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      Purified vitexin compound 1, a new neolignan isolated compound, promotes PUMA‐dependent apoptosis in colorectal cancer

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          Abstract

          Purified vitexin compound 1 (VB1, a neolignan isolated and extracted from the seed of Chinese herb Vitex negundo) is an effective antitumor agent and exhibits promising clinical activity against various cancers including colorectal cancer. However, it remains unknown about the precise underlying mechanism associated with the antitumor effect of VB1 and how it triggers apoptosis in cancer cells. Here, we demonstrated that VB1 promoted apoptosis via p53‐dependent induction of p53 upregulated modulator of apoptosis (PUMA) and further to induce Bax (Bcl‐2‐associated X protein) activation and mitochondrial dysfunction in colon cancer HCT‐116 and LoVo cells. Deficiency in p53, PUMA, or Bax abrogated VB1‐induced apoptosis and promoted cell survival in HCT‐116 cells. Furthermore, the combination of VB1 with chemotherapeutic drugs 5‐fluorouracil (5‐FU) or NVP‐BZE235 resulted in a synergistic antitumor effect via PUMA induction in HCT‐116 cells. VB1 significantly suppressed the cell proliferation of wild‐type (WT) HCT‐116 and LoVo cells in vitro and tumor growth in vivo. The results indicate that p53/PUMA/Bax axis plays a critical role in VB1‐induced apoptosis and VB1 may have valuable clinical applications in cancer therapy as a novel anticancer agent used alone or in combination with other chemotherapeutic drugs.

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          Most cited references42

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          Irinotecan combined with fluorouracil compared with fluorouracil alone as first-line treatment for metastatic colorectal cancer: a multicentre randomised trial.

          Irinotecan is active against colorectal cancer in patients whose disease is refractory to fluorouracil. We investigated the efficacy of these two agents combined for first-line treatment of metastatic colorectal cancer. 387 patients previously untreated with chemotherapy (other than adjuvant) for advanced colorectal cancer were randomly assigned open-label irinotecan plus fluorouracil and calcium folinate (irinotecan group, n=199) or fluorouracil and calcium folinate alone (no-irinotecan group, n=188). Infusion schedules were once weekly or every 2 weeks, and were chosen by each centre. We assessed response rates and time to progression, and also response duration, survival, and quality of life. Analyses were done on the intention-to-treat population and on evaluable patients. The response rate was significantly higher in patients in the irinotecan group than in those in the no-irinotecan group (49 vs 31%, p<0.001 for evaluable patients, 35 vs 22%, p<0.005 by intention to treat). Time to progression was significantly longer in the irinotecan group than in the no-irinotecan group (median 6.7 vs 4.4 months, p<0.001), and overall survival was higher (median 17.4 vs 14.1 months, p=0.031). Some grade 3 and 4 toxic effects were significantly more frequent in the irinotecan group than in the no-irinotecan group, but effects were predictible, reversible, non-cumulative, and manageable. Irinotecan combined with fluorouracil and calcium folinate was well-tolerated and increased response rate, time to progression, and survival, with a later deterioration in quality of life. This combination should be considered as a reference first-line treatment for metastatic colorectal cancer.
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            p53- and drug-induced apoptotic responses mediated by BH3-only proteins puma and noxa.

            Apoptosis provoked by DNA damage requires the p53 tumor suppressor, but which of the many p53-regulated genes are required has remained unknown. Two genes induced by this transcription factor, noxa and puma (bbc3), stand out, because they encode BH3-only proteins, proapoptotic members of the Bcl-2 family required to initiate apoptosis. In mice with either noxa or puma disrupted, we observed decreased DNA damage-induced apoptosis in fibroblasts, although only loss of Puma protected lymphocytes from cell death. Puma deficiency also protected cells against diverse p53-independent cytotoxic insults, including cytokine deprivation and exposure to glucocorticoids, the kinase inhibitor staurosporine, or phorbol ester. Hence, Puma and Noxa are critical mediators of the apoptotic responses induced by p53 and other agents.
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              PUMA induces the rapid apoptosis of colorectal cancer cells.

              Through global profiling of genes that were expressed soon after p53 expression, we identified a novel gene termed PUMA (p53 upregulated modulator of apoptosis). The protein encoded by PUMA was found to be exclusively mitochondrial and to bind to Bcl-2 and Bcl-X(L) through a BH3 domain. Exogenous expression of PUMA resulted in an extremely rapid and profound apoptosis that occurred much earlier than that resulting from exogenous expression of p53. Based on its unique expression patterns, p53 dependence, and biochemical properties, PUMA may be a direct mediator of p53-associated apoptosis.
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                Author and article information

                Contributors
                zhll0807@csu.edu.cn
                yingjiezhang@hnu.edu.cn
                wangzigangcsu@hotmail.com
                Journal
                Cancer Med
                Cancer Med
                10.1002/(ISSN)2045-7634
                CAM4
                Cancer Medicine
                John Wiley and Sons Inc. (Hoboken )
                2045-7634
                06 November 2018
                December 2018
                : 7
                : 12 ( doiID: 10.1002/cam4.2018.7.issue-12 )
                : 6158-6169
                Affiliations
                [ 1 ] Department of Internal Medicine The Third Xiangya Hospital Central South University Changsha China
                [ 2 ] College of Biology Hunan University Changsha China
                [ 3 ] Department of Laboratory Medicine Xiangya School of Medicine Central South University Changsha China
                [ 4 ] Department of Obstetrics and Gynecology Xiangya Hospital Central South University Changsha China
                [ 5 ] Department of Cardiology The Second Xiangya Hospital Changsha China
                [ 6 ] School of Pharmaceutical Science Central South University Changsha China
                [ 7 ] Department of Oncology The Third Xiangya Hospital Central South University Changsha China
                [ 8 ] Department of Pharmacology School of Pharmacy Southwest Medical University Luzhou China
                [ 9 ] Shenzhen Institute Hunan University Shenzhen China
                Author notes
                [*] [* ] Correspondence

                Jiangang Wang, Department of Internal Medicine, The Third Xiangya Hospital, Central South University, Changsha, China.

                Email: wangzigangcsu@ 123456hotmail.com

                Yingjie Zhang, College of Biology, Hunan University, Changsha, China.

                Email: yingjiezhang@ 123456hnu.edu.cn

                and

                Lingling Zhang, Department of Laboratory Medicine, Xiangya School of Medicine, Central South University, Changsha, China.

                Email: zhll0807@ 123456csu.edu.cn

                Author information
                http://orcid.org/0000-0001-6892-0143
                http://orcid.org/0000-0001-9981-9523
                Article
                CAM41769
                10.1002/cam4.1769
                6308053
                30402948
                430e070d-19c6-4773-ad72-63bf97d38daa
                © 2018 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 21 March 2018
                : 24 July 2018
                : 08 August 2018
                Page count
                Figures: 6, Tables: 0, Pages: 12, Words: 6773
                Funding
                Funded by: Fundamental Research Funds for the Central Universities
                Award ID: 14700‐502044001
                Award ID: 531107040909
                Funded by: National Natural Science Foundation of China
                Award ID: 81573314
                Categories
                Original Research
                Cancer Biology
                Original Research
                Custom metadata
                2.0
                cam41769
                December 2018
                Converter:WILEY_ML3GV2_TO_NLMPMC version:version=5.5.4 mode:remove_FC converted:27.12.2018

                Oncology & Radiotherapy
                apoptosis,bcl‐2‐associated x protein,colorectal cancer,p53,puma,vitexin compound 1

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