Das Arabinda, Miller Rickey, Lee Philip, Holden Chrysanthe Alyssa, Lindhorst Scott M, Jaboin Jerry, Vandergrift William A, Banik Naren L, Giglio Pierre, Varma Abhay K, Raizer Jeffery J, Patel Sunil J
Department of Neurosurgery, Medical University of South Carolina, Charleston, SC, 29425, USA.
Department of Neurosurgery, Neuro-oncology Division, MUSC Brain and Spine Tumor Program CSB 310, Medical University of South Carolina at Charleston, Charleston, SC, 29425, USA.
Tumour Biol. 2015 Sep;36(9):7027-34. doi: 10.1007/s13277-015-3388-0. Epub 2015 Apr 12.
Recurrent meningiomas constitute an uncommon but significant problem after standard (surgery and radiation) therapy failure. Current chemotherapies (hydroxyurea, RU-486, and interferon-α) are only of marginal benefit. There is an urgent need for more effective treatments for meningioma patients who have failed surgery and radiation therapy. Limonin, Tangeritin, Zerumbone, 6-Gingerol, Ganoderic Acid A, and Ganoderic Acid DM are some of the plant derivatives that have anti-tumorgenic properties and cause cell death in meningioma cells in vitro. Due to its ease of administration, long-term tolerability, and low incidence of long-term side effects, we explored its potential as a therapeutic agent against meningiomas by examining their efficacy in vitro against meningioma cells. Treatment effects were assessed using MTT assay, Western blot analysis, caspases assay, and DNA fragmentation assay. Results indicated that treatments of IOMM-Lee and CH157MN meningioma cells with Limonin, Tangeritin, Zerumbone, 6-Gingerol, Ganoderic Acid A, and Ganoderic Acid DM induced apoptosis with enhanced phosphorylation of glycogen synthase kinase 3 β (GSK3β) via inhibition of the Wnt5/β-catenin pathway. These drugs did not induce apoptosis in normal human neurons. Other events in apoptosis included downregulation of tetraspanin protein (TSPAN12), survival proteins (Bcl-XL and Mcl-1), and overexpression apoptotic factors (Bax and caspase-3). These results provide preliminary strong evidence that medicinal plants containing Limonin, Tangeritin, 6-Gingerol, Zerumbone, Ganoderic Acid A, and Ganoderic Acid DM can be applied to high-grade meningiomas as a therapeutic agent, and suggests that further in vivo studies are necessary to explore its potential as a therapeutic agent against malignant meningiomas.
复发性脑膜瘤是标准(手术和放疗)治疗失败后一个不常见但很重要的问题。目前的化疗方法(羟基脲、米非司酮和干扰素-α)仅具有有限的益处。对于手术和放疗失败的脑膜瘤患者,迫切需要更有效的治疗方法。柠檬苦素、陈皮苷、姜烯酮、6-姜酚、灵芝酸A和灵芝酸DM是一些具有抗肿瘤特性并能在体外导致脑膜瘤细胞死亡的植物衍生物。由于其给药方便、长期耐受性好且长期副作用发生率低,我们通过检测其在体外对脑膜瘤细胞的疗效,探索了其作为治疗脑膜瘤药物的潜力。使用MTT法、蛋白质免疫印迹分析、半胱天冬酶检测和DNA片段化检测评估治疗效果。结果表明,用柠檬苦素、陈皮苷、姜烯酮、6-姜酚、灵芝酸A和灵芝酸DM处理IOMM-Lee和CH157MN脑膜瘤细胞可诱导细胞凋亡,通过抑制Wnt5/β-连环蛋白信号通路增强糖原合酶激酶3β(GSK3β)的磷酸化。这些药物不会诱导正常人神经元凋亡。凋亡中的其他事件包括四跨膜蛋白(TSPAN12)、存活蛋白(Bcl-XL和Mcl-1)的下调以及凋亡因子(Bax和半胱天冬酶-3)的过表达。这些结果提供了初步的有力证据,表明含有柠檬苦素、陈皮苷、6-姜酚、姜烯酮、灵芝酸A和灵芝酸DM的药用植物可作为治疗高级别脑膜瘤的药物应用,并且表明有必要进一步进行体内研究以探索其作为治疗恶性脑膜瘤药物的潜力。