Abstract
Objective: Plumbagin, a naphthoquinone constituent of Plumbago zeylanica L. (Plumbaginaceae), has been extensively studied for its pharmacological activities and reported to show a good anti-cancer activity in different human cancer cell lines. It is known to exhibit proapoptotic, antiangiogenic and antimetastatic effects in cancer cells. Plumbagin is also known to inhibit NF-κB, JNK (Hsu), PKCε, and STAT-3. However, the anti-proliferatory activity and their core molecular mechanisms have been poorly determined. Methods: Human osteosarcoma (MG-63) cells were exposed to plumbagin and the anti-proliferative activity was evaluated by MTT assay. The mechanism of action for the growth inhibitory activity of plumbagin on MG-63 cells was evaluated using flow cytometry for cell cycle distribution, and western blot for assessment of accumulation and phosphorylation of potential target proteins. Furthermore, morphology of MG-63 cells was assessed after treatment with Plumbagin. Results: Plumbagin has significantly induced growth inhibition against osteosarcoma MG-63 cells, primarily by S-phase cell cycle arrest which is confirmed by the down regulation of cyclin A and CDK2 protein levels determined by western blot analysis. It was also found that plumbagin has triggered the DNA damage in MG-63 cells, subsequently initiating the arrest in S-phase, which is evident by the up-regulation of phosphorylated p53 and histone. Furthermore, plumbagin resulted in the down-regulation of c-myc protein expression in the MG-63 cells. Conclusion: Plumbagin has triggered DNA damage and had induced S-phase arrest in MG-63 cells, suggesting it to be a potential compound in treatment against malignant human osteosarcoma.
Keywords: Osteosarcoma, plumbagin, phosphorylation, cyclin A, CDK2, p53
Introduction
Cancer is revolving out as a very dreadful disease in modern days and combating cancer is a major public health issue as, the resistance to apoptosis by tumor cells displays obstacle in treating all malignancies, hence, novel targeted therapies are much in demand. Osteosarcoma is been documented for almost centuries and it is the most common primary, non-haemopoietic malignant tumour of the skeletal system accounting for almost 20% of all primary malignant bone tumours [1]. Though osteosarcoma is very rare among young children (0.5 cases per million per year in children <5 y), the age distribution for osteosarcoma is found as bimodal and is propensity to develop in adolescents and young adults [2-4] where 60% of tumour is found in patients younger than 25 years of age and only 13% to 30% are in patients who are older than 40 years [5]. Osteosarcoma can transpire in any bone, but mostly tumours are found to originate in the long bones of the appendicular skeleton, near metaphyseal growth plates, especially the distal femur, followed by the proximal tibia and proximal humerus [6]. The skull and jaw and pelvis are reported to be other significant locations for tumours [7].
Various signaling pathways such as, Akt/PI3K/MAPK signaling are been reported to be involved in elevation of many tumors and also in cell survival. Sequential activation of cyclin-dependent kinases is involved in cell cycle regulation in eukaryotic cells and deregulation of these protein expressions is commonly detected in cancer cells [8-10]. c-myc is reported to induce DNA synthesis by transcriptionally targeting genes that are involved in replication of DNA. However, most recent studies have suggested that c-myc directly controls initiation of DNA replication without transcriptionally targeting the genes that are replication related [11]. Various mechanisms are leading to the activation of c-myc during tumorigenesis, including enhanced transcription by other oncogenic signaling pathways [12,13]. In a wide range of human cancers, the dysfunction of c-myc has been detected [14] and expression of c-myc is also found to be intensely associated with the proliferation of cells in numerous malignancies [11,15-17].
Plumbagin (5-hydroxy-2-methyl-1,4-naphthoquinone), an yellow pigment is natural occurring quinonoid constituent (Figure 1). This is primarily found in the plants of Ancestrocladaceae, Dioncophyllaceae and Plumbaginaceae families andis isolated from Plumabago zeylanica root [18]. However widely used in traditional medicine, plumbagin exhibits various biological activities such as anti-atherogenic, anticancer, anti-proliferative, cardiotonic, chemopreventing, hepatoprotective and neuroprotective effects. It also exhibits pro-apoptotic and radiosensitizing activities in different tumor cells and animal models both in vitro and in vivo [19-23]. Sandur et al. [23] has reported that plumbagin is an efficient inhibitor of NF-κB activation, where plumbagin suppressed NF-κB in various cancer cells, ultimately leading to the suppression of downstream NF-κB-regulated gene products and also other gene related activities. Considering the various activities of plumbagin, we investigated the anticancer effect of plumbagin on human osteosarcoma (MG-63) cell lines and hence its effect on cell proliferation and c-myc signalling in these cells.
Figure 1.

Chemical structure of plumbagin (Molecular formula: 5-hydroxy-2-methyl-1,4-naphthoquinone, Molecular weight: 188.18.
Materials and methods
Chemicals and reagents
Anti-β-actin antibody, bovine serum albumin (BSA), propidium iodide (PI), ribonuclease A (RNase A), trichloroacetic acid (TCA), sulforhodamine B (SRB) and plumbagin were obtained from Sigma-Aldrich, St.Louis, MO, USA. Fetal bovine serum (FBS), RPMI 1640, trypsin-EDTA and antibiotic solution were purchased from GIBCO-BRL (Grand Island, NY, USA). Antibodies against Cyclin A, Cdk2, c-myc and CDK1 were purchased from Santa Cruz Biotechnology (Santa Cruz, CA, USA). Antibodies against p-H2A.X Ser (139) and P-p53 (Ser15) were obtained from Cell Signaling (Danvers, MA, USA).
Cell culture
MG-63 human osteosarcoma cells were obtained from American Type Culture Collection (Manassas, VA) and cells were maintained in Dulbecco’s modified Eagle’s medium (DMEM) supplemented with heat-inactivated fetal bovine serum (FBS) (10%) and antibiotics (PSF; 100 units/mL penicillin G sodium, 100 μg/mL streptomycin and 250 ng/mL amphotericin B). The MG-63 human osteosarcoma cells were incubated at 37°C with 5% CO2 in a humidified atmosphere.
Cell proliferation assay
Effect of plumbagin on the proliferation of MG-63 cells was assessed using 3-(4,5 dimethyl-thiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay as described previously [24]. Briefly, the MG-63 cells were seeded onto 96-well plates where 5×103 cells/well cell density was maintained. The cells were then subjected to different concentrations of plumbagin or vehicle control (DMSO) for about 72 h. After treatment, cell growth was analyzed by addition of MTT (100 μL of 1 mg/mL MTT). Following 4 h of incubation, DMSO was added to lyse the cells and dissolve the formed purple formazan crystals. The formazan product’s absorbance was determined at λ max of 595 nm using a Tecan Spectra Fluor spectrophotometer (MTX Lab Systems Inc., Vienna, VA). By plotting the percentage survival of cells against the concentration of plumbagin, the IC50 values were obtained from the sigmoidal curve.
Cell cycle analysis
MG-63 human osteosarcoma cells at a density of 5×103 cells per 100 mm were plated in culture dishes and were incubated for 24 h. Fresh growth media containing different concentrations of plumbagin was added to culture dishes. The cells were harvested following 24 h incubation and were fixed with 70% ethanol overnight at 4°C. The fixed cells were washed with PBS and incubated with RNase A (50 μg/mL) and propidium iodide (50 μg/mL) containing staining solution for 30 min at room temperature. Cell cycle distribution was analyzed using Becton Dickinson (San Jose, CA) flow cytometer and at least 10,000 cells were analyzed for each experimental condition. Data analysis was performed using Cell Quest cell cycle analysis software.
Western blot analysis
MG-63 human osteosarcoma cells were exposed to different concentrations of plumbagin for 24 h and after incubation, cells were lysed and protein concentration was determined by Lowry’s method. The proteins (40-45 μg) were then subjected to SDS-PAGE. Briefly, the obtained proteins were transferred onto PVDF membranes by electro-blotting and membranes were treated for 1 h with blocking buffer (5% non-fat dry milk) and were incubated with antibodies overnight at 4°C. Membranes were washed thrice for 5 min with PBST and bands were visualized by HRP-chemiluminescent detection kit (Lab Frontier, Seoul, Korea) using LAS-3000 Imager (Fuji Film Corp., Japan). Antibodies were diluted as recommended by the manufacturers for western blotting.
Statistical analysis
All the experiments were performed in triplicates and the obtained values expressed as mean ± standard deviation (SD) for the indicated number of independently performed experiments and were analyzed using Student’s t-test. Values of P<0.05 were considered statistically significant.
Results and discussion
The identification and development of novel chemotherapeutic agents that can increase survival rates and lower the toxic side effects is vital. Recent researches have demonstrated the potent anti-neoplastic activity of plumbagin on lung and breast cancer cells [25,26]. In this study we examined the antineoplastic activity of plumbagin against human osteosarcoma cell line MG-63.
Effect of plumbagin on MG-63 cell proliferation
The anti-proliferative effect of plumbagin (Figure 2) against MG-63, a human osteosarcoma cell line cell, was examined by MTT assay. Plumbagin caused a significant inhibition of MG-63 cell proliferation. Plumbagin exhibited high cytotoxicity against these cells in a dose-dependent manner with an IC50 of 15.9 µg/mL. Overall, plumbagin showed potent anti-proliferative effect against these cells.
Figure 2.

Cytotoxic effect of plumbagin on MG-63 human osteosarcoma cells lines. Data is represented as mean ± SD of three different experiments, *P<0.05 and **P<0.01 (Students t-test).
Effects of plumbagin on cell cycle distribution and cell morphology
Further to analyze the if plumbagin-induced growth inhibition of OS cells was a result of induction of apoptosis and/or cell cycle arrest, flow cytometric analysis was performed to assess the cell-population at various stages of cell cycle. Plumbagin induced apoptosis was investigated by PI staining. The results of cell cycle distribution analysis revealed the exposure of MG-63 cells to plumbagin, caused significant accumulation of cells in S-phase in a dose-dependent manner (Figure 3). Nearly 47% of the cells accumulated in S-phase as compared to 19.99% in control at 40 µg/mL of plumbagin. Furthermore, MG-63 cells treated with various concentrations of plum bagin for 72 h exhibited marked decrease in cell counts, cell shrinkage and loss of cell to cell contact (Figure 4). The effective suppression of cell cycle progression in cancer cells is a potent strategy to stop tumor growth [27]. Studies have reported that chemopreventative and chemotherapeutic agents induce apoptosis or cell cycle arrest of the cancer cells either at the G0/G1 or in the G2/M phase [28]. Subsequently, molecular mechanisms involved in cell cycle regulation and in G1/S and G2/M transitions have been widely investigated. Therefore, designing agents that could target regulators in the cell-cycle network is an effective strategy in cancer therapy.
Figure 3.

Effects of plumbagin on cell cycle distribution as examined by flow cytometric analysis. Cells were treated with plumbagin for 24 h.
Figure 4.

Changes in the morphology of cells exposed to plumbagin as examined by phase-contrast microscopy (200× magnification).
Influence of plumbagin on the expression of S-phase cell cycle regulators and DNA damage markers
To further elucidate whether cell cycle arrest is associated with the regulation of cell cycle checkpoint proteins, the influence of plumbagin on the expression of S-phase regulatory proteins was examined.
Cell-cycle proteins as-cyclin A, cyclin-dependent kinases 2 (CDK2) and their complexes, act as primary regulators and play a central role in S-phase progression in eukaryotes. MG-63 cells exposed to plumbagin for 24 h exhibited a dose-dependent decrease in cyclin A and CDK2 expressions (Figure 5A). The changes in cyclin A-CDK2 complex may possibly disturb the cell cycle progression at the S-phase. These observations further confirm that plumbagin inhibited the growth of MG-63 cells through the induction of S-phase arrest.
Figure 5.

A. Effects of plumbagin on the expression levels of cyclin A and CDK2. Cells were exposed to plumbagin with the indicated concentrations for 24 h. Equal loading of the proteins was confirmed by stripping the immunoblots and reprobing for β-actin. B. Effects of plumbagin on the expression levels of phosphorylated p53 and phosphorylated histone H2AX. Cells were exposed to plumbagin with the indicated concentrations for 24 h. Equal loading of proteins was confirmed by stripping the immunoblots and reprobing for β-actin. Changes in the levels of protein expression are shown as ratios of the selected groups. C. Down-regulation of c-myc induced by plumbagin in MG-63 cells as examined by western blotting. Cells were treated with plumbagin for 24 h. Equal loading of proteins was confirmed by stripping the immunoblots and reprobing for β-actin.
Furthermore, the expressions of DNA damage markers-p53 and histone H2AX were also assessed by western blot analysis. The tumor suppressor, p53 is a cell cycle checkpoint protein that preserves the genetic stability by mediating either cell cycle arrest or apoptosis in response to DNA damage [29]. Also, the major molecular sensors, including ATM, ATR, and DNA-PK, are activated in response to DNA damage, accompanied by the activation of signaling molecules, leading to cell cycle arrest or apoptosis [30]. In our study we observed a marked elevation in the expressions of phosphorylated p53 and phosphorylated histone in a dose-dependent manner (Figure 5B) following plumbagin exposure.
It is known that the phosphorylation and dephosphorylation of Ser 139-histone H2AX, another DNA damage marker, is closely related to DNA damage [31]. As speculated, P-histone (Ser 15) was significantly up-regulated in MG-63 cells treated with plumbagin. The data thus strongly suggest that plumbagin triggers DNA damage response proteins.
The transcription factor c-myc, product of oncogene c-myc, controls a numerous cell functions as cell proliferation, cell cycle regulation, differentiation, sensitization of the cells to apoptotic stimuli, and genetic instability [32-34]. Dysfunction of c-myc has been detected widely in human cancers [14]. Further, the expression of c-myc is observed to be strongly associated with cell proliferation in several malignancies [11,15-17] and is overexpressed in osteosarcoma, and is involved with invasion and metastasis [14,32,33]. Studies have reported that the down-regulation of c-myc expression enhances sensitivity to chemotherapeutic drugs as cisplatin [35,36]. Thus the observed marked downregulation of c-myc following plumbagin exposure suggests that plumbagin also improves cancer cell response to chemotherapy and also sensitizes cells to apoptosis. The higher cpncentration of plumbagin was more effective in regulating the expression of c-myc (Figure 5C).
Conclusion
It was observed that plumbagin effectively suppressed cancer cell proliferation and induced apoptosis via the inhibition of c-myc and the cell cycle arrest at S-phase.
Disclosure of conflict of interest
None.
References
- 1.Acchiapati G, Randelli G, Randelli M. Observations on osteogenous- osteogenic sarcoma. Arch Ortop. 1965;78:57–156. [PubMed] [Google Scholar]
- 2.Dix D, McDonald M, Cohen P. Adolescent bone cancer: is the growth spurt implicated? Eur J Cancer Clin Oncol. 1983;19:859–860. doi: 10.1016/0277-5379(83)90019-6. [DOI] [PubMed] [Google Scholar]
- 3.Soloviev I. On the relationship between the rate of skeleton growth and occurrence of primary osteogenic sarcoma. Vopr Onkol. 1969;15:3–7. [PubMed] [Google Scholar]
- 4.Wilimas J, Barrett G, Pratt C. Osteosarcoma in two very young children. Clin Pediatr (Phila) 1977;16:548–551. doi: 10.1177/000992287701600612. [DOI] [PubMed] [Google Scholar]
- 5.Huvos AG. Osteogenic sarcoma of bones and soft tissues in older persons. A clinicopathologic analysis of 117 patients older than 60 years. Cancer. 1986;57:1442–1449. doi: 10.1002/1097-0142(19860401)57:7<1442::aid-cncr2820570734>3.0.co;2-3. [DOI] [PubMed] [Google Scholar]
- 6.Goes M. Knochenwachstum und osteogenes sarckom. Strahlentherapie. 1952;89:194–210. [PubMed] [Google Scholar]
- 7.Benson JE, Goske M, Han JS, Brodkey JS, Yoon YS. Primary osteogenic sarcoma of the calvaria. Am J Neuroradiol. 1984;5:810–813. [PMC free article] [PubMed] [Google Scholar]
- 8.Hengartner MO. The biochemistry of apoptosis. Nature. 2000;407:770–776. doi: 10.1038/35037710. [DOI] [PubMed] [Google Scholar]
- 9.Sancar A, Lindsey-Boltz LA, Unsal-Kacmaz K, Linn S. Molecular mechanisms of mammalian DNA repair and the DNA damage checkpoints. Annu Rev Biochem. 2004;73:39–85. doi: 10.1146/annurev.biochem.73.011303.073723. [DOI] [PubMed] [Google Scholar]
- 10.Hennessy BT, Smith DL, Ram PT, Lu Y, Mills GB. Exploiting the PI3K/AKT pathway for cancer drug discovery. Nat Rev Drug Discov. 2005;4:988–1004. doi: 10.1038/nrd1902. [DOI] [PubMed] [Google Scholar]
- 11.Dominguez-Sola D, Ying CY, Grandori C, Ruggiero L, Chen B, Li M, Galloway DA, Gu W, Gautier J, Dalla-Favera R. Non-transcriptional control of DNA replication by c-Myc. Nature. 2007;448:445–451. doi: 10.1038/nature05953. [DOI] [PubMed] [Google Scholar]
- 12.Kolligs FT, Kolligs B, Hajra KM, Hu G, Tani M, Cho KR, Fearon ER. γ-Catenin is regulated by the APC tumor suppressor and its oncogenic activity is distinct from that of β-catenin. Genes Dev. 2000;14:1319–1331. [PMC free article] [PubMed] [Google Scholar]
- 13.van Es JH, Barker N, Clevers H. You Wnt some H, you lose some: oncogenes in theWnt signaling pathway. Curr Opin Genet Dev. 2003;13:28–33. doi: 10.1016/s0959-437x(02)00012-6. [DOI] [PubMed] [Google Scholar]
- 14.Delmore JE, Issa GC, Lemieux ME, Rahl PB, Shi JW, Jacobs HM, Kastritis E, Gilpatrick T, Paranal RM, Qi J, Chesi M, Schinzel AC, McKeown MR, Heffernan TP, Vakoc CR, Bergsagel PL, Ghobrial IM, Rochardson PG, Young RA, Hahn WC, Anderson KC, Kung AL, Bradner JE, Mitsiades OS. BET Bromodomain Inhibition as a Therapeutic Strategy to Target c-Myc. Cell. 2011;146:904–917. doi: 10.1016/j.cell.2011.08.017. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Macias E, Jin A, Deisenroth C, Bhat L, Mao H, Lindstrom MS, Zhang YP. An ARF-Independent c-MYC-Activated Tumor Suppression Pathway Mediated by Ribosomal Protein-Mdm2 Interaction. Cancer Cell. 2010;18:231–243. doi: 10.1016/j.ccr.2010.08.007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Calado DP, Sasaki Y, Godinho SA, Pellerin A, Kochert K, Sleckman BP, Alboran IM, Janz M, Rodig S, Rajewsky K. The cell-cycle regulator c-Myc is essential for the formation and maintenance of germinal centers. Nat Immunol. 2012;13:1092–1100. doi: 10.1038/ni.2418. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Taira N, Mimoto R, Kurata M, Yamaguchi T, Kitagawa M, Miki Y, Yoshida K. DYRK2 priming phosphorylation of c-Jun and c-Myc modulates cell cycle progression in human cancer cells. J Clin Invest. 2012;122:859–872. doi: 10.1172/JCI60818. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Kuo PL, Hsu YL, Cho CY. Plumbagin induces G2/M arrest and autophagy by inhibiting the AKT/mammalian target of rapamycin pathway in breast cancer cells. Mol Cancer Ther. 2006;5:3209–3221. doi: 10.1158/1535-7163.MCT-06-0478. [DOI] [PubMed] [Google Scholar]
- 19.Krishnaswamy M, Purushothaman KK. Plumbagin: A study of its anticancer, antibacterial and antifungal properties. Indian J Exp Biol. 1980;18:876–877. [PubMed] [Google Scholar]
- 20.Singh UV, Udupa N. Reduced toxicity and enhanced antitumor efficacy of betacyclodextrin plumbagin inclusion complex in mice bearing Ehrlich ascites carcinoma. Indian J Physiol Pharmacol. 1997;41:171–175. [PubMed] [Google Scholar]
- 21.Devi PU, Rao BS, Solomon FE. Effect of plumbagin on the radiation induced cytogenetic and cell cycle changes in mouse Ehrlich ascites carcinoma in vivo . Indian J Exp Bio. 1998;36:891–895. [PubMed] [Google Scholar]
- 22.Hazra B, Sarkar R, Bhattacharyya S, Ghosh PK, Chel G, Dinda B. Synthesis of plumbagin derivatives and their inhibitory activities against Ehrlich ascites carcinoma in vivo and Leishmania donovani Promastigotes in vitro . Phytother Res. 2002;16:133–137. doi: 10.1002/ptr.867. [DOI] [PubMed] [Google Scholar]
- 23.Sandur SK, Ichikawa H, Sethi G, Ahn KS, Aggarwal BB. Plumbagin (5-hydroxy-2-methyl-1,4-naphthoquinone) suppresses NF-kappaB activation and NF-kappaB-regulated gene products through modulation of p65 and IkappaBalpha kinase activation, leading to potentiation of apoptosis induced by cytokine and chemotherapeutic agents. J Biol Chem. 2006;281:17023–17033. doi: 10.1074/jbc.M601595200. [DOI] [PubMed] [Google Scholar]
- 24.Ouyang ZX, Li XA. Inhibitory effects of tamoxifen and doxorubicin, alone and in combination, on the proliferation of the MG63 human osteosarcoma cell line. Oncol Lett. 2013;6:970–976. doi: 10.3892/ol.2013.1487. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Gomathinayagam R, Sowmyalakshmi S, Mardhatillah F, Kumar R, Akbarsha MA, Damodaran C. Anticancer mechanism of plumbagin, a natural compound, on non-small cell lung cancer cells. Anticancer Res. 2008;28:785–792. [PubMed] [Google Scholar]
- 26.Lee JH, Yeon JH, Kim H, Roh W, Chae J, Park Ho, Kim DM. The natural anticancer agent plumbagin induces potent cytotoxicity in MCF-7 human breast cancer cells by inhibiting a PI-5 kinase for ROS generation. PLoS One. 2012;7:e45023. doi: 10.1371/journal.pone.0045023. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Singh RP, Dhanalakshmi S, Agarwal R. Phytochemicals as Cell Cycle Modulators A Less Toxic Approach in Halting Human Cancers. Cell Cycle. 2012;1:156–161. [PubMed] [Google Scholar]
- 28.Toogood PL. Progress toward the development of agents to modulate the cell cycle. Curr Opin Chem Biol. 2002;6:472–478. doi: 10.1016/s1367-5931(02)00342-3. [DOI] [PubMed] [Google Scholar]
- 29.Schwitalla S, Ziegler PK, Horst D, Becker V, Kerle I, Nahrmann YB, Lechel A, Rudolph KL, Langer R, Slotta-Huspenina J, Bader FG, Costa OP, Neurath MF, Meining A, Kirchner T, Greten FR. Loss of p53 in Enterocytes Generates an Inflammatory Microenvironment Enabling Invasion and Lymph Node Metastasis of Carcinogen-Induced Colorectal Tumor. Cancer Cell. 2013;23:93–106. doi: 10.1016/j.ccr.2012.11.014. [DOI] [PubMed] [Google Scholar]
- 30.Halaby MJ, Hakem A, Li L, Ghamrasni SE, Venkatesan S, Hande PM, Sanchez O, Hakem R. Synergistic Interaction of Rnf8 and p53 in the Protection against Genomic Instability and Tumorigenesis. PLoS Genet. 2013;9:e1003259. doi: 10.1371/journal.pgen.1003259. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Biroccio M, Porru A, Rizzo E, Salvati E, D’Angelo C, Orlandi A, Passeri D, Franceschin M, Stevens MF, Gilson E, Beretta G, Zupi Gabriella, Pisano C, Zunino F, Leonetti C. DNA Damage persistence as determinant of tumor sensitivity to the combination of Topo I inhibitors and telomere-targeting agents. Clin Cancer Res. 2011;17:2227–2236. doi: 10.1158/1078-0432.CCR-10-3033. [DOI] [PubMed] [Google Scholar]
- 32.Shimizu T, Ishikawa T, Sugihara E, Kuninaka S, Miyamoto T, Mabuchi Y, Matsuzaki Y, Tsunoda T, Miya F, Morioka H, Nakayama R, Kobayashi E, Toyama Y, Kawai A, Ichikawa H, Hasegawa T, Okada S, Ito T, Ikeda Y, Suda T, Saya H. c-MYC overexpression with loss of Ink4a/Arf transforms bone marrow stromal cells into osteosarcoma accompanied by loss of adipogenesis. Oncogene. 2010;29:5687–5699. doi: 10.1038/onc.2010.312. [DOI] [PubMed] [Google Scholar]
- 33.Perez EA, Jenkins RB, Dueck AC, Wiktor AE, Bedroske PP, Anderson SK, Kerrerling RP, Sukov WR, Kanehira K, Chen B, Geiger XJ, Andorfer CA, McCullough AE, Davidson NE, Martino S, Sledge GW, Kaufman PA, Kutteh LA, Gralow JR, Harris LN, Ingle JN, Lingle WL, Reinholz MM. C-MYC Alterations and Association with Patient Outcome in Early-Stage HER2-Positive Breast Cancer From the North Central Cancer Treatment Group N9831 Adjuvant Trastuzumab Trial. J. Clin. Oncol. 2011;29:651–659. doi: 10.1200/JCO.2010.30.2125. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Wu Q, Fan CD, Chen TF, Liu CR, Mei WJ, Chen SD, Wang BG, Chen YY, Zheng WJ. Microwave-assisted synthesis of arene ruthenium (II) complexes that induce S-phase arrest in cancer cells by DNA damage-mediated p53 phosphorylation. Eur J Med Chem. 2013;63:57–63. doi: 10.1016/j.ejmech.2013.01.037. [DOI] [PubMed] [Google Scholar]
- 35.Xie XK, Yang DS, Ye ZM, Tao HM. Recombinant Antisense C-myc Adenovirus Increase in vitro Sensitivity of Osteosarcoma MG-63 Cells to Cisplatin. Cancer Invest. 2006;24:1–8. doi: 10.1080/07357900500449520. [DOI] [PubMed] [Google Scholar]
- 36.Xie XK, Yang DS, Ye ZM, Tao HM. Enhancement Effect of Adenovirus-Mediated Antisense c-myc and Caffeine on the Cytotoxicity of Cisplatin in Osteosarcoma Cell Lines. Chemotherapy. 2009;55:433–440. doi: 10.1159/000265527. [DOI] [PubMed] [Google Scholar]
