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Thursday, 2 April 2015

Anticancer activity of Aristolochia ringens Vahl. (Aristolochiaceae)


Open Access
Original article

Anticancer activity of Aristolochia ringens Vahl. (Aristolochiaceae)

Open Access funded by Center for Food and Biomolecules, National Taiwan University
Under a Creative Commons license

Abstract

Cancer is a leading cause of death worldwide and sustained focus is on the discovery and development of newer and better tolerated anticancer drugs especially from plants. The sulforhodamine B (SRB) in vitro cytotoxicity assay, sarcoma-180 (S-180) ascites and solid tumor, and L1210 lymphoid leukemia in vivo models were used to investigate the anticancer activity of root extracts of Aristolochia ringens Vahl. (Aristolochiaceae; 馬兜鈴 mǎ dōu líng). AR-A001 (IC50 values of 20 μg/mL, 22 μg/mL, 3 μg/mL, and 24 μg/mL for A549, HCT-116, PC3, and THP-1 cell lines, respectively), and AR-A004 (IC50 values of 26 μg/mL, 19.5 μg/mL, 12 μg/mL, 28 μg/mL, 30 μg/mL, and 22 μg/mL for A549, HCT-116, PC3, A431, HeLa, and THP-1, respectively), were observed to be significantly active in vitro. Potency was highest with AR-A001 and AR-A004 for PC3 with IC50 values of 3 μg/mL and 12 μg/mL, respectively. AR-A001 and AR-A004 produced significant (p < 0.05–0.001) dose-dependent inhibition of tumor growth in the S-180 ascites model with peak effects produced at the highest dose of 120 mg/kg. Inhibition values were 79.51% and 89.98% for AR-A001 and AR-A004, respectively. In the S-180 solid tumor model, the inhibition of tumor growth was 29.45% and 50.50% for AR-A001 (120 mg/kg) and AR-A004 (110 mg/kg), respectively, compared to 50.18% for 5-fluorouracil (5-FU; 20 mg/kg). AR-A001 and AR-A004 were also significantly active in the leukemia model with 211.11% and 155.56% increase in mean survival time (MST) compared to a value of 211.11% for 5-FU. In conclusion, the ethanolic (AR-A001) and dichloromethane:methanol (AR-A004) root extracts of AR possess significant anticancer activities in vitro and in vivo.

Graphical abstract

Keywords

  • Anticancer activity;
  • Aristolochia ringens;
  • Cytotoxicity;
  • Lymphoid leukemia;
  • Solid tumor

1. Introduction

Cancer is a deadly disease and about one in four people will get it in some form during their lifetime; at the present time, about one in five of all deaths are due to cancer.1 Normal diploid human cells multiply for a finite number of generations and then enter a state of replicative senescence, but cancer cells can proliferate indefinitely.2 About 12.7 million cancer cases and 7.6 million cancer deaths are estimated to have occurred in 2008; of these, 56% of the cases and 64% of the deaths occurred in the economically developing world.3 Surgery is useful in removing visible tumors, but may leave smaller nests of cancer cells in the patient which continue to proliferate, while radiation therapy is relatively imprecise as it can kill both cancer cells and normal cells, and thus has toxic side effects which may themselves be lethal to the patients.2 Chemotherapy with antiproliferative agents, including alkylating agents, antimetabolites, antibiotics, and hormones, apart from being complementary to surgical intervention and radiotherapy, is essential in cases of metastasis.
According to Sikora et al,4 although 92 approved anticancer drugs are available for the treatment of > 200 different tumor entities, effective therapies for most of these tumors are lacking. Furthermore, out of the 92 registered drugs, 17 are considered by oncologists to be more broadly applicable and 12 additional agents are perceived as having certain advantages in some clinical settings.5 Limitations in the application of chemotherapeutic agents include toxicity, manifestation of deleterious side-effects, and a narrow margin of error. These days, renewed and concerted efforts are geared towards the discovery and development of newer and better tolerated anticancer drugs, especially from natural products, mainly plants. New targets for anticancer agent development are rapidly emerging in the post-genome era, and improvements in protein structure determination, combinatorial chemistry, and high-throughput small-molecule screens may accelerate the generation of new agents to be studied in the clinic.6
Aristolochia ringens Vahl. (Aristolochiaceae (AR); 馬兜鈴 mǎ dōu líng) is a glabrous bushy climber native of tropical America, introduced to most West African countries as a garden ornamental, and has become naturalized in roadside bush in Sierra Leone, Ghana, Nigeria, 7 and DR Congo. 8 The plant is commonly called “Dutchman's pipe” and “Snake work” but local names in Nigeria include “Ako-igun” (Yoruba, Southwest Nigeria) and “Dumandutsee” (Hausa, Northern Nigeria). Preparations of the leaves, roots, and whole plant have been reported to be used traditionally in Nigeria for the treatment of diverse ailments including guinea worm, skin diseases, typhoid, sores, as an antidote to snake poison, an emmenagogue, and an anthelmintic remedy. 9 In South America, the plant is used for the treatment of snakebites, fever, ulcers, and colic, 10 while the root of the plant is used in Senegal as an antidote for snakebites. 11 Sonibare and Gbile 12 stated that the root of the plant is used in Southwest Nigeria for the treatment of asthma, while Soladoye et al 13 reported its use for the treatment of hemorrhoids. The decoction/infusion of the root of the plant is also used as an antidiabetic. 14 Antiinflammatory 15 and antitrypanosomal 16 activities of the plant have also been reported.
Based on the fact that some species of the genus Aristolochia have been reported to possess anticancer activity, 17, 18 and 19 this study was designed to investigate the anticancer activity of root extracts of AR using in vitro and in vivo methods.