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Ruta Graveolens Extract Induces DNA Damage Pathways and
Blocks Akt Activation to Inhibit Cancer Cell Proliferation and
Survival
KHALDA FADLALLA1, ANGELA WATSON1, TESHOME YEHUALAESHET1, TIMOTHY
TURNER2, and TEMESGEN SAMUEL1
1 Department of Pathobiology and Tuskegee University Center for Cancer Research (TUCCR),
Tuskegee University, Tuskegee, Alabama 36088, USA
2 Department of Biology and Tuskegee University Center for Cancer Research (TUCCR),
Tuskegee University, Tuskegee, Alabama 36088, USA
Abstract
Background—Ruta graveolens is a medicinal herb that has been used for centuries against
various ailments. This study examined the anticancer properties of the herb using cancer cell lines.
Materials and Methods—Methanolic extract of R. graveolens was tested on colon, breast and
prostate cancer cells. Viability, cell cycle profiles, clonogenicity and capase activation were
measured. Induction and subcellular localizations of p53, 53BP1 and γ-H2AX proteins were
examined.
Results—the extract dose-dependently decreased the viability and the clonogenicity of treated
cells and induced G2/M arrest, aberrant mitoses, and caspase-3 activation. It also induced the p53
pathway and focal concentration of the DNA damage response proteins 53BP1 and γ-H2AX.
Moreover, the levels of phospho-Akt and cyclin B1 were reduced by treatment, whereas only
cyclin B1 was reduced in normal dermal fibroblasts.
Conclusion—R. graveolens extract contains bioactive compounds which, independently of
known photoactivatable mechanisms, potently inhibit cancer cell proliferation and survival
through multiple targets.
Keywords
Medicinal herb; bioactivity; p53 pathway; apoptosis
Plants are important sources of medicinal compounds worldwide. A few examples are:
aspirin from willow tree, digitalis from foxglove, artemisinin from wormwood, taxol from
the pacific yew tree, vinblastine and vincristine from periwinkle, etoposide from mayapple,
etc. More than 60% of cancer therapeutics on the market or in pre-clinical trials are based on
natural products (1, 2). Despite the decline of interest by the pharmaceutical industry in
research and development of natural compounds, these unrefined compounds from terrestrial
and aquatic sources continue to serve as the chemical foundations from which modified or
synthetic versions can be derived.
Correspondence to: Temesgen Samuel, College of Veterinary Medicine, Nursing and allied Health, Department of Pathobiology and
TUCCR, Patterson Hall, Room A408, Tuskegee, AL 36088, USA. Tel: +1 3347244547, Fax: +1 3347244110,
tsamuel@mytu.tuskegee.edu.
NIH Public Access
Author Manuscript
Anticancer Res. Author manuscript; available in PMC 2012 January 1.
Published in final edited form as:
Anticancer Res. 2011 January ; 31(1): 233–241.
NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
Ruta graveolens is a medicinal and culinary plant that is native to the Mediterranean region
of southern Europe and northern Africa. Widely grown in different parts of the world, this
herb has historically been in use since the ancient times (3). Its documented therapeutic uses
include the treatment of inflammatory conditions, eczema, ulcers, arthritis, fibromyalgia,
antidote for venoms, insect repellent, and as an abortifacient (4–6). The plant has also been
commonly used to season some food items such as soup, cheese, butter, coffee, and tea, and
in medicinal preparations such as rue oil and infusions that are used as antispasmodics and
emmenagogues (7).
Chemical compounds so far known to be present in R. graveolens include furanocumarins,
carotenoids, chlorophyll, and furanoquinolones (4, 8). Psoralens, a family of furanocumarins
in R. graveolens, have been widely studied for their DNA inter-strand cross-linking activity
when exposed to ultra violet (UV) light. This photoactivation property of psoralens has been
utilized in the treatment of various skin malignancies including psoriasis, vitiligo and
cutaneous lymphoma as a psoralen plus UV-A or UV-B (PUVA or PUVB) regimen (9–11).
Although some bioactive components in the herbal extracts and infusions made from the
herb R. graveolens plant have been suggested to be responsible for the plant’s beneficial or
phototoxic effects, molecular studies that extensively decipher the activities of most of its
bioactive ingredients are scarce. While the phytophototoxicity caused by R. graveolens has
been known for long time, the bioactivities of R. graveolens extracts or its various
preparations against tumor cells or pathogenic microbes have attracted attention only
recently (12–17).
This study examined the potency of an extract from R. graveolens on cancer cell lines. This
study shows that this extract has potent anti-cancer activity, exhibited through strong anti-
proliferative and ant-survival effects on cancer cells.
Materials and Methods
Cell culture and treatments
The human colorectal cancer cell line HCT116 was a generous donation from Dr. Bert
Vogelstein (Johns Hopkins University, MD, USA). The cell line was maintained in
McCoy’s medium (Lonza, Walkersville, MD, USA) supplemented with 10% fetal bovine
serum (FBS) and 10,000 U/ml penicillin/10mg/ml streptomycin. The MCF7 cell line was a
gift from Dr. Leslie Wilson (University of California at Santa Barbara, CA, USA). RKO
(purchased from ATCC, Manassas, VA, USA) and MCF7 cells were grown in Dulbecco’s
Modified Eagles Medium (DMEM, Invitrogen Corp, Carlsbad, CA, USA) supplemented
with FBS and penicillin/streptomycin. Prostate cancer cell lines PC3 and DU-145 cells,
purchased from American Type Culture Collection (ATCC, Manassas, VA, USA), were
cultured in T-medium (Invitrogen Corp, Carlsbad, CA, USA), supplemented with 10% FBS
and penicillin/streptomycin. For experimental treatments, cells were seeded in dishes with
96-well (for viability assays), 12-well (for colony formation assays), 6-well (for flow
cytometry and clonogenicity assays), 6 cm culture plates (for cell lysate preparations), or 4-
well chamber slides (for immunofluorescence staining). All cell cultures were incubated at
37°C and 5% CO2 in a humidified incubator.
Extract preparation
Fresh leaves of Ruta graveolens were minced finely in a food processor and extracted in
80% methanol for 24 hours. Particulate matters were removed by two rounds of
centrifugations at 1000× g and 10,000× g for five and ten minutes, respectively. The soluble
fraction was desiccated in a rotary evaporator, and the evaporated solids were resuspended
in DMSO at a final concentration of 60 mg/ml.
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Antibodies
Anti-p53, β-actin, phospho-γ-H2AX ser139, 53BP1, Akt, phospho-Akt, cyclin B1, CDK1
antibodies were purchased from Cell Signaling Technology (Danvers, MA, USA). Anti-
p21WAF1 was purchased from Invitrogen Corporation (Carlsbad, CA, USA). Monoclonal
antibody to α-tubulin (clone DM1A) was purchased from Sigma (St Louis, MO, USA).
Clonogenicity assays
Clonogenicity assay was performed as described elsewhere (18). The clonogenic potential of
untreated and treated cells was determined by seeding approximately 150 cells per well of a
6-well dish. Cells were allowed to adhere for approximately 24 hours and then treated with
varying concentrations (0–300 μg/ml) of the R. graveolens extract in culture medium.
Colony formation was examined daily by light microscopy. The assay was terminated by
fixing the cells when the control treated cells formed visible discrete colonies. Formed
colonies were stained with 10% crystal violet in methanol for 15–20 minutes, washed to
remove excess dye, and air-dried. Colonies were counted using AlphaImager
(AlphaInnotech, Santa Clara, CA, USA) in colony counting mode. The relative
clonogenicity of the treated cells was computed as percentage of the number of colonies that
formed in the control DMSO treated wells.
Flow cytometry
Cells were harvested and prepared for flow cytometry as described elsewhere with some
modifications (19). Cells were harvested by trypsinization using 0.25% trypsin-EDTA
(Invitrogen Corporation, Carlsbad, CA, USA) and centrifuged. Pellets were resuspended in
300 μl phosphate buffered saline (PBS, Invitrogen Corp, Carlsbad, CA, USA), fixed by
addition of 700 μl 100% ethanol while vortexing, and stored at −20°C for a minimum of 12
hours. Fixed cells were centrifuged, and stained in FACS staining solution (320 mg/ml
RNase A, 0.4 mg/ml propidium iodide) in PBS without calcium and magnesium for 15
minutes at 37°C. Stained cells were filtered through a 70 μm pore size filter and analyzed by
flow cytometry on C6 Accuri® flow cytometer (Accuri Cytometers, Ann Arbor, MI, USA).
Data was analyzed and histograms were prepared using CFlow™ software (Accuri
Cytometers, Ann Arbor, MI, USA).
Immunofluorescent staining and microscopy
Phase contrast images of cells were taken at 20X and 40X magnification objectives (and
10X eyepiece) using an Olympus IX71 inverted microscope (Olympus America Inc,
Melville, NY, USA) fitted with digital image capture cameras (Digital Microscopy Lab,
College of Veterinary Medicine, Nursing and Allied Health, Tuskegee University). HCT116
cells for immunofluorescent staining were grown in 4-well chamber slides. Staining was
performed as described previously (19). Confocal images were taken using an Olympus
DSU spinning disk confocal microscope (Olympus America Inc, Melville, NY, USA) at the
Research Center at Minority Institutions (RCMI) core-facility using a 40X dry objective.
Images were captured using Metamorph Premium software (Strategic Triangle Inc, Toronto,
Canada), stored in TIFF format and further processed in Adobe Photoshop.
Immunoblotting
Cell lysates were prepared in NP-40 lysis buffer (20 mM Tris-Cl pH 7.5, 150 mM NaCl,
10% Glycerol and 0.2% NP-40 plus protease inhibitor cocktail) and protein concentrations
were determined using DC detergent compatible protein assay (BioRad Laboratories Inc,
Hercules, CA, USA). Samples containing equivalent protein concentrations were mixed with
Laemmli buffer, and boiled for five minutes. Proteins were resolved by SDS-PAGE,
transferred to PVDF membranes (GE Healthcare Life Sciences, Piscataway, NJ, USA) and
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blocked in 5% non-fat dry milk. Primary antibodies (p53, p21, and cyclin B1) were used at
1:1000 dilutions. Peroxidase conjugated anti-rabbit and anti-mouse IgG secondary
antibodies were purchased from GE Healthcare Life Sciences (Piscataway, NJ, USA) and
used at a 1:5000 dilution. Chemiluminescent detections were performed using
Chemiluminescent HRP Substrate (GE Life Sciences, Piscataway, NJ, USA)
Caspase 3 activation assay
The assay was performed using a colorimetric Caspase 3 activation assay kit (Caspase-3-C,
Sigma, St. Louis, MO, USA). Briefly, treated and control cells were lysed in 1X lysis buffer.
Thirty micrograms of total protein were used to perform the assay according to the
manufacturer’s recommendations. Recombinant Caspase 3 was added to untreated (control)
cell lysates and used as a positive control for the assay. A separate set of cells were
incubated with 1 μM staurosporine for three hours to activate endogenous Caspase 3 as
another control. Absorbance was read in a kinetic mode every 1.5 minutes at 405 nm using
PowerWave XS plate reader and Gen5 software (Biotek Instruments Inc, Winooski, VT,
USA).
Results
Dose dependent inhibition of cell viability by R. graveolens extract
To determine the bioactivity of a methanolic extract of R. graveolens against cancer cells,
HCT116 (colorectal cancer), MCF7 (breast cancer), DU-145 and PC3 (both prostate cancer)
cancer cells were treated with varying concentrations of the extract and examined the
viability in treated versus control cells by MTS assay after 24 hours.
As shown in Figure 1A, R. graveolens extract reduced the viability of treated cancer cells in
a dose dependent manner. Based on the cell viability measured after only 24 hours, the
approximate 50% inhibitory concentration (IC50) of R. graveolens extract was
approximately 75 μg/ml (PC3 cells), 150 μg/ml (MCF7), 200 μg/ml (HCT116), 300 μg/ml
(DU-145 cells), with PC3 cells being the most sensitive. However, as described below,
colony formation by the cell lines was completely inhibited by even smaller doses of the
extract, suggesting even lower effective growth inhibitory concentration of the extract.
R. graveolens extract inhibits the proliferation of cancer cells
Unlike normal cells, cancer cells have the capacity to proliferate and form cell colonies even
when they are seeded as individual cells after being separated from other cancer or stromal
cells. It was assessed by colony formation assay whether R. graveolens extract would inhibit
the ability of HCT116, RKO or DU-145 cancer cells to establish cell colonies from
individual cells. As shown in Figure 1B, the colony forming ability of all tested cancer cells
was inhibited by R. graveolens extract. Colony formation was nearly 100% inhibited in all
cell lines at the 60 μg/ml dose. The inability of the cells to form colonies indicates the
presence of very potent anti-proliferative compounds in the extract.
Cell cycle arrest is one of the mechanisms by which cell proliferation is blocked. Stressed
cells, which possess functional cell cycle checkpoints, activate cell cycle arrest, thus
allowing the cells to recover from the stress before the cell division. To examine the effect
of R. graveolens extract on the cell cycle, MCF7 breast cancer cells were treated with
vehicle (control), 37 μg/ml, 75 μg/ml or 150 μg/ml of extract for 24 hours and the cell cycle
profile of the cells was analyzed by flow cytometry. As shown in Figure 2A-B, cells treated
with R. graveolens extract arrested mostly in the late S to G2/M phases of the cell cycle.
HCT116 and DU-145 cells also showed similar cell cycle arrest (data not shown). In
addition to the cell cycle arrest, it was also observed that cells treated with R. graveolens
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extract also displayed increased number of aberrant mitoses and post-mitotic nuclear
integrity, particularly when exposed to higher doses of the extract. The proportion of
observed aberrant mitoses for HCT116 cells is shown in Figure 2C. Similarly, MCF7 and
other treated cells also showed a higher rate of aberrant mitosis at similar doses. These
aberrant phenotypes included tripolar or multipolar spindles, short or disarrayed spindle
fibers, lagging chromosomes at metaphase-anaphase transition and micronuclei formation.
These data suggests cell cycle arrest and disruption of mitosis are two of the mechanisms by
which compounds in R. graveolens extract inhibit cell proliferation.
R. graveolens extract activates the p53 pathway
Various cellular stressors induce the stabilization and activation of the p53 tumor suppressor
protein. The p53 protein regulates critical cellular mechanisms that modulate the cell cycle,
apoptosis, senescence, and various signaling pathways. Therefore, it was examined whether
the p53 protein is activated after the treatment of cells with R. graveolens extract. HCT116
colorectal cancer cells, which have an intact p53 pathway, were treated with the extract and
the induction of p53 was examined by immunofluorescence staining. As shown in Figures
3A and B, exposure of HCT116 cells to R. graveolens extract, but not the vehicle DMSO,
led to the accumulation of nuclear p53. The induction of p53 was also accompanied by the
induction of the cell cycle regulator CDK inhibitor protein p21 (Figure 3B), indicating the
activation of p53-mediated transcription. This transcriptional activity suggests that
compounds in R. graveolens extract activate p53-regulated pathways, which include cell
cycle arrest that can be mediated by the p21 protein.
R. graveolens extract induces the DNA-damage response pathway
The tumor suppressor protein p53 can be activated by signals originating from activated
DNA damage response (DDR) (20, 21). ATM, Chk1, Chk2, p53, 53BP1, MRN complex and
other proteins are components of the DDR signaling network. 53BP1 is a large (450kDa)
protein that was initially identified by its ability to bind to p53. Subsequent studies have
shown that 53BP1 protein is part of the DNA-damage response (DDR) protein complex, and
co-localizes with the DNA repair complex proteins such as Mre11-Rad50-NBS1 (MRN) at
distinct nuclear foci (22–26).
To examine if the activation of p53 pathway was the result of DDR signaling, the nuclear
distributions of 53BP1 and γ-H2AX proteins were analyzed by immunofluorescenCE
staining of control or R. graveolens treated HCT116 cells 24 hours after exposure to the
extract. As shown in Figure 3C and D, treatment with R. graveolens extract induced the
activation and the recruitment of 53BP1 and γ-H2AX proteins to distinct nuclear foci,
typically evident in cellular response to DNA-damage. The relocalization of both 53BP1 and
γ-H2AX proteins into sub-nuclear foci indicates that compounds in R. graveolens have the
capacity to induce DNA damage foci, to which damage-repair proteins are recruited.
The Akt/PKB protein is a pro-survival signaling molecule constitutively activated in a
number of solid tumors, and it cross-talks with the p53 pathway (27). To examine if R.
graveolens extract modulates this critical signaling pathway, the phosphorylation of the Akt
protein as a marker of Akt activation in DU145 prostate cancer cells was examined. As
shown in Figure 4A, treatment of the cells with R. graveolens extract reduced the levels of
phospho-Akt, which suggests that the activity of the Akt signaling pathway may be inhibited
by the extract. In contrast to the phosphorylated Akt, the total cellular levels of the Akt
protein were not affected by the treatment. Additionally, the level of the mitotic cyclin B1
was significantly reduced by R. graveolens extract, further indicating the inhibitory effect of
the extract on cell cycle transition. To examine the effect of R. graveolens extract on
untransformed cells, normal human dermal fibroblasts were treated with vehicle or the
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extract. Interestingly, in contrast to cancer cell lines, no major changes were observed in the
levels of phospho-Akt and p53 in fibroblasts exposed to up to 150μg/ml of the extract
(Figure 4B). However, the levels of cyclin B1 were markedly reduced in treated fibroblasts,
similarly to the cancer cells. Higher than 150μg/ml doses of the extract were non-
specifically cytotoxic also to the fibroblasts.
R. graveolens extract induces caspase activation
During the experiments, it was observed that reduction in cell viability or induction of cell
death was associated with increased number of cells with membrane blebbing, which is a
characteristic microscopic phenotype of cells undergoing apoptosis. This was especially
evident in cells exposed to R. graveolens extract at doses between 150 μg/ml to 300 μg/ml
for 24 hours. Figure 5A shows the microscopic appearance of HCT116 cells treated with
DMSO (control) or 300 μg/ml R. graveolens extract. To examine if the membrane blebbing
phenotype was also associated with the activation of intracellular caspases, the activity of
caspase 3 in the lysates of HCT116 cells treated with DMSO, or 75 μg/ml, 150 μg/ml, or
300 μg/ml R. graveolens extract was assayed. In parallel, HCT116 cells were treated with 1
μM staurosporine for three hours as a positive control to induce endogenous caspase 3.
Recombinant caspase 3 was used as an assay control. As shown in Figure 5B, the activity of
caspase 3 in the lysates of cells treated with 150–300 μg/ml R. graveolens extract was
markedly enhanced compared to control cells. This result confirmed that the membrane
blebbing phenotype observed in cells treated with R. graveolens extract was coincidental to
the execution of apoptosis, and the induction of apoptotic phenotype correlated with
enhanced intracellular caspase activity.
Discussion
This study showed that the medicinal and culinary herb Ruta graveolens contains bioactive
compounds that inhibit cell proliferation, reduce cell viability, and induce DNA damage
response and apoptosis. This is particularly interesting since this herb has been used for
centuries as a spicing ingredient for food and to treat various illnesses. R. graveolens
preparations can be readily commercially obtained as infusions and oils for medicinal use.
These data suggest that R. graveolens extract contains candidate compounds that deserve not
only to be further evaluated for their mechanisms of action, but for their chemotherapeutic
or adjuvant therapy potentials as well. Importantly, treatment with the extract induced
nuclear foci formation that is characteristic of the typical DNA-damaging agents used in
cancer therapy, such as irradiation and platinum compounds. Moreover, even the smaller
doses that were tested still inhibited cell proliferation in colony formation assay, suggesting
the presence of long-acting components that inhibit cancer cell proliferation at low doses of
the extract. At such low doses, aberrant mitoses were not significantly evident, suggesting a
potentially different mechanism of activity at low doses compared to high doses, where
DNA damage and aberrant mitoses were evident. Therefore, investigating the therapeutic
(high dose) or chemopreventive (low dose) potentials of the extract and its components is
warranted. It is currently unknown, however, if the same pathways involved in DDR are also
responsible for the anti-proliferative activity of the extract observed at lower doses. It is
possible that other survival pathways may be inhibited at lower doses without inducing a
strong DDR. The ingredients that inhibit the long-term survival of treated cancer cells need
to be examined in detail, since low doses of R. graveolens compounds may be beneficial as
chemopreventive agents in high-risk cancer subjects.
The induction of DDR by R. graveolens extract raises a question about the role of DDR as a
checkpoint in the current context, i.e. if compounds in R. graveolens would be suitable for
chemoprevention, or as sensitizers to chemotherapy. Activated DDR serves as a checkpoint
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to allow damaged cells to repair their DNA, or to induce apoptosis or senescence, as a
primary line of defense against neoplastic transformation of cells (28). Although initiation of
DDR is suggested to be a checkpoint to prevent carcinogenesis, persistent DDR may have
undesirable outcomes through chronic inflammatory signaling (29) that may in turn promote
carcinogenic transformation. To address these issues, it is necessary to identify the bioactive
ingredients in R. graveolens extract in order to delineate those with DDR-inducing activities,
and those with potential effects on other survival signaling pathways. On the other hand, the
DDR-inducing property of the R. graveolens extract might be expected to sensitize cancer
cells to chemotherapeutic drugs that target survival-signaling pathways. Recently, the
inhibition of CYP3A by compounds in grapefruits was used to reduce the therapeutic dose
of the anti-cancer drug rapamycin (30, 31), illustrating the potential use of natural
compounds as adjuvants or supplements to conventional therapeutic drugs. On the other
hand, the DDR-inducing property of R. graveolens extract should also raise caution about
the potential risks of prolonged use of high doses of medicinal preparations from the herb.
Ruta species and many other plants such as grapefruit, parsley, celery, and parsnip contain a
group of phytochemicals called furanocoumarins (furocoumarins) that have been associated
with phytophotodermatitis (4, 8, 32), or the grapefruit juice effect (33, 34). The phototoxic
effects of furanocoumarin compounds have been associated with topical application of
products containing the compounds followed by exposure to sources of ultraviolet light (4,
5, 35). However, photoactivation-independent bioactivities of these compounds, including
p53 induction and in vivo CYP450 inhibition, have been reported (14, 36). Therefore, further
studies are needed to identify the individual molecules, the molecular targets for each of the
bioactive compounds in R. graveolens, and to suggest the rational conditions under which
the plant products or the isolated compounds might be used beneficially. Since treated cells
were not exposed to known sources of UV light in this study, it is proposed that the DDR
and anti-proliferative effects that are reported here are independent of the UV-inducible type
of photophytotoxicity. A similar result has been reported for bergapten, one of the
photoactivatable furanocumarines, where the compound induced the p53 pathway and
apoptosis of breast cancer cells independent of photoactivation (14). In conclusion, the
current data suggest that extracts from the medicinal and culinary herb R. graveolens contain
bioactive compounds that activate specific molecular signaling pathways and significantly
interfere with the survival and proliferation of cancer cells, warranting further investigations.
Acknowledgments
We thank Bert Vogelstein and Leslie Wilson for kind provision of cell lines, Cesar Fermin for help with
microscopy and digital imaging, Clayton Yates for help with confocal microscopy, Sibyl Bowie for suggestions and
editorial help during preparation of the manuscript. Research in T.S. lab is supported by grant SC2CA138178 from
the NIH/NCI/NIGMS. Support to T.T. was through grant numbers 3P20MD000195 (NIH/NCMHD) and
U54CA118623 (NIH/NCI). We acknowledge the CVMNAH Center of Excellence (grant # 5D34HP00001-20-00)
summer research support (to AW, TY, and TS).
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FADLALLA et al. Page 9
Anticancer Res. Author manuscript; available in PMC 2012 January 1.
NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
Figure 1.
A. PC3 (prostate), DU-145 (prostate), HCT116 (colorectal) or MCF7 (breast) cancer cells
were exposed to varying concentrations of R. graveolens extract. Viability of control
(untreated or DMSO) or experimental (R. graveolens extract 37 μg/ml to 600 μg/ml) treated
cells was assessed after 24 hours (MTS cell viability assay, Promega Corp., Madison, WI,
USA.) Absorbance was read at 490 nm using PowerWave XS (BioTek, Winooski, VT,
USA ) microplate reader. B. Clonogenicity assay in HCT116, RKO and DU-145 cells
treated with R. graveolens extract. The cancer cell lines were treated with the indicated
concentrations (μg/ml culture medium) of R. graveolens extract, and their clonogenicities
were assessed as described in materials and methods.
FADLALLA et al. Page 10
Anticancer Res. Author manuscript; available in PMC 2012 January 1.
NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
Figure 2.
Cell cycle arrest and aberrant cell division phenotypes induced by R. graveolens extract. A.
cell cycle arrest in MCF7 cells. B. Bar graph showing the proportion of aberrant mitoses in
control and treated HCT116 cells.
FADLALLA et al. Page 11
Anticancer Res. Author manuscript; available in PMC 2012 January 1.
NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
Figure 3.
A. Induction of the p53 tumor suppressor protein by R. graveolens extract. HCT116 cells
were treated with carrier control (DMSO) or the indicated concentrations of the R.
graveolens extract in culture medium for 24 hours. Nuclear p53 was visualized by
immunofluorescent staining using anti-p53 antibodies and Alexa-fluor conjugated secondary
antibodies (red). Cells were counterstained with anti-tubulin antibody (green). Far right
panels show merged red and green images. B. Immunoblotting to show the induction of p53
protein and its transcriptional target p21. Etoposide was used as a positive control for p53
the induction in HCT116 cells. C. Induction of DNA damage response (DDR) foci in R.
graveolens treated cells. HCT116 cells were exposed to control (carrier DMSO) or R.
graveolens extract for 24 hours and the nuclear distribution of 53BP1 protein was analyzed
by immunofluorescent staining using anti-53BP1 antibodies and Alexa-fluor conjugated anti
rabbit secondary antibodies (red). Nuclei were counterstained using DAPI. Far right panels
show merged red and blue images. D. Induction of γ-H2AX phosphorylation by R.
graveolens extract. HCT116 cells were treated as shown and the nuclear distribution of
53BP1 protein was examined by immunofluorescent staining.
FADLALLA et al. Page 12
Anticancer Res. Author manuscript; available in PMC 2012 January 1.
NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
Figure 4.
A. R. graveolens extract suppresses Akt activation and cyclin-B1 levels. DU145 prostate
cancer cells were treated with carrier only or 150 μg/ml R. graveolens extract for 48 hours.
The expression of the indicated proteins was analyzed by immunoblotting. B. Normal
human dermal fibroblasts were treated with the indicated concentrations of R. graveolens
extract for 48 hours. The panels indicate the expression of the indicated proteins assessed by
immunoblotting.
FADLALLA et al. Page 13
Anticancer Res. Author manuscript; available in PMC 2012 January 1.
NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
Figure 5.
Activation of caspase 3 and induction of apoptosis by R. graveolens extract. A. HCT116
cells were treated for 24 hours with the carrier DMSO or 300 μg/ml R. graveolens extract in
culture medium. Phase contrast pictures of treated cells were taken at 200X or 400 X
magnifications. B. HCT116 cells were treated with carrier DMSO, R. graveolens extract (75
μg/ml, 150 μg/ml, or 300 μg/ml), or staurosporine (STS, 1 μM, 3 hours). Caspase 3
activation assay was performed as described in materials and methods. Recombinant caspase
3 (recCasp3) was added to untreated cell extract and assayed in parallel, as an assay control.
Caspase activity kinetics was recorded as absorbance at 405 nm.
FADLALLA et al. Page 14
Anticancer Res. Author manuscript; available in PMC 2012 January 1.
NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript

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Ruta graveolens extract induces dna damage pathways and blocks akt activation to inhibit cancer cell proliferation and survival (2011)

  • 1. Ruta Graveolens Extract Induces DNA Damage Pathways and Blocks Akt Activation to Inhibit Cancer Cell Proliferation and Survival KHALDA FADLALLA1, ANGELA WATSON1, TESHOME YEHUALAESHET1, TIMOTHY TURNER2, and TEMESGEN SAMUEL1 1 Department of Pathobiology and Tuskegee University Center for Cancer Research (TUCCR), Tuskegee University, Tuskegee, Alabama 36088, USA 2 Department of Biology and Tuskegee University Center for Cancer Research (TUCCR), Tuskegee University, Tuskegee, Alabama 36088, USA Abstract Background—Ruta graveolens is a medicinal herb that has been used for centuries against various ailments. This study examined the anticancer properties of the herb using cancer cell lines. Materials and Methods—Methanolic extract of R. graveolens was tested on colon, breast and prostate cancer cells. Viability, cell cycle profiles, clonogenicity and capase activation were measured. Induction and subcellular localizations of p53, 53BP1 and γ-H2AX proteins were examined. Results—the extract dose-dependently decreased the viability and the clonogenicity of treated cells and induced G2/M arrest, aberrant mitoses, and caspase-3 activation. It also induced the p53 pathway and focal concentration of the DNA damage response proteins 53BP1 and γ-H2AX. Moreover, the levels of phospho-Akt and cyclin B1 were reduced by treatment, whereas only cyclin B1 was reduced in normal dermal fibroblasts. Conclusion—R. graveolens extract contains bioactive compounds which, independently of known photoactivatable mechanisms, potently inhibit cancer cell proliferation and survival through multiple targets. Keywords Medicinal herb; bioactivity; p53 pathway; apoptosis Plants are important sources of medicinal compounds worldwide. A few examples are: aspirin from willow tree, digitalis from foxglove, artemisinin from wormwood, taxol from the pacific yew tree, vinblastine and vincristine from periwinkle, etoposide from mayapple, etc. More than 60% of cancer therapeutics on the market or in pre-clinical trials are based on natural products (1, 2). Despite the decline of interest by the pharmaceutical industry in research and development of natural compounds, these unrefined compounds from terrestrial and aquatic sources continue to serve as the chemical foundations from which modified or synthetic versions can be derived. Correspondence to: Temesgen Samuel, College of Veterinary Medicine, Nursing and allied Health, Department of Pathobiology and TUCCR, Patterson Hall, Room A408, Tuskegee, AL 36088, USA. Tel: +1 3347244547, Fax: +1 3347244110, tsamuel@mytu.tuskegee.edu. NIH Public Access Author Manuscript Anticancer Res. Author manuscript; available in PMC 2012 January 1. Published in final edited form as: Anticancer Res. 2011 January ; 31(1): 233–241. NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
  • 2. Ruta graveolens is a medicinal and culinary plant that is native to the Mediterranean region of southern Europe and northern Africa. Widely grown in different parts of the world, this herb has historically been in use since the ancient times (3). Its documented therapeutic uses include the treatment of inflammatory conditions, eczema, ulcers, arthritis, fibromyalgia, antidote for venoms, insect repellent, and as an abortifacient (4–6). The plant has also been commonly used to season some food items such as soup, cheese, butter, coffee, and tea, and in medicinal preparations such as rue oil and infusions that are used as antispasmodics and emmenagogues (7). Chemical compounds so far known to be present in R. graveolens include furanocumarins, carotenoids, chlorophyll, and furanoquinolones (4, 8). Psoralens, a family of furanocumarins in R. graveolens, have been widely studied for their DNA inter-strand cross-linking activity when exposed to ultra violet (UV) light. This photoactivation property of psoralens has been utilized in the treatment of various skin malignancies including psoriasis, vitiligo and cutaneous lymphoma as a psoralen plus UV-A or UV-B (PUVA or PUVB) regimen (9–11). Although some bioactive components in the herbal extracts and infusions made from the herb R. graveolens plant have been suggested to be responsible for the plant’s beneficial or phototoxic effects, molecular studies that extensively decipher the activities of most of its bioactive ingredients are scarce. While the phytophototoxicity caused by R. graveolens has been known for long time, the bioactivities of R. graveolens extracts or its various preparations against tumor cells or pathogenic microbes have attracted attention only recently (12–17). This study examined the potency of an extract from R. graveolens on cancer cell lines. This study shows that this extract has potent anti-cancer activity, exhibited through strong anti- proliferative and ant-survival effects on cancer cells. Materials and Methods Cell culture and treatments The human colorectal cancer cell line HCT116 was a generous donation from Dr. Bert Vogelstein (Johns Hopkins University, MD, USA). The cell line was maintained in McCoy’s medium (Lonza, Walkersville, MD, USA) supplemented with 10% fetal bovine serum (FBS) and 10,000 U/ml penicillin/10mg/ml streptomycin. The MCF7 cell line was a gift from Dr. Leslie Wilson (University of California at Santa Barbara, CA, USA). RKO (purchased from ATCC, Manassas, VA, USA) and MCF7 cells were grown in Dulbecco’s Modified Eagles Medium (DMEM, Invitrogen Corp, Carlsbad, CA, USA) supplemented with FBS and penicillin/streptomycin. Prostate cancer cell lines PC3 and DU-145 cells, purchased from American Type Culture Collection (ATCC, Manassas, VA, USA), were cultured in T-medium (Invitrogen Corp, Carlsbad, CA, USA), supplemented with 10% FBS and penicillin/streptomycin. For experimental treatments, cells were seeded in dishes with 96-well (for viability assays), 12-well (for colony formation assays), 6-well (for flow cytometry and clonogenicity assays), 6 cm culture plates (for cell lysate preparations), or 4- well chamber slides (for immunofluorescence staining). All cell cultures were incubated at 37°C and 5% CO2 in a humidified incubator. Extract preparation Fresh leaves of Ruta graveolens were minced finely in a food processor and extracted in 80% methanol for 24 hours. Particulate matters were removed by two rounds of centrifugations at 1000× g and 10,000× g for five and ten minutes, respectively. The soluble fraction was desiccated in a rotary evaporator, and the evaporated solids were resuspended in DMSO at a final concentration of 60 mg/ml. FADLALLA et al. Page 2 Anticancer Res. Author manuscript; available in PMC 2012 January 1. NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
  • 3. Antibodies Anti-p53, β-actin, phospho-γ-H2AX ser139, 53BP1, Akt, phospho-Akt, cyclin B1, CDK1 antibodies were purchased from Cell Signaling Technology (Danvers, MA, USA). Anti- p21WAF1 was purchased from Invitrogen Corporation (Carlsbad, CA, USA). Monoclonal antibody to α-tubulin (clone DM1A) was purchased from Sigma (St Louis, MO, USA). Clonogenicity assays Clonogenicity assay was performed as described elsewhere (18). The clonogenic potential of untreated and treated cells was determined by seeding approximately 150 cells per well of a 6-well dish. Cells were allowed to adhere for approximately 24 hours and then treated with varying concentrations (0–300 μg/ml) of the R. graveolens extract in culture medium. Colony formation was examined daily by light microscopy. The assay was terminated by fixing the cells when the control treated cells formed visible discrete colonies. Formed colonies were stained with 10% crystal violet in methanol for 15–20 minutes, washed to remove excess dye, and air-dried. Colonies were counted using AlphaImager (AlphaInnotech, Santa Clara, CA, USA) in colony counting mode. The relative clonogenicity of the treated cells was computed as percentage of the number of colonies that formed in the control DMSO treated wells. Flow cytometry Cells were harvested and prepared for flow cytometry as described elsewhere with some modifications (19). Cells were harvested by trypsinization using 0.25% trypsin-EDTA (Invitrogen Corporation, Carlsbad, CA, USA) and centrifuged. Pellets were resuspended in 300 μl phosphate buffered saline (PBS, Invitrogen Corp, Carlsbad, CA, USA), fixed by addition of 700 μl 100% ethanol while vortexing, and stored at −20°C for a minimum of 12 hours. Fixed cells were centrifuged, and stained in FACS staining solution (320 mg/ml RNase A, 0.4 mg/ml propidium iodide) in PBS without calcium and magnesium for 15 minutes at 37°C. Stained cells were filtered through a 70 μm pore size filter and analyzed by flow cytometry on C6 Accuri® flow cytometer (Accuri Cytometers, Ann Arbor, MI, USA). Data was analyzed and histograms were prepared using CFlow™ software (Accuri Cytometers, Ann Arbor, MI, USA). Immunofluorescent staining and microscopy Phase contrast images of cells were taken at 20X and 40X magnification objectives (and 10X eyepiece) using an Olympus IX71 inverted microscope (Olympus America Inc, Melville, NY, USA) fitted with digital image capture cameras (Digital Microscopy Lab, College of Veterinary Medicine, Nursing and Allied Health, Tuskegee University). HCT116 cells for immunofluorescent staining were grown in 4-well chamber slides. Staining was performed as described previously (19). Confocal images were taken using an Olympus DSU spinning disk confocal microscope (Olympus America Inc, Melville, NY, USA) at the Research Center at Minority Institutions (RCMI) core-facility using a 40X dry objective. Images were captured using Metamorph Premium software (Strategic Triangle Inc, Toronto, Canada), stored in TIFF format and further processed in Adobe Photoshop. Immunoblotting Cell lysates were prepared in NP-40 lysis buffer (20 mM Tris-Cl pH 7.5, 150 mM NaCl, 10% Glycerol and 0.2% NP-40 plus protease inhibitor cocktail) and protein concentrations were determined using DC detergent compatible protein assay (BioRad Laboratories Inc, Hercules, CA, USA). Samples containing equivalent protein concentrations were mixed with Laemmli buffer, and boiled for five minutes. Proteins were resolved by SDS-PAGE, transferred to PVDF membranes (GE Healthcare Life Sciences, Piscataway, NJ, USA) and FADLALLA et al. Page 3 Anticancer Res. Author manuscript; available in PMC 2012 January 1. NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
  • 4. blocked in 5% non-fat dry milk. Primary antibodies (p53, p21, and cyclin B1) were used at 1:1000 dilutions. Peroxidase conjugated anti-rabbit and anti-mouse IgG secondary antibodies were purchased from GE Healthcare Life Sciences (Piscataway, NJ, USA) and used at a 1:5000 dilution. Chemiluminescent detections were performed using Chemiluminescent HRP Substrate (GE Life Sciences, Piscataway, NJ, USA) Caspase 3 activation assay The assay was performed using a colorimetric Caspase 3 activation assay kit (Caspase-3-C, Sigma, St. Louis, MO, USA). Briefly, treated and control cells were lysed in 1X lysis buffer. Thirty micrograms of total protein were used to perform the assay according to the manufacturer’s recommendations. Recombinant Caspase 3 was added to untreated (control) cell lysates and used as a positive control for the assay. A separate set of cells were incubated with 1 μM staurosporine for three hours to activate endogenous Caspase 3 as another control. Absorbance was read in a kinetic mode every 1.5 minutes at 405 nm using PowerWave XS plate reader and Gen5 software (Biotek Instruments Inc, Winooski, VT, USA). Results Dose dependent inhibition of cell viability by R. graveolens extract To determine the bioactivity of a methanolic extract of R. graveolens against cancer cells, HCT116 (colorectal cancer), MCF7 (breast cancer), DU-145 and PC3 (both prostate cancer) cancer cells were treated with varying concentrations of the extract and examined the viability in treated versus control cells by MTS assay after 24 hours. As shown in Figure 1A, R. graveolens extract reduced the viability of treated cancer cells in a dose dependent manner. Based on the cell viability measured after only 24 hours, the approximate 50% inhibitory concentration (IC50) of R. graveolens extract was approximately 75 μg/ml (PC3 cells), 150 μg/ml (MCF7), 200 μg/ml (HCT116), 300 μg/ml (DU-145 cells), with PC3 cells being the most sensitive. However, as described below, colony formation by the cell lines was completely inhibited by even smaller doses of the extract, suggesting even lower effective growth inhibitory concentration of the extract. R. graveolens extract inhibits the proliferation of cancer cells Unlike normal cells, cancer cells have the capacity to proliferate and form cell colonies even when they are seeded as individual cells after being separated from other cancer or stromal cells. It was assessed by colony formation assay whether R. graveolens extract would inhibit the ability of HCT116, RKO or DU-145 cancer cells to establish cell colonies from individual cells. As shown in Figure 1B, the colony forming ability of all tested cancer cells was inhibited by R. graveolens extract. Colony formation was nearly 100% inhibited in all cell lines at the 60 μg/ml dose. The inability of the cells to form colonies indicates the presence of very potent anti-proliferative compounds in the extract. Cell cycle arrest is one of the mechanisms by which cell proliferation is blocked. Stressed cells, which possess functional cell cycle checkpoints, activate cell cycle arrest, thus allowing the cells to recover from the stress before the cell division. To examine the effect of R. graveolens extract on the cell cycle, MCF7 breast cancer cells were treated with vehicle (control), 37 μg/ml, 75 μg/ml or 150 μg/ml of extract for 24 hours and the cell cycle profile of the cells was analyzed by flow cytometry. As shown in Figure 2A-B, cells treated with R. graveolens extract arrested mostly in the late S to G2/M phases of the cell cycle. HCT116 and DU-145 cells also showed similar cell cycle arrest (data not shown). In addition to the cell cycle arrest, it was also observed that cells treated with R. graveolens FADLALLA et al. Page 4 Anticancer Res. Author manuscript; available in PMC 2012 January 1. NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
  • 5. extract also displayed increased number of aberrant mitoses and post-mitotic nuclear integrity, particularly when exposed to higher doses of the extract. The proportion of observed aberrant mitoses for HCT116 cells is shown in Figure 2C. Similarly, MCF7 and other treated cells also showed a higher rate of aberrant mitosis at similar doses. These aberrant phenotypes included tripolar or multipolar spindles, short or disarrayed spindle fibers, lagging chromosomes at metaphase-anaphase transition and micronuclei formation. These data suggests cell cycle arrest and disruption of mitosis are two of the mechanisms by which compounds in R. graveolens extract inhibit cell proliferation. R. graveolens extract activates the p53 pathway Various cellular stressors induce the stabilization and activation of the p53 tumor suppressor protein. The p53 protein regulates critical cellular mechanisms that modulate the cell cycle, apoptosis, senescence, and various signaling pathways. Therefore, it was examined whether the p53 protein is activated after the treatment of cells with R. graveolens extract. HCT116 colorectal cancer cells, which have an intact p53 pathway, were treated with the extract and the induction of p53 was examined by immunofluorescence staining. As shown in Figures 3A and B, exposure of HCT116 cells to R. graveolens extract, but not the vehicle DMSO, led to the accumulation of nuclear p53. The induction of p53 was also accompanied by the induction of the cell cycle regulator CDK inhibitor protein p21 (Figure 3B), indicating the activation of p53-mediated transcription. This transcriptional activity suggests that compounds in R. graveolens extract activate p53-regulated pathways, which include cell cycle arrest that can be mediated by the p21 protein. R. graveolens extract induces the DNA-damage response pathway The tumor suppressor protein p53 can be activated by signals originating from activated DNA damage response (DDR) (20, 21). ATM, Chk1, Chk2, p53, 53BP1, MRN complex and other proteins are components of the DDR signaling network. 53BP1 is a large (450kDa) protein that was initially identified by its ability to bind to p53. Subsequent studies have shown that 53BP1 protein is part of the DNA-damage response (DDR) protein complex, and co-localizes with the DNA repair complex proteins such as Mre11-Rad50-NBS1 (MRN) at distinct nuclear foci (22–26). To examine if the activation of p53 pathway was the result of DDR signaling, the nuclear distributions of 53BP1 and γ-H2AX proteins were analyzed by immunofluorescenCE staining of control or R. graveolens treated HCT116 cells 24 hours after exposure to the extract. As shown in Figure 3C and D, treatment with R. graveolens extract induced the activation and the recruitment of 53BP1 and γ-H2AX proteins to distinct nuclear foci, typically evident in cellular response to DNA-damage. The relocalization of both 53BP1 and γ-H2AX proteins into sub-nuclear foci indicates that compounds in R. graveolens have the capacity to induce DNA damage foci, to which damage-repair proteins are recruited. The Akt/PKB protein is a pro-survival signaling molecule constitutively activated in a number of solid tumors, and it cross-talks with the p53 pathway (27). To examine if R. graveolens extract modulates this critical signaling pathway, the phosphorylation of the Akt protein as a marker of Akt activation in DU145 prostate cancer cells was examined. As shown in Figure 4A, treatment of the cells with R. graveolens extract reduced the levels of phospho-Akt, which suggests that the activity of the Akt signaling pathway may be inhibited by the extract. In contrast to the phosphorylated Akt, the total cellular levels of the Akt protein were not affected by the treatment. Additionally, the level of the mitotic cyclin B1 was significantly reduced by R. graveolens extract, further indicating the inhibitory effect of the extract on cell cycle transition. To examine the effect of R. graveolens extract on untransformed cells, normal human dermal fibroblasts were treated with vehicle or the FADLALLA et al. Page 5 Anticancer Res. Author manuscript; available in PMC 2012 January 1. NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
  • 6. extract. Interestingly, in contrast to cancer cell lines, no major changes were observed in the levels of phospho-Akt and p53 in fibroblasts exposed to up to 150μg/ml of the extract (Figure 4B). However, the levels of cyclin B1 were markedly reduced in treated fibroblasts, similarly to the cancer cells. Higher than 150μg/ml doses of the extract were non- specifically cytotoxic also to the fibroblasts. R. graveolens extract induces caspase activation During the experiments, it was observed that reduction in cell viability or induction of cell death was associated with increased number of cells with membrane blebbing, which is a characteristic microscopic phenotype of cells undergoing apoptosis. This was especially evident in cells exposed to R. graveolens extract at doses between 150 μg/ml to 300 μg/ml for 24 hours. Figure 5A shows the microscopic appearance of HCT116 cells treated with DMSO (control) or 300 μg/ml R. graveolens extract. To examine if the membrane blebbing phenotype was also associated with the activation of intracellular caspases, the activity of caspase 3 in the lysates of HCT116 cells treated with DMSO, or 75 μg/ml, 150 μg/ml, or 300 μg/ml R. graveolens extract was assayed. In parallel, HCT116 cells were treated with 1 μM staurosporine for three hours as a positive control to induce endogenous caspase 3. Recombinant caspase 3 was used as an assay control. As shown in Figure 5B, the activity of caspase 3 in the lysates of cells treated with 150–300 μg/ml R. graveolens extract was markedly enhanced compared to control cells. This result confirmed that the membrane blebbing phenotype observed in cells treated with R. graveolens extract was coincidental to the execution of apoptosis, and the induction of apoptotic phenotype correlated with enhanced intracellular caspase activity. Discussion This study showed that the medicinal and culinary herb Ruta graveolens contains bioactive compounds that inhibit cell proliferation, reduce cell viability, and induce DNA damage response and apoptosis. This is particularly interesting since this herb has been used for centuries as a spicing ingredient for food and to treat various illnesses. R. graveolens preparations can be readily commercially obtained as infusions and oils for medicinal use. These data suggest that R. graveolens extract contains candidate compounds that deserve not only to be further evaluated for their mechanisms of action, but for their chemotherapeutic or adjuvant therapy potentials as well. Importantly, treatment with the extract induced nuclear foci formation that is characteristic of the typical DNA-damaging agents used in cancer therapy, such as irradiation and platinum compounds. Moreover, even the smaller doses that were tested still inhibited cell proliferation in colony formation assay, suggesting the presence of long-acting components that inhibit cancer cell proliferation at low doses of the extract. At such low doses, aberrant mitoses were not significantly evident, suggesting a potentially different mechanism of activity at low doses compared to high doses, where DNA damage and aberrant mitoses were evident. Therefore, investigating the therapeutic (high dose) or chemopreventive (low dose) potentials of the extract and its components is warranted. It is currently unknown, however, if the same pathways involved in DDR are also responsible for the anti-proliferative activity of the extract observed at lower doses. It is possible that other survival pathways may be inhibited at lower doses without inducing a strong DDR. The ingredients that inhibit the long-term survival of treated cancer cells need to be examined in detail, since low doses of R. graveolens compounds may be beneficial as chemopreventive agents in high-risk cancer subjects. The induction of DDR by R. graveolens extract raises a question about the role of DDR as a checkpoint in the current context, i.e. if compounds in R. graveolens would be suitable for chemoprevention, or as sensitizers to chemotherapy. Activated DDR serves as a checkpoint FADLALLA et al. Page 6 Anticancer Res. Author manuscript; available in PMC 2012 January 1. NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
  • 7. to allow damaged cells to repair their DNA, or to induce apoptosis or senescence, as a primary line of defense against neoplastic transformation of cells (28). Although initiation of DDR is suggested to be a checkpoint to prevent carcinogenesis, persistent DDR may have undesirable outcomes through chronic inflammatory signaling (29) that may in turn promote carcinogenic transformation. To address these issues, it is necessary to identify the bioactive ingredients in R. graveolens extract in order to delineate those with DDR-inducing activities, and those with potential effects on other survival signaling pathways. On the other hand, the DDR-inducing property of the R. graveolens extract might be expected to sensitize cancer cells to chemotherapeutic drugs that target survival-signaling pathways. Recently, the inhibition of CYP3A by compounds in grapefruits was used to reduce the therapeutic dose of the anti-cancer drug rapamycin (30, 31), illustrating the potential use of natural compounds as adjuvants or supplements to conventional therapeutic drugs. On the other hand, the DDR-inducing property of R. graveolens extract should also raise caution about the potential risks of prolonged use of high doses of medicinal preparations from the herb. Ruta species and many other plants such as grapefruit, parsley, celery, and parsnip contain a group of phytochemicals called furanocoumarins (furocoumarins) that have been associated with phytophotodermatitis (4, 8, 32), or the grapefruit juice effect (33, 34). The phototoxic effects of furanocoumarin compounds have been associated with topical application of products containing the compounds followed by exposure to sources of ultraviolet light (4, 5, 35). However, photoactivation-independent bioactivities of these compounds, including p53 induction and in vivo CYP450 inhibition, have been reported (14, 36). Therefore, further studies are needed to identify the individual molecules, the molecular targets for each of the bioactive compounds in R. graveolens, and to suggest the rational conditions under which the plant products or the isolated compounds might be used beneficially. Since treated cells were not exposed to known sources of UV light in this study, it is proposed that the DDR and anti-proliferative effects that are reported here are independent of the UV-inducible type of photophytotoxicity. A similar result has been reported for bergapten, one of the photoactivatable furanocumarines, where the compound induced the p53 pathway and apoptosis of breast cancer cells independent of photoactivation (14). In conclusion, the current data suggest that extracts from the medicinal and culinary herb R. graveolens contain bioactive compounds that activate specific molecular signaling pathways and significantly interfere with the survival and proliferation of cancer cells, warranting further investigations. Acknowledgments We thank Bert Vogelstein and Leslie Wilson for kind provision of cell lines, Cesar Fermin for help with microscopy and digital imaging, Clayton Yates for help with confocal microscopy, Sibyl Bowie for suggestions and editorial help during preparation of the manuscript. Research in T.S. lab is supported by grant SC2CA138178 from the NIH/NCI/NIGMS. Support to T.T. was through grant numbers 3P20MD000195 (NIH/NCMHD) and U54CA118623 (NIH/NCI). We acknowledge the CVMNAH Center of Excellence (grant # 5D34HP00001-20-00) summer research support (to AW, TY, and TS). References 1. Brower V. Back to nature: extinction of medicinal plants threatens drug discovery. J Natl Cancer Inst. 2008; 100:838–839. [PubMed: 18544733] 2. Li JW, Vederas JC. Drug discovery and natural products: end of an era or an endless frontier? Science. 2009; 325:161–165. [PubMed: 19589993] 3. Pollio A, De Nauale A, Appetiti E, Aliotta G, Touwaide A. Continuity and change in the Mediterranean medical tradition: Ruta spp. (rutaceae) in Hippocratic medicine and present practices. J Ethnopharmacol. 2008; 116:469–482. [PubMed: 18276094] 4. Eickhorst K, DeLeo V, Csaposs J. Rue the herb: Ruta graveolens--associated phytophototoxicity. Dermatitis. 2007; 18:52–55. [PubMed: 17303046] FADLALLA et al. Page 7 Anticancer Res. Author manuscript; available in PMC 2012 January 1. NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
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  • 10. Figure 1. A. PC3 (prostate), DU-145 (prostate), HCT116 (colorectal) or MCF7 (breast) cancer cells were exposed to varying concentrations of R. graveolens extract. Viability of control (untreated or DMSO) or experimental (R. graveolens extract 37 μg/ml to 600 μg/ml) treated cells was assessed after 24 hours (MTS cell viability assay, Promega Corp., Madison, WI, USA.) Absorbance was read at 490 nm using PowerWave XS (BioTek, Winooski, VT, USA ) microplate reader. B. Clonogenicity assay in HCT116, RKO and DU-145 cells treated with R. graveolens extract. The cancer cell lines were treated with the indicated concentrations (μg/ml culture medium) of R. graveolens extract, and their clonogenicities were assessed as described in materials and methods. FADLALLA et al. Page 10 Anticancer Res. Author manuscript; available in PMC 2012 January 1. NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
  • 11. Figure 2. Cell cycle arrest and aberrant cell division phenotypes induced by R. graveolens extract. A. cell cycle arrest in MCF7 cells. B. Bar graph showing the proportion of aberrant mitoses in control and treated HCT116 cells. FADLALLA et al. Page 11 Anticancer Res. Author manuscript; available in PMC 2012 January 1. NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
  • 12. Figure 3. A. Induction of the p53 tumor suppressor protein by R. graveolens extract. HCT116 cells were treated with carrier control (DMSO) or the indicated concentrations of the R. graveolens extract in culture medium for 24 hours. Nuclear p53 was visualized by immunofluorescent staining using anti-p53 antibodies and Alexa-fluor conjugated secondary antibodies (red). Cells were counterstained with anti-tubulin antibody (green). Far right panels show merged red and green images. B. Immunoblotting to show the induction of p53 protein and its transcriptional target p21. Etoposide was used as a positive control for p53 the induction in HCT116 cells. C. Induction of DNA damage response (DDR) foci in R. graveolens treated cells. HCT116 cells were exposed to control (carrier DMSO) or R. graveolens extract for 24 hours and the nuclear distribution of 53BP1 protein was analyzed by immunofluorescent staining using anti-53BP1 antibodies and Alexa-fluor conjugated anti rabbit secondary antibodies (red). Nuclei were counterstained using DAPI. Far right panels show merged red and blue images. D. Induction of γ-H2AX phosphorylation by R. graveolens extract. HCT116 cells were treated as shown and the nuclear distribution of 53BP1 protein was examined by immunofluorescent staining. FADLALLA et al. Page 12 Anticancer Res. Author manuscript; available in PMC 2012 January 1. NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
  • 13. Figure 4. A. R. graveolens extract suppresses Akt activation and cyclin-B1 levels. DU145 prostate cancer cells were treated with carrier only or 150 μg/ml R. graveolens extract for 48 hours. The expression of the indicated proteins was analyzed by immunoblotting. B. Normal human dermal fibroblasts were treated with the indicated concentrations of R. graveolens extract for 48 hours. The panels indicate the expression of the indicated proteins assessed by immunoblotting. FADLALLA et al. Page 13 Anticancer Res. Author manuscript; available in PMC 2012 January 1. NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript
  • 14. Figure 5. Activation of caspase 3 and induction of apoptosis by R. graveolens extract. A. HCT116 cells were treated for 24 hours with the carrier DMSO or 300 μg/ml R. graveolens extract in culture medium. Phase contrast pictures of treated cells were taken at 200X or 400 X magnifications. B. HCT116 cells were treated with carrier DMSO, R. graveolens extract (75 μg/ml, 150 μg/ml, or 300 μg/ml), or staurosporine (STS, 1 μM, 3 hours). Caspase 3 activation assay was performed as described in materials and methods. Recombinant caspase 3 (recCasp3) was added to untreated cell extract and assayed in parallel, as an assay control. Caspase activity kinetics was recorded as absorbance at 405 nm. FADLALLA et al. Page 14 Anticancer Res. Author manuscript; available in PMC 2012 January 1. NIH-PAAuthorManuscriptNIH-PAAuthorManuscriptNIH-PAAuthorManuscript