Abstract
Uveal melanoma is the most common intraocular malignant tumor in adults. Chrysin is a flavonoid present in honey, propolis, various plants and herbs. In the present study, the cytotoxic effects of chrysin were investigated on human uveal melanoma cell lines (M17 and SP6.5) and associated signaling pathways, and a comparison to the effects on normal ocular cells [scleral fibroblasts and retinal pigment epithelial (RPE) cells] was performed. The effects of chrysin on cell viability were assessed by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. Cell apoptosis was determined by using terminal deoxynucleotidyl transferase mediated dUTP nick end-labeling assay. Mitochondrial permeability was determined by JC-1 fluorescein analysis. Cytosol cytochrome c levels, and the activities of caspase-3, −8 and −9 were measured by enzyme-linked immunosorbent assay or colorimetric assay. Chrysin reduced the viability of cultured human melanoma cells in a dose-dependent manner (0, 10, 30 and 100 µM) with IC50 at 28.3 and 35.8 µM in SP6.5 and M17 cell lines, respectively. Chrysin at 30–100 µM levels selectively reduced the viability of melanoma cells without affecting the viability of scleral fibroblasts and RPE cells. Chrysin increased mitochondrial permeability, the levels of cytosol cytochrome c, and caspase-9 and −3 activities, but not capase-8 activity in uveal melanoma cells. The results of the present study indicate that chrysin induces apoptosis of human uveal melanoma cells via the mitochondrial signaling pathway and suggest that chrysin may be a promising agent in the treatment of uveal melanoma.
Keywords: chrysin, apoptosis, uveal melanoma, cytochrome c, caspase-3, caspase-9
Introduction
Uveal melanoma, with an incidence of 6–7 cases per million individuals annually in the United States, is the most common intraocular malignant tumor in adults (1). It develops in one of the most capillary-rich tissues of the body and has a high mortality due to a strong preference for metastases in the liver (2). Uveal melanoma responds poorly to chemotherapy (2). Therefore, the mortality of uveal melanoma is high, at 31% within 5 years of diagnosis, 45% within 15 years and 49% within 25 years (2). The majority of uveal melanoma patients die within 6 months of liver metastasis, with a median survival time of 3.6 months (2,3). Therefore, it is urgently required to identify a novel treatment to inhibit the proliferation, migration, invasion and metastasis of uveal melanoma cells.
Flavonoids are a family of polyphenolic compounds synthesized by plants with a similar structure, which are categorized into anthocyanidins, flavanols, flavanones, flavonols, flavones and isoflavones according to their functional groups (4). Chrysin, a naturally active compound of the flavone group, shares a common flavone structure with additional hydroxyls at positions 5 and 7 of the A ring (Fig. 1A and B), and the presence of at least two hydroxyl groups in positions 3, 5 and 7 of the A ring is reported to be necessary to confer pro-apoptotic activity (4). Chrysin is present in honey, propolis, and other plants and herbs (5). Chrysin was initially identified for its anti-oxidant effects and has been shown to possess cancer chemopreventive and anti-tumor effects (6–8). It inhibits proliferation and induces apoptosis in a variety of cancer cells in vitro, including cells from the prostate, skin, breast, lung, cervix, thyroid cancer and leukemia (5,8–22). However, to the best of our knowledge, the effects of chrysin on uveal melanoma cells have not been previously studied.
The purpose of the present study was to investigate the cytotoxic effects of chrysin on human uveal melanoma cells in vitro and compare to those on normal human scleral fibroblasts and retinal pigment epithelial (RPE) cells. The effects of chrysin on mitochondrial permeability, cytochrome c, and the activities of caspase-3, −8 and −9 were also studied to elucidate the signaling pathway involved in chrysin-induced apoptosis of human uveal melanoma cells.
Materials and methods
Reagents
Chrysin, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) and dimethyl sulfoxide (DMSO) were purchased from Sigma-Aldrich (EMD Millipore, Billerica, MA, USA). Dulbecco's modified Eagle's medium (DMEM), fetal bovine serum (FBS), phosphate-buffered saline (PBS), 0.05% trypsin-0.02% EDTA solution, and gentamicin were purchased from Gibco (Thermo Fisher Scientific, Inc., Waltham, MA, USA). Cytochrome c enzyme-linked immunosorbent assay (ELISA) and caspase-3 colorimetric assay kits were purchased from EMD Millipore. Caspase-8 and −9 colorimetric activity assay kits were purchased from R&D Systems, Inc. (Minneapolis, MN, USA).
Cell culture
The effects of chrysin were investigated in two human uveal melanoma cell lines (SP6.5 and M17) and compared to the effects on two distinct normal cell lines [human retinal pigment epithelial (RPE) cells and scleral fibroblasts]. The human M17 melanoma cell line, RPE cells and scleral fibroblasts were established in the Tissue Culture Center of the New York Eye and Ear Infirmary (New York, NY, USA) as previously reported (23). The SP6.5 melanoma cell line was isolated from a primary choroidal melanoma patient and was provided by Dr. Guy Pelletier (Research Center of Immunology, Quebec, Canada) (24). All melanoma cells, RPE cells and fibroblasts were cultured with DMEM, supplemented with 10% FBS and gentamicin (50 µg/ml). Cells were incubated at 37°C in a CO2 regulated incubator in a humidified 95% air/5% CO2 atmosphere. When cultures reached confluence, cells were detached with trypsin-EDTA solution and passaged. All tissues were obtained with premortem consent in accordance with the laws and regulations in place in the various jurisdictions.
MTT assay for cell viability
MTT assay was performed as previously described (25). Cells (6×103 cells/well) were plated into 96-well plates. Cells were incubated overnight at 37°C in a CO2 regulated incubator in a humidified 95% air/5% CO2 atmosphere. Chrysin was dissolved in DMSO at a concentration of 20 mM (stock solution). In dose-response studies, 24 h following plating, chrysin was applied to the cultures at final concentrations of 0, 10, 30 and 100 µM and cultured for 48 h. A total of 50µl of MTT solution at a concentration of 1 mg/ml was added to each well. MTT solution was aspirated following 4 h of incubation at 37°C and the produced formazan blue was dissolved in 100 µl of DMSO. Absorbance at 540 nm was measured using a microplate reader (Multiskan MCC/340; Thermo Fisher Scientific, Inc.). The control group measurement was standardized as 100% viability. The concentration at which cell growth was inhibited by 50% (the 50% inhibitory concentration, IC50) was determined by linear interpolation. Experiments were performed in triplicate.
To investigate the time-effect of chrysin on uveal melanoma cells, melanoma cells (SP6.5 cell line, 6×103 cells/well) were plated into 96-well plates and divided into two groups: Chrysin-treated group and untreated group (control group). Subsequently, chrysin was added to the cultures in the treated groups at the concentrations of 30 µM following 24 h of incubation at 37°C. MTT assay was subsequently performed in treated and untreated groups at 0, 6, 12, 24 and 48 h following the addition of chrysin. The results of each treated group were compared to the controls at the identical time point. All measurements were performed in three independent experiments, and each time point was performed in triplicate.
Apoptotic cells detection assay
Cell apoptosis was determined by the terminal deoxynucleotidyl transferase (TdT) mediated dUTP nick end-labeling (TUNEL) assay (26,27) using a TACS.XL In Situ Apoptosis Detection kit (cat. no. 4828-30-DK; R & D Systems, Inc.). The assay was performed according to the manufacturer's protocol. Briefly, cells were cultured on chamber slides and analyzed 48 h following treatment with 10, 30 and 100 µM chrysin. Cells were fixed, incubated with 3% H2O2/methanol and permeabilized. Slides were covered by Labeling Reaction mix (R & D Systems, Inc.) and incubated for 1 h at 37°C in a dark humidified chamber, followed by incubation with anti-BrdU antibody (1:50; cat. no. 4828-30-DK; TACS.XL In Situ Apoptosis Detection kit; R & D Systems, Inc.) at 37°C for 1 h. The slides were treated with streptavidin-horseradish peroxidase solution(R & D Systems, Inc.) for 10 min, followed by staining with 3,3′-diaminobenzidine (DAB) substrate for 5 min. The samples were mounted and analyzed under a light microscope, where the apoptotic cells could be detected as highly condensed shrunken dark brown cells. A total of 200 cells were counted in each group (0, 10, 30 and 100 µM chrysin treatment groups). The experiment was repeated independently a total of three times.
Mitochondrial transmembrane potential assessment (MTP) by JC-1 staining
MTP was measured by a Mitochondria Staining kit (cat. no. T4069; Sigma-Aldrich; EMD Millipore), which employed JC-1 (5,5′,6,6′-tetrachloro-1,1′,3,3′-etraethylbenzimidazol-carbocyanine iodine), a sensitive fluorescent dye, as the probe. Uveal melanoma cells (SP6.5 cell line) were plated into 96-well plates with black wells (Corning Incorporated, Corning, NY, USA) at a density of 8×103 cells/well. Following 24 h of incubation at 37°C, cells were treated with chrysin at various concentrations (0, 10, 30 and 100 µM) at 37°C for 48 h. JC-1 (at final concentration 12.5 µg/ml) was added and incubated at 37°C in the dark for 15 min. JC-1 and culture medium were aspirated and cells were washed three times with PBS. Cells were immediately observed by fluorescence microplate reader (Spectraflour Plus; Tecan Group Ltd., Männedorf, Switzerland). Settings of 485-nm (excitation) and 590-nm (emission) were used to measure red fluorescence; 485-nm (excitation) and 535-nm (emission) were used to measure green fluorescence. The detection is based on the accumulation of the dye and its fluorescence in the mitochondria. The accumulated dye appears as red fluorescence located in the undamaged mitochondria, whereas the dye remains as monomers in the cytoplasm with diffuse green fluorescence in cells with damaged MTP (28). The results (red fluorescence/green fluorescence ratio, R/G ratio) were expressed as a percentage of the controls (cells not treated with chrysin). This experiment was performed a total of three independent times.
Cytochrome c release assay
To detect the release of mitochondrial cytochrome c, uveal melanoma cells (SP6.5 cell line, 4×105 cells/well) were plated into 6-well plates. A total of 24 h later, chrysin was added at various concentrations (0, 10, 30 and 100 µM). Following 2 h of incubation at 37°C, the cells were harvested. The cells were washed with cold PBS three times, treated with 0.02% EDTA solution and scraped from the well. Subsequently, cells were counted and centrifuged at 400 × g at 4°C for 5 min, and the cell pellets were collected. Following cell lysis and centrifugation at 1,000 × g at 4°C for 10 min, the supernatant (cytosol and mitochondria) was collected and centrifuged at 10,000 × g at 4°C for 20 min. The pellets (mitochondria) and the supernatant (cytosol) were then collected separately. A cytochrome c ELISA kit (EMD Millipore) was used to measure the level of cytochrome c in the cytosol and the procedure was performed according to the manufacturer's protocol. The cytochrome c level was demonstrated as a percentage of the controls (cells not treated with chrysin).
Caspase-3, caspase-8 and caspase-9 colorimetric assay
Melanoma cells (SP6.5 cell line, 4×105 cells/well) were plated into 6-well plates, and chrysin was added at various concentrations (0, 10, 30 and 100 µM) following 24 h of incubation at 37°C. A total of 2 h later, cells were washed with cold PBS and collected. Subsequently, the cells were counted and centrifuged at 400 × g at 4°C for 5 min, and the cell pellets were collected. The cells were lysed using cell extraction buffer (BioSource; Thermo Fisher Scientific, Inc.) with protease inhibitor cocktail (Sigma-Aldrich; EMD Millipore) and phenylmethane sulfonyl fluoride (BioSource; Thermo Fisher Scientific, Inc.), incubated on ice for 30 min, and vortexed for 30 sec. The lysates were centrifuged at 15,000 × g for 10 min at 4°C. The supernatant was stored at −70°C until analysis. The levels of caspase-3, −8,and −9 in cell lysates were measured by specific colorimetric kits in accordance with the manufacturer's protocol. A microplate reader at 405 nm was used to measure the optical density. Caspase-3, caspase-8 and caspase-9 activities were demonstrated as a percentage of the controls (cells not treated with chrysin). This measurement was performed independently three times.
Statistical analysis
Data was analyzed using SPSS version 17.0 (SPSS Inc., Chicago, IL, USA). Significance was evaluated using one-way analysis of variance and the least significant difference method in comparison of data of more than two groups and Student's t-test for of comparison data between two groups. P<0.05 was considered to indicate a statistically significant difference.
Results
Effects of chrysin on viability of melanoma and normal cells
Chrysin induced cell death in cultured human uveal melanoma cells in a dose-dependent manner (Figs. 2 and 3). There was a significant difference in cell viability between melanoma cells (M17 and SP6.5) treated or untreated with chrysin (P<0.001) at 30–100 µM levels. The IC50 dose of chrysin for M17 and SP6.5 at 48 h was 35.8 and 28.3 µM, respectively. Chrysin at 10–100 µM levels did not affect the cell viability of cultured human RPE cells or fibroblasts. These results demonstrated that chrysin at 30–100 µM selectively reduced the viability of melanoma cells without affecting RPE cells or fibroblasts.
Time-effect study demonstrated that chrysin at 30 µM decreased the viability of uveal melanoma cells (SP6.5) in a time-dependent manner from 6 to 48 h (data not shown). There was a significant difference in cell viability at various time points between the treated and untreated group (P<0.001).
Chrysin induced apoptosis of melanoma cells
TUNEL analysis was used for the detection of cell apoptosis. Normal cells were stained by methyl green and were green in color. The nuclei of apoptotic cells were stained by DAB and were dark-brown in color. Chrysin significantly increased the apoptotic rate of uveal melanoma cells in all treated cultures compared to the control (P<0.001; Fig. 4).
Effects of chrysin on MTP in melanoma cells
For cells cultured with JC-1, red fluorescence was due to a potential-dependent aggregation of JC-1 in the mitochondria. Green fluorescence observed in the cytosol following mitochondrial membrane depolarization reflected the monomeric form of JC-1. Chrysin significantly decreased the R/G ratio in a dose-dependent manner (compared to the control; P<0.001 at all tested levels), which revealed that chrysin caused damage to the MTP in uveal melanoma cells (Fig. 5).
Effects of chrysin on the release of cytochrome c in cytosol
Chrysin caused an increase of cytosol cytochrome c levels in melanoma cells in a dose-dependent manner (compared to the control; P=0.25 at the levels of 10 µM; P<0.001 at the levels of 30–100 µM) (Fig. 6).
Effects of chrysin on caspase-3, caspase-8 and caspase-9 activities in melanoma cells
Chrysin increased the activities of caspase-3 and −9 in melanoma cells in a dose-dependent manner (Fig. 7A and B). Chrysin at 30–100 µM levels resulted in a significant increase of caspase-3 and −9 activities in melanoma cells (P<0.001). In uveal melanoma cells treated with 100 µM chrysin, an ~4.11-fold and 4.58-fold increase in caspase-3 and caspase-9 activities was noted, respectively. There was no significant change in caspase-8 activity following treatment with chrysin at 10–100 µM levels (Fig. 7C).
Discussion
Chrysin has been demonstrated to possess cancer chemopreventive activity through inhibition of cell proliferation (10,18), and induce apoptosis in various malignant cancer cells (5,11,15–17,20–22).
It has been reported that chrysin is cytotoxic in murine and human cutaneous melanoma cells in vitro (9,10). However, to the best of our knowledge, the effect of chrysin on uveal melanoma cells has not been previously reported. Cutaneous melanomas differ from uveal melanomas not only in the etiologic and epidemiologic aspects, but also in their molecular biological patterns. The majority of cutaneous melanomas occur in areas exposed to sun radiation, whereas the majority of uveal melanomas occur in the posterior segment of the eye, which is not exposed to significant sun radiation. Chromosomal assessment and molecular biological and epidemiological studies demonstrate that cutaneous melanomas differ from uveal melanomas (29–34), whereas conjunctival melanomas appear to have more similarities to cutaneous than uveal melanomas (32,34). The primary underlying biological differences between uveal and cutaneous melanomas may be associated with various gene mutations and differing microenvironments. Therefore, uveal melanomas and cutaneous melanomas should be considered as two distinct types of cancer, and each disease has a unique oncogenetic signaling pathway for the development of the tumor. Additional studies are required to investigate the pathogenesis and relevant novel treatments for each type of melanoma.
In the present study, chrysin caused a significant decrease in the viability of human melanoma cell lines (M17 and SP6.5) at concentrations of 30–100 µM in a dose- and time-dependent manner, whereas viability of normal cells (scleral fibroblasts and RPE cells) was not affected. The results of the present study suggested that chrysin may have specific anticancer activity in uveal melanoma cells.
In the present study, cell apoptosis was determined by TUNEL analysis. Apoptosis is characterized by a number of intracellular phenomena, including membrane blebbing, chromatin condensation and nuclear DNA fragmentation. Detection of DNA fragmentation is a widely accepted method to assay for apoptosis (26,27). Fragmentation may be visualized by and detected in situ by incorporating labeled nucleotides onto the free 3′OH ends of the fragments using TdT enzyme followed by detection of the labeled molecules. This assay allows distinction between apoptotic cells (with brown colored nuclei) and normal cells (non-specific stained green colored nuclei). For the cells treated with chrysin, cells stained with DAB (indicating apoptotic changes) were significantly increased compared to the controls. This is consistent with previous studies, which have reported an apoptosis-induction effect of chrysin in prostate cancer, lung cancer, leukemia and cutaneous melanoma cells (4,5,9,12).
There are two distinct apoptosis signaling pathways: Intrinsic and extrinsic pathways (35). For the intrinsic apoptosis signaling pathway, loss of MTP, which may be recognized in living cells using JC-1, is an early event (28). Loss of MTP induces the increase of mitochondrial membrane permeability, which leads to the release of cytochrome c from the mitochondria to the cytoplasm (36). When cytochrome c is released to the cytoplasm, caspase-9 is activated. Subsequently, the activated caspase-9 in turn promotes activation of caspase-3, resulting in apoptosis of the tumor cells (36). Therefore, the intrinsic signaling pathway is also called the mitochondrial apoptotic pathway. For the extrinsic apoptosis signaling pathway, various cell death surface receptors are activated following binding to the relevant ligands (35). Following this, the activated death receptors activate caspase-8 by binding to the secondary adaptor protein, which results in the cleavage of caspase-3 and cell apoptosis (35).
Previous studies have revealed that chrysin induces apoptosis of malignant cells through the mitochondrial signaling pathway (9,12). However, Monasterio et al (4) reported that chrysin induced human leukemia U937 cell apoptosis in a manner that required the activation of caspase-8 instead of caspase-9, which is the extrinsic signaling pathway. This indicates that the apoptotic signaling pathway involved in chrysin-induced apoptosis may be cell-type specific.
In the present study, chrysin caused the loss of MTP, increased the levels of cytosol cytochrome c and the activities of caspase-9 and −3 in a dose-dependent manner. However, the activities of caspase-8 were not altered following treatment with chrysin. These observations are consistent with previous reports (9,12), that suggested that chrysin induced apoptosis in cutaneous melanoma cells and lung adenocarcinoma epithelial cells primarily via the intrinsic mitochondrial signaling pathway.
Two uveal melanoma cell lines were investigated in the present study (M17 and SP6.5 cell lines). Both cell lines were isolated from Caucasian primary choroidal melanoma patients, and have comparable growth capacity and pigmentation. However, epigenetic studies observed that the SP6.5 cell line differed from the M17 cell line in that the decrease of miR-137 expression was more pronounced in SP6.5 than in M17 (37).
In summary, chrysin significantly decreased cell viability and induced apoptosis of human uveal melanoma cells without affecting normal cell viability, which suggested that chrysin had a selective and potent pro-apoptotic effect on human uveal melanoma cells in vitro. This effect was primarily through the intrinsic mitochondrial signaling pathway. These encouraging in vitro findings suggest that chrysin may be a promising agent worthy of being investigated for the treatment of uveal melanoma.
Acknowledgments
The authors thank Dr. Guy Pelletier (Research Center of Immunology, Quebec, Canada) for providing the SP6.5 melanoma cell line.
References
- 1.Hu DN, Yu GP, McCormick SA, Schneider S, Finger PT. Population-based incidence of uveal melanoma in various races and ethnic groups. Am J Ophthalmol. 2005;140:612–617. doi: 10.1016/j.ajo.2005.05.034. [DOI] [PubMed] [Google Scholar]
- 2.Kujala E, Mäkitie T, Kivelä T. Very long-term prognosis of patients with malignant uveal melanoma. Invest Ophthalmol Vis Sci. 2003;44:4651–4659. doi: 10.1167/iovs.03-0538. [DOI] [PubMed] [Google Scholar]
- 3.Augsburger JJ, Corrêa ZM, Shaikh AH. Effectiveness of treatments for metastatic uveal melanoma. Am J Ophthalmol. 2009;148:119–127. doi: 10.1016/j.ajo.2009.01.023. [DOI] [PubMed] [Google Scholar]
- 4.Monasterio A, Urdaci MC, Pinchuk IV, López-Moratalla N, Martínez-Irujo JJ. Flavonoids induce apoptosis in human leukemia U937 cells through caspase- and caspase-calpain-dependent pathways. Nutr Cancer. 2004;50:90–100. doi: 10.1207/s15327914nc5001_12. [DOI] [PubMed] [Google Scholar]
- 5.Samarghandian S, Afshari JT, Davoodi S. Chrysin reduces proliferation and induces apoptosis in the human prostate cancer cell line pc-3. Clinics (Sao Paulo) 2011;66:1073–1079. doi: 10.1590/S1807-59322011000600026. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Cho H, Yun CW, Park WK, Kong JY, Kim KS, Park Y, Lee S, Kim BK. Modulation of the activity of pro-inflammatory enzymes, COX-2 and iNOS, by chrysin derivatives. Pharmacol Res. 2004;49:37–43. doi: 10.1016/S1043-6618(03)00248-2. [DOI] [PubMed] [Google Scholar]
- 7.Woodman OL, Chan ECh. Vascular and anti-oxidant actions of flavonols and flavones. Clin Exp Pharmacol Physiol. 2004;31:786–790. doi: 10.1111/j.1440-1681.2004.04072.x. [DOI] [PubMed] [Google Scholar]
- 8.Khoo BY, Chua SL, Balaram P. Apoptotic effects of chrysin in human cancer cell lines. Int J Mol Sci. 2010;11:2188–2199. doi: 10.3390/ijms11052188. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Pichichero E, Cicconi R, Mattei M, Canini A. Chrysin-induced apoptosis is mediated through p38 and Bax activation in B16-F1 and A375 melanoma cells. Int J Oncol. 2011;38:473–483. doi: 10.3892/ijo.2010.876. [DOI] [PubMed] [Google Scholar]
- 10.Pichichero E, Cicconi R, Mattei M, Muzi MG, Canini A. Acacia honey and chrysin reduce proliferation of melanoma cells through alterations in cell cycle progression. Int J Oncol. 2010;37:973–981. doi: 10.3892/ijo_00000748. [DOI] [PubMed] [Google Scholar]
- 11.Yang B, Huang J, Xiang T, Yin X, Luo X, Huang J, Luo F, Li H, Li H, Ren G. Chrysin inhibits metastatic potential of human triple-negative breast cancer cells by modulating matrix metalloproteinase-10, epithelial to mesenchymal transition, and PI3K/Akt signaling pathway. J Appl Toxicol. 2014;34:105–112. doi: 10.1002/jat.2941. [DOI] [PubMed] [Google Scholar]
- 12.Samarghandian S, Nezhad MA, Mohammadi G. Role of caspases, Bax and Bcl-2 in chrysin-induced apoptosis in the A549 human lung adenocarcinoma epithelial cells. Anticancer Agents Med Chem. 2014;14:901–909. doi: 10.2174/1871520614666140209144042. [DOI] [PubMed] [Google Scholar]
- 13.Lee SJ, Yoon JH, Song KS. Chrysin inhibited stem cell factor (SCF)/c-Kit complex-induced cell proliferation in human myeloid leukemia cells. Biochem Pharmacol. 2007;74:215–225. doi: 10.1016/j.bcp.2007.04.011. [DOI] [PubMed] [Google Scholar]
- 14.Sak K. Cytotoxicity of dietary flavonoids on different human cancer types. Pharmacogn Rev. 2014;8:122–146. doi: 10.4103/0973-7847.134247. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Yu XM, Phan T, Patel PN, Jaskula-Sztul R, Chen H. Chrysin activates Notch1 signaling and suppresses tumor growth of anaplastic thyroid carcinoma in vitro and in vivo. Cancer. 2013;119:774–781. doi: 10.1002/cncr.27742. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Shao JJ, Zhang AP, Qin W, Zheng L, Zhu YF, Chen X. AMP-activated protein kinase (AMPK) activation is involved in chrysin-induced growth inhibition and apoptosis in cultured A549 lung cancer cells. Biochem Biophys Res Commun. 2012;423:448–453. doi: 10.1016/j.bbrc.2012.05.123. [DOI] [PubMed] [Google Scholar]
- 17.Phan T, Yu XM, Kunnimalaiyaan M, Chen H. Antiproliferative effect of chrysin on anaplastic thyroid cancer. J Surg Res. 2011;170:84–88. doi: 10.1016/j.jss.2011.03.064. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Pilátová M, Stupáková V, Varinská L, Sarisský M, Mirossay L, Mirossay A, Gál P, Kraus V, Dianisková K, Mojzis J. Effect of selected flavones on cancer and endothelial cells. Gen Physiol Biophys. 2010;29:134–143. doi: 10.4149/gpb_2010_02_134. [DOI] [PubMed] [Google Scholar]
- 19.Hong TB, Rahumatullah A, Yogarajah T, Ahmad M, Yin KB. Potential effects of chrysin on MDA-MB-231 cells. Int J Mol Sci. 2010;11:1057–1069. doi: 10.3390/ijms11031057. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Weng MS, Ho YS, Lin JK. Chrysin induces G1 phase cell cycle arrest in C6 glioma cells through inducing p21Waf1/Cip1 expression: Involvement of p38 mitogen-activated protein kinase. Biochem Pharmacol. 2005;69:1815–1827. doi: 10.1016/j.bcp.2005.03.011. [DOI] [PubMed] [Google Scholar]
- 21.Woo KJ, Jeong YJ, Park JW, Kwon TK. Chrysin-induced apoptosis is mediated through caspase activation and Akt inactivation in U937 leukemia cells. Biochem Biophys Res Commun. 2004;325:1215–1222. doi: 10.1016/j.bbrc.2004.09.225. [DOI] [PubMed] [Google Scholar]
- 22.Zhang T, Chen X, Qu L, Wu J, Cui R, Zhao Y. Chrysin and its phosphate ester inhibit cell proliferation and induce apoptosis in Hela cells. Bioorg Med Chem. 2004;12:6097–6105. doi: 10.1016/j.bmc.2004.09.013. [DOI] [PubMed] [Google Scholar]
- 23.Hu DN, McCormick SA, Ritch R, Pelton-Henrion K. Studies of human uveal melanocytes in vitro: Isolation, purification and cultivation of human uveal melanocytes. Invest Ophthalmol Vis Sci. 1993;34:2210–2219. [PubMed] [Google Scholar]
- 24.Soulieres D, Rousseau A, Deschenes J, Tremblay M, Tardif M, Pelletier G. Characterization of gangliosides in human uveal melanoma cells. Int J Cancer. 1991;49:498–503. doi: 10.1002/ijc.2910490404. [DOI] [PubMed] [Google Scholar]
- 25.Lu C, Song E, Hu DN, Chen M, Xue C, Rosen R, McCormick SA. Curcumin induces cell death in human uveal melanoma cells through mitochondrial pathway. Curr Eye Res. 2010;35:352–360. doi: 10.3109/02713680903521944. [DOI] [PubMed] [Google Scholar]
- 26.Parthasarathy G, Philipp MT. The MEK/ERK pathway is the primary conduit for Borrelia burgdorferi-induced inflammation and P53-mediated apoptosis in oligodendrocytes. Apoptosis. 2014;19:76–89. doi: 10.1007/s10495-013-0913-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Turgeman T, Kakongi N, Schneider A, Vinokur Y, Teper-Bamnolker P, Carmeli S, Levy M, Skory CD, Lichter A, Eshel D. Induction of Rhizopus oryzae germination under starvation using host metabolites increases spore susceptibility to heat stress. Phytopathology. 2014;104:240–247. doi: 10.1094/PHYTO-08-13-0245-R. [DOI] [PubMed] [Google Scholar]
- 28.Cossarizza A, Baccarani-Contri M, Kalashnikova G, Franceschi C. A new method for the cytofluorimetric analysis of mitochondrial membrane potential using the J-aggregate forming lipophilic cation 5,5′,6,6′-tetrachloro-1,1′,3,3′-tetraethylbenzimidazolcarbocyanine iodide (JC-1) Biochem Biophys Res Commun. 1993;197:40–45. doi: 10.1006/bbrc.1993.2438. [DOI] [PubMed] [Google Scholar]
- 29.Gilchrest BA, Eller MS, Geller AC, Yaar M. The pathogenesis of melanoma induced by ultraviolet radiation. N Engl J Med. 1999;340:1341–1348. doi: 10.1056/NEJM199904293401707. [DOI] [PubMed] [Google Scholar]
- 30.Bergman L, Seregard S, Nilsson B, Ringborg U, Lundell G, Ragnarsson-Olding B. Incidence of uveal melanoma in Sweden from 1960 to 1998. Invest Ophthalmol Vis Sci. 2002;43:2579–2583. [PubMed] [Google Scholar]
- 31.Yu GP, Hu DN, McCormick SA. Latitude and incidence of ocular melanoma. Photochem Photobiol. 2006;82:1621–1626. doi: 10.1111/j.1751-1097.2006.tb09821.x. [DOI] [PubMed] [Google Scholar]
- 32.Spendlove HE, Damato BE, Humphreys J, Barker KT, Hiscott PS, Houlston RS. BRAF mutations are detectable in conjunctival but not uveal melanomas. Melanoma Res. 2004;14:449–452. doi: 10.1097/00008390-200412000-00003. [DOI] [PubMed] [Google Scholar]
- 33.Vajdic CM, Hutchins AM, Kricker A, Aitken JF, Armstrong BK, Hayward NK, Armes JE. Chromosomal gains and losses in ocular melanoma detected by comparative genomic hybridization in an Australian population-based study. Cancer Genet Cytogenet. 2003;144:12–17. doi: 10.1016/S0165-4608(02)00868-3. [DOI] [PubMed] [Google Scholar]
- 34.Hu DN, Yu G, McCormick SA, Finger PT. Population-based incidence of conjunctival melanoma in various races and ethnic groups and comparison with other melanomas. Am J Ophthalmol. 2008;145:418–423. doi: 10.1016/j.ajo.2007.10.022. [DOI] [PubMed] [Google Scholar]
- 35.McConkey DJ. Biochemical determinants of apoptosis and necrosis. Toxicol Lett. 1998;99:157–168. doi: 10.1016/S0378-4274(98)00155-6. [DOI] [PubMed] [Google Scholar]
- 36.Kroemer G, Dallaporta B, Resche-Rigon M. The mitochondrial death/life regulator in apoptosis and necrosis. Annu Rev Physiol. 1998;60:619–642. doi: 10.1146/annurev.physiol.60.1.619. [DOI] [PubMed] [Google Scholar]
- 37.Chen X, Wang J, Shen H, Lu J, Li C, Hu DN, Dong XD, Yan D, Tu L. Epigenetics, microRNAs, and carcinogenesis: Functional role of microRNA-137 in uveal melanoma. Invest Ophthalmol Vis Sci. 2011;52:1193–1199. doi: 10.1167/iovs.10-5272. [DOI] [PubMed] [Google Scholar]