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. 2019 Sep 9;11(9):1336. doi: 10.3390/cancers11091336

XIAP as a Target of New Small Organic Natural Molecules Inducing Human Cancer Cell Death

Diego Muñoz 1,2, Martina Brucoli 3, Silvia Zecchini 4, Adrian Sandoval-Hernandez 1, Gonzalo Arboleda 5, Fabian Lopez-Vallejo 1, Wilman Delgado 1, Matteo Giovarelli 4, Marco Coazzoli 4, Elisabetta Catalani 6, Clara De Palma 7, Cristiana Perrotta 4, Luis Cuca 1, Emilio Clementi 4,7,8, Davide Cervia 6,*
PMCID: PMC6770071  PMID: 31505859

Abstract

X-linked inhibitor of apoptosis protein (XIAP) is an emerging crucial therapeutic target in cancer. We report on the discovery and characterisation of small organic molecules from Piper genus plants exhibiting XIAP antagonism, namely erioquinol, a quinol substituted in the 4-position with an alkenyl group and the alkenylphenols eriopodols A–C. Another isolated compound was originally identified as gibbilimbol B. Erioquinol was the most potent inhibitor of human cancer cell viability when compared with gibbilimbol B and eriopodol A was listed as intermediate. Gibbilimbol B and eriopodol A induced apoptosis through mitochondrial permeabilisation and caspase activation while erioquinol acted on cell fate via caspase-independent/non-apoptotic mechanisms, likely involving mitochondrial dysfunctions and aberrant generation of reactive oxygen species. In silico modelling and molecular approaches suggested that all molecules inhibit XIAP by binding to XIAP-baculoviral IAP repeat domain. This demonstrates a novel aspect of XIAP as a key determinant of tumour control, at the molecular crossroad of caspase-dependent/independent cell death pathway and indicates molecular aspects to develop tumour-effective XIAP antagonists.

Keywords: phytochemicals; small organic agents; Piper eriopodon, alkenylphenols; human cancer cells; cell death; apoptosis; caspase-independent cell death; XIAP antagonists; XIAP-BIR3 domain

1. Introduction

The characterisation of small molecules (whose molecular weight does not exceed 900 Daltons) with well-defined chemical structures is a good approach to develop new therapeutic agents in proliferative, infectious, or neurodegenerative disorders [1,2,3,4,5]. Natural products possess enormous structural and chemical diversity that cannot be matched by any synthetic libraries of small molecules and continue to show a great translational potential [6,7,8,9,10]. In some cases, the complex chemical composition of some natural products has made difficult their isolation, structure elucidation and characterisation, thus prompting the search of new efficient synthetic pathways. In recent years the interest in the fundamental understanding of natural products and their engineered variants has been strongly renewed [6].

The simple active chemical structures of phenolic compounds from plants make them optimal lead candidates because of their broad biological activity, especially the protective, anti-oxidant and anti-tumour effects [11,12,13,14]. Plants of the genus Piper (Piperaceae family), are a very common food resource in neotropical forests and are widely used to obtain culinary spices. Piper genus constitutes one major class of medicinal plants and contains a valuable resource of phenolic bioactive compounds [15,16,17,18,19,20,21]. Among them, piplartine, hydroxychavicol, 4-nerodlidylcatechol and gibbilimbols A–D displayed potent cytotoxic/anti-tumoural effects in a variety of human cancer cells in vitro and in vivo [19,22,23,24,25,26,27,28,29].

Apoptosis, a closely regulated programmed cell death mechanism, is an essential process to maintain tissue homeostasis and its escape it is one of the hallmarks of cancer [30]. Substantial advances have been made on apoptosis-based anti-cancer therapeutics [31]. The most potent human IAP currently identified is the X-linked inhibitor of apoptosis protein (XIAP), a 57 kDa protein with three zinc-binding baculovirus IAP repeat (BIR) domains (BIR 1–3) which may also have actions additional to regulation of apoptosis [32]. The anti-apoptotic function of XIAP is antagonised by the second mitochondria-derived activator of caspases or direct IAP binding protein with low pI (Smac/DIABLO), a mitochondria protein released during apoptosis. The key role of XIAP and its potential clinical relevance is well established in tumours and several XIAP inhibitors have been developed or discovered as cytotoxic agents [32,33,34,35,36,37,38,39,40,41,42,43]. Despite different small molecules that inhibit XIAP have been identified and are moving through the pipeline of clinical development, the need of new ones to refine further therapeutic approaches based on XIAP antagonism is undeniable in translational research [41].

Herein we wish to report the discovery and chemical/biological characterisation of novel natural small compounds from Piper genus. Furthermore, a deeper insight into their cell death mechanism in human cells provides a proof-of-concept study of their pharmaceutical potential as antagonists of XIAP that may open important insights on XIAP as a suitable turning point for multiple cellular pathways.

2. Results and Discussion

2.1. Structural Identification of New Piper Genus-Derived Compounds

The chemical structures of compounds isolated from leaves of P. eriopodon (Figure 1A) were identified by interpretation of their corresponding high resolution electrospray ionisation mass spectrometry (HRESIMS), 1H- and 13C-NMR (nuclear magnetic resonance) spectral data, including attached proton test (APT), correlated spectroscopy (COSY), heteronuclear multiple quantum coherence (HMQC) and heteronuclear multiple bond correlation (HMBC) experiments, as well as by comparison of the spectral data with those reported in the literature.

Figure 1.

Figure 1

Identification of new Piper genus-derived compounds. (A) Structures of compounds 1–5. (B) Key correlated spectroscopy (COSY) (bold) and heteronuclear multiple bond correlation (HMBC) (H→C) for compounds 2–5.

Compound 1 (Figure S1, Tables S1 and S2) was obtained as colorless oil and identified unequivocally as gibbilimbol B ((E)-4-(dec-3′-enyl)phenol) [19].

Compound 2 (Figure S2, Tables S1 and S2) was obtained as pale yellow oil. The molecular formula for compound 2 was established as C16H24O2 based on the HRESIMS peak at m/z 247.1706 [M-H] (calcd. 247.1703). The 1H- NMR spectrum showed clear signals for a 1,2,4-trisubstituted aromatic ring δH 6.77 (1H, d, J = 7.6 Hz, H-6), 6.71 (1H, s, H-3), 6.60 (1H, d, J = 7.5 Hz, H-5) and an alkenyl fragment. The 13C-NMR spectrum showed ten signals, practically the same as the alkenyl chain of gibbilimbol B, including the double bond position in C-3′, which was confirmed by correlations observed in both COSY and HMBC experiments (Figure 1B). Based on the 13C-NMR chemical shifts of the allylic carbons δC 34.6 (C-2′) and δC 32.6 (C-5′), the configuration of the double bond for compound 2 was assigned as E [18], by comparison with the 13C-NMR chemical shift of the allylic carbons in the E analogue gibbilimbol B (δC 34.6 (C-2′) and δC 32.6 (C-5′)), which differed significantly from the chemical shift values reported for the Z analogue climacostol [δC 33.2 (C-1′) and δC 27.3 (C-4′)] [44]. Thus, the chemical structure of compound 2 was elucidated as (E)-4-(dec-3′-enyl)benzene-1,2-diol and it was given the common name of eriopodol A.

Compound 3 (Figure S3, Tables S1 and S2) was obtained as clear oil and its molecular formula was deduced as C16H24O2 from the HRESIMS spectrum, which exhibited a molecular ion peak at m/z 247.1706 [M-H] (calcd. 247.1703). The 1H-NMR spectrum for compound 3 showed signals for an alkenyl chain and two signals in δH 6.11 (2H, d, J = 9.94 Hz) and 6.81(2H, d, J = 9.96 Hz). The 13C-NMR spectrum for compound 3 showed signals for an α-β unsaturated carbonyl in δC 185.9, an oxygenated quaternary carbon in δC 69.6 and ten signals for the typical side chain of the alkenyl fragment. Based on the correlations observed in COSY and HMBC experiments (Figure 1B), the structure of 3 was determined as a quinol derivative, substituted in the 4-position with an alkenyl group. The position and geometry of the double bond of compound 3 was assigned by comparing the chemical shift values of the allylic carbons δC 32.4 (C-2′) and δC 26.6 (C-5′) as explained above for eriopodol A. The geometry of compound 3 was determined as Z and its chemical structure was elucidated as (Z)-4-(dec-3′-enyl)-4-hydroxycyclohexa-2,5-dien-1-one. The common name of erioquinol was then assigned.

Compound 4 (Figure S4, Tables S1 and S2) was obtained as pale yellow oil. The molecular formula for compound 4 was confirmed to be C16H24O2 based on the HRESIMS peak at m/z 247.1715 [M-H] (calcd. 247.1703). The 1H-NMR and 13C-NMR spectra of compound 4 showed almost the same chemical shifts as the alkenylphenol gibbilimbol B, but without the unsaturated signal in the 1H-NMR spectrum. Therefore, the carbons C-3′ and C-4′ showed chemical shifts in δC 59.6 (C-3′) and δC 58.6 (C-4′), corresponding two oxygenated methines from an epoxide group, which was confirmed with COSY and HMBC experiments (Figure 1B). The structure of compound 4 was elucidated as 4-(3′,4′-epoxydecenyl)phenol and the common name of eriopodol B was assigned.

Compound 5 (Figure S5, Tables S1 and S2) was obtained as pale yellow amorphous solid (m.p. 138.5 °C). The molecular formula for compound 5 was established as C18H28O3 based on the HRESIMS peak at m/z 291.1973 [M-H] (calcd. 291.1966). The NMR data for compound 5 were very close to those of eriopodol A, although it contains one additional hydroxyl group in the benzene ring and two additional carbons at the end of the alkenyl chain (Figure 1B). The position and geometry of the double bound for compound 5 was assigned as explained above. The structure of compound 5 was elucidated as (E)-5-(dodec-3′-enyl)benzene-1,2,4-triol and the common name of eriopodol C was assigned.

Taken together, phytochemical investigation of leaves from P. eriopodon yielded four new alkenyl derivatives and one known compound. In particular, erioquinol is a new quinol substituted in the 4-position with an alkenyl group and eriopodols A-C correspond to new alkenylphenols. The known isolated compound was originally identified as gibbilimbol B, from the medicinal plant P. gibbilimbum [19] and, more recently, from P. malacophyllum [21] and P. eriopodon [29]. The simple chemical structure of alkenylphenols are characterised by hydroxylated benzenes, substituted by side alkyl chains of different lengths with at least one double bond, generally with E geometry. Alkenylphenols with different reported biological properties, such as antibacterial, anti-parasitic, anti-inflammatory and cytotoxic activities, are widely found in the Piper genus [17,19,20,21,45]. Quinols are 4-hydroxycyclohexa-2,5-dien-1-ones which rarely occur as derivatives of some natural products [46,47,48]. An important feature of quinols substituted in the 4-position with aryl groups, is that they represent a class of potent anti-tumour molecules with activities against colon, renal, and breast cancer cells [49,50,51].

2.2. Piper Genus-Derived Compounds Exhibit Cytotoxic Effects

Several recent studies in glioblastoma and breast cancer cells have reported that extracts or active compounds isolated from Piper genus possess anti-tumoural/pro-apoptotic properties [52,53,54,55,56,57,58,59,60,61]. In order to assess whether the compounds we isolated could be developed further for therapeutic applications, we tested their cytotoxic action in the human cancer cells, U373 (glioblastoma astrocytoma) and MCF7 (breast adenocarcinoma) cell lines, since they are widely used as suitable in vitro models of cancer research. We first examined the effects of gibbilimbol B, eriopodols A–C, and erioquinol on cell viability. Gibbilimbol B was used as a reference compound of Piper genus derivatives, since its cytotoxic action has been previously tested in various tumour cells, including MCF7 [19,29]. In our experiments, cell viability was analysed by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay after treatment with previously mentioned compounds at increasing concentrations for 24 h. As shown in Figure 2, a concentration-dependent inhibition of MTT absorbance was observed for all compounds with an IC50 (the concentration producing half the maximum inhibition) ranging from 1.78 to 31.91 μg/mL; the rank order of potencies was: erioquinol > eriopodol A > eriopodol C > gibbilimbol B > eriopodol B and erioquinol > eriopodol A > eriopodol C/gibbilimbol B > eriopodol B for U373 and MCF7 cells, respectively (Table 1). Their effects were maximal (Emax—concentration producing the maximum effect—nearly 100% inhibition) between 10–100 µg/mL.

Figure 2.

Figure 2

Piper genus-derived compounds exhibit cytotoxic effects in human cancer cells. U373 and MCF7 cells were treated with increasing concentrations of gibbilimbol B, eriopodol A, eriopodol B, eriopodol C, and erioquinol for 24 h before 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Results are expressed by setting the absorbance of the reduced MTT in the respective control (vehicle-treated) samples, i.e., absence of compounds, as 100%. The data points are representative of four independent experiments.

Table 1.

Inhibitory effects of Piper genus-derived compounds on human cancer cell viability.

Compound IC50 (μg/mL)
U373 Cells MCF7 Cells
Gibbilimbol B 16.79 16.44
Eriopodol A 11.12 10.12
Eriopodol B 31.91 29.36
Eriopodol C 14.30 16.30
Erioquinol 1.78 2.63

3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay was performed treating cells for 24 h in the absence (vehicle) or in the presence of increasing concentrations of Piper genus-derived compounds. The results have been obtained in four independent experiments.

Eriopodol A and erioquinol were selected for further investigation, as they displayed the most potent inhibitory effects on cell viability. Gibbilimbol B (available in high quantity) was also included. When compared with gibbilimbol B [29], the higher cytotoxic effect of eriopodol A and erioquinol (24 h), was also shown by MTT assays using additional cell lines, like human A549 lung (IC50 of eriopodol A and erioquinol: 6.12 and 2.65 μg/mL, respectively) and PC-3 prostate (IC50 of eriopodol A and erioquinol: 1.84 and 2.21 μg/mL, respectively) cancer cells, further confirming enhanced pharmacological activity of these new Piper genus derivatives (Figure 3A).

Figure 3.

Figure 3

Piper genus-derived compounds exhibit cytotoxic effects in cancer and non-transformed human cells. (A) PC-3/A549 cells were treated with increasing concentrations of eriopodol A and erioquinol while (B) human umbilical vein endothelial cells (HUVEC)/MCF10 cells were treated with increasing concentrations of gibbilimbol B, eriopodol A, and erioquinol, for 24 h before 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Results are expressed by setting the absorbance of the reduced MTT in the respective control (vehicle-treated) samples, i.e., absence of compounds, as 100%. The data points are representative of four independent experiments.

Similar results were obtained in human umbilical vein endothelial cells (HUVEC) (IC50 of 24 h gibbilimbol B, eriopodol A, and erioquinol: 11.49, 0.99, and 0.36 μg/mL, respectively) and the non-tumourigenic human breast MCF10 cells (IC50 of 24 h gibbilimbol B, eriopodol A, and erioquinol: 17.11, 4.27, and 1.70 μg/mL, respectively) (Figure 3B). The fact that the potency of the compounds was even slightly higher in these non-transformed/high proliferating cells suggests that their effects are not necessarily correlated to the cancerous origin of cells, in agreement with other small molecules we have recently characterised [62]. On the other hand, many cytotoxic compounds, including chemotherapy agents, are specifically designed to primarily affect rapidly proliferating cells, and many “normal” cells are also highly proliferative, such as cells in the bone marrow. The possibility that Piper genus-derived compounds preferentially affect high proliferating vs. low proliferating cells remains to be elucidated.

We then measured the concentration-dependent inhibition of MTT absorbance at increasing times of exposure in MCF7 cells, used as reference cell line. Our results indicated that the potency of gibbilimbol B did not substantially change (IC50-6 h: 20.31 µg/mL; 12 h: 27.36 µg/mL; 24 h: 16.44 µg/mL) while the potency of eriopodol A increased at 24 h (IC50 - 6 h: 31.19 µg/mL; 12 h: 32.75 µg/mL; 24 h: 11.13 µg/mL) (Figure 4). Of interest, the potency of erioquinol was greater than gibbilimbol B and eriopodol A at each time-point, even increasing over time (IC50-6 h: 14.72 µg/mL; 12 h: 4.25 µg/mL; 24 h: 1.93 µg/mL). These comparative data indicate that erioquinol is the most potent compound with faster kinetics when compared with gibbilimbol B; eriopodol A has a somewhat intermediate behavior.

Figure 4.

Figure 4

Time-response of Piper genus-derived compounds on cell viability. MCF7 cells were treated with increasing concentrations of gibbilimbol B, eriopodol A, and erioquinol for 6, 12, and 24 h before 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Results are expressed by setting the absorbance of the reduced MTT in the respective control (vehicle-treated) samples, i.e., absence of compounds, as 100%. The data points are representative of four independent experiments.

2.3. Piper Genus-Derived Compounds Induce Cell Death

MCF7 cells treated for 12 h with gibbilimbol B and eriopodol A (30 µg/mL) showed an inter-nucleosomal degradation of genomic DNA typical of late apoptotic cells, as determined by a terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) assay (Figure 5A), while DNA fragmented cells were few following erioquinol (10 µg/mL) treatment. Bright field microscopy demonstrated that cells exposed to increasing concentrations of gibbilimbol B and eriopodol A at 6 h (a temporal window sufficient to determine their cytotoxic effects) had morphological hallmarks of apoptosis, such as progressive roundness, shrunken cytoplasm and the formation of condensed nuclei (Figure 5B). In contrast, cells treated with erioquinol displayed a translucent cytoplasm and no overall nuclei condensation. Of interest, 4’,6-diamidine-2’-phenylindole dihydrochloride (DAPI) staining clearly revealed the nuclei of cells undergoing apoptosis in the presence of gibbilimbol B and eriopodol A (30 µg/mL) for 6 h, while erioquinol (10 µg/mL) treatment was associated with the appearence of multinucleated cells (Figure 5C). Accordingly, when analysed by flow cytometry using Annexin V and propidium iodide (PI) staining, MCF7 cells treated with erioquinol showed a progressive and marked increase of membrane disruption, as shown by early positivity to both Annexin V and PI staining, while the typical early apoptotic pattern, evidenced as Annexin V+/PI was almost undetectable over time (Figure 5D).

Figure 5.

Figure 5

Piper genus-derived compounds induce cell death. (A) terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) staining of MCF7 cells treated for 12 h in the absence (CTRL, control) and in the presence of gibbilimbol B/eriopodol A (30 µg/mL) or erioquinol (10 µg/mL). 4’,6-diamidine-2’-phenylindole dihydrochloride (DAPI) was used for nuclei detection. Scale bar = 50 µm. (B) Bright field microscopy of MCF7 cells treated for 6 h in the absence (CTRL) and in the presence of gibbilimbol B, eriopodol A, or erioquinol at increasing concentrations. Scale bar = 100 µm. (C) 4’,6-diamidine-2’-phenylindole dihydrochloride (DAPI) staining of MCF7 cells treated for 6 h in the absence (CTRL) and in the presence of gibbilimbol B/eriopodol A (30 µg/mL) or erioquinol (10 µg/mL). Scale bar = 10 µm. Lower panels represent enlarged image details. (D) Evaluation by flow cytometry of Annexin V-fluorescein isothiocyanate(FITC)/propidium iodide (PI) staining in MCF7 cells treated in the absence (CTRL) and in the presence of 10 µg/mL erioquinol, for 3 and 6 h. Quadrants are drawn, and relative proportion of labelled cells is indicated. The events shown in the lower left-hand quadrant are unlabeled cells. Images and data are representative of four independent experiments.

In addition, cells treated with 30 µg/mL gibbilimbol B and eriopodol A displayed activation of caspase 9 and 7 at 3 h and 6 h, as showed by western blot analysis (Figure 6A,B). On the other hand, erioquinol (10 µg/mL) treated cells did not display any sign of caspase 7 activity even at later time point (Figure 6C). These results were confirmed by immunofluorescence experiments. Indeed, a time- dependent and intensive cleaved-caspase 7 staining was detected in the cytoplasm of MCF7 cells in the presence of gibbilimbol B and eriopodol A while positive cells were absent following the administration of erioquinol (Figure 6D). The activation of caspase 7 by 6 h gibbilimbol B and eriopodol A (30 µg/mL) but not erioquinol (10 µg/mL) was achieved also in U373 cells (Figure 7A). The fact that these cells displayed apoptotic and non-apoptotic features in the presence of gibbilimbol B/eriopodol A and erioquinol, respectively (Figure 7B), similarly to what obtained in MCF7 cells, indicate that cell death mechanisms of the compounds are comparable among cell lines. Accordingly, the activation of caspase 7 by gibbilimbol B and eriopodol A but not erioquinol was observed also in MCF10 cells (Figure S6A).

Figure 6.

Figure 6

Piper genus-derived compounds induce cell death. Western blot analysis of cleaved-caspase 9 and 7 in MCF7 cells treated for increasing times in the absence (CTRL, control) and in the presence of (A) gibbilimbol B or (B) eriopodol A. Vinculin was used as internal standard. Right panels: densitometric analysis expressed as fold change of CTRL. Images and data are representative of three-five independent experiments. * p < 0.01, ** p < 0.001, and *** p < 0.0001 relative to CTRL. (C) Western blot analysis of cleaved-caspase 7 in MCF7 cells treated for increasing times in the absence (CTRL) and in the presence of 10 µg/mL erioquinol. The stain-free gel was used as loading control. Images are representative of three independent experiments. PC: positive control. (D) Immunofluorescence imaging of cleaved-caspase 7 (punctate red pattern) in MCF7 cells treated for 3 and 6 h in the absence (CTRL) and in the presence of gibbilimbol B/eriopodol A (30 µg/mL) or erioquinol (10 µg/mL). 4’,6-diamidine-2’-phenylindole dihydrochloride (DAPI) (blue) and phalloidin (green) were used for nuclei and cytoskeleton detection, respectively. Images are representative of four independent experiments. Scale bar = 25 µm.

Figure 7.

Figure 7

Piper genus-derived compounds induce cell death and mitochondrial dysfunction. (A) Immunofluorescence (confocal) imaging of cleaved-caspase 7 (punctate red pattern) in U373 cells treated for 6 h in the absence (CTRL, control) and in the presence of gibbilimbol B/eriopodol A (30 µg/mL) or erioquinol (10 µg/mL). 4’,6-diamidine-2’-phenylindole dihydrochloride (DAPI) (blue) and phalloidin (green) were used for nuclei and cytoskeleton detection, respectively. Scale bar = 25 µm. (B) Bright field microscopy (upper panels) and DAPI staining (lower panels) of U373 cells treated for 6 h in the absence (CTRL) and in the presence of of gibbilimbol B/eriopodol A (30 µg/mL) or erioquinol (10 µg/mL). Scale bars = 50 µm (bright field) and 10 µm (DAPI). Lower panels represent enlarged image details. (C) Quantitative analysis of tetramethylrhodamine methyl ester (TMRM) fluorescence changes over time in MCF7 (left panel) and U373 (righ panel) cells in the absence (CTRL) and in the presence of gibbilimbol B/eriopodol A (30 µg/mL) or erioquinol (10 µg/mL). Results are expressed by setting TMRM fluorescence in the respective control (vehicle-treated) samples, i.e., absence of compounds, as 1. *** p < 0.0001 relative to CTRL. Images and data are representative of four independent experiments.

In order to better describe the mechanism behind the activity of the compounds, we investigated mitochondria functionality with tetramethylrhodamine methyl ester (TMRM), a red fluorescent dye that is sequestered by active mitochondria. Of note, MCF7 and U373 cells treated for increasing time with 30 µg/mL gibbilimbol B/eriopodol A or 10 µg/mL erioquinol presented a comparable decrease in TMRM fluorescence vs. control, with MCF7 cells full responding within 1 h (Figure 7C). This indicates low mitochondria membrane potential likely associated to the destabilisation of the mitochondrial membrane systems.

The fact that the three compounds similarly induce mitochondria membrane permeabilisation both in MCF7 and U373 cells, was further confirmed by the subcellular location of cytochrome c. As shown in Figure 8A,B, 3 h administration of gibbilimbol B/eriopodol/erioquinol induced an alteration in the cytochrome c staining pattern from mitochondrial (co-localisation with COX IV, a marker for mitochondria), to a more cytosolic distribution (presence of many clusters which did not overlap with COX IV), indicating a release of cytochrome c from the dysfunctional mitochondria.

Figure 8.

Figure 8

Confocal microscopy for co-localisation of cytochrome c with mitochondria. (A) MCF7 and (B) U373 cells were treated for 3 h in the absence (CTRL, control) and in the presence of gibbilimbol B/eriopodol A (30 µg/mL) or erioquinol (10 µg/mL). Cells were then stained for cytochrome c (green) and the mitochondrial marker COX IV). 4’,6-diamidine-2’-phenylindole dihydrochloride (DAPI) (blue) was used for nuclei detection. The images are representative of three independent experiments. Scale bars: 10 µm (MCF7) and 25 µm (U373). Panels on the right represent enlarged image details.

Damaged mitochondria are considered as the main source of reactive oxygen species (ROS) which play major roles in the fate of cancer cells [63]. Noteworthily, MCF7 and U373 cells staining with 2’-7’dichlorofluorescin diacetate (DCFH-DA), a permeant fluorogenic dye cell reagent that measures hydroxyl, peroxyl and other ROS activity, revealed that erioquinol effect (10 µg/mL, 6 h) is characterised by marked accumulation of ROS, which are absent in cells treated with gibbilimbol B and eriopodol A (30 µg/mL, 6 h) (Figure 9A,B). Together with lack of caspase activation, aberrant ROS production is another divergence between gibbilimbol B/eriopodol A and erioquinol-induced cell death. In this respect, erioquinol is likely inducing a robust mitochondrial stress which results in ROS production and release into the cytoplasm.

Figure 9.

Figure 9

Confocal microscopy for reactive oxygen species (ROS) detection. (A) MCF7 and (B) U373 cells were treated for 6 h in the absence (CTRL, control) and in the presence of gibbilimbol B/eriopodol A (30 µg/mL) or erioquinol (10 µg/mL). Cells were then stained for ROS (2’-7’dichlorofluorescin diacetate - DCFH-DA, green). 4’,6-diamidine-2’-phenylindole dihydrochloride (DAPI) (blue) and phalloidin (red) were used for nuclei and cytoskeleton detection, respectively. The images are representative of three independent experiments. Scale bar: 25 µm.

Finally we confirmed as apoptotic the effect of gibbilimbol B and eriopodol A by inhibiting their cytotoxic activity with the pan-caspase inhibitor Z-VAD-(OMe)-FMK. As displayed by MTT assays (Figure 10A), the loss of cell viability in MCF7 cells treated with 30 µg/mL gibbilimbol B and eriopodol A was significantly inhibited when 50 µM Z-VAD-(OMe)-FMK was simultaneously added to the 6 h treatment protocol, demonstrating the dependency on caspases of the two compounds. However, the simultaneous addition of Z-VAD-(OMe)-FMK did not affect the activity of 10 µg/mL erioquinol. Taken together our data data demonstrate that gibbilimbol B and eriopodol A effectively induced intrinsic apoptosis triggered by mitochondrial membrane permeabilisation, release of cytochrome c, an early induction of initiator caspase 9, and a consecutive activation of effector caspase 7. Erioquinol, although it affects comparably mitochondrial functions, appears to act in a different manner, i.e., involving mitochondrial ROS release and non-apoptotic/caspase-independent mechanisms. Caspase-independent cell death was first described to affect mitochondria potential, and eventually mitochondrial outer membrane permeabilisation [64], although not followed by caspase activation. Those features resemble the outcome of erioquinol treatment.

Figure 10.

Figure 10

Piper genus-derived compounds induce caspase-dependent and independent loss of cell viability. (A) MCF7 cells were cultured in the absence (CTRL, control) and in the presence of 30 μg/mL gibbilimbol B/eriopodol A or 10 µg/mL erioquinol for 6 h, before 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. The pan-caspase inhibitor Z-VAD-(OMe)-FMK (50 μM) or its vehicle were used as well. Results are expressed by setting the absorbance of the reduced MTT in the CTRL, as 100%. Data are representative of four-twelve independent experiments. *** p < 0.0001 relative to the respective compound alone, i.e., + Z-VAD vehicle. (B) MCF7 (left panel) and U373 (right panel) cells were treated with increasing concentrations of erioquinol for 24 h before MTT assay. Erioquinol was administered both in the absence (vehicle) or in the presence of 50 μM necrostatin-1 and 10 μM ferrostatin-1 (2 h pre-treatment), a necroptosis and ferroptosis inhibitor, respectively. Results are expressed by setting the absorbance of the reduced MTT in the control samples (absence of erioquinol) as 100%. The data points are representative of four independent experiments.

Several forms of regulated cell death manifest with a morphology different from apoptosis [65,66], and many compounds from nature source can induce non-apoptotic programmed cell death in cancer cells [67]. Among them, necroptosis can be partially rescued by the receptor-interacting serine-threonine kinase 1 inhibitor necrostatin-1 and ferroptosis by ferrostatin-1, an inhibitor of lipid peroxidation. We thus treated MCF7 and U373 cells with increasing concentrations of erioquinol (24 h) with or without 50 µM necrostatin-1 and 10 µM ferrostatin-1 (2 h pre-treatment). As shown in Figure 10B, the concentration-dependent inhibition of MTT absorbance did not change, suggesting erioquinol-induced death was independent from necroptosis and ferroptosis, two cell death pathways known to be caspase-independent [65,66]. ROS were recently linked to a caspase-independent form of cell death, which cannot be rescue by necrostatin-1 or ferrostatin-1 treatment, and therefore not imputable to either necroptosis or ferroptosis [68]. Treatment with erioquinol might lead to a similar cascade of events, although additional work is required to fully characterise the role of ROS and the cell death process induced by this Piper genus-derived compound.

2.4. XIAP as a Molecular Target of Piper Genus-Derived Compounds

XIAP-mediated inhibition of apoptosis goes through its reversible binding to active caspase-9, via its BIR3 domain, and caspase-3/7 when stabilised to XIAP-BIR2 domain [69,70,71]. It has been also demonstrated that XIAP controls different pathways functionally uncoupled to caspases, leading to the possibility that XIAP system might control cell death/survival through multiple mechanisms [32,34,72,73,74,75,76,77,78,79,80,81,82].

Embelin, a natural benzoquinone with potential therapeutic interest, has been isolated from the fruit of the Embelia ribes and discovered through molecular docking analysis of over 8200 molecules as a potent small molecule XIAP inhibitor that binds to the XIAP-BIR3 domain [83,84,85,86]. It should be noted that embelin displays chemical features similar to those of erioquinol, eriopodol A, and gibbilimbol B [83]. We assessed if erioquinol, eriopodol A, and gibbilimbol B are able to bind to the XIAP-BIR3 domain in a similar way of embelin. Using molecular docking analysis and molecular dynamics simulations for embelin and isolated new compounds, it was found the structural basis of the predicted interactions with the BIR3 domain of XIAP. Figure 11A provides a general view of the docked conformations obtained for gibbilimbol B, eriopodol A, erioquinol, and embelin. Interestingly, the binding site for gibbilimbol B, eriopodol A, and erioquinol is the same binding site of embelin and with similar energy and binding mode. All docked compounds fits in to the P1, P2 and P3 of the P1–P4 pockets reported for the binding site of the XIAP-BIR3 domain in complex with Smac, the endogenous antagonist ligand of IAPs [35,87,88].

Figure 11.

Figure 11

X-linked inhibitor of apoptosis protein (XIAP) as a molecular target of Piper genus-derived compounds. (A) Molecular docking and (C) dynamics analysis of embelin (orange), erioquinol (green), eriopodol A (purple) and gibbilimbol B (blue) in complex with the baculovirus IAP repeat (BIR)-3 domain of XIAP (PDB code 5C83). Interacting residues are displayed in wireframe, hydrogen bonds are displayed in yellow dot lines and π-π stacking interactions are displayed in blue dot lines. (B) Protein-ligand root mean square deviation (RMSD) trajectory of the atomic positions for ligands (red, Lig fit Prot) and the receptor (blu, C⍺ positions) BIR-3 domain of XIAP, for the dynamics trajectory of 50 ns.

Experimental structures of the XIAP-BIR3 domain in different complexes with embelin, Smac or Smac mimetics and non-peptidomimetics small molecules, revealed that residues GLY306, THR308, GLU314, TRP323 and TYR324 are crucial residues involved in the interaction with the BIR3 domain of XIAP [35,41,86,89]. The results of the docking experiments show a possible binding mode for gibbilimbol B, eriopodol A, and erioquinol. Accordingly, the phenolic ring of gibbilimbol B and eriopodol A forms hydrogen bonds with LYS311 and GLU314 (Figure 11A), the quinol ring of erioquinol forms three hydrogen bonds with THR308, LYS322, and TRP323, while residues GLY306, LEU307, TRP323, and TYR324 of the XIAP-BIR3 domain forms hydrophobic interactions with the tail of the alkenyl derivatives.

In addition, molecular dynamics simulations for 50 ns were carried out to assess the stability of the protein-ligand complexes between the docked compounds and the BIR3 domain of XIAP. The stability of the modelled complex of alkenyl derivatives and embelin was confirmed during the period of simulation by little variations in the root mean square deviation (RMSD) trajectory (Figure 11B). Although some changes were observed in the interacting residues of XIAP BIR-3 domain after molecular dynamics simulations (Figure S7), the preferred location of the binding mode for all evaluated ligands were maintained in the pockets P1-P4 of BIR-3 domain of XIAP during the period of simulation (Figure 11C). Also, the binding mode obtained in the docking and dynamics simulations for embelin are according to the interactions pattern determined experimentally by NMR studies in the XIAP-embelin complex, which revealed that TRP323 of the BIR3 domain of XIAP are crucial in the binding of embelin [86]. These findings strongly suggest the highly stable complex formation between the BIR-3 domain of XIAP and the alkenyl derivatives.

XIAP is highly expressed in different human tumour cells and cancer specimens from patients and plays an important role in conferring chemoresistance [33,90]. Because XIAP blocks apoptosis at the downstream effector phase, where multiple signalling events may converge, it represents an attractive molecular target for the design of new anti-cancer drugs [32,33,34,35,36,37,38,39,40,41,43]. Two broad approaches have been taken to develop clinical inhibitors of XIAP—antisense oligonucleotides, targeting the entire protein, and small molecule inhibitors, binding a single domain. Small molecule inhibitors offer the potential of more rapid inhibition of their target in vivo and more predictable duration of action [34,41]. Among the small molecule phytochemicals, the XIAP inhibitor embelin exhibited cytotoxic activity in various human tumoural cells, including breast cancer [83,84,85,86,91]. In addition, the withaferin-A induced cytotoxicity in human breast cancer cells was associated with suppression of XIAP protein [92] and berberine was shown to induce apoptosis in tumours, likely through the inhibition of XIAP [93]. The just mentioned molecular modelling of our new molecules binding to XIAP-BIR3 domain drove us to examine if they shared a similar activity with already described XIAP inhibitors. With the aim of understanding the role of XIAP in the cell death phenotype, we first determined if our cellular model is anyhow affected by XIAP depletion. Using the Lipofectamine reagent, MCF7 cells were transiently transfected with a XIAP-specific or a scrambled targeting siRNA. When treated with 50 nM of siRNA for 24 h, the protein levels of XIAP markedly decreased to ca. 45% compared to control siRNA transfected samples (Figure 12A) indicating a partial depletion of XIAP. In agreement with previous indications [94,95,96], the outcome in viability of XIAP knockdown in MCF7 cells, which showed a significant reduction (ca. 40%) in MTT absorbance upon depletion of XIAP (Figure 12B), led us to the conclusion that MCF7 cells depend on XIAP for survival since death mechanisms are neutralised by physiological levels of XIAP. We then tried to add clues on the involvement of XIAP in the cytotoxic effect of Piper genus-derived compounds. As shown in Figure 12B, XIAP downregulation in MCF7 cells significantly enhanced the toxicity, as measured by MTT absorbance, of 6 h administration of gibbilimbol B (30 μg/mL), eriopodol A (30 μg/mL) and erioquinol (10 μg/mL) indicating their combined action with XIAP siRNA in inhibiting cell viability. Since 100% knockdown was never achieved with siRNA technique (the absence of detectable XIAP after siRNA transfection, i.e., by XIAP siRNA at 100 nM for 24 h, paralleled the increase of cleaved-caspase 7 levels and the complete loss of MCF7 cell viability (Figure S6D and data not shown)), it is reasonable to assume that that the effects of gibbilimbol B/eriopodol A/erioquinol on the residual XIAP protein in the siRNA-treated cells further induced MCF7 cell death. On the other hand, similar results (additive effect) would be achieved if the compounds target cytotoxic pathways other than XIAP. However, although this is not a formal biological evidence, the simplest explanation of the combined action is a XIAP-mediated mechanism accounting for, at least in part, the cytotoxicity of our new compounds. Accordingly, the positive effects of gibbilimbol B and eriopodol A on caspase 7 activity robustly increased after XIAP silencing (Figure 12C). Downregulation of XIAP by siRNA is known to sensitise human breast cancer cells to death mediated by different chemical agents [94,97]. Finally, using real-time PCR and western blot assays to measure XIAP expression, we found that cell exposure to gibbilimbol B, eriopodol A, and erioquinol at increasing times did not significantly modify mRNA (Figure 12D) and protein levels (Figure 12E) of XIAP. Overall, our data exclude a role of gibbilimbol B/eriopodol A/erioquinol on the regulation of XIAP expression but rather are consistent with the antagonism of XIAP activity through their binding to XIAP-BIR3 domain.

Figure 12.

Figure 12

X-linked inhibitor of apoptosis protein (XIAP) as a molecular target of Piper genus-derived compounds. (A) Western blot analysis of XIAP in MCF7 cells both untransfected (CTRL, control) or transfected for 24 h with a XIAP-specific and scrambled targeting (scr) siRNA (50 nM). Lactate dehydrogenase (LDH) was used as internal standard. Low panel: densitometric analysis expressed as fold change of scr siRNA. Images and data are representative of three independent experiments. **P < 0.001 relative to scr siRNA. (B) MCF7 cells were transfected for 24 h with a XIAP-specific or scr siRNA (50 nM) and then cultured in the absence (CTRL) and in the presence of 30 μg/mL gibbilimbol B/eriopodol A or 10 µg/mL erioquinol for 6 h, before 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Results are expressed by setting the absorbance of the reduced MTT in the scr siRNA CTRL, as 100%. Data are representative of three independent experiments. * p < 0.0001 relative to the respective scr siRNA. (C) Western blot analysis of cleaved-caspase 7 in MCF7 cells transfected for 24 h with a XIAP-specific or scr siRNA (50 nM) and then cultured in the presence of 30 μg/mL gibbilimbol B and eriopodol A for 6 h. LDH was used as internal standard. Images are representative of three independent experiments. (D) Real-time PCR and (E) Western blot analysis of XIAP mRNA and protein expression, respectively, in MCF7 cells treated for increasing times in the absence (CTRL) and in the presence of 30 μg/mL gibbilimbol B/eriopodol A or 10 µg/mL erioquinol. β-actin (PCR) and LDH (Western blot) were used as internal standards. PCR results are expressed as fold change of respective CTRL, set as 1. Images and data are representative of three independent experiments.

Since escape from apoptosis is one of the preeminent features of cancer, pharmacological interest in targeting endogenous apoptosis inhibitors, such as B-cell lymphoma (BCL)-2 and IAPs family members, has been constant [32,33,34,35,36,37,38,39,40,41,42,43,82,98,99]. The efforts, including clinical trials, directed towards identifying small molecules inhibitors of the BCL-2 family of proteins and promote apoptosis with the so-called BH3 mimetics, that mimic the action of certain BH3-only proteins [98], proved the releasing of “apoptosis brakes” as a winning strategy to induce primary cell death in cancer or to sensitise tumour to chemotherapy. Differently to BCL-2 family members, IAPs, and in particular XIAP, have a late role in the apoptotic timeline, and they target already active caspases to prevent cell death. The structural data surrounding the interaction between the BIR3 domain of XIAP and caspases suggest that small molecules that bind the BIR3 pocket of XIAP could mimic the action of Smac and inhibit the interaction between XIAP and caspase [34,41]. Interestingly its multi-domain structure makes XIAP a component of multiple cellular pathways, not only the ones leading to apoptosis. XIAP versatility has been highlighted in inflammation and inflammatory cell death, such as necroptosis [32,79,80,81,82]. Even though these aspects are yet to be completely elucidated, we suggest here - in addition to the widely described activity of XIAP inhibitors in apoptosis induction (gibbilimbol B and eriopodol A) —an interesting example of how the pharmacological targeting of XIAP-BIR3 domain can go beyond the simple induction of apoptosis—and extends its influence in modulating cell death signalling events other than caspase-activation (erioquinol). The relevance of non-apoptotic cell death in cancer treatment has recently gained interest as a means to simultaneously targetting tumours and enhancing the inflammatory response [100]; XIAP, in this context, is an interesting crossroad of pathways involved in both cell death and inflammation.

3. Materials and Methods

3.1. Extraction and Isolation of Natural Compounds

P. eriopodon was collected in Fusagasuga, in the Department of Cundinamarca (Colombia). The plant material was identified by Dr. Adolfo Jara Muñoz at Herbario Nacional Colombiano and a voucher specimen (COL516757) was deposited at the Instituto de Ciencias Naturales, Universidad Nacional de Colombia.

Dried and powdered leaves of P. eriopodon (1.14 Kg) were extracted exhaustively with ethanol 96% (3 × 5L) at room temperature. After filtration, the solvent was evaporated under reduced pressure, to yield 103.6 g of crude extract. The crude extract (100.0 g) was subjected to silica gel flash chromatography and eluted with a step gradient of toluene/ethyl acetate (0:100, 20:80, 40:60, 60:40, 80:20 and 0:100 (V/V)) to afford eight fractions. Fraction 1 (34.2 g) was chromatographed over silica gel, eluting with a mixture of a three-phase n-hexane/dichloromethane/ethyl acetate (25:70:5) solvent system to afford ten fractions (A to J). Fraction E (10.0 g) was chromatographed over Sephadex LH-20 (4.5 × 45 cm, n-hexane/chloroform/methanol, 2:2:1) to give six fractions (E1 to E6). In agreement with a previous report [29], compound 1 (7.93 g) was obtained from fraction E3, after column chromatography on Sephadex LH-20 (4.5 × 30 cm, n-hexane/acetone/methanol, 2:2:1). Fraction E4 (974.6 mg) was submitted to column chromatography on Sephadex LH-20 (4.0 × 20 cm, n-hexane/acetone/methanol, 2:2:1) to yield six fractions (E4.1 to E4.6). Compound 3 (33.2 mg) was obtained from fraction E4.4 (378.8 mg) through Sephadex LH-20 (2.0 × 25 cm, n-hexane/acetone/methanol, 2:2:1) and silica gel column chromatography eluted with n-hexane/acetone 8:2. Fraction E5 (2.19 g) was subjected to column chromatography on silica gel using a mixture of toluene/ethyl acetate (9:1) to afford ten fractions (E5.1 to E5.10). Fraction E5.3 (153.2 mg) was purified by flash chromatography to yield compound 4 (20.0 mg).

Fraction 2 (8.0 g) was submitted to silica gel column chromatography eluted with n-hexane/ethyl acetate 8:2, yielding seven fractions (K–Q). Fraction Q was subjected to flash chromatography eluted with dichloromethane/acetone (7:3) to yield six fractions (Q1–Q6). Fraction Q3 (1.44 g) was subjected to column chromatography over Sephadex LH-20 (4.0 x 20 cm, hexane/acetone/methanol, 2:2:1) to afford six fractions (Q3.1 to Q3.6). Fraction Q3.4 (239.4 mg) was chromatographed over Sephadex LH-20 (4.0 × 20 cm, hexane/chloroform/methanol, 2:2:1) and then purified by silica gel column chromatography eluted with n-hexane/acetone (7:3) to yield compound 5 (4.0 mg). Fraction Q6 (570.5 mg) was subjected to flash chromatography eluted with n-hexane/acetone 7:3 to afford seven fractions (Q6.1–Q6.7). Compound 2 (166.0 mg) was obtained from fraction Q6.1.

3.2. General Chemical Methods

Flash chromatography was carried out with silica gel (230–400 mesh; Merck, Darmastadt, Germany), column chromatography was performed using silica gel (70–230 mesh; Merck) and Shepadex® LH20 (Sigma-Aldrich, St. Louis, MO, USA), analytical thin layer chromatography was performed using precoated silica gel plates 60 F254 (0.25 mm, Merck). 1H and 13C NMR 1D and 2D (COSY, HMQC and HMBC) spectra, were recorded on an Avance 400 spectrometer (Bruker, Millerica, MA, USA) at 400 MHz for 1H and 100 MHz for 13C using the solvent peaks as internal references, the spectra were recorded in CDCl3 and MeOD (Merck). High-resolution mass data were collected on an Accurate-Mass quadrupole Time-of-Flight (q-TOF) (Agilent Technologies, Santa Clara, CA, USA) mass spectrometer, ESI negative mode, Nebuliser 50 (psi), Gas Flow 10 L/min, Gas Temp 350 °C. Fragmentor 175 V, Skimmer 75 V, Vpp 750 V.

3.3. Cell Culture and Chemicals

Human U373 glioma, MCF7 breast cancer, A549 lung cancer and PC-3 prostate cancer cells were grown in Dulbecco’s Modified Eagle Medium (DMEM), supplemented with 10% foetal bovine serum, 2 mM glutamine, 100 U/mL penicillin/streptomycin, at 37 °C in a humidified atmosphere containing 5% CO2 (logarithmic growth phase, routine passages every 3 days). The human breast epithelial cell line MCF10 was cultured in DMEM/F12 Ham’s Mixture supplemented with 5% horse serum, epithelial growth factor 20 ng/mL, insulin 10 μg/mL, hydrocortisone 0.5 mg/mL, cholera toxin 100 ng/mL, and 100 U/mL penicillin/streptomycin. HUVEC were grown in EGM-2 Endothelial Cell Growth Medium-2 BulletKit (Lonza, Basel, Switzerland), according to the manufacturer’s protocol.

Foetal bovine serum, horse serum, glutamine and penicillin/streptomycin were obtained from Euroclone (Milano, Italy). TMRM was purchased from ThermoFisher Scientific (Waltham, MA, USA) while necrostatin-1 and ferrostatin-1 were obtained from Santa Cruz Biotechnology (Dallas, TX, USA). Where not indicated, the reagents were purchased from Sigma-Aldrich.

3.4. MTT Assay

U373, MCF7, A549, PC-3, HUVEC, and MCF10 cell viability was determined by MTT assay using published protocols [101,102,103,104,105]. MTT absorbance was quantified spectrophotometrically using a Glomax Multi Detection System microplate reader (Promega, Milano, Italy).

3.5. TUNEL Assay

Using published protocols [106,107], MCF7 or U373 cells cultured in 120-mm coverslips were fixed in 4% paraformaldehyde in 0.1 M phosphate buffer (PB), pH 7.4, for 10 min. The TUNEL method (DeadEnd Fluorometric TUNEL System, Promega) was used to assay apoptosis, according to the manufacturer’s protocol. DAPI (nuclei detection) staining was also performed.

3.6. Immunofluorescence Microscopy Analysis

Using published protocols [106,108], MCF7 or U373 cells cultured in 120-mm coverslips were fixed in 4% paraformaldehyde in 0.1 M PB, pH 7.4, for 10 min. Cells were pre-incubated for 1 h min with 5% of normal goat serum (Life Technologies, Monza, Italy) in 0.1 M PB (pH 7.4) containing 0.1% Triton X-100, before overnight incubation with the rabbit monoclonal anti-cleaved caspase 7 (Cell Signaling Technology, Danvers, MA, USA). In double-label immunofluorescence experiments, the mouse monoclonal anti-cytochrome c primary antibody (Cell Signaling Technology) was used in conjunction with the rabbit monoclonal primary antibody directed to COX IV (Cell Signaling Technology). For fluorescence detection, coverslips were stained with the appropriate Alexa Fluor secondary antibodies (Life Technologies) and mounted on glass slides in a ProLong Gold Antifade Mountant (Life Technologies). DAPI and/or fluorescein phalloidin (cytoskeleton detection) staining was also used. Cells were analysed with a DMI4000 B automated inverted microscope equipped with a DCF310 digital camera (Leica Microsystems, Wetzlar, Germany). When indicated, confocal imaging was performed with a TCS SP8 System (Leica Microsystems). Image acquisitions were controlled by the Leica Application Suite X.

3.7. Annexin V Staining

MCF7 cells were incubated with 5 μg/mL Annexin V-fluorescein isothiocyanate (FITC) to assess the phosphatidylserine exposure on the outer leaflet of the plasma membrane, and 5 μg/mL PI (DNA-binding probe) to exclude necrotic cells in binding buffer (10 mM HEPES, 140 mM NaCl, 2.5 mM CaCl2) [109]. Cell staining was analysed by Gallios Flow Cytometer (Beckman-Coulter, Brea, CA, USA) and the software FCS Express 4 (De Novo System, Portland, OR, USA).

3.8. Western Blotting

Using published protocols [107,110,111], MCF7 and MCF10 cells were homogenised in RIPA lysis buffer, supplemented with a cocktail of protease inhibitors (cOmplete; Roche Diagnostics, Milano, Italy). Equal amounts of proteins were separated by 4–20% SDS-polyacrylamide gel electrophoresis (Criterion TGX Stain-free precast gels and Criterion Cell system; Bio-Rad, Hercules, CA, USA) and transferred onto nitrocellulose membrane using a Bio-Rad Trans-Blot Turbo System. When indicated, the membranes were probed using the rabbit monoclonal anti-cleaved caspase 7 and anti-XIAP (Cell Signaling Technology) primary antibodies. After the incubation with the appropriate horseradish-peroxidase-conjugated secondary antibody (Cell Signaling Technology), bands were visualised using the Clarity Western ECL substrate with a ChemiDoc MP imaging system (Bio-Rad). To monitor for potential artefacts in loading and transfer among samples in different lanes, the blots were routinely treated with the Restore Western Blot Stripping Buffer (ThermoFisher Scientific) and re-probed with the goat anti-Lactate dehydrogenase (LDH)-A (Santa Cruz Biotechnology) and the mouse anti-vinculin primary antibodies. The stain-free gel was used as loading control as well. When appropriated, bands were quantified for densitometry using the Bio-Rad Image Lab software.

3.9. Mitochondrial Membrane Potential Analysis

Using published protocols [112], mitochondria of MCF7 and U373 cells were labeled using TMRM, a voltage-sensitive cationic lipophilic dye, partitioning and accumulating in the mitochondrial matrix based upon the Nernst equation. After treatments, cells were trypsinised, counted and incubated with 100 nM TMRM for 30 min at 37 °C. Fluorescence was measured by using a Glomax Multi Detection System microplate reader (Promega), excitation wavelength: 525 nm; emission wavelength: 580–640 nm). After background subtraction, the data were normalised on cell number.

3.10. Measurement of ROS

MCF7 or U373 cells cultured in 120-mm coverslips were exposed to 30 µM DCFH-DA (0.1 M PB, pH 7.4) and fixed in 4% paraformaldehyde for 20 min. For fluorescence detection, coverslips were mounted on glass slides and observed with a laser-scanning confocal microscope (TCS SP8 System and Application suite X, Leica Microsystems). DAPI and fluorescein phalloidin (nuclei and cytoskeleton detection, respectively) staining was also used.

3.11. Molecular Modeling

AutoDock4 was used to carry out the molecular docking. The Protein Data Bank crystallographic structure PDB 5C83 was considered as receptor model [87]. The preparation of the macromolecule was made with PyMOL (version 2.0, PyMol Molecular Graphics, Schrodinger, New York, NY, USA) System) and XIAP-BIR3 domain was selected as receptor [113]. Energy maps was established with Autogrid4 involving all atom types. After 25 million of energy evaluations in the binding pocket and using a grid of 50 × 50 × 50 points, all conformations of the ligand were clustered according to the energy and conformations. The docking results were visualised using the computational program Maestro 11.6. The molecular dynamics simulations were carried out with Desmond simulation package of Maestro (Desmond Molecular Dynamics System; D. E. Shaw Research, New York, NY, USA, 2016) using the OPLS 2005 force field parameters. A solvated system (TIP3P) and a predefined model for electrically neutral system (physiological concentrations of monovalent ions, NaCl 0.15 M) were used in an orthorhombic box and maintained at constant temperature of 300 K for all simulations. The dynamics simulations were analysed using the Simulation Interaction Diagram tool of Desmond package, monitoring the behaviour and stability of simulations by RMSD of the ligand and protein atom positions in time.

3.12. RNA Interference

Gene silencing of XIAP in MCF7 cells was performed as previously published [106]. Briefly, according to the manufacturer’s protocol, iBONI siRNA Pool (Riboxx, Radebeul, Germany) targeting human XIAP were mixed to Lipofectamine RNAiMax transfection reagent (Life Technologies). iBONI siRNA Pool negative control (Riboxx) (scrambled targeting siRNAs) was also used. The mix was added to cultured MCF7 cells at a siRNA concentration of 50 nM for 24 h.

3.13. Real-Time PCR

The analysis of mRNA expression was performed as previously described [106,114,115]. Briefly, total RNA from MCF7 cells was extracted with the High Pure RNA Isolation Kit (Roche Applied Science, Mannheim, Germany), according to the manufacturer’s protocol. First-strand cDNA was generated from 1 μg of total RNA using iScript Reverse Transcription Supermix (Bio-Rad). Primer pairs (Eurofins Genomics, Milano, Italy) for XIAP (NM_001167; forward ACCGTGCGGTGCTTTAGTT, reverse TGCGTGGCACTATTTTCAAGATA) and β-actin (NM_001101; forward ATAGCACAGCCTGGATAGCAACGTAC, reverse CACCTTCTACAAT GAGCTGCGTGTG) were designed to hybridise to unique regions of the appropriate gene sequence. PCR was performed using SsoAdvanced Universal SYBR Green Supermix and the CFX96 Touch Real-Time PCR Detection System (Bio-Rad). The fold change was determined relative to the selected control sample after normalising to β-actin (internal standard) by the formula 2−ΔΔCT.

3.14. Statistics

Statistical significance of raw data between the groups in each experiment was evaluated using unpaired Student’s t-test (single comparisons) or one-way ANOVA followed by the Newman-Keuls post-test (multiple comparisons). The IC50 and Emax concentration were determined by non-linear regression curve analysis of the concentration-effect responses. Potency values among concentration-response curves were compared with the F-test. Data belonging from different experiments were represented and averaged in the same graph. The GraphPad Prism software package (GraphPad Software, San Diego, CA, USA) was used. The results were expressed as means ± standard error of mean (SEM) of the indicated n values.

4. Conclusions

This study adds to the renewed biological interest in natural derived compounds, by presenting a chemical and biological characterisation of new small organic molecules derived from Piper genus plants. Following a recent preliminary report of gibbilimbol B as cytotoxic in breast cancer cell lines, we explored this observation by comparing it to similarly structured new molecules. Erioquinol that appeared to be the most potent compound versus gibbilimbol B and eriopodol A was listed as an intermediate. A more detailed investigation of the biological mechanism behind these molecules’ activity in shaping cell viability revealed induction of caspase-dependent apoptosis following exposure of tumour cells to gibbilimbol B and eriopodol A and, interestingly, display of caspase-independent/non-apoptotic features in cell treated with erioquinol. In silico modelling and molecular approaches gave us a first preliminary insight into the molecular target of Piper genus compounds, the anti-apoptotic protein XIAP (Figure 13). Of note, an already identified XIAP inhibitor shared structural and binding similarities with them. The appeal of XIAP as a therapeutic target in cancer is not restricted to inhibition of apoptosis, but comprehends the regulation of other cellular physiological aspects, such as control of caspase-independent cell death. The molecular signature behind our observation opens important implications to further dissect the role of XIAP and for the development of novel XIAP antagonists for cancer treatment.

Figure 13.

Figure 13

Schematic picture depicting cell death mechanisms of Piper genus-derived compounds. Escape of both intrinsic and extrinsic apoptosis is a common feature of cancer cells. (A) This hallmark is often carried out by overexpressing anti-apoptotic proteins, such as X-linked inhibitor of apoptosis protein (XIAP), which prevents the execution of apoptosis by binding of its baculovirus IAP repeat (BIR) 3 domain to already active initiator caspase 9. In order to counteract this resistance to cell death, several cancer pharmacological therapies have the aim of removing the ‘molecular brakes’ to apoptosis sensitising cancer cell to undergo loss of viability. The approach we described includes the use of three compounds from Piper genus plants which were predicted to bind XIAP-BIR3 domain. (B) Two of the compounds (gibbilimbol B and eriopodol A) were shown to induce a classical pro-apoptotic response, including mitochondrial outer membrane polarisation, release of cytochrome c, and subsequent activation of both initiator and effector caspases. (C) Despites triggering a similar response at the mitochondria level, erioquinol does not act through the apoptotic machinery, and results in a caspase-independent cell death characterised by cytoplasmic reactive oxygen species (ROS) accumulation.

Acknowledgments

We are grateful to Francesca Proietti Serafini (University of Tuscia, Viterbo, Italy) for the help with viability cell assays and to Debora Parolin (University of Milan, Milano, Italy) for HUVEC supply.

Supplementary Materials

The following are available online at https://www.mdpi.com/2072-6694/11/9/1336/s1, Figure S1: NMR spectroscopy (400 MHz, CDCl3) and HRESIMS of compound 1, Figure S2: NMR spectroscopy (400 MHz, CDCl3) and HRESIMS of compound 2, Figure S3: NMR spectroscopy (400 MHz, CDCl3) and HRESIMS of compound 3, Figure S4: NMR spectroscopy (400 MHz, CDCl3) and HRESIMS of compound 4, Figure S5: NMR spectroscopy (400 MHz, CDCl3) and HRESIMS of compound 5, Figure S6: Western blot, Figure S7: Protein-ligand interactions fraction for evaluated ligands and X-linked inhibitor of apoptosis protein (XIAP) baculovirus IAP repeat (BIR)-3 domain during the molecular dynamics trajectory of 50 ns, Table S1: 1H NMR (400 MHz) data for compounds 1–4 in CDCl3 and compound 5 in MeOD, Table S2: 13C NMR (100 MHz) data for compounds 1–4 in CDCl3 and compound 5 in MeOD.

Author Contributions

D.M.: design and conception of the experimental plan and analysis work, isolation and characterisation of the compounds, acquisition analysis and interpretation of human cell data, in silico analysis, contribution to article writing. M.B., S.Z.: design, acquisition, analysis and interpretation of human cell data, contribution to the experimental plan and article writing. F.L.-V.: in silico analysis, contribution to the supervision of the experiments, interpretation and processing of the results. A.S-H., M.G., M.C., E.C. (Elisabetta Catalani): acquisition and processing of the results, contribution to the experimental plan. C.D.P., C.P., E.C. (Emilio Clementi): contribution to the design, conception and interpretation of human cell results, contribution to article writing. G.A., W.D., L.C.: supervision of the experiments and interpretation of the results, contribution to article writing. D.C.: conception and coordination of the experimental and analysis work, supervision of human cell experiments, analysis/interpretation and processing of data, article writing. All authors provided critical feedback, edited and approved the final manuscript.

Funding

The research has been supported by grants from the Italian Ministry of Education, University and Research: “PRIN2015” to E.Clem./D.C. and “Departments of Excellence-2018” Program (Dipartimenti di Eccellenza) to DIBAF (University of Tuscia, Viterbo, Italy) (Project “Landscape 4.0 - food, wellbeing and environment”). Authors also acknowledge the financial support provided by the Universidad Nacional de Colombia (Bogotá) and the Administrative Department of Science, Technology and Innovation from Colombia “COLCIENCIAS” (Grant No. 528-2011) to D.M.

Conflicts of Interest

The authors declare no competing financial interests.

References

  • 1.Gurevich E.V., Gurevich V.V. Therapeutic potential of small molecules and engineered proteins. Handb. Exp. Pharmacol. 2014;219:1–12. doi: 10.1007/978-3-642-41199-1_1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Cheng B., Yuan W.E., Su J., Liu Y., Chen J. Recent advances in small molecule based cancer immunotherapy. Eur. J. Med. Chem. 2018;157:582–598. doi: 10.1016/j.ejmech.2018.08.028. [DOI] [PubMed] [Google Scholar]
  • 3.Huck B.R., Kotzner L., Urbahns K. Small Molecules Drive Big Improvements in Immuno-Oncology Therapies. Angew. Chem. Int. Ed. Engl. 2018;57:4412–4428. doi: 10.1002/anie.201707816. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4.Schiavone S., Trabace L. Small Molecules: Therapeutic Application in Neuropsychiatric and Neurodegenerative Disorders. Molecules. 2018;23:411. doi: 10.3390/molecules23020411. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 5.Dhanak D., Edwards J.P., Nguyen A., Tummino P.J. Small-Molecule Targets in Immuno-Oncology. Cell Chem. Biol. 2017;24:1148–1160. doi: 10.1016/j.chembiol.2017.08.019. [DOI] [PubMed] [Google Scholar]
  • 6.Shen B. A New Golden Age of Natural Products Drug Discovery. Cell. 2015;163:1297–1300. doi: 10.1016/j.cell.2015.11.031. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Nobili S., Lippi D., Witort E., Donnini M., Bausi L., Mini E., Capaccioli S. Natural compounds for cancer treatment and prevention. Pharmacol. Res. 2009;59:365–378. doi: 10.1016/j.phrs.2009.01.017. [DOI] [PubMed] [Google Scholar]
  • 8.Harvey A.L., Edrada-Ebel R., Quinn R.J. The re-emergence of natural products for drug discovery in the genomics era. Nat. Rev. Drug Discov. 2015;14:111–129. doi: 10.1038/nrd4510. [DOI] [PubMed] [Google Scholar]
  • 9.Newman D.J., Cragg G.M. Natural Products as Sources of New Drugs from 1981 to 2014. J. Nat. Prod. 2016;79:629–661. doi: 10.1021/acs.jnatprod.5b01055. [DOI] [PubMed] [Google Scholar]
  • 10.Catalani E., Proietti Serafini F., Zecchini S., Picchietti S., Fausto A.M., Marcantoni E., Buonanno F., Ortenzi C., Perrotta C., Cervia D. Natural products from aquatic eukaryotic microorganisms for cancer therapy: Perspectives on anti-tumour properties of ciliate bioactive molecules. Pharmacol. Res. 2016;113:409–420. doi: 10.1016/j.phrs.2016.09.018. [DOI] [PubMed] [Google Scholar]
  • 11.Carocho M., Ferreira I.C. The role of phenolic compounds in the fight against cancer—A review. Anticancer Agents Med. Chem. 2013;13:1236–1258. doi: 10.2174/18715206113139990301. [DOI] [PubMed] [Google Scholar]
  • 12.Guerra A.R., Duarte M.F., Duarte I.F. Targeting Tumor Metabolism with Plant-Derived Natural Products: Emerging Trends in Cancer Therapy. J. Agric. Food Chem. 2018;66:10663–10685. doi: 10.1021/acs.jafc.8b04104. [DOI] [PubMed] [Google Scholar]
  • 13.Jafari S., Saeidnia S., Abdollahi M. Role of natural phenolic compounds in cancer chemoprevention via regulation of the cell cycle. Curr. Pharm. Biotechnol. 2014;15:409–421. doi: 10.2174/1389201015666140813124832. [DOI] [PubMed] [Google Scholar]
  • 14.Tungmunnithum D., Thongboonyou A., Pholboon A., Yangsabai A. Flavonoids and Other Phenolic Compounds from Medicinal Plants for Pharmaceutical and Medical Aspects: An Overview. Medicines. 2018;5:93. doi: 10.3390/medicines5030093. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Parmar V.S., Jain S.C., Gupta S., Talwar S., Rajwanshi V.K., Kumar R., Azim A., Malhotra S., Kumar N., Jain R., et al. Polyphenols and alkaloids from Piper species. Phytochemistry. 1998;49:1069–1078. doi: 10.1016/S0031-9422(98)00208-8. [DOI] [Google Scholar]
  • 16.Xiang C.P., Shi Y.N., Liu F.F., Li H.Z., Zhang Y.J., Yang C.R., Xu M. A Survey of the Chemical Compounds of Piper spp. (Piperaceae) and Their Biological Activities. Nat. Prod. Commun. 2016;11:1403–1408. doi: 10.1177/1934578X1601100948. [DOI] [PubMed] [Google Scholar]
  • 17.Valdivia C., Marquez N., Eriksson J., Vilaseca A., Munoz E., Sterner O. Bioactive alkenylphenols from Piper obliquum. Bioorg. Med. Chem. 2008;16:4120–4126. doi: 10.1016/j.bmc.2008.01.018. [DOI] [PubMed] [Google Scholar]
  • 18.Yang S.X., Sun Q.Y., Yang F.M., Hu G.W., Luo J.F., Wang Y.H., Long C.L. Sarmentosumols A to F, new mono- and dimeric alkenylphenols from Piper sarmentosum. Planta Med. 2013;79:693–696. doi: 10.1055/s-0032-1328400. [DOI] [PubMed] [Google Scholar]
  • 19.Orjala J., Mian P., Rali T., Sticher O. Gibbilimbols A-D, cytotoxic and antibacterial alkenylphenols from Piper gibbilimbum. J. Nat. Prod. 1998;61:939–941. doi: 10.1021/np970529i. [DOI] [PubMed] [Google Scholar]
  • 20.Yoshida N.C., Benedetti A.M., dos Santos R.A., Ramos C.S., Batista R., Yamaguchi L.F., Kato M.J. Alkenylphenols from Piper dilatatum and P. diospyrifolium. Phytochem. Lett. 2018;25:136–140. doi: 10.1016/j.phytol.2018.04.006. [DOI] [Google Scholar]
  • 21.De Oliveira A., Mesquita J.T., Tempone A.G., Lago J.H.G., Guimaraes E.F., Kato M.J. Leishmanicidal activity of an alkenylphenol from Piper malacophyllum is related to plasma membrane disruption. Exp. Parasitol. 2012;132:383–387. doi: 10.1016/j.exppara.2012.08.019. [DOI] [PubMed] [Google Scholar]
  • 22.Bezerra D.P., Pessoa C., de Moraes M.O., Saker-Neto N., Silveira E.R., Costa-Lotufo L.V. Overview of the therapeutic potential of piplartine (piperlongumine) Eur. J. Pharm. Sci. 2013;48:453–463. doi: 10.1016/j.ejps.2012.12.003. [DOI] [PubMed] [Google Scholar]
  • 23.D’Sousa Costa C.O., Araujo Neto J.H., Baliza I.R.S., Dias R.B., Valverde L.F., Vidal M.T.A., Sales C.B.S., Rocha C.A.G., Moreira D.R.M., Soares M.B.P., et al. Novel piplartine-containing ruthenium complexes: Synthesis, cell growth inhibition, apoptosis induction and ROS production on HCT116 cells. Oncotarget. 2017;8:104367–104392. doi: 10.18632/oncotarget.22248. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 24.Piska K., Gunia-Krzyzak A., Koczurkiewicz P., Wojcik-Pszczola K., Pekala E. Piperlongumine (piplartine) as a lead compound for anticancer agents—Synthesis and properties of analogues: A mini-review. Eur. J. Med. Chem. 2018;156:13–20. doi: 10.1016/j.ejmech.2018.06.057. [DOI] [PubMed] [Google Scholar]
  • 25.Benfica P.L., Avila R.I., Rodrigues B.D.S., Cortez A.P., Batista A.C., Gaeti M.P.N., Lima E.M., Rezende K.R., Valadares M.C. 4-Nerolidylcatechol: Apoptosis by mitochondrial mechanisms with reduction in cyclin D1 at G0/G1 stage of the chronic myelogenous K562 cell line. Pharm. Biol. 2017;55:1899–1908. doi: 10.1080/13880209.2017.1311351. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 26.Cortez A.P., de Avila R.I., da Cunha C.R., Santos A.P., Menegatti R., Rezende K.R., Valadares M.C. 4-Nerolidylcatechol analogues as promising anticancer agents. Eur. J. Pharmacol. 2015;765:517–524. doi: 10.1016/j.ejphar.2015.08.024. [DOI] [PubMed] [Google Scholar]
  • 27.Gundala S.R., Yang C., Mukkavilli R., Paranjpe R., Brahmbhatt M., Pannu V., Cheng A., Reid M.D., Aneja R. Hydroxychavicol, a betel leaf component, inhibits prostate cancer through ROS-driven DNA damage and apoptosis. Toxicol. Appl. Pharmacol. 2014;280:86–96. doi: 10.1016/j.taap.2014.07.012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 28.Hemamalini V., Velayutham D.P.M., Lakshmanan L., Muthusamy K., Sivaramakrishnan S., Premkumar K. Inhibitory potential of Hydroxychavicol on Ehrlich ascites carcinoma model and in silico interaction on cancer targets. Nat. Prod. Res. 2018:1–6. doi: 10.1080/14786419.2018.1519819. [DOI] [PubMed] [Google Scholar]
  • 29.Munoz D.R., Sandoval-Hernandez A.G., Delgado W.A., Arboleda G.H., Cuca L.E. In vitro anticancer screening of Colombian plants from Piper genus (Piperaceae) J. Pharmacogn. Phytother. 2018;10:174–181. [Google Scholar]
  • 30.Hanahan D., Weinberg R.A. Hallmarks of cancer: The next generation. Cell. 2011;144:646–674. doi: 10.1016/j.cell.2011.02.013. [DOI] [PubMed] [Google Scholar]
  • 31.Pfeffer C.M., Singh A.T.K. Apoptosis: A Target for Anticancer Therapy. Int. J. Mol. Sci. 2018;19:448. doi: 10.3390/ijms19020448. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 32.Lalaoui N., Vaux D.L. Recent advances in understanding inhibitor of apoptosis proteins. F1000Research. 2018;7 doi: 10.12688/f1000research.16439.1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 33.Rathore R., McCallum J.E., Varghese E., Florea A.M., Busselberg D. Overcoming chemotherapy drug resistance by targeting inhibitors of apoptosis proteins (IAPs) Apoptosis. 2017;22:898–919. doi: 10.1007/s10495-017-1375-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Schimmer A.D., Dalili S., Batey R.A., Riedl S.J. Targeting XIAP for the treatment of malignancy. Cell Death Differ. 2006;13:179–188. doi: 10.1038/sj.cdd.4401826. [DOI] [PubMed] [Google Scholar]
  • 35.Tamanini E., Buck I.M., Chessari G., Chiarparin E., Day J.E.H., Frederickson M., Griffiths-Jones C.M., Hearn K., Heightman T.D., Iqbal A., et al. Discovery of a Potent Nonpeptidomimetic, Small-Molecule Antagonist of Cellular Inhibitor of Apoptosis Protein 1 (cIAP1) and X-Linked Inhibitor of Apoptosis Protein (XIAP) J. Med. Chem. 2017;60:4611–4625. doi: 10.1021/acs.jmedchem.6b01877. [DOI] [PubMed] [Google Scholar]
  • 36.Sun H., Stuckey J.A., Nikolovska-Coleska Z., Qin D., Meagher J.L., Qiu S., Lu J., Yang C.Y., Saito N.G., Wang S. Structure-based design, synthesis, evaluation, and crystallographic studies of conformationally constrained Smac mimetics as inhibitors of the X-linked inhibitor of apoptosis protein (XIAP) J. Med. Chem. 2008;51:7169–7180. doi: 10.1021/jm8006849. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 37.Fakler M., Loeder S., Vogler M., Schneider K., Jeremias I., Debatin K.M., Fulda S. Small molecule XIAP inhibitors cooperate with TRAIL to induce apoptosis in childhood acute leukemia cells and overcome Bcl-2-mediated resistance. Blood. 2009;113:1710–1722. doi: 10.1182/blood-2007-09-114314. [DOI] [PubMed] [Google Scholar]
  • 38.Vogler M., Walczak H., Stadel D., Haas T.L., Genze F., Jovanovic M., Bhanot U., Hasel C., Moller P., Gschwend J.E., et al. Small molecule XIAP inhibitors enhance TRAIL-induced apoptosis and antitumor activity in preclinical models of pancreatic carcinoma. Cancer Res. 2009;69:2425–2434. doi: 10.1158/0008-5472.CAN-08-2436. [DOI] [PubMed] [Google Scholar]
  • 39.Dean E.J., Ward T., Pinilla C., Houghten R., Welsh K., Makin G., Ranson M., Dive C. A small molecule inhibitor of XIAP induces apoptosis and synergises with vinorelbine and cisplatin in NSCLC. Br. J. Cancer. 2010;102:97–103. doi: 10.1038/sj.bjc.6605418. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 40.Obexer P., Ausserlechner M.J. X-linked inhibitor of apoptosis protein—A critical death resistance regulator and therapeutic target for personalized cancer therapy. Front. Oncol. 2014;4:197. doi: 10.3389/fonc.2014.00197. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 41.Cong H., Xu L., Wu Y., Qu Z., Bian T., Zhang W., Xing C., Zhuang C. Inhibitor of Apoptosis Protein (IAP) Antagonists in Anticancer Agent Discovery: Current Status and Perspectives. J. Med. Chem. 2019 doi: 10.1021/acs.jmedchem.8b01668. [DOI] [PubMed] [Google Scholar]
  • 42.Fulda S. Promises and Challenges of Smac Mimetics as Cancer Therapeutics. Clin. Cancer Res. 2015;21:5030–5036. doi: 10.1158/1078-0432.CCR-15-0365. [DOI] [PubMed] [Google Scholar]
  • 43.Schimmer A.D., Welsh K., Pinilla C., Wang Z., Krajewska M., Bonneau M.J., Pedersen I.M., Kitada S., Scott F.L., Bailly-Maitre B., et al. Small-molecule antagonists of apoptosis suppressor XIAP exhibit broad antitumor activity. Cancer Cell. 2004;5:25–35. doi: 10.1016/S1535-6108(03)00332-5. [DOI] [PubMed] [Google Scholar]
  • 44.Masaki M.E., Harumoto T., Terazima M.N., Miyake A., Usuki Y., Iio H. Climacostol, a defense toxin of the heterotrich ciliate Climacostomum virens against predators. Tetrahedron Lett. 1999;40:8227–8229. doi: 10.1016/S0040-4039(99)01722-0. [DOI] [Google Scholar]
  • 45.Varela M.T., Dias R.Z., Martins L.F., Ferreira D.D., Tempone A.G., Ueno A.K., Lago J.H.G., Fernandes J.P.S. Gibbilimbol analogues as antiparasitic agents-Synthesis and biological activity against Trypanosoma cruzi and Leishmania (L.) infantum. Bioorg. Med. Chem. Lett. 2016;26:1180–1183. doi: 10.1016/j.bmcl.2016.01.040. [DOI] [PubMed] [Google Scholar]
  • 46.Carreno M.C., Gonzalez-Lopez M., Urbano A. Oxidative de-aromatization of para-alkyl phenols into para-peroxyquinols and para-quinols mediated by oxone as a source of singlet oxygen. Angew. Chem. Int. Ed. 2006;45:2737–2741. doi: 10.1002/anie.200504605. [DOI] [PubMed] [Google Scholar]
  • 47.Freitas G.C., Batista J.M., Franchi G.C., Nowill A.E., Yamaguchi L.F., Vilcachagua J.D., Favaro D.C., Furlan M., Guimaraes E.F., Jeffrey C.S., et al. Cytotoxic non-aromatic B-ring flavanones from Piper carniconnectivum C. DC. Phytochemistry. 2014;97:81–87. doi: 10.1016/j.phytochem.2013.10.012. [DOI] [PubMed] [Google Scholar]
  • 48.Nishino C., Kobayashi K., Fukushima M. Halleridone, a cytotoxic constituent from Cornus controversa. J. Nat. Prod. 1988;51:1281–1282. doi: 10.1021/np50060a042. [DOI] [PubMed] [Google Scholar]
  • 49.Bradshaw T.D., Matthews C.S., Cookson J., Chew E.H., Shah M., Bailey K., Monks A., Harris E., Westwell A.D., Wells G., et al. Elucidation of thioredoxin as a molecular target for antitumor quinols. Cancer Res. 2005;65:3911–3919. doi: 10.1158/0008-5472.CAN-04-4141. [DOI] [PubMed] [Google Scholar]
  • 50.Berry J.M., Bradshaw T.D., Fichtner I., Ren R., Schwalbe C.H., Wells G., Chew E.H., Stevens M.F., Westwell A.D. Quinols as novel therapeutic agents. 2.(1) 4-(1-Arylsulfonylindol-2-yl)-4-hydroxycyclohexa-2,5-dien-1-ones and related agents as potent and selective antitumor agents. J. Med. Chem. 2005;48:639–644. doi: 10.1021/jm040859h. [DOI] [PubMed] [Google Scholar]
  • 51.McCarroll A.J., Bradshaw T.D., Westwell A.D., Matthews C.S., Stevens M.F. Quinols as novel therapeutic agents. 7.1 Synthesis of antitumor 4-[1-(arylsulfonyl-1H-indol-2-yl)]-4-hydroxycyclohexa-2,5-dien-1-ones by Sonogashira reactions. J. Med. Chem. 2007;50:1707–1710. doi: 10.1021/jm061163m. [DOI] [PubMed] [Google Scholar]
  • 52.Abu Bakar A., Akhtar M.N., Mohd Ali N., Yeap S.K., Quah C.K., Loh W.S., Alitheen N.B., Zareen S., Ul-Haq Z., Shah S.A.A. Design, Synthesis and Docking Studies of Flavokawain B Type Chalcones and Their Cytotoxic Effects on MCF-7 and MDA-MB-231 Cell Lines. Molecules. 2018;23:616. doi: 10.3390/molecules23030616. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 53.Sriwiriyajan S., Sukpondma Y., Srisawat T., Madla S., Graidist P. (-)-Kusunokinin and piperloguminine from Piper nigrum: An alternative option to treat breast cancer. Biomed. Pharm. 2017;92:732–743. doi: 10.1016/j.biopha.2017.05.130. [DOI] [PubMed] [Google Scholar]
  • 54.Sriwiriyajan S., Ninpesh T., Sukpondma Y., Nasomyon T., Graidist P. Cytotoxicity Screening of Plants of Genus Piper in Breast Cancer Cell Lines. Trop. J. Pharm. Res. 2014;13:921–928. doi: 10.4314/tjpr.v13i6.14. [DOI] [Google Scholar]
  • 55.Fan L., Cao X., Yan H., Wang Q., Tian X., Zhang L., He X., Borjihan G., Morigen The synthetic antihyperlipidemic drug potassium piperate selectively kills breast cancer cells through inhibiting G1-S-phase transition and inducing apoptosis. Oncotarget. 2017;8:47250–47268. doi: 10.18632/oncotarget.16872. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 56.Park M.J., Lee D.E., Shim M.K., Jang E.H., Lee J.K., Jeong S.Y., Kim J.H. Piperlongumine inhibits TGF-beta-induced epithelial-to-mesenchymal transition by modulating the expression of E-cadherin, Snail1, and Twist1. Eur. J. Pharmacol. 2017;812:243–249. doi: 10.1016/j.ejphar.2017.07.036. [DOI] [PubMed] [Google Scholar]
  • 57.De Souza Grinevicius V.M., Kviecinski M.R., Santos Mota N.S., Ourique F., Porfirio Will Castro L.S., Andreguetti R.R., Gomes Correia J.F., Filho D.W., Pich C.T., Pedrosa R.C. Piper nigrum ethanolic extract rich in piperamides causes ROS overproduction, oxidative damage in DNA leading to cell cycle arrest and apoptosis in cancer cells. J. Ethnopharmacol. 2016;189:139–147. doi: 10.1016/j.jep.2016.05.020. [DOI] [PubMed] [Google Scholar]
  • 58.Deng Y., Sriwiriyajan S., Tedasen A., Hiransai P., Graidist P. Anti-cancer effects of Piper nigrum via inducing multiple molecular signaling in vivo and in vitro. J. Ethnopharmacol. 2016;188:87–95. doi: 10.1016/j.jep.2016.04.047. [DOI] [PubMed] [Google Scholar]
  • 59.Da Nobrega F.R., Ozdemir O., Nascimento Sousa S.C.S., Barboza J.N., Turkez H., de Sousa D.P. Piplartine Analogues and Cytotoxic Evaluation against Glioblastoma. Molecules. 2018;23:1382. doi: 10.3390/molecules23061382. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 60.Abdul Rahman A., Jamal A.R., Harun R., Mohd Mokhtar N., Wan Ngah W.Z. Gamma-tocotrienol and hydroxy-chavicol synergistically inhibits growth and induces apoptosis of human glioma cells. BMC Complement. Altern. Med. 2014;14:213. doi: 10.1186/1472-6882-14-213. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 61.Subramanian U., Poongavanam S., Vanisree A.J. Studies on the neuroprotective role of Piper longum in C6 glioma induced rats. Investing. New Drugs. 2010;28:615–623. doi: 10.1007/s10637-009-9301-1. [DOI] [PubMed] [Google Scholar]
  • 62.Buonanno F., Catalani E., Cervia D., Proietti Serafini F., Picchietti S., Fausto A.M., Giorgi S., Lupidi G., Rossi F.V., Marcantoni E., et al. Bioactivity and Structural Properties of Novel Synthetic Analogues of the Protozoan Toxin Climacostol. Toxins. 2019;11:42. doi: 10.3390/toxins11010042. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 63.Moloney J.N., Cotter T.G. ROS signalling in the biology of cancer. Semin. cell Dev. Biol. 2018;80:50–64. doi: 10.1016/j.semcdb.2017.05.023. [DOI] [PubMed] [Google Scholar]
  • 64.Tait S.W., Green D.R. Caspase-independent cell death: Leaving the set without the final cut. Oncogene. 2008;27:6452–6461. doi: 10.1038/onc.2008.311. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 65.Galluzzi L., Kepp O., Chan F.K., Kroemer G. Necroptosis: Mechanisms and Relevance to Disease. Annu. Rev. Pathol. 2017;12:103–130. doi: 10.1146/annurev-pathol-052016-100247. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 66.Green D.R. The Coming Decade of Cell Death Research: Five Riddles. Cell. 2019;177:1094–1107. doi: 10.1016/j.cell.2019.04.024. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 67.Ye J., Zhang R., Wu F., Zhai L., Wang K., Xiao M., Xie T., Sui X. Non-apoptotic cell death in malignant tumor cells and natural compounds. Cancer Lett. 2018;420:210–227. doi: 10.1016/j.canlet.2018.01.061. [DOI] [PubMed] [Google Scholar]
  • 68.Holze C., Michaudel C., Mackowiak C., Haas D.A., Benda C., Hubel P., Pennemann F.L., Schnepf D., Wettmarshausen J., Braun M., et al. Oxeiptosis, a ROS-induced caspase-independent apoptosis-like cell-death pathway. Nat. Immunol. 2018;19:130–140. doi: 10.1038/s41590-017-0013-y. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 69.Chai J., Shiozaki E., Srinivasula S.M., Wu Q., Datta P., Alnemri E.S., Shi Y. Structural basis of caspase-7 inhibition by XIAP. Cell. 2001;104:769–780. doi: 10.1016/S0092-8674(01)00272-0. [DOI] [PubMed] [Google Scholar]
  • 70.Shiozaki E.N., Chai J., Rigotti D.J., Riedl S.J., Li P., Srinivasula S.M., Alnemri E.S., Fairman R., Shi Y. Mechanism of XIAP-mediated inhibition of caspase-9. Mol. Cell. 2003;11:519–527. doi: 10.1016/S1097-2765(03)00054-6. [DOI] [PubMed] [Google Scholar]
  • 71.Suzuki Y., Nakabayashi Y., Nakata K., Reed J.C., Takahashi R. X-linked inhibitor of apoptosis protein (XIAP) inhibits caspase-3 and -7 in distinct modes. J. Biol. Chem. 2001;276:27058–27063. doi: 10.1074/jbc.M102415200. [DOI] [PubMed] [Google Scholar]
  • 72.Jung S., Li C., Duan J., Lee S., Kim K., Park Y., Yang Y., Kim K.I., Lim J.S., Cheon C.I., et al. TRIP-Br1 oncoprotein inhibits autophagy, apoptosis, and necroptosis under nutrient/serum-deprived condition. Oncotarget. 2015;6:29060–29075. doi: 10.18632/oncotarget.5072. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 73.Lewis J., Burstein E., Reffey S.B., Bratton S.B., Roberts A.B., Duckett C.S. Uncoupling of the signaling and caspase-inhibitory properties of X-linked inhibitor of apoptosis. J. Biol. Chem. 2004;279:9023–9029. doi: 10.1074/jbc.M312891200. [DOI] [PubMed] [Google Scholar]
  • 74.Burstein E., Ganesh L., Dick R.D., van De Sluis B., Wilkinson J.C., Klomp L.W., Wijmenga C., Brewer G.J., Nabel G.J., Duckett C.S. A novel role for XIAP in copper homeostasis through regulation of MURR1. EMBO J. 2004;23:244–254. doi: 10.1038/sj.emboj.7600031. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 75.Sanna M.G., da Silva Correia J., Ducrey O., Lee J., Nomoto K., Schrantz N., Deveraux Q.L., Ulevitch R.J. IAP suppression of apoptosis involves distinct mechanisms: The TAK1/JNK1 signaling cascade and caspase inhibition. Mol. Cell Biol. 2002;22:1754–1766. doi: 10.1128/MCB.22.6.1754-1766.2002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 76.Lewis E.M., Wilkinson A.S., Davis N.Y., Horita D.A., Wilkinson J.C. Nondegradative ubiquitination of apoptosis inducing factor (AIF) by X-linked inhibitor of apoptosis at a residue critical for AIF-mediated chromatin degradation. Biochemistry. 2011;50:11084–11096. doi: 10.1021/bi201483g. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 77.Levkau B., Garton K.J., Ferri N., Kloke K., Nofer J.R., Baba H.A., Raines E.W., Breithardt G. xIAP induces cell-cycle arrest and activates nuclear factor-kappaB: New survival pathways disabled by caspase-mediated cleavage during apoptosis of human endothelial cells. Circ. Res. 2001;88:282–290. doi: 10.1161/01.RES.88.3.282. [DOI] [PubMed] [Google Scholar]
  • 78.Mufti A.R., Burstein E., Csomos R.A., Graf P.C., Wilkinson J.C., Dick R.D., Challa M., Son J.K., Bratton S.B., Su G.L., et al. XIAP Is a copper binding protein deregulated in Wilson’s disease and other copper toxicosis disorders. Mol. Cell. 2006;21:775–785. doi: 10.1016/j.molcel.2006.01.033. [DOI] [PubMed] [Google Scholar]
  • 79.Wicki S., Gurzeler U., Wei-Lynn Wong W., Jost P.J., Bachmann D., Kaufmann T. Loss of XIAP facilitates switch to TNFalpha-induced necroptosis in mouse neutrophils. Cell Death Dis. 2016;7:e2422. doi: 10.1038/cddis.2016.311. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 80.Yabal M., Jost P.J. XIAP as a regulator of inflammatory cell death: The TNF and RIP3 angle. Mol. Cell. Oncol. 2015;2:e964622. doi: 10.4161/23723548.2014.964622. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 81.Yabal M., Muller N., Adler H., Knies N., Gross C.J., Damgaard R.B., Kanegane H., Ringelhan M., Kaufmann T., Heikenwalder M., et al. XIAP restricts TNF- and RIP3-dependent cell death and inflammasome activation. Cell Rep. 2014;7:1796–1808. doi: 10.1016/j.celrep.2014.05.008. [DOI] [PubMed] [Google Scholar]
  • 82.Lawlor K.E., Feltham R., Yabal M., Conos S.A., Chen K.W., Ziehe S., Grass C., Zhan Y., Nguyen T.A., Hall C., et al. XIAP Loss Triggers RIPK3- and Caspase-8-Driven IL-1beta Activation and Cell Death as a Consequence of TLR-MyD88-Induced cIAP1-TRAF2 Degradation. Cell Rep. 2017;20:668–682. doi: 10.1016/j.celrep.2017.06.073. [DOI] [PubMed] [Google Scholar]
  • 83.Poojari R. Embelin—A drug of antiquity: Shifting the paradigm towards modern medicine. Expert Opin. Investig. Drugs. 2014;23:427–444. doi: 10.1517/13543784.2014.867016. [DOI] [PubMed] [Google Scholar]
  • 84.Ko J.H., Lee S.G., Yang W.M., Um J.Y., Sethi G., Mishra S., Shanmugam M.K., Ahn K.S. The Application of Embelin for Cancer Prevention and Therapy. Molecules. 2018;23:621. doi: 10.3390/molecules23030621. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 85.Prabhu K.S., Achkar I.W., Kuttikrishnan S., Akhtar S., Khan A.Q., Siveen K.S., Uddin S. Embelin: A benzoquinone possesses therapeutic potential for the treatment of human cancer. Future Med. Chem. 2018;10:961–976. doi: 10.4155/fmc-2017-0198. [DOI] [PubMed] [Google Scholar]
  • 86.Nikolovska-Coleska Z., Xu L., Hu Z., Tomita Y., Li P., Roller P.P., Wang R., Fang X., Guo R., Zhang M., et al. Discovery of embelin as a cell-permeable, small-molecular weight inhibitor of XIAP through structure-based computational screening of a traditional herbal medicine three-dimensional structure database. J. Med. Chem. 2004;47:2430–2440. doi: 10.1021/jm030420+. [DOI] [PubMed] [Google Scholar]
  • 87.Chessari G., Buck I.M., Day J.E., Day P.J., Iqbal A., Johnson C.N., Lewis E.J., Martins V., Miller D., Reader M., et al. Fragment-Based Drug Discovery Targeting Inhibitor of Apoptosis Proteins: Discovery of a Non-Alanine Lead Series with Dual Activity Against cIAP1 and XIAP. J. Med. Chem. 2015;58:6574–6588. doi: 10.1021/acs.jmedchem.5b00706. [DOI] [PubMed] [Google Scholar]
  • 88.Jin X., Lee K., Kim N.H., Kim H.S., Yook J.I., Choi J., No K.T. Natural products used as a chemical library for protein-protein interaction targeted drug discovery. J. Mol. Graph. Model. 2018;79:46–58. doi: 10.1016/j.jmgm.2017.10.015. [DOI] [PubMed] [Google Scholar]
  • 89.Johnson C.N., Ahn J.S., Buck I.M., Chiarparin E., Day J.E.H., Hopkins A., Howard S., Lewis E.J., Martins V., Millemaggi A., et al. A Fragment-Derived Clinical Candidate for Antagonism of X-Linked and Cellular Inhibitor of Apoptosis Proteins: 1-(6-[(4-Fluorophenyl)methyl]-5-(hydroxymethyl)-3,3-dimethyl-1H,2H,3H-pyrrolo[3,2-b]pyridin-1-yl)-2-[(2R,5R)-5-methyl-2-([(3R)-3-methylmorpholin-4-yl]methyl)piperazin-1-yl]ethan-1-one (ASTX660) J. Med. Chem. 2018;61:7314–7329. doi: 10.1021/acs.jmedchem.8b00900. [DOI] [PubMed] [Google Scholar]
  • 90.Kashkar H. X-linked inhibitor of apoptosis: A chemoresistance factor or a hollow promise. Clin. Cancer Res. 2010;16:4496–4502. doi: 10.1158/1078-0432.CCR-10-1664. [DOI] [PubMed] [Google Scholar]
  • 91.Shah P., Djisam R., Damulira H., Aganze A., Danquah M. Embelin inhibits proliferation, induces apoptosis and alters gene expression profiles in breast cancer cells. Pharmacol. Rep. 2016;68:638–644. doi: 10.1016/j.pharep.2016.01.004. [DOI] [PubMed] [Google Scholar]
  • 92.Hahm E.R., Singh S.V. Withaferin A-induced apoptosis in human breast cancer cells is associated with suppression of inhibitor of apoptosis family protein expression. Cancer Lett. 2013;334:101–108. doi: 10.1016/j.canlet.2012.08.026. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 93.Liu J., Zhang X., Liu A., Liu S., Zhang L., Wu B., Hu Q. Berberine induces apoptosis in p53-null leukemia cells by down-regulating XIAP at the post-transcriptional level. Cell. Physiol. Biochem. 2013;32:1213–1224. doi: 10.1159/000354520. [DOI] [PubMed] [Google Scholar]
  • 94.Lima R.T., Martins L.M., Guimaraes J.E., Sambade C., Vasconcelos M.H. Specific downregulation of bcl-2 and xIAP by RNAi enhances the effects of chemotherapeutic agents in MCF-7 human breast cancer cells. Cancer Gene Ther. 2004;11:309–316. doi: 10.1038/sj.cgt.7700706. [DOI] [PubMed] [Google Scholar]
  • 95.Sensintaffar J., Scott F.L., Peach R., Hager J.H. XIAP is not required for human tumor cell survival in the absence of an exogenous death signal. BMC Cancer. 2010;10:11. doi: 10.1186/1471-2407-10-11. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 96.Zhang Y., Wang Y., Gao W., Zhang R., Han X., Jia M., Guan W. Transfer of siRNA against XIAP induces apoptosis and reduces tumor cells growth potential in human breast cancer in vitro and in vivo. Breast Cancer Res. Treat. 2006;96:267–277. doi: 10.1007/s10549-005-9080-0. [DOI] [PubMed] [Google Scholar]
  • 97.Foster F.M., Owens T.W., Tanianis-Hughes J., Clarke R.B., Brennan K., Bundred N.J., Streuli C.H. Targeting inhibitor of apoptosis proteins in combination with ErbB antagonists in breast cancer. Breast Cancer Res. BCR. 2009;11:R41. doi: 10.1186/bcr2328. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 98.Montero J., Letai A. Why do BCL-2 inhibitors work and where should we use them in the clinic? Cell Death Differ. 2018;25:56–64. doi: 10.1038/cdd.2017.183. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 99.Delbridge A.R., Strasser A. The BCL-2 protein family, BH3-mimetics and cancer therapy. Cell Death Differ. 2015;22:1071–1080. doi: 10.1038/cdd.2015.50. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 100.Giampazolias E., Zunino B., Dhayade S., Bock F., Cloix C., Cao K., Roca A., Lopez J., Ichim G., Proics E., et al. Mitochondrial permeabilization engages NF-kappaB-dependent anti-tumour activity under caspase deficiency. Nat. Cell Biol. 2017;19:1116–1129. doi: 10.1038/ncb3596. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 101.Armani C., Catalani E., Balbarini A., Bagnoli P., Cervia D. Expression, pharmacology, and functional role of somatostatin receptor subtypes 1 and 2 in human macrophages. J. Leukoc. Biol. 2007;81:845–855. doi: 10.1189/jlb.0606417. [DOI] [PubMed] [Google Scholar]
  • 102.Cervia D., Martini D., Garcia-Gil M., Di Giuseppe G., Guella G., Dini F., Bagnoli P. Cytotoxic effects and apoptotic signalling mechanisms of the sesquiterpenoid euplotin C, a secondary metabolite of the marine ciliate Euplotes crassus, in tumour cells. Apoptosis. 2006;11:829–843. doi: 10.1007/s10495-006-5700-3. [DOI] [PubMed] [Google Scholar]
  • 103.Cervia D., Garcia-Gil M., Simonetti E., Di Giuseppe G., Guella G., Bagnoli P., Dini F. Molecular mechanisms of euplotin C-induced apoptosis: Involvement of mitochondrial dysfunction, oxidative stress and proteases. Apoptosis. 2007;12:1349–1363. doi: 10.1007/s10495-007-0075-7. [DOI] [PubMed] [Google Scholar]
  • 104.Perrotta C., Buldorini M., Assi E., Cazzato D., De Palma C., Clementi E., Cervia D. The thyroid hormone triiodothyronine controls macrophage maturation and functions: Protective role during inflammation. Am. J. Pathol. 2014;184:230–247. doi: 10.1016/j.ajpath.2013.10.006. [DOI] [PubMed] [Google Scholar]
  • 105.Di Giuseppe G., Cervia D., Vallesi A. Divergences in the Response to Ultraviolet Radiation Between Polar and Non-Polar Ciliated Protozoa: UV Radiation Effects in Euplotes. Microb. Ecol. 2011;63:334–338. doi: 10.1007/s00248-011-9934-4. [DOI] [PubMed] [Google Scholar]
  • 106.Perrotta C., Buonanno F., Zecchini S., Giavazzi A., Proietti Serafini F., Catalani E., Guerra L., Belardinelli M.C., Picchietti S., Fausto A.M., et al. Climacostol reduces tumour progression in a mouse model of melanoma via the p53-dependent intrinsic apoptotic programme. Sci. Rep. 2016;6:27281. doi: 10.1038/srep27281. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 107.Bizzozero L., Cazzato D., Cervia D., Assi E., Simbari F., Pagni F., De Palma C., Monno A., Verdelli C., Querini P.R., et al. Acid sphingomyelinase determines melanoma progression and metastatic behaviour via the microphtalmia-associated transcription factor signalling pathway. Cell Death Differ. 2014;21:507–520. doi: 10.1038/cdd.2013.173. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 108.Zecchini S., Proietti Serafini F., Catalani E., Giovarelli M., Coazzoli M., Di Renzo I., De Palma C., Perrotta C., Clementi E., Buonanno F., et al. Dysfunctional autophagy induced by the pro-apoptotic natural compound climacostol in tumour cells. Cell Death Dis. 2019;10:10. doi: 10.1038/s41419-018-1254-x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 109.Assi E., Cervia D., Bizzozero L., Capobianco A., Pambianco S., Morisi F., De Palma C., Moscheni C., Pellegrino P., Clementi E., et al. Modulation of Acid Sphingomyelinase in Melanoma Reprogrammes the Tumour Immune Microenvironment. Mediat. Inflamm. 2015;2015:370482. doi: 10.1155/2015/370482. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 110.Cervia D., Assi E., De Palma C., Giovarelli M., Bizzozero L., Pambianco S., Di Renzo I., Zecchini S., Moscheni C., Vantaggiato C., et al. Essential role for acid sphingomyelinase-inhibited autophagy in melanoma response to cisplatin. Oncotarget. 2016;7:24995–25009. doi: 10.18632/oncotarget.8735. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 111.Perrotta C., De Palma C., Clementi E., Cervia D. Hormones and immunity in cancer: Are thyroid hormones endocrine players in the microglia/glioma cross-talk? Front. Cell. Neurosci. 2015;9:236. doi: 10.3389/fncel.2015.00236. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 112.Vantaggiato C., Castelli M., Giovarelli M., Orso G., Bassi M.T., Clementi E., De Palma C. The Fine Tuning of Drp1-Dependent Mitochondrial Remodeling and Autophagy Controls Neuronal Differentiation. Front. Cell. Neurosci. 2019;13:120. doi: 10.3389/fncel.2019.00120. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 113.Pfisterer P.H., Wolber G., Efferth T., Rollinger J.M., Stuppner H. Natural products in structure-assisted design of molecular cancer therapeutics. Curr. Pharm. Des. 2010;16:1718–1741. doi: 10.2174/138161210791164027. [DOI] [PubMed] [Google Scholar]
  • 114.Cazzato D., Assi E., Moscheni C., Brunelli S., De Palma C., Cervia D., Perrotta C., Clementi E. Nitric oxide drives embryonic myogenesis in chicken through the upregulation of myogenic differentiation factors. Exp. Cell Res. 2014;320:269–280. doi: 10.1016/j.yexcr.2013.11.006. [DOI] [PubMed] [Google Scholar]
  • 115.Cervia D., Catalani E., Belardinelli M.C., Perrotta C., Picchietti S., Alimenti C., Casini G., Fausto A.M., Vallesi A. The protein pheromone Er-1 of the ciliate Euplotes raikovi stimulates human T-cell activity: Involvement of interleukin-2 system. Exp. Cell Res. 2013;319:56–67. doi: 10.1016/j.yexcr.2012.10.007. [DOI] [PubMed] [Google Scholar]

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