 )
Che
rrie
s (B
isch
off
2008
; Ahe
rne
and
O’B
rien
200
2 )
Ant
iin fl
amm
ator
y ac
tivi
ty (
Bis
chof
f 20
08 )
Cit
rus
frui
ts (
Bis
chof
f 20
08 )
Ant
imic
robi
al e
ffect
s (B
isch
off
2008
) G
rape
s (B
isch
off
2008
; Ahe
rne
and
O’B
rien
200
2 )
Ant
ineu
rode
gene
rati
ve e
ffect
s (B
isch
off
2008
)
Oni
ons
(Bis
chof
f 20
08 ; A
hern
e an
d O
’Bri
en 2
002 ;
Mid
dlet
on e
t al.
2000
) A
ntio
xida
nt a
ctiv
ity
(Bis
chof
f 20
08 ; M
iddl
eton
et
al.
2000
) R
ed w
ine
(Ahe
rne
and
O’B
rien
200
2 )
Ant
ipla
tele
t act
ivit
y (B
isch
off
2008
) Te
a (B
isch
off
2008
; Ahe
rne
and
O’B
rien
20
02 )
Ant
itum
or e
ffect
s (B
isch
off
2008
)
Tom
ato
(Ahe
rne
and
O’B
rien
200
2 )
Ant
ivir
al a
ctiv
ity
(Mid
dlet
on e
t al.
2000
) In
hibi
tion
of l
ipid
per
oxid
atio
n (M
iddl
eton
et
al.
2000
) Ta
nnic
aci
d
B
eans
(N
aus
et a
l. 20
07 )
Ant
iang
ioge
nic
acti
vity
(C
hen
et a
l. 20
03 )
Cof
fee
(Taf
feta
ni e
t al.
2005
) A
ntib
acte
rial
act
ivit
y (C
hung
et a
l. 19
98 )
Gra
pes
(Nau
s et
al.
2007
) A
ntic
arci
noge
nic
(Chu
ng e
t al.
1998
; Kha
n an
d H
adi 1
998 )
N
uts
(Nau
s et
al.
2007
; Taf
feta
ni e
t al.
2005
) A
ntim
icro
bial
act
ivit
y (C
hung
et a
l. 19
98 )
Red
win
e (T
affe
tani
et a
l. 20
05 )
Ant
imut
agen
ic a
ctiv
ity
(Kha
n an
d H
adi 1
998 )
Te
a (T
affe
tani
et a
l. 20
05 )
Ant
ioxi
dant
pro
pert
ies
(Chu
ng e
t al.
1998
; K
han
and
Had
i 199
8 ; K
han
et a
l. 20
00 )
Ant
ipro
life
rati
ve e
ffect
s (T
affe
tani
et a
l. 20
05 )
Che
mop
reve
ntiv
e ef
fect
s (C
hen
et a
l. 20
03 )
Pro
oxid
ant p
rope
rtie
s (K
han
et a
l. 20
00 )
194 D. Turgut Cosan and A. Soyocak
Mahyar et al. ( 2001 ) , have reported that apoptosis induced through the mitochondrial pathway and that resveratrol up- regulated Bax independently of p53 (Mahyar-Roemer et al. 2001 ) . Studies on various colon cancer cell lines demonstrated that resveratrol induces the release of cytochrome c from mitochondria (Kim et al. 2009 a; Trincheri et al. 2007 ) .
The effects of resveratrol on caspases have been studied in colon cancer cells. Several studies have shown that resveratrol effects caspases 2, 3, 6, 8 and 9 (Kim et al. 2009 a; Wolter et al. 2001 ; Juan et al. 2008 ; Mahyar-Roemer et al. 2002 ; Lee et al. 2006 ; Mohan et al. 2006 ) . A study performed on DLD-1 and HT-29 colon cancer cells have shown the effects of resveratrol on cathepsin D, a lysosomal protease that emerges in the later stages of apoptosis. Thus, it might be suggested that lysosomes constitute one of the targets of resveratrol (Trincheri et al. 2007 ) . Resveratrol reduced mitotic activity by affecting cell cycle proteins in colon cancer cells. It has been reported that resveratrol inhibits the cell cycle. These effects of resveratrol on cell cycle have been shown to be associated with alterations in the expression of cyclins and CDKs (Wolter et al. 2001 ) . However, a study performed with CaCo-2 cell line has demonstrated that although resveratrol causes inhibition of cell growth and accumulation of cells in S/G2 phase, it has no effects on cytotoxicity or apoptosis (Schneider et al. 2000 ) . Caspase 6 activation has been reported to be an important factor in apoptosis triggered by resveratrol in HCT116 colon cancer cells with or without p53 (Lee et al. 2009a ) . Resveratrol also inhibits Wnt signaling markedly at low doses; an effect considered to be a consequence of regulation of intracellular beta-catenin localization (Hope et al. 2008 ) . Overall, studies suggest that resveratrol exerts its effects through multiple pathways leading to induction of apoptosis and inhibition of cell growth.
8.1.1.3 Prostate Cancer Cells and Resveratrol
Studies have shown that resveratrol induces apoptosis by up-regulating TRAILR1/DR4 and TRAILR2/DR5 in the death receptor pathway in LNCaP prostate cancer cell line (Shankar et al. 2007a, b ) . Aziz et al. ( 2006 ) have shown that resveratrol can induce apoptotic molecules including Bax, Bak, Bid and Bad in the intrinsic pathway, and commit cells to apoptosis in LNCaP cell line (Aziz et al. 2006 ) . In study on LNCap, PC3 and DU145 prostate cancer cell line, resveratrol alters release of Smac/Diablo, cytochrome c, AIF, Omi/HtrA2, PuMA and Noxa by causing loss of mito-chondrial membrane potential (Shankar et al. 2007a ; b ) . Studies have shown that resveratrol activates caspases in prostate cancer cells. In androgen responsive LNCaP and androgen insensitive PC3 prostate cancer cells, resveratrol induces apoptosis by activating both caspase 9 and caspase 3 (Shankar et al. 2007b ; Benitez et al. 2007a ) . Resveratrol increases expression of proapoptotic proteins in LNCaP cells, while down-regulating antiapoptotic molecules cIAP1-2, XIAP, Bcl-xl, survivin and Bcl-2 (Shankar et al. 2007b ) . It also has antiproliferative effects on prostate cancer cells and decreases cell viability (Aziz et al. 2006 ; Benitez et al. 2007a, b ; Hsieh and Wu 1999 ) . In a study performed with Du-145 prostate cancer cells, suppressive
1958 Induction of Apoptosis by Polyphenolic Compounds in Cancer Cells
effects of resveratrol on proliferation have been suggested to be mediated by HSPs70- (Cardile et al. 2003 ) .
Resveratrol might inhibit certain molecules in cell survival pathways including PI3K, Akt and NF- k B (Shankar et al. 2007b ; Aziz et al. 2006 ; Benitez et al. 2007b ; 2009 ) . Scarlatti et al. ( 2007 ) have shown that resveratrol induced cell cycle arrest and promoted apoptosis in prostate cancer cells (Benitez et al. 2009 ) . Kotha et al. ( 2006 ) have reported that resveratrol inhibits the activity of Src tyrosine kinase in malign cells and thus blocks the activation of Stat 3 proteins. As a result of the treatment of malign cells expressing active-Stat3 with resveratrol, human breast (MDA-MB-231) and prostate carcinoma (DU145) cell lines were inhibited at G0-G1 phase of cell cycle. However, resveratrol inhibited S phase of the cell cycle in human breast cancer (MDA-MB-468) and induced cell death via apoptosis (Kotha et al. 2006 ) .
Narayanan et al. ( 2003 ) showed that resveratrol alters the cell cycle regulation including cyclins, cdks, p53 and cdk inhibitors and expression of genes associated with apoptosis (Narayanan et al. 2003 ) . Joe et al. ( 2002 ) reported that resveratrol induces marked growth inhibition in MCF7 and SW480 cell lines (Joe et al. 2002 ) . Hsieh ( 2009 ) has been demonstrated that resveratrol achieves its anti-cancer activity in prostate cancer cells by suppressing cell proliferation, inhibiting proceeding of cell cycle and thus inducing apoptosis in androgen responsive LNCaP and androgen resistant (or insensitive) DU145 and PC-3 CaP cells (Hsieh 2009 ) .
Antiproliferative and proapoptotic effects of resveratrol in breast cancer cells might be due to accumulation of ceramide. However, Sala et al. ( 2003 ) have demonstrated that resveratrol might exhibit antiproliferative/proapoptotic effects secondary to endogen ceramide accumulation in androgen receptor (AR) negative prostate cancer cell line PC3 (Sala et al. 2003 ) .
8.1.2 Induction of Apoptosis by Quercetin
Quercetin (3,5,7,3 ¢ ,4 ¢ -pentahidroksi fl avon) is a fl avonoid commonly found in vegetables and fruits (Table 8.3 ). Its effects in the molecular mechanisms of apoptosis have been investigated in several cancer cell lines.
8.1.2.1 Breast Cancer Cells and Quercetin
Several studies indicate that quercetin induces apoptosis in breast cancer cells (Chou et al. 2010 ; Choi et al. 2001 ; Hatipoglu et al. 2010 ) . Quercetin, induces apoptosis through modulation of various pathways in a manner similar to other phenolic com-pounds and causes reduction in Bcl-2, and elevation Bax and AIF levels in MCF-7, MDA-MB-231 and MDA-MB-453 breast cancer cells (Chou et al. 2010 ; Chien et al. 2009 ; Choi et al. 2008 ) . Chou et al. ( 2010 ) reported that quercetin decreased levels of Bcl-2 protein and increased the activation of caspase-6, -8 and −9 in MCF-7 cells (Chou et al. 2010 ) . Chien et al. ( 2009 ) showed that quercetin treatment promoted
196 D. Turgut Cosan and A. Soyocak
activation of caspase-3, -8 and −9 in MDA-MB-231 cells (Chien et al. 2009 ) . Other studies showed that quercetin induces growth inhibition and decrease proliferation and cell viability in breast cancer cells (Chou et al. 2010 ; Choi et al. 2001 ; Hatipoglu et al. 2010 ; Chien et al. 2009 ; Choi et al. 2008 ; Jeong et al. 2009 ; Rodgers and Grant 1998 ; Lee et al. 2009b ; Hakimuddin et al. 2004 ) . Quercetin affects the cell cycle by increasing the levels of Cdk inhibitors including p53, p21 CIP1/waf1 and p27 Kip1 (Chou et al. 2010 ; Choi et al. 2001 ; Jeong et al. 2009 ) . In MDA-MB-231 cells, quercetin was shown to increase levels of cytosolic calcium, which is known to trigger apoptosis. (Chien et al. 2009 ) . In addition, Costillo-pichardo et al. ( 2009 ) have demon-strated that combination of various grape polyphenols induce apoptosis and are more effective than single use of resveratrol, quercetin, or catechin in inhibition of cell proliferation, cell cycle progression, and cell migration in the highly metastatic ER (−) MDA-MB-435 cell line (Castillo-Pichardo et al. 2009 ) .
8.1.2.2 Colon Cancer Cells and Quercetin
Studies have shown that quercetin induces TRAIL-mediated apoptosis in colon adenocarcinoma cells (Psahoulia et al. 2007 ) . Kim WK et al. ( 2005 ) have reported that Bcl-2 was reduced while Bax remained unchanged in HT9 and SW480 colon cancer cells after administration of quercetin (Kim et al. 2005 ) . Quercetin has been shown to decrease cell viability, increase differentiation, inhibit cell proliferation and induce apoptosis in colon cancer cells (Kim et al. 2005 ; Xavier et al. 2009 ; Wenzel et al. 2004 ; Kim et al. 2010 ; Van Erk et al. 2004 ; Shan et al. 2009 ) . Van Erk et al. ( 2005 ) showed that in CaCo-2 cell lines, quercetin down-regulates cell cycle genes (CDC6, CDK4, cyclin D1), reduces the number of cells in G1 phase, and increases the sub-G1 population (Van Erk et al. 2004 ) . Proapoptotic effector caspase 3 and PARP cleavage increases with the effect of quercetin (Kim et al. 2005 ; Wenzel et al. 2004 ) . Kim et al. ( 2010 ) shown that quercetin causes upregulation of proteins including AMPK, p53 and p21 in HT-29 colon cancer cell line (Kim et al. 2010 ) . Shan et al. ( 2009 ) have been reported that quercetin down-regulates survivin genes in SW480 colon cancer cells (Shan et al. 2009 ) . Kim et al. ( 2005 ) have demonstrated that in CO115 cells quercetin decreased Akt phosphorylation, but did not alter that of phospho-ERK (Xavier et al. 2009 ) . Overall available data suggest that quercetin exerts its effects by multiple mechanism in cells and not only induces apoptosis but also inhibits survival pathways and cell cycle progression.
8.1.2.3 Prostate Cancer Cells and Quercetin
Studies in prostate cancer cell lines demonstrated that quercetin induces TRAIL-mediated cytotoxicity in these cells (Kim et al. 2008 ; Jung et al. 2010 ) . However, one study has suggested that quercetin does not alter levels of TRAIL receptors including DR4, DR5, DcR2 in prostate adenocarcinoma cells (Kim and Lee 2007 ) . Another study has suggested that TRAIL-induced apoptosis was associated with the up-regulation
1978 Induction of Apoptosis by Polyphenolic Compounds in Cancer Cells
of DR5 receptor (Jung et al. 2010 ) . This discrepancy might be due to the utilization of different cell lines by different studies. It is also possible that the dose of the compounds, or the time of the treatment may cause different fi ndings by different investigators. Kim et al. ( 2008 ) , quercetin leads to TRAIL induced apoptosis with the inhibition of survivin, an antiapoptotic protein, expression. Although, survivin is down-regulated with quercetin, the expressions of apoptosis inhibitor proteins, FLIP and IAP, are not altered in prostate cancer cell line (Kim et al. 2008 ) . On the other hand, quercetin has been shown to inhibit activity (phosphorylation) of PI3K/Akt signaling pathway in DU-145, LNCaP, PC3 prostate cancer cell lines (Kim and Lee 2007 ; Senthilkumar et al. 2010 ; Lee et al. 2008 ) . Quercetin decreases levels of Bcl-2, Bcl-xl, while increases levels of Bax, Bad and caspases including 3, 8, 9, 10 and PARP cleavage in several prostate cell lines (Kim et al. 2008 ; Jung et al. 2010 ; Kim and Lee 2007 ; Senthilkumar et al. 2010 ; Lee et al. 2008 ; Vijayababu et al. 2005 ; Vijayababu et al. 2006a, b ) . In addition, quercetin inhibits proliferation and cell viability and induces cell cycle arrest (Vijayababu et al. 2005 ; Aalinkeel et al. 2008 ) . It has been demonstrated that cdc2/cdk1, cyclin B1 and D1 expressions were decreased and G2/M transition was blocked with quercetin (Senthilkumar et al. 2010 ; Vijayababu et al. 2005 ) . Some studies suggested that quercetin exerts its effects independent of p53. Quercetin induces p21/Cip1 CDK-inhibitor expression, suggesting that it blocks cell cycle progression (Vijayababu et al. 2005, 2006a ; b ) . Quercetin induced apoptosis and inhibition of migration and invasion are synergistically enhanced when combined with EGCG (Tang et al. 2010 ) . Overeall, studies indicate that quercetin is highly effective in inducing apoptosis and inhibition of cell growth in different prostate cancer cells regardless of androgen receptor status. The other important feature of quercetin is that this compound also have multiple effects in prostate cancer cells, ranging from inhibition of cell proliferation, cell cycle to induction of apoptosis.
8.1.3 Induction of Apoptosis by Tannic Acid
Tannins are polyphenolic compounds with molecular weights between 500 and 3000 Da. They are classi fi ed into two categories including hydrolyzed and condensed tannins. Hydrolyzed tannins are commonly termed as tannic acids and contain either gallotannin or ellagic tannin (Nam et al. 2001 ) (Table 8.3 ).
8.1.3.1 Breast Cancer Cells and Tannic Acid
Recent studies have shown that pomegranate extracts containing tannic acid inhibited the growth of breast, prostate, colon and lung cancer cells (Adhami et al. 2009 ) . In our study performed with MCF-7 breast cancer cell line, we demonstrated that treatment of cells with various doses of tannic acid induced apoptosis and increased the level of FADD and Bak proteins in extrinsic and intrinsic pathways, respectively
198 D. Turgut Cosan and A. Soyocak
(data not published). In the study by Uchiumi et al, they examined the effects of biological activities of tannic acid on breast tumor, and found that tannic acid inhib-its promoter of mouse mammary tumor virus (Uchiumi et al. 1998 ) . In another study of our group, we observed that tannic acid reduces the overall activity of NOS that is responsible for the synthesis of NO in colon adenocarcinoma cells (CaCo-2) and breast adenocarcinoma cells (MCF-7) (Cosan et al. 2010 ) . Sirivastava et al, have reported that tannic acid might be a potential inhibitor of NOS activity due to its antioxidant features (Srivastava et al. 2000 ) .
8.1.3.2 Colon Cancer Cells and Tannic Acid
Our laboratory has investigated the effects of tannic acid on apoptosis in CaCo-2 colon cancer cell line, Bak in intrinsic pathway and FADD protein in extrinsic pathway by administration of tannic acid in various doses. We found that tannic acid led to an increased apoptotic index and dose and time independent increase in Bak and FADD proteins (Cosan et al. 2009 ) . In the study of Seeram et al. ( 2005 ) , antiproliferative effects of punicalagin, total pomegranate tannin and ellagic acid were demonstrated in human colon (HT-29, HCT116, SW480, SW620), oral (KB, CAL27) and prostate (RWPE-1, 22Rv1) cancer cells. In addition punicalagin, total pomegranate tannin and ellagic acid were reported to induce apoptosis in HT-29, HCT116 colon cancer cell lines (Seeram et al. 2005 ) . However, the mechanisms by which tannic acid induce apoptosis remains to be elucidated by further studies .
8.1.3.3 Prostate Cancer Cells and Tannic Acid
Various studies have been conducted in order to understand the effects and mecha-nisms of polyphenols in prostate cancer. In one of these studies, Romero et al. ( 2002 ) , have found that tannic acid inhibits growth of LNCaPs prostate cancer cells and induces apoptosis (Romero et al. 2002 ) . Bawadi et al. ( 2005 ) have demonstrated the anti-angiogenic activity of water-soluble condense tannins isolated from black bean in HEL 299 normal human fi broblast lung cells, Caco-2 colon, MCF-7 and Hs578T breast and DU 145 human prostate cancer cell lines. Furthermore, they found that the condense tannin at lower doses does not have an effect on growth of normal cells however induces death of cancer cells by means of apoptosis in a dose-dependent manner (Bawadi et al. 2005 ) .
Chemopreventive effects of tannic acid might be due to suppression the growth of cancer cells. Currently, there are only very few studies with tannic acid with regard to its role in cancer chemoprevention. However in vitro studies showed that tannic acid inhibits cell proliferation and induces apoptosis in several cancer cell lines. In one of the these studies, Devi et al. ( 1993 ) have demonstrated that tannic acid has the highest effect on proliferation in several natural plant polyphenols tested in normal and abnormal human lymphocytes (Devi and Das 1993 ) . Ramanathan et al. ( 1992 ) , has demonstrated that together with various fl avonoids, tannic acid
1998 Induction of Apoptosis by Polyphenolic Compounds in Cancer Cells
inhibits growth of HeLa and Raji lymphoma cells (Ramanathan et al. 1992 ) . Pan et al. ( 1999 ) have shown that penta-O-galloyl-beta-D-glucose is structurally related to (−)-epigallocatechin gallate and is isolated from hydrolyzed tannin, induces apoptosis in HL-60 human acute leukemia (AML) cells by activation of caspase 3 (Pan et al. 1999 ) . Wang et al. ( 2000 ) , have found that the anti tumor effect of Cuphiin D1 (CD1) which is a macrocyclic hydrolysable tannin induces apoptosis by inhibiting Bcl-2 expression in HL60 leukemia cells, and G1-arrest (accumulation of cells in G1 phase of cell cycle) and decreasing number of cells in G2/M phase (Wang et al. 2000 ) . Chen et al. ( 2009 ) have demonstrated tannic acid induced apoptotic death has been observed in HL-60 AML cells in a dose- and time-dependent manner and that this effects were associated with an increase in sub-G1 fraction, chromosome condensation, and DNA fragmentation. Furthermore, it has been stated that tannic acid leads to apoptosis by activation of caspase cascade and cleavage of PARP followed by the disruption of mitochondrial membrane potential, and release of cytochrome c (Chen et al. 2009 ) . Sakagami et al. ( 2000 ) , have indicated that hydro-lyzable tannins lead to induction of apoptotic cell death in human oral squamous cell carcinoma and salivary gland tumor as indicated by the activation of caspases, cytokeratin 18 cleavage and DNA fragmentation (Sakagami et al. 2000 ) . Marienfeld et al. ( 2003 ) , have found out that tannic acid inhibits in vitro proliferation and cell cycle progression and increases expression of cyclin-dependent kinase inhibitor p27 KIP1 in malignant human cholangiocytes (Marienfeld et al. 2003 ) .
More interestingly, administration of tannic acid with a diet in C3H mice was shown to be highly effective in prevention of self developing liver tumors depending on dosage. These data clearly suggested that tannic acid can be used as a chemical prevention method against certain tumors (Nam et al. 2001 ) . However, more studies need to be performed to demonstrate the role of tannic acid as a chemopreventive agent in different carcinogenesis models.
Ubiquitin proteasome system plays a critical role in speci fi c degradation of cellular proteins. The most signi fi cant functions of proteasomes are to promote tumor cell proliferation and protect tumor cells against apoptosis. Tannic acids effective in the ubiquitin-proteasome system, which plays an important role in destruction of cell proteins. The ubiquitin-proteasome system can modulate levels of proteins such as p53, pRb, p21, p27 Kip1 , IKB- a and Bax that are involved in regulation of cell prolif-eration and cell death. Inhibition of proteasomes by tannic acid in Jurkat T cancer cells, stimulates apoptosis by accumulation of kinase inhibitor p27 Kip1 , proapoptotic protein Bax and suppression of cell cycle in G1 phase (Nam et al. 2001 ) .
8.1.4 Induction of Apoptosis by Other Polyphenols
Dietary polyphenols are the compounds found in fruits, vegetables and seeds. There are approximately 8.000 different polyphenols that are classi fi ed according to their chemical and structural features. The idea that these polyphenols might have a role in the prevention of cancer and can be used as chemical inhibitors of cancer justi fi ed
200 D. Turgut Cosan and A. Soyocak Ta
ble
8.4
Eff
ects
of
othe
r di
etar
y po
lyph
enol
s on
apo
ptot
ic p
athw
ays
in b
reas
t, pr
osta
te a
nd c
olon
can
cer
cells
Oth
er d
ieta
ry
poly
phen
ols
Sour
ces
Can
cer
cells
type
A
popt
osis
eff
ects
Api
geni
n Pl
ant s
eeds
fru
its a
nd
vege
tabl
es (
Agg
arw
al
and
Shis
hodi
a 20
06 )
Bre
ast c
ance
r ce
lls (
MD
A-M
B-
453,
SK-B
R-3
) (C
hoi
and
Kim
200
9a, b
)
Indu
ced
apop
tosi
s (C
hoi a
nd K
im 2
009a
, b ; C
hung
et a
l. 20
07 ; K
aur
et a
l. 20
08 )
Tri
gger
ed c
aspa
se a
ctiv
atio
n (C
hoi a
nd K
im 2
009a
; Shu
kla
and
Gup
ta
2008
) C
olon
can
cer
cells
(H
T29
-A
PC, H
T29
-GA
L)
(Chu
ng e
t al.
2007
)
Rel
ease
d cy
toch
rom
e c
(Cho
i and
Kim
200
9a )
Exp
ress
ion
of B
ax (
Cho
i and
Kim
200
9b ; S
hukl
a an
d G
upta
200
8 )
Pros
tate
can
cer
cells
(22
Rv1
, PC
-3)
(Shu
kla
and
Gup
ta 2
008 ;
Kau
r et
al.
2008
)
Dec
reas
ed le
vels
of
Bcl
-XL
,Bcl
-2 (
Shuk
la a
nd G
upta
200
8 )
Inhi
bite
d ce
ll pr
olif
erat
ion
(Cho
i and
Kim
200
9b )
Indu
ced
cell
cycl
e ar
rest
(C
hoi a
nd K
im 2
009b
; Chu
ng e
t al.
2007
) R
egul
atio
n of
CD
K1
and
p21(
Cip
1) (
Cho
i and
Kim
200
9b )
Incr
ease
d ac
cum
ulat
ion
of p
53 (
Cho
i and
Kim
200
9b )
Inac
tivat
ion
of A
kt (
Kau
r et
al.
2008
)
Cap
saic
in
Red
pep
pers
(C
hou
et a
l. 20
09 )
Bre
ast c
ance
r ce
lls (
MC
F-7,
T
47D
, BT-
474,
SK
BR
-3,
MD
A-M
B23
1) (
Cho
u et
al.
200
9 ; T
hoen
niss
en
et a
l. 20
10 )
Indu
ced
apop
tosi
s (T
hoen
niss
en e
t al.
2010
; Kim
et a
l. 20
09 b;
Yan
g et
al.
2009
; Kim
et a
l. 20
07 )
Indu
ced
cellu
lar
apop
tosi
s th
roug
h a
casp
ase
inde
pend
ent p
athw
ay
(Cho
u et
al.
2009
) In
duce
d ap
opto
sis
thro
ugh
mito
chon
dria
l and
dea
th r
ecep
tor
path
way
s C
olon
can
cer
cells
(H
CT
116,
C
olo3
20D
M, L
oVo,
HT-
29)
(Kim
et a
l. 20
07, 2
009 b
; Y
ang
et a
l. 20
09 )
Indu
ced
apop
tosi
s vi
a R
OS
gene
ratio
n (S
ánch
ez e
t al.
2007
) A
ctiv
atio
n of
cas
pase
3 (
Yan
g et
al.
2009
)
Pros
tate
can
cer
cells
(PC
-3)
(Sán
chez
et a
l. 20
07 )
Inhi
bite
d ce
ll gr
owth
(C
hou
et a
l. 20
09 ; T
hoen
niss
en e
t al.
2010
; Kim
et
al.
2009
b)
Dec
reas
ed c
ell v
iabi
lity
(Yan
g et
al.
2009
) In
duce
d ce
ll cy
cle
arre
st (
Tho
enni
ssen
et a
l. 20
10 )
AM
PK a
ctiv
atio
n (K
im e
t al.
2007
) JN
K a
ctiv
atio
n (S
ánch
ez e
t al.
2007
) E
RK
act
ivat
ion
(Sán
chez
et a
l. 20
07 )
2018 Induction of Apoptosis by Polyphenolic Compounds in Cancer Cells O
ther
die
tary
po
lyph
enol
s So
urce
s C
ance
r ce
lls ty
pe
Apo
ptos
is e
ffec
ts
Cur
cum
in
Cur
cum
a lo
nga
(Tei
ten
et a
l. 20
10 )
Bre
ast c
ance
r ce
lls (
MD
A-
MB
-231
, BT-
483,
MC
F-7)
(L
iu e
t al.
2009
; Chi
u an
d Su
200
9 ; D
uvoi
x et
al.
2005
)
Indu
ced
apop
tosi
s (C
hiu
and
Su 2
009 ;
Duv
oix
et a
l. 20
05 ; T
eite
n et
al.
2010
; Lee
et a
l. 20
09c ;
Wat
son
et a
l. 20
08 ; H
ilchi
e et
al.
2010
; Sr
ivas
tava
et a
l. 20
07 )
Inhi
bite
d ex
pres
sion
s of
Bcl
-2, B
cl-X
L, s
urvi
vin
and
XIA
P (S
hank
ar
et a
l. 20
07c )
In
duce
d ex
pres
sion
s of
Bax
, Bak
, PU
MA
, Bim
, and
Nox
a an
d de
ath
Rec
epto
rs (
TR
AIL
R1/
DR
4 an
d T
RA
IL-R
2/D
R5)
(Sh
anka
r et
al.
2007
c )
Dow
n-re
gula
tion
of N
Fkap
paB
indu
cing
gene
s (L
iu e
t al.
2009
) A
ctiv
atio
n of
cas
pase
-3, -
8,-9
(Sh
anka
r et
al.
2007
) C
olon
can
cer
cells
(H
T-29
, H
CT-
116)
(L
ee e
t al.
2009
c ;
Wat
son
et a
l. 20
08 )
Dec
reas
ed p
rote
in e
xpre
ssio
n of
p53
and
Bcl
-2 (
Chi
u an
d Su
200
9 )
Act
ivat
ion
of p
38 m
itoge
n-ac
tivat
ed p
rote
in k
inas
e (M
APK
) (H
ilchi
e et
al.
2010
) A
ctiv
atio
n of
c-j
un N
-ter
min
al k
inas
e (J
NK
) (H
ilchi
e et
al.
2010
) Pr
osta
te c
ance
r ce
lls (
PC3,
L
NC
aP)
(Tei
ten
et a
l. 2
010 ;
Hilc
hie
et a
l. 20
10 ;
Sriv
asta
va e
t al.
2007
; Sh
anka
r et
al.
2007
c )
Inhi
bite
d ce
ll pr
olif
erat
ion
(Liu
et a
l. 20
09 ; C
hiu
and
Su 2
009 )
In
duce
d ce
ll cy
cle
arre
st (
Liu
et a
l. 20
09 ; C
hiu
and
Su 2
009 ;
Sri
vast
ava
et a
l. 20
07 )
Indu
ced
expr
essi
on o
f cy
clin
-dep
ende
nt k
inas
e (C
DK
) in
hibi
tors
p16
(/IN
K4a
), p
21(/
WA
F1/C
IP1)
and
p27
(/K
IP1)
(Sr
ivas
tava
et a
l. 20
07 )
Inhi
bite
d ex
pres
sion
of
cycl
in E
and
cyc
lin D
1 (S
riva
stav
a et
al.
2007
) D
ecre
ased
pA
kt a
nd C
OX
-2 (
Lee
et a
l. 20
09c )
In
crea
sed
p-A
MPK
(L
ee e
t al.
2009
c )
Act
ivat
ion
of p
38 m
itoge
n-ac
tivat
ed p
rote
in k
inas
e (M
APK
) (H
ilchi
e et
al.
2010
)
(con
tinue
d)
202 D. Turgut Cosan and A. Soyocak
Oth
er d
ieta
ry
poly
phen
ols
Sour
ces
Can
cer
cells
type
A
popt
osis
eff
ects
Dai
dzei
n So
ybea
n (H
su e
t al.
2010
) B
reas
t can
cer
cells
(M
CF-
7,
MD
A-M
B-4
53)
(Jin
et a
l. 20
10 ;
Cho
i and
Kim
200
8 )
Indu
ced
apop
tosi
s (J
in e
t al.
2010
; Hsu
et a
l. 20
10 )
Act
ivat
ion
of c
aspa
se-3
,-9,
-7 (
Jin
et a
l. 20
10 ; C
hoi a
nd K
im 2
008 ;
Guo
et
al.
2004
) D
own-
regu
latio
n of
bcl
-2 (
Jin
et a
l. 20
10 )
Up-
regu
latio
n of
bax
(Ji
n et
al.
2010
; Hsu
et a
l. 20
10 )
Col
on c
ance
r ce
lls (
LoV
o) (
Guo
et a
l. 20
04 )
Rel
ease
d cy
toch
rom
e c
(Jin
et a
l. 20
10 )
Inhi
bite
d ce
ll pr
olif
erat
ion
(Jin
et a
l. 20
10 ; C
hoi a
nd K
im 2
008 )
Pr
osta
te c
ance
r ce
lls (
LnC
ap, P
C3)
(H
su e
t al.
2010
; Wan
g et
al.
2009
b )
Arr
este
d ce
ll cy
cle
(Cho
i and
Kim
200
8 ; G
uo e
t al.
2004
) In
crea
sed
expr
essi
on o
f th
e C
DK
inhi
bito
rs p
21(C
ip1)
, p57
(Kip
2) (
Cho
i an
d K
im 2
008 )
D
NA
fra
gmen
tatio
n (G
uo e
t al.
2004
) In
crea
sed
p53
prot
ein
expr
essi
on (
Wan
g et
al.
2009
b )
Del
phin
idin
Pi
gmen
ted
frui
ts a
nd
vege
tabl
es (
berr
ies,
po
men
gran
ates
etc
.)
(Afa
q et
al.
2008
; Yun
et
al.
2009
)
Bre
ast c
ance
r ce
lls (
AU
-565
, M
CF-
10A
) (A
faq
et a
l. 20
08 )
Indu
ced
apop
tosi
s (A
faq
et a
l. 20
08 ; Y
un e
t al.
2009
; Bin
Haf
eez
et a
l. 20
08 )
Act
ivat
ion
of c
aspa
se-3
,-8,
-9 (
Afa
q et
al.
2008
; Yun
et a
l. 20
09
Incr
ease
d B
ax (
Afa
q et
al.
2008
; Yun
et a
l. 20
09 )
Dec
reas
ed B
cl-2
pro
tein
(A
faq
et a
l. 20
08 ; Y
un e
t al.
2009
; Bin
Haf
eez
et a
l. 20
08 )
Col
on c
ance
r ce
lls (
HC
T11
6) (
Yun
et
al.
2009
) C
leav
age
of P
AR
P pr
otei
n (A
faq
et a
l. 20
08 ; Y
un e
t al.
2009
) Su
ppre
ssed
NF-
B p
athw
ay (
Yun
et a
l. 20
09 )
Dec
reas
ed c
ell v
iabi
lity
(Yun
et a
l. 20
09 )
Arr
este
d ce
ll cy
cle
in th
e G
2/M
pha
se (
Yun
et a
l. 20
09 )
Pros
tate
can
cer
cells
(PC
3, L
NC
aP,
C4-
2, 2
2Rnu
1) (
Bin
Haf
eez
et a
l. 20
08 ; H
afee
z et
al.
2008
)
Act
ivat
ion
of P
I3K
(A
faq
et a
l. 20
08 )
Inhi
bite
d E
GF-
indu
ced
auto
phos
phor
ylat
ion
of E
GFR
, AK
T a
nd M
APK
(A
faq
et a
l. 20
08 )
Inhi
bitio
n of
NFk
appa
B s
igna
ling
(Yun
et a
l. 20
09 ; B
in H
afee
z et
al.
2008
) D
ecre
ased
exp
ress
ion
of N
Fkap
paB
/p65
and
PC
NA
(H
afee
z et
al.
2008
)
Tabl
e 8.
4 (c
ontin
ued)
2038 Induction of Apoptosis by Polyphenolic Compounds in Cancer Cells O
ther
die
tary
po
lyph
enol
s So
urce
s C
ance
r ce
lls ty
pe
Apo
ptos
is e
ffec
ts
Dia
llylp
olys
ul fi d
es
Gar
lic (
Bus
ch e
t al.
2010
) H
CT
116
hum
an c
olon
can
cer
cells
(B
usch
et a
l. 20
10 )
Indu
ced
apop
tosi
s (B
usch
et a
l. 20
10 )
Arr
este
d ce
ll cy
cle
(Bus
ch e
t al.
2010
) D
ecre
ased
cel
l via
bilit
y (B
usch
et a
l. 20
10 )
Ella
gic
acid
A
vaca
do
Bre
ast c
ance
r ce
lls (
MC
F-7,
Hs5
78T,
W
A-4
) (L
osso
et a
l. 20
04 ; D
ai
et a
l. 20
10 )
Indu
ced
apop
tosi
s (L
osso
et a
l. 20
04 )
Red
ber
ries
D
ecre
ased
AT
P pr
oduc
tion
(Los
so e
t al.
2004
)
Gra
pes
Col
on c
ance
r ce
lls (
CaC
o-2)
(L
osso
et
al.
2004
) A
rres
ted
cell
cycl
e pr
ogre
ssio
n in
the
G0/
G1
phas
e (D
ai e
t al.
2010
) St
raw
berr
ies
Dec
reas
ed le
vels
of
pro-
MM
P-2,
-9 (
Los
so e
t al.
2004
) R
aspb
erri
es
Pros
tate
can
cer
cells
(D
u-14
5) (
Los
so
et a
l. 20
04 )
Dec
reas
ed le
vels
of
VE
GF
(Los
so e
t al.
2004
) N
uts
(Agg
arw
al a
nd
Shis
hodi
a 20
06 ; L
osso
et
al.
2004
)
Epi
gallo
cate
chin
G
alla
te
(EG
CG
)
Gre
en te
a (T
hang
apaz
ham
et
al.
2007
; Has
tak
et a
l. 20
05 )
Bre
ast c
ance
r ce
lls (
MD
A-M
B-2
31,
MC
F-7)
(T
hang
apaz
ham
et a
l. 20
07 ; T
ang
et a
l. 20
07 )
Indu
ced
apop
tosi
s (T
hang
apaz
ham
et a
l. 20
07 ; H
asta
k et
al.
2005
) In
crea
sed
casp
ase-
9 ac
tivity
(Ta
ng e
t al.
2007
) In
crea
sed
Bax
(T
hang
apaz
ham
et a
l. 20
07 )
Red
uced
Bcl
-2 (
Tha
ngap
azha
m e
t al.
2007
) C
olon
Can
cer
Cel
ls (
HC
T11
6, H
T-29
) (T
haku
r et
al.
2010
; Hw
ang
et a
l. 20
07 )
Incr
ease
d le
vels
of
Bax
(H
asta
k et
al.
2005
) PA
RP
clea
vage
(T
hang
apaz
ham
et a
l. 20
07 )
Arr
este
d ce
ll gr
owth
(H
asta
k et
al.
2005
) Pr
osta
te c
ance
r ce
lls (
LnC
aP)
(Has
tak
et a
l. 20
05 )
Inhi
bite
d ce
ll pr
olif
erat
ion
(Tha
ngap
azha
m e
t al.
2007
; Tan
g et
al.
2007
) A
rres
ted
cell
cycl
e in
the
G1
phas
e (H
asta
k et
al.
2005
) In
duce
d p5
3, p
21 a
nd P
UM
A (
Tha
kur
et a
l. 20
10 ; H
asta
k et
al.
2005
) D
ecre
ased
AK
T p
hosp
hory
latio
n (T
hang
apaz
ham
et a
l. 20
07 ; T
ang
et a
l. 20
07 )
Supp
ress
ion
of s
urvi
vin
(Tan
g et
al.
2007
) D
ecre
ased
CO
X-2
exp
ress
ion
(Hw
ang
et a
l. 20
07 )
Act
ivat
ion
of A
MPK
(H
wan
g et
al.
2007
)
(con
tinue
d)
204 D. Turgut Cosan and A. Soyocak
Oth
er d
ieta
ry
poly
phen
ols
Sour
ces
Can
cer
cells
type
A
popt
osis
eff
ects
Gen
iste
in
Soy
bean
s B
reas
t can
cer
cells
(M
DA
-MB
-231
, M
CF-
7) (
Fere
nc e
t al.
2010
; Li
et a
l. 20
08 ; T
ophk
hane
et a
l. 20
07 )
Indu
ced
apop
tosi
s (H
su e
t al.
2010
; Li e
t al.
2008
; Fan
et a
l. 20
10 ; L
u an
d Y
u 20
05 )
Indu
ced
casp
ase-
3 ac
tivity
(L
i et a
l. 20
08 )
Dow
n-re
gula
tion
of B
cl-2
(Fe
renc
et a
l. 20
10 ; L
i et a
l. 20
08 )
Up-
regu
latio
n of
Bax
(Fe
renc
et a
l. 20
10 ; L
i et a
l. 20
08 ; F
an e
t al.
2010
; L
u an
d Y
u 20
05 )
Chi
ckpe
a C
olon
can
cer
cells
(SW
480,
HT-
29)
(Fan
et a
l. 20
10 ; L
u an
d Y
u 20
05 )
Incr
ease
d cy
toch
rom
e c
rele
ase
(Top
hkha
ne e
t al.
2007
) In
hibi
ted
cell
grow
th (
Li e
t al.
2008
; Fan
et a
l. 20
10 )
Inhi
bite
d pr
olif
erat
ion
(Lu
and
Yu
2005
) Pr
osta
te c
ance
r ce
lls (
LnC
ap, P
C3)
(H
su e
t al.
2010
; Wan
g et
al.
2009
b )
Arr
este
d ce
ll cy
cle
(Hsu
et a
l. 20
10 ; W
ang
et a
l. 20
09b ;
Top
hkha
ne e
t al.
2007
; Fan
et a
l. 20
10 ; L
u an
d Y
u 20
05 )
Kud
zu r
oot (
Agg
arw
al a
nd
Shis
hodi
a 20
06 ; L
i et
al.
2008
)
Inhi
bite
d N
F-ka
ppaB
act
ivity
via
the
ME
K5/
ER
K5
path
way
(L
i et a
l. 20
08 )
Dow
n-re
gula
tion
of e
xpre
ssio
n of
VE
GFa
nd P
CN
A (
Fan
et a
l. 20
10 ; L
u an
d Y
u 20
05 )
Up-
regu
latio
n of
exp
ress
ion
of p
21 (
Fan
et a
l. 20
10 )
Lut
eolin
Te
a C
olon
can
cer
cells
(H
T-29
, CO
LO
205,
H
CT
116)
(do
Lim
et a
l. 20
07 ; S
hi
et a
l. 20
04 )
Indu
ced
apop
tosi
s (d
o L
im e
t al.
2007
; Chi
u an
d L
in 2
008 )
Fr
uits
R
epre
ssed
cel
l pro
lifer
atio
n (C
hiu
and
Lin
200
8 )
Veg
etab
les
Inhi
bite
d ce
ll gr
owth
(C
hiu
and
Lin
200
8 )
Cel
ery
Pros
tate
can
cer
cells
(L
NC
aP, D
U14
5,
PC-3
) (C
hiu
and
Lin
200
8 )
Arr
este
d ce
ll cy
cle
(do
Lim
et a
l. 20
07 )
Gre
en p
eppe
r pe
rilla
leaf
(A
ggar
wal
and
Sh
isho
dia
2006
; do
Lim
et a
l. 20
07 )
Supp
ress
ed e
xpre
ssio
n of
NF-
kapp
aB (
Shi e
t al.
2004
)
Tabl
e 8.
4 (c
ontin
ued)
2058 Induction of Apoptosis by Polyphenolic Compounds in Cancer Cells O
ther
die
tary
po
lyph
enol
s So
urce
s C
ance
r ce
lls ty
pe
Apo
ptos
is e
ffec
ts
Lyco
pene
To
mat
o (A
ggar
wal
and
Sh
isho
dia
2006
) B
reas
t can
cer
cells
(M
CF-
7 an
d M
DA
-MB
-231
) (W
ang
and
Zha
ng
2007
a ; C
hala
bi e
t al.
2006
)
Indu
ced
apop
tosi
s (W
ang
and
Zha
ng 2
007a
; Cha
labi
et a
l. 20
06 ; P
aloz
za
et a
l. 20
10 ; W
ang
and
Zha
ng 2
007b
) D
own-
regu
latio
n of
bcl
-2 (
Wan
g an
d Z
hang
200
7b )
Up-
regu
latio
n of
bax
(W
ang
and
Zha
ng 2
007b
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206 D. Turgut Cosan and A. Soyocak
the need to investigate their mechanisms (Saunders and Wallace 2010 ; Han et al. 2007 ; Ramos 2007 ) . Other polyphenols, their effects and the mechanisms by which they induce apoptosis in breast, colon and prostate cancer cell line are summarized in Table 8.4 .
8.2 Conclusions and Future Directions
In this chapter, we summarized the fi ndings of recent studies and the effects of resveratrol, quercetin and tannic acid on apoptosis in cancer cells. Experimental data obtained from recent studies have indicated that polyphenols have antiproliferative effects through different mechanisms, including inhibition of cell signaling and survival pathways in addition to their effects on different apoptotic pathways. However, the exact mechanisms by which these compounds exert their effects have not been well understood. Considering their bene fi cial effects in prevention of cancer or as novel potential therapeutic agents more research are needed to determine their mechanism of action in normal and cancer cells. Furthermore, more in vivo studies are also required to evaluate the ef fi cacy of these polyphenols alone and in combination with standard therapies in various human tumor models. It is also critical to elucidate mechanisms of induction of apoptosis and antiproliferative effects as well as deter-mining the in vivo effective doses and administration schedules of these compound for using them as potential chemopreventive and novel potential anticancer agents.
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