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Anticancer Eect of Aristolochia tagala and Curcuma caesia Acting Through Tumor Necrosis Factor-α
al., 2008). An inflammatory signalling between dying hepatocytes and myeloid cells is a mechanism
that initiates cell proliferation and HCC development. Various studies have associated TNF-α with cell
proliferation, e.g. hepatocyte proliferation and liver regeneration after partial hepatectomy was prevented
by administration of TNF-α antibody (Ankerman et al., 1992). Chemically induced skin cancers develop
fewer experimental metastases in TNF-α/TNF-α receptors-deficient mice. A marked reduction in tumour
onset and tumour burden was seen upon inhibition of TNF-α (Karin & Greten, 2005).
The downstream signalling cascade of TNF-α to NF-κB is essential for tumour promotion and progression since NF-κB is the major activator of anti-apoptotic gene expression and pro survival genes. In DEN
induced model, activation of IKKβ/NF-κB in Kupffer cells promotes tumour development through the
production of inñammatory cytokines and growth factors that signals rapid multiplication of surviving
hepatocytes with DNA damages to balance the loss cell mass. Indeed, administration of DEN was found
to increase the NF-κB activity and this increase was further elevated on prolonged exposure of 28 weeks.
There is a correlation between increase NF-κB activity and the levels of TNF-α. TNF-α secreted from
stromal cells may have been responsible for NF-κB activation, to stimulate proliferation of surviving
hepatocytes. Mice treated with C. caesia or A. tagala attenuates the effect of DEN on NF-κB activity
maybe by lowering inflammation, reduced TNF-α level which subsequently reduce NF-κB activation. At
a shorter treatment period of 16 weeks, the inflammation did not subside considerably upon treatment
with C. caesia but somehow, NF-κB activation was prevented more efficiently. This suggested that C.
caesia may be able to inhibit activation of NF-κB directly.
The phytochemical constituents present in A. tagala are flavonoids, phenolics, steroids and tannins
that in C. caesia are alkaloids, flavonoids, phenolics, steroids, tannins and terpenoids. Both plants contain
high phenolic content but the flavonoid content was higher in A. tagala (Hadem et al., 2016). Separation
of these phytochemical by column chromatography afforded three fractions from A. tagala and five frac-
tions from C. caesia. The free radical scavenging potential of C. caesia crude extract and the fractions
was higher than A. tagala. This may be due to the additional presence of terpenoids besides phenolics
and flavonoids which are present in A. tagala and also the compounds maybe in bound or polymerized
forms, which can only be released through hydrolysis. Compounds like Catechol or hydroquinone and
terpenoids may be present in C. caesia while flavonoids, anthocynidin 3-glycosides and 6-hydroxylated
flavonols as well as some flavones and chalcone glycosides may be present in A. tagala as indicated by
High Performance Thin Layer Chromatography (HPTLC) analysis (Hadem et al., 2016).
The mechanism by which DEN induce HCC in mice is by the generation of electrophilic ethyldiazonium ions upon metabolic activation of the carcinogen. These highly reactive ions interact with DNA,
proteins and lipids causing a chain reaction leading to increasing ROS pool. Accumulation of ROS leads
to oxidative stress and hepatocyte death and eventually compensatory proliferation involving many signalling cascades. The ability of these plants to reduce the effect of DEN and subsequently HCC was thought
to be due to their ability to scavenge ROS generated thereby reducing the load and/or sources of ROS.
Phenolics and flavonoids are known to have excellent antioxidant activity, while terpenoids, alkaloids
have shown to have moderate antioxidant activity (Kasote et al., 2015). Phenolics and flavonoids like
Caffeoylquinic acid, Kaempferol, apigenin dimethyl ether, as well as other compounds like Aristolone,
Magnoflorine, N-Trans-Feruloyldopamine, β-sitosterol and Stigmasterol present in A. tagala (Hadem
& Sen 2018a; 2018b) and known to have antioxidant property may have contributed to the antioxidant
property of A. tagala (Yoshida & Niki 2003; Hung et al., 2007; Wang 2010; Li et al., 2014; Krishna et
al., 2015; Dizdar 2018). Besides phenolics and flavonoids present in C. caesia, terpenoids may be an
important contributing factor to their antioxidant property. Ar-turmerone, Borneol, 1,8-cineole, Linalool
378
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Anticancer Eect of Aristolochia tagala and Curcuma caesia Acting Through Tumor Necrosis Factor-α
present in C. caesia have been reported to have antioxidant activity and are potent inducers of detoxifying
enzymes, thereby reducing oxidative damage (Kumar et al., 2010; Ciftci et al., 2011; Liju et al., 20011;
Seol et al. 2016). Besides antioxidant activity many of these compounds also have anti-inflammatory
activity. Considering the role that ROS plays in initiating inflammatory response, the mechanism by
which these plants showed anti-inflammatory activity is also because of their antioxidant activity.
CONCLUSION
From various reports and our observations, the two plants A. tagala and C. caesia exhibited potential
anticancer properties. They possessed antioxidant, antiinflammatory and antiproliferative properties. The
mechanism by which they exert anticancer effects in DEN induced HCC was through TNF-α mediated
decrease NF-κB binding activity. Natural product research is an area that is essential for effective drug
discovery and development and medicinal plants is one source that is abundant and replenishing. The
two plants are important source of drug development since they contain a number of compounds with
biological activity that can be extracted and isolated for therapeutic used.
ACKNOWLEDGMENT
The authors thank UGC, Government of India for financial support.
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