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. 2023 Jun 28;5(3):zcad032. doi: 10.1093/narcan/zcad032

Figure 8.

Figure 8.

Shikonin blocks the HIFs-PKM2-PFKFB3 axis to exhibit anti-tumoral activity. (A) Immunohistochemistry analysis of CAIX, PKM2 and PFKFB3. Hypoxic regions marked by the strong membranous and/or cytoplasmic immunostaining for CAIX also exhibit strong expression of PKM2 and PFKFB3. (B) Normoxic regions of tumors indicated by a negative staining for CAIX also shows relatively poor expression of PKM2 and PFKFB3. Magnification used: 40×. (C) Quantification of CAIX, PKM2 and PFKFB3 for the normoxic and hypoxic regions of 18 breast cancer patients. (D) Immunoblot analysis of PFKFB3 upon treating triple negative breast tumor-derived cell line BC8322 with shikonin. (E) BC8322-derived organoid culture depicting significantly decreased spheroid diameter on shikonin treatment. (F) Schematic representation of the in vivo experimental protocol. (G) Representative tumor images from athymic nude mice bearing WT BBS MCF7-derived tumors and receiving DMSO (n = 4) or shikonin (n = 6) treatment. (H) Representative tumor images from athymic nude mice bearing BBS Mut MCF7-derived tumors and receiving DMSO (n = 5) or shikonin (n = 7) treatment. (I) Line graph depicting relative growth rate of WT BBS and BBS Mut MCF7 xenograft tumors. Tumor growth inhibition (TGI) is indicated. WT BBS MCF7 DMSO vs WT BBS MCF7 Shikonin, P = 0.045; BBS Mut MCF7 DMSO versus BBS Mut MCF7 Shikonin P = 0.68 (as calculated using Welch's t-test). (J) Box plot depicting AUC measurements of WT BBS and BBS Mut MCF7 xenograft tumors. WT BBS MCF7 DMSO vs WT BBS MCF7 Shikonin, P = 0.006; BBS Mut MCF7 DMSO vs BBS Mut MCF7 Shikonin, P = 1.0 (as calculated using t-test, combined with the Bonferroni P-value correction for multiple comparisons). For figures (A), (B), (D) and (E), representative images are provided. Error bars show mean values ± SD (n = 3 unless otherwise specified). As calculated using two-tailed Student's t-test, *P ≤ 0.05, **P ≤ 0.01, ***P ≤ 0.001, ****P ≤ 0.0001.