Flavonoids and its effect on the proliferation of the cells:
Published date suggested that flavonoids have capability to inhibit phosphate protein kinases on their specific sites. Flavonoids interact with Akt/PKB (protein-kinase B), tyrosine kinase P1KC (protein-1 kinase C), PI3-kinase (phosphoinositide 3-kinase), and MAP (mitogen-activated protein) kinase signaling pathways. Flavonoids have been reported to activate and inhibit the effects on these signaling pathways by modulating of their gene expressions (Williams et al., 2004). Flavonoids inhibitory mechanism has been proved by altering their receptor phosphorylations or blocking growth factor receptor binding. Flavonoids also inhibit Fyn and Lck protein kinases, involved in T cell signaling transport (Calic et al., 2005).
PI3K catalyze productions of PIP1 and PIP2. PIP3 may activate the PDK1 which stimulates the Akt/PKB. Of these effects PDK1 is essential for regulator of cell growth, proliferation, differentiation, migration and apoptosis. Bad, Bcl-2, and caspases proteins are responsible for apoptosis, these can be inhbitied by Akt pathway.
Several data have been suggested that flavonoids directly inhibit the PI3K pathway by their interacting their ATP binding sites. MAPK pathway ((ERK2, JNK1 and p38) are responsible for releasing of many survival genes (c-Fos, c-Jun) and those genes which are involved in the antioxidant activity (detoxification enzymes, glutathione S-transferase, glutathione-reductase) have also been activated by low level of quercetin.
Anti-cancerous properties of the flavonoids:
Flavonoids also have anticancer activities by blocking their cellular mechanism. Flavonoids targets the cell cycle regulator proteins (cycline-dependent kinases and their inhibitors, protein p53 and Rb, E2Fs, ATM/ATR and surviving transition-controlling points G1/S and G2/M) (Sing et al., 2006).
Flavopiridol properly inhibits the CDK1-and CDK2 cell regulating pathways (Vermeulen et al., 2003). Cell proliferation and cell viability ratio of the prostate cancer decreased with treatment of quercetin. Quercetin induced apoptosis with down-regulating mechanism of Hsp90 expression of proteins, resulting in the death of cancer cells by inhibiting the cellular growth. (Aalinkeel et al., 2008). Inhibiting cellular growth and DNA synthesis and blockage of cell cycle at S-phase in squamta cells have been reported with quercetin (Haghiac et al., 2005). Querecetin also prevents growth of nasopharyngeal cancer cells via arrest of cell cycle at G1/S phase (Ong et al., 2004). ERK (extracellular signal-regulated kinase) pathway stimulates the lung cancer which is derived from the A549 cell proliferation have been reported combine inhibitory effects of querecetin and kaempferol (Hung et al., 2007). Quercetin stimulates the protein expressions of p21 and p22 which inhibited the cell cycle in HepG2 cells (Mu C et al., 2007).
Quercetin at the concentration of (248uM) down-regulates the mutantp53 expressions which is almost untraceable in the cell lines of the breast cancer. Negative control was too lower as compare to normal gene p53. Quercetin at the dose of 70 uM, having inhibiting activity on cell division, and trysine kinase activity, is an enzyme placed on the cell membrane and is involved in growth factors and signaling transduction in nucleus (Lamson et al., 2000).
Scientific data have been reported that flavonoids especially the quercetin having oral anticancer properties. Quercetin inhibits the cellular growth and DNA synthesis depending the dose and timing of the administration. Quercetin induced apoptosis with treatment of caspase-3 proteins after 72 hours, and cell necrosis after 24-48 hours in SCC-9 cells. Flow cytometer studies confirmed cell cycle blockage at S-phase with the treatment of quercetin (Haghiac et al., 2005). Quercetin induced cell proliferation of B16-BL6 after 72 hours and also caused apoptosis in B16-BL6 cells and reduced the expressions of Bcl-2 and anti-apoptotic proteins (Zhang et al., 2000).
Anti-apoptotic properties of the flavonoids:
Flavonoids have been reported to induce apoptosis process by activating and modulating cellular signaling pathways resulting in death of pre-cancerous and maligne cells, which terminates cancer development or progression. Human prostate cancer cell line LNCaP, treated with different concentrations of quercetin shown to inhibited cell death after 24 hours. Inhibition of Akt survival signals have been activated in the treated cells. Rapid decrease in Ser 136 phosphorylation in Bad that is a Akt target have been reported with treatment of LNCaP and 100 uM of quercetin. Quercetin have been shown to reduce the Bcl-XL, Bx ratio and enhances translocation and multimeriation of Bax in the mitochondrial membrane; cytochrome-c released by translocation, and the caspase 3, 5, 9 proteins and PARB (poli(ADP-ribose)polymerase). Remarkably, quercetin does not induce cellular viability or apoptosis at same concentrations in normal prostatic epithelial cells (Zhanget al., 2000). Exposure of cells for longer time on quercetin induced apoptosis intervened by reduction of thymidylate synthase (Ong et al., 2004). Quercetin induced apoptosis in CNE2 and HK1 cells after 24 hours of treatment and treatment was continued when necrosis was observed.
HeLa cells have been exposed on non-toxic flavonoid concentrations which slightly susceptible to TRAIL induced cell death. TRAIL mediated cytotoxicity in HeLa cells was increased by apigenin and ginstein but no effect have been documented with kaempfeol and quercetin (Leeet al., 2008). Luteoline induced cell cytotoxicity by suppressing PI3K/Akt (phosphattidylinositol 3?-kinase), NF-kB (nuclear factor kappa B) and XIAP (X-linked inhibitor of apoptosis protein) and activates of apoptotic pathways, such as p53 protein (Lin et al., 2008 and Lopez-Lazaro., 2009). At high doses majority of the flavonoids suppressors AP-1 activity (activator protein 1) by MAPK (mitogen – activated protein kinase) pathway (Gopalakrishnan et al., 2006).
Activation of cellular signaling pathways in cancer and flavonoids:
Figures-9. Sources of inflammatory mediators and their origin
Figure-7. Some diseases and cancers associated with reactive oxygen species (ROS)
S.N0
Inflammatory diseases
References
Cancers
References
1
Acute respiratory distress syndrome
Wilson et al., 2001
Bladder
Miyajima, et al., 1997
2
Aging
Dugan et al., 2005
Brain tumor
Salganik et al., 2000
Alzheimer
Hensley et al., 1996 and Multhaup et al., 1997
Breast
Brown et al., 2001
3
Atherosclerosis
Halliwell B., 1989
Cervical
Sharma et al., 2010
Cardiovascular disease
Touyz RM., 2004 and Yoshizumi et al., 2001
Gastric (Gastric)
Oliveira et al., 2003
4
Diabetes
Muhammad et al., 2009
Liver
Calvisi, et al., 2004
5
Inflammation
Di Virgilio, F., 2004
Lung
Azad et al., 2008
6
Inflammatory joint disease
Mouton PJ., 1996
Melanoma
Fruehauf et al., 2008
Neurological disease
Bolanos et al., 2009
Multiple myeloma
Kuku et al., 2005
7
Obesity
Atabek et al., 2004 and Furukawa et al., 2004
Leukemia
Sumi et al., 2010
8
Parkinson
Tabner, et al., 2001 and Tieu, et al., 2003
Lymphoma
van de Wetering et al., 2010
9
Pulmonary fibrosis
Kamp et al., 1992 and Kinnula, et al., 2005
Oral
Bahar et al., 2007
10
Rheumatoid arthritis
Gelderman, et al., 2007
Ovarian
Chan et al., 2008
11
Vascular diseases
Haurani, et al., 2007 and Jeremy et al., 2004
Pancreatic
Edderkaoui et al., 2005
12
–
–
Prostate
Khandrika, et al., 2009
13
–
–
Sarcoma
Ma Q et al. 2009
Conclusion:
Oxidative stress brings the changes into the cells resulting in gene mutation which leads to the carcinogenesis. It brings direct or indirect intra and inter-cellular and intercellular transduction and transcription changes by antioxidants. The role of oxidative stress in carcinogenesis and tumor bearing conditions is complex and various mechanisms and substances are involved.
Clinical evidence suggests that oxidative stress and inflammation linked to free radicles over generation may be the key factor in development of chronic diseases, insulin resistance, diabetes, cardiovascular and other diseases. Excessive nutrition, stress in combination with sedentary lifestyle, can independently result in overburden of glucose and fatty acid accumulation with musle, adipose tissue and pancreatic cells. All these factors lead to chronic inflammation resulting in chronic diseases. Published data suggested that the key role of polyphenolic compounds such as flavonoids as therapeutics agents in the inflammatory diseases including obesity, T2DM, cardiovascular diseases, neurodegenerative diseases cancer and aging. Flavonoids are the key modulators of inflammatory molecules.
Flavonoids inhibits the AMPK one of the major pathway of inflammation and cancer. Activation of AMPK by flavonoids causes to increase the cancer cell apoptosis, inhibit cell proliferation and some studies suggested that it a neoplastic agent
Furthermore, inflammation stimulates various inflammatory mediators, chemokine’s, cytokines, signaling transductions and transcriptional factors; overproduction for long periods may lead to chronic inflammation which in turn to chronic diseases such as neurological diseases and cancer. Better clarification of these mechanisms will be beneficial to the development of efficacious prevention and therapies of inflammation associated cancers. Moreover, effects of flavonoids at molecular mechanism and study also should be carried out on modulatory action; effects on transcription levels of the flavonoids should be studied.
Fig-4. Anti-inflammatory activities of the flavonoids
Target Activities
Effects
Flavonoids
Mechanism
References
Antioxidants and radical
Scavenging activities
Enhancing antioxidant activity
Quercetin, resveratoral, curcumin, hydroxytyrosol, catechin, luteolin
Increase the activity of SOD, CAT, GPx, GR, GST, ?GCS, NADPH, NQO1 and HSP70.
Alia et al., 2006 and Shen et al., 2007
Inhibiting pro-oxidant enzymatic activity
Epigallocarechin, ECG, EGCG
Inhibiting lipoxypenase and cycloxygnase
Hong et al., 2001
Typheramide alfrutamide, (-)-epicatechin, procyanidin,
Inhibiting the activities of 5-liopooxygenase, 12-lipoxygenase and 15- lipooxygenase
Park J.B., 2011 and Schewe et al., 2001
Curcumin, resveratrol, lupeol
Reducing the acitivity of iNOSand MPO level.
Gulcin I., 2010; Shen et al., 2007; and Fernandez et al., 2001
Ellagic acid gallic, acid corilagin, luteolin
Inhibiting tyrosinase and xanthine oxidase
Rangkadilok et al., 2007 and Leopoldini et al., 2011
Resveratrol
Inhibiting O-acetyltransferase and sulfotransferase activities
Cadenas et al., 1999
inhibits of free radical attacks
Epicatechin, rutin, mannitol
Scavenging hydroxyl radical (OH+)
Hanaski et al., 1994
Ellagic acid gallic, acid corilagin, luteolin, ?-carotene, tetrandrine
Scavenging superoxide radical (O2.)
Rangkadilok et al., 2007; Leopoldini et al., 2011 and Chen et al., 2011
Quercetin,curcumin, lycopene
Decreasing MDA and lipoperoxidation
Pendey et al., 2010 Shen et al., 2007 and Srinivasan et al., 2007
Enhancing endogenous antioxidant molecules
Quercetin, resveratrol, catechin, proanthocyanidin B4, ?-carotene
Elevating cellular GSH conten
Alia et al., 2006, Gulcin et al., 2010; Du Y. et al., 2007 and Yang et al., 2004
Modulation of
cellular activities
of inflammation related
cells
Inhibition of enzymes
involved in signaling
transduction and cell
activation processes
(T cell, B lymphocyte) or
cytokine production
Genistein
Inhibition of tyrosine protein kinase inducing anti-proliferative effects on T cell, reducing IL-2 secretion and IL-2R expression
Manna S.K., 2012 and Trevillyan et al., 1990
Quercetin, kaempferol, apigenin, chrysin, luteolin
Inhibition of tyrosine protein kinase inducing anti-proliferative effects on M-CSF-activated macrophages
Comalada et al., 2006
Modulation of cellular activities of inflammation related cells
Inhibition of arachidonic acid release from membranes
(degranulation)
Quercetin
Inhibiting lysosomal enzyme release from stimulated neutrophil (elastase,
?-glucuronidase)
Pecivova et al., 2012 and Tordera et al., 1994
Rutin
Reducing the polymorphonuclear neutrophils chemotaxis to FMLP
Selloum et al., 2003
Modulation of
arachidonic acid
(AA) related
Enzymes
Inhibition of arachidonic acid
metabolism
Quercetin, kaempferol, myricetin, hesperetin, naringenin, quercetagetin, kaempferol-3-galactoside, scutellarein, ochnaflavone, amentoflavone, ginkgetin, morelloflavone, bilobetin, triptolide, papyriflavonol A
Inhibition of PLA2 activity
Lee et al., 1982 and Kwak et al., 2003
Inhibition of proinflammatory
enzymes (COX, LOX and NOS) from different sources
Luteolin, 3?,4?-dihydroxyflavone, galangin, morin, apigenein, chrysin, quercetin, myricetin, morusin, kuwanon C, sanggenon D, broussoaurone A, cycloheterophyllin, broussochalcone A broussoflavonol F, catechin, EGCG, resveratrol, xanthomicrol, cirsiliol, hypolaetin, diosmetin, tectorigenin, kuraridin, kurarinone, sophoraflavanone G, morusin, sanggenon B, kazinol B, rutaecarpine, 1,2-di-O-?-linolenoyl-3-O-?- galactopyranosyl-sn-glycerol (dlGG), curcumin, 4?-Me-gallocatechin, lonchocarpol A, tomentosanol D, catechins, catechins gallate
Inhibited COX activity
Kim et al., 2009 ,Hong et al., 2004; Bauman et al., 1980 and Moon et al., 1999
Sophoraflavanone G, kenusanone A, kuraridin, papyriflavonol A, sanggenon B, sanggenon D, boswellic acid, diphyllin acetylapioside
Inhibited 5-LOX activity
Chi et al., 2001; Sailor et al., 1996 and Prieto et al., 2002
Quercetin, kaempferol, fisetin, quercetagetin-7-O-glucoside, hibifolin,
hypolaetin, sideritoflavone, 5,6,7-trihydroxyflavone (baicalein)
Inhibited 12-LOX activity
Kim et al., 2009 and Nakadate et al., 1984
Kaempferol, quercetin, myricetin, morin, cirsiliol, artonins
Inhibited 5-LOX and 12-LOX activity
Laughton et al., 1991 and Reddy et al., 1991
Quercetin
Inhibited iNOS activity
Kinaci et al., 2012
Modulation of the production of other
proinflammatory
molecules
Inhibition of
proinflammatory
cytokines from different
sources
Formononetin
Inhibited iNOS activity
Wang et al., 2012
Genistein, apigenin, quercetin, morin, wogonin, soyisoflavones, daidzein, glycitein, dlGG, paeonol
Inhibited NO production
Hou et al., 2007; Soliman et al., 1998 and Fu, P.K et al., 2012
Genistein, quercetin, wogonin, baicalein, luteolin, nobiletin, paeonol, chlorogenic acid, hematein, aucubin, catalposide, tetrandrine,
fangchinoline, colchicines, piperlactam S
Inhibited cytokine production : IL-1?, IL-6, TNF-?
Fu, P.K et al., 2012 and Chiou et al., 2003
Curcumin, amoradicin, genistein, silybin, quercetin, wogonin, rutin, luteolin, eriodictyol, hesperitin, EGCG, geraniin, corilagin, pinoresinol, woorenoside, lariciresinol glycoside, terpinen-4-ol, physalin B, triptolide, lupeol, [6]-shogaol, vitamin D, cepharanthine, fangchinoline,
adenosine
Inhibited TNF-? production
Fernendez et al., 2001; Choi et al., 2000; Sun et al., 2012 and Parmely et al., 1993
Apigenin, wogonin, bacalein
Inhibited IL-6 and IL-8 production
Gerritsen et al. 1995 and Nakamura et al., 2003
Genistein, ilicic acid, inuviscolide acid, tryptanthrin
Inhibited LTB4 production
Atluru et al., 1991 and Danz et al., 2002
Saikosaponins, masticaienonic acid, masticadienolic acid, morolic acid
Reducing LTC4 production
Danz et al., 2002 and Giner-larza et al. 2002
Chrysin, flavone, galangin, kaempferol, quercetin, salidroside, syringin, phillyrin, coniferin, tryptanthrin
Inhibited TXB2 production
Laughton et al., 1991 Danz et al., 2002 and Diaz-Lanza et al., 2001
Lupeol, paeonol, quercetin, salidroside, syringin, phillyrin, tectorigenin,
tectoridin, platycodin D, ?-turmerone, ar-turmerone, rutaecarpine
Inhibited PGE2 production
Fernendez et al., 2001; Fu, P.K et al., 2012; Morikawan et al., 2003; Diaz-Lanza et al., 2001 and Woo et al., 2001
Modulation of
proinflammatory
gene expression
Inhibition of the
expression of various
inflammation-related
proteins/enzymes, by
suppressing activation of
transcription factors such
as NF-?B and AP-1
Baicalein,oroxylinA, baicalin, skullcapflavone II
Rutin, bilobetin, ginkgetin, isoginkgetin, ochnaflavone, morusin, kuwanon C, kazinol B, sanggenon B and D, echinoisoflavanone,
wogonin, apigenin, kaempferol, genistein, chrysin, luteolin, quercetin, myricetin, flavone, tectorigenin, nobiletin, oroxylin A, galangin,
EGCG, isoliquiritigenin, silymarin, curcumin, flavones, daidzein, glycitein, isorhamnetin, naringenin, pelargonidin, soyisoflavones,
wogonin, resveratrol, triptolide, lupeol, butyrate, zeaxanthin, ?-carotene
Inhibited eotaxin production
Inhibited iNOS expression
Nakajima et al., 2001
Gil B. et al., 1997, Wang et al., 2012, Kim et al., 2001, Chi et al., 2001 and Kang et al., 2011
Bilobetin, ginkgetin, paeonol, tectorigenin, tectoridin, platycodin D, apigenin, genistein, kaempferol, quercetin, myricetin, nobiletin,
rhamnetin, eriodictyol, luteolin, fisetin, phloretin, wogonin, galangin, oroxylin A, lupeol, isoliquiritigenin, amentoflavone, butyrate, ursolic acid, iridoid, pendunculariside, agnuside, ferulic acid, [6]-Gingerol,
resveratrol, EGCG
Inhibited COX-2 expression
Gil B et al., 1997; Fu. P.K, et al., 2012, Kim et al., 1999; 2001; Liang et al., 1999; Raso et al., 2001; Takahashi et al., 2004; Suh N, et al., 1998; Hooshmand et al., 2007 and Peng et al., 2006
Lycopene, dlGG, wogonin, genistein, apigenin, kaempferol, myricetin, oroxylin, silymarin, ?-carotene, resveratrol, quercetin, avicins, parthenolide, chlorogenic acid, triptolide, capsaicin, butyrate, luteolin, curcumin
Inhibition of NF-?B activation
Murakami et al.,
2000; Hou et al., 2007; Kim et al., 2001; Geng et al., 1993; Liang et al., 1999; Chen et al., 2000; Singh et al., 2002; Kang et al., 2002; kang et al., 2011; Kundu et al., 2006; Donnelly et al., 2004 and Jobin et al., 1999
Hematein, casearinols A and B, casearinones A and B, colchicine
Inhibited the expression of ICAM-1 and VCAM-1 on the surface of different cells
Hong et al., 2001; Hunter et al., 1997 and Asahina et al., 2001
SOD- Superoxide dismutase 2- CAT- Catalase 3- GPx- Glutathione peroxidase 4- GR- Glutathione reductase 5- GST- Glutathione S-transferase. 6- ?GCS- ?-glutamylcysteine synthetase 7- NADPH:NQO1- quinone oxidoreductase-1. 8- HSP70- heat shock proteins. 9- MPO- myeloperoxidase 10- iNOS- inducible nitric oxidase synthase. 11- OH– Hydroxyl radical. 12- O2– -superoxide radical. 12- MDA- Malondialdehyde 13- IL-2 interlukins-2 14- FMLP- Formyl-Methionyl-Leucyl-Phenylalanine. 15- TNF-?- Tumor necrosis factor ?. 16- LTB4- Leukotriene B4. 17- LTC4- Leukotriene C4. 18- TXB2- Thomboxane B2 19. PGE2- Prostaglandins e2. 20- NF-?B- Nuclear Factor Kappa Beta 21- ICAM-1- Intercellular Adhesion Molecule 22- VCAM-1- vascular cell adhesion molecule-1