Cytotoxic and antiproliferative effects of crude ethanolic extract from Piper betle leaves on leukemic cell lines

Main Article Content

Methee Rungrojsakul
Siriporn Okonogi
Pawaret Panyajai
Songyot Anuchapreeda

Abstract

Background: Leukemia is a group of malignant diseases characterized by the uncontrolled proliferation of abnormal white blood cells in the bone marrow and peripheral blood. These abnormal cells interfere with normal cell growth and development. Nowadays, chemotherapy is the most effective treatment for leukemia but it causes side effects for patients at the same time. To decrease the side effects, medicinal and edible plants are a choice for leukemia treatment. Piper betle (betel) leaves are a choice of interest because it is a common material in the recipes of Thai folk medicine.


Objectives: This work aims to investigate cytotoxic and antiproliferative activities of crude ethanolic betel leave extract in leukemic cells.


Materials and methods: The cytotoxic activity and WT1 protein levels were determined using MTT assay and Western blotting, respectively. Hydroxychavecol content in the crude extract was determined using HPLC.


Results: Crude ethanolic betel leave extract had the highest cytotoxicity effects against K562, Molt4, HL60, and U937 cells with IC50 values of 36.2±1.1, 19.7±1.6, 28.9±5.6, and 17.3±0.7 gif.latex?\mug/mL, respectively. Moreover, it could decrease WT1 protein level and total cell number in a time- and dose-dependent manner compared to vehicle control. Hydroxychavecol was the main compound in crude ethanolic extract following HPLC determination.


Conclusion: Crude ethanolic betel leave extract had high anti-cancer activity via WT1 protein suppression in K562 cells.

Article Details

How to Cite
Rungrojsakul, M., Okonogi, S., Panyajai, P., & Anuchapreeda, S. (2021). Cytotoxic and antiproliferative effects of crude ethanolic extract from Piper betle leaves on leukemic cell lines. Journal of Associated Medical Sciences, 54(2), 42–50. Retrieved from https://he01.tci-thaijo.org/index.php/bulletinAMS/article/view/247037
Section
Research Articles

References

Amonkar A.J., Nagabhushan M., D’ Souza A.V., Bhide S.V. “Hydroxychavicol: a new phenolic antimutagen from betel leaf.” Food and Chemical Toxicology 1986; 24(12): 1321-4.

Rimando A. M., Han B. H., Park J. H. and Cantoria M. C. Studies on the Constituents of Philippine Piper betel Leaves. Archives of Pharmacal Research 1986; 9(2): 93-7.

Nagabhushan M., Amonkar A.J, Nair U.J., D’ Souza A.V., Bhide S.V. Hydroxychavicol: a New Anti-Nitrosating Phenolic Compound from Betel Leaf. Mutagenesis 1989; 4(3): 200-4.

Nalina T. Rahim Z.H.A. The crude aqueous extract of Piper betle L. and its antibacterial effect towards Streptococcus mutans. American Journal of Biotechnology and Biochemistry 2007; 3(1): 10-5.

Row L.C.R., Ho J.C. The antimicrobial activity, mosquito lavrvicidal activity, antioxidant property and tyrosinase inhibition of Piper betle. Journal of the Chinese Chemical Society 2009; 56: 653-8.

Pin K.Y., Chuah A.L., Rashih A.A., Mazura M.P., Fadzureena J., Vimala S. and Rasadah M.A. Antioxidant and anti-inflammatory activities of extracts of betel leaves (Piper betle) from solvents with different polarities. J Trop For Sci 2010; 22(4): 448-55.

Fathilah A.R., Sujata R., Norhanom A.W., Adenan M.I. Antiproliferative activity of aqueous extract of Piper betle L. and Psidium guajava L. on KB and HeLa cell lines. Journal of Medicinal Plants Research 2010; 4(11): 987-90.

Inoue K., Sugiyama H., Ogawa H., Nakagawa M., Yamagami T., Miwa H., et al. WT1 as a new prognostic factor and a new marker for the detection of minimal residual disease in acute leukemia. Blood 1994; 84(9): 3071-9.

Loeb D.M., Evron E, Patel CB, Sharma PM, Niranjan B, Buluwela L, et al. Wilms' tumor suppressor gene (WT1) is expressed in primary breast tumors despite tumor-specific promoter methylation. Cancer Res 2001; 61: 921-5.

Miyoshi Y, Ando A, Egawa C, Taguchi T, Tamaki Y, Tamaki H, et al. High expression of Wilms' tumor suppressor gene predicts poor prognosis in breast cancer patients. Clin Cancer Res 2002; 8(5): 1167-71.

Oji Y, Miyoshi S, Maeda H, Hayashi S, Tamaki H, Nakatsuka S, et al. Overexpression of the Wilms' tumor gene WT1 in de novo lung cancers. Int J Cancer 2002; 100(3): 297-303.

Ueda T, Oji Y, Naka N, Nakano Y, Takahashi E, Koga S, et al. Overexpression of the Wilms' tumor gene WT1 in human bone and soft-tissue sarcomas. Cancer Sci 2003; 94(3): 271-6.

Oji Y, Inohara H, Nakazawa M, Nakano Y, Akahani S, Nakatsuka S, et al. Overexpression of the Wilms’tumor gene WT1 in head and neck squamous cell carcinoma. Cancer Sci 2003; 94 (6): 523-9.

Oji Y, Miyoshi Y, Koga S, Nakano Y, Ando A, Nakatsuka S, et al. Overexpression of the Wilms' tumor gene WT1 in primary thyroid cancer. Cancer Sci 2003; 94(7): 606-11.

Oji Y, Yamaboto H, Nomura M, Nakano Y, Ikeba A, Nakatsuka S et al. Overexression of the Wilms tumor gene WT1 in colorectal adenocarcinoma. Cancer Sci 2003; 94(8): 712-7.

Oji Y, Yano M, Nakano Y, Abeno S, Nakatsuka S, Ikeba A. et al. Overexpression of the Wilms' tumor gene WT1 in esophageal cancer. Anticancer Res 2004; 24(5B): 3103-8.

Oji Y, Nakamori S, Fujikawa M, Nakatsuka S, Yokota A, Tatsumi N, et al. Overexpression of the Wilms’ tumor gene WT1 in pancreatic ductal adenocarcinoma. Cancer Sci 2004; 95(7): 583-7.

Seidl C, Siehl J, Ganser A, Hofmann WK, Fischer M, Kirchmaier CM, et al. Platelet glycoprotein expression in patients with myelodysplastic syndrome. Thromb Res 2000; 100(1): 27-34.

Sugiyama H. Wilms’ tumor gene WT1: Its oncogenic function and clinical application. Int J Hematol 2001; 73: 177-87.

Anuchaprreda S., Limtrakul P., Thanarattanakorn P., Sittipreechacharn S., Chanarat P. Inhibitory effect of curcumin on WT1 gene expression in patient leukemic cells. Arch Parm Res 2006; 29(1): 80-7.

Anuchaprreda S., Thanarattanakorn P., Sittipreechacharn S., Chanarat P. Limtrakul P. Curcumin inhibits WT1 gene expression in human leukemic K562 cells. Acta Pharmacologica Sinica 2006; 27(3): 360-6.

Anuchapreeda S., Tima S., Duangrat C., Limtrakul P. Effect of pure curcumin, demethoxycurcumin, and bisdemethoxycurcumin on WT1 gene expression in leukemic cell lines. Cancer Chemother Pharmacol 2008; 62: 585-94.

Chueahongthong F., Ampasavate C., Okonogi S., Tima S., Anuchapreeda S. Cytotoxic effects of crude kaffir lime (Citrus hystrix, DC.) leaf fractional extracts on leukemic cell lines. Journal of Medicinal Plants Research 2011; 5(14): 3097-105.

Semsri S., Ampasavate C., Okonogi S., Srikamchum M., Anuchapreeda S. Effect of Mangosteen peel fraction extracts on WT1 gene and WT1 protein expression in leukemic cell lines. Songkla Med J 2009; 27(5): 389-403.

Manosroi J., Dhumtanom P., Manosroi A. Anti-proliferative activity of essential oil extracted from Thai medicinal plants on KB and P388 cell lines. Cancer Letters 2006; 235: 114-20.

Anuchapreeda S., Sadjapong W., Duangrat C., Limtrakul P. The cytotoxic effect of curcumin, demethoxycurcumin and bisdemethoxycurcumin purified from turmeric powder on leukemic cell lines. Bull Chiang Mai Assoc Med Sci 2006; 39(1): 60-71.

Widowati W., Wijaya L.Wargasetia T.L., Bachtiar I., Yellianty Y., Laksmitawati D.R. Antioxidant, anticancer, and apoptosis-inducing effects of Piper extracts in HeLa cells. Journal of Experimental and Integrative Medicine 2013; 3(3): 225-30.

Ampasavate C, Ogonoki S, Anuchapreeda S. Cytotoxicity of extracts from fruit plants against leukemic cell lines. Afr J Pharm Pharmacol 2010; 4(1): 013-21.

Anuchapreeda S, Fah Chueahongthong F, Viriyaadhammaa N, Panyajai P, Anzawa R, Tima S, Ampasavate C, Saiai A, Rungrojsakul M, Usuki T, Okonogi S. Antileukemic Cell Proliferation of Active Compounds from Kaffir Lime (Citrus hystrix) Leaves. Molecules 2020; 25(6):1300; https://doi.org/10.3390/molecules25061300.

Chaurasia S., Kulkarni G.T., Shetty L.N. Phytochemical studies and in vitro cytotoxicity screening of Piper betle leaf (PBL) extract. Middle-East J.Sci.Res 2010; 6(5): 532-6.

Widowati W., Mozef T., Risdian C., Ratnawati H., Tjahjani S., Sandra F. The comparison of antioxidative and proliferation inhibitor properties of Piper betle L., Catharanthus roseus [L] G.Don, Dendrophtoe petandra L., Curcuma manga Val. Extracts on T47D cancer cell line. Journal of Biochemistry and Bioinformatics 2011; 1(2): 022-8.

Abrahim N.N., Kanthimathi M.S., Abdul-Aziz A. Piper betle shows antioxidant activities, inhibits MCF-7 cell proliferation and increases activities of catalase and superoxide dismutase. Research article from BioMed Central 2012; 11 p.

Menssen H.D., Renkl H.J., Rodeck U., Maurer J., Notter M., Schwartz S., Reinhardt R., Thiel E. Presence of Wilms’ tumor gene (WT1) transcripts and the WT1 nuclear protein in the majority of human acute leukemias. Leukemia 1995; 9: 1060-7.

Maisuthisakul P. Phenolic antioixidants from betel leaf (Piper betel Linn.) extract obtained with different solvents and extraction time. UTCC Journal 2008; 28(2): 52-64.

Chakraborty J.B., Mahato S.K., Joshi K., Shinde V., Rakshit S., Biswas N., et al. Hydroxychavicol, a Piper betle leaf component, induces apoptosis of CML cells through mitochondrial reactive oxygen species-dependent JNK and endothelial nitric oxide synthase activation and overrides imatinib resistance. Cancer Science 2011; 103(1): 88-99.

Chang M.C., Uang B.J., Wu H.L., Lee J.J., Hahn L.J., Jeng J.H., Inducing the cell cycle arrest and apoptosis of oral KB carcinoma cells by hydroxychavicol: roles of glutathione and reactive oxygen species. Br J Pharmacol 2002; 135: 619-30.

Semsri S., Krig S.R., Kotelawala L., Sweeney C.A., Anuchapreeda S. Inhibitory mechanism of pure curcumin on Wilms’ tumor1 (WT1) gene expression through the PKCα signaling pathway in leukemic K562 cells. FEBS Letters 2011; 585: 2235-42.