Background
Natural products have historically and continually been investigated for promising new leads in pharmaceutical development. Cancer is a major public health problem worldwide with millions of new cancer patients diagnosed each year and many deaths resulting from this disease. Chemotherapy remains the principal mode of treatment for various cancers. Researchers have focused on the anticancer activity of the plants because the medicinal plants are used in different countries for the treatment and prevention of cancer [
1,
2]. For example, Traditional Chinese medicine (TCM) is used as an adjuvant therapy to alleviate cancer symptoms at the terminal stages when Western medicine treatments cannot offer any other treatment options [
3,
4].
In Pakistan, as in other developing countries, traditional medicines are in widespread use; with the practitioners formulating and dispensing the recipes to their patients. The medicaments are prepared most often from a combination of two or more plant products which may contain active chemical constituents with multiple physiological and pharmacological activities and could be used in treating various disease conditions. The discovery of effective herbs and elucidation of their underlying mechanisms could lead to the development of an alternative and complementary method for cancer prevention and/or treatment. Based on an analysis of published literature, we selected four traditional Pakistani plants with medicinal value to evaluate their anticancer efficacy. In search of the target plant extracts for the development of anticancer drugs, here we have investigated Vincetoxicum arnottianum, Berberis orthobotrys, Onosma hispida and Caccinia macranthera of Pakistan origin.
Vincetoxicum arnottianum Wight (Syn:
Cyanchum arnottianum Wight) is a perennial plant of the Apocynaceae family found in different parts of Pakistan including Hazara, Swat, Kaghan, Shinkiari, Kashmir etc. [
5]. The family Apocynaceae is one of the largest angiosperm family comprising 375 genera and over 5100 species. Plants of the family Apocynaceae have been reported to be extensively used for the treatment of the skin diseases, pimples [
6], malaria, diabetes and diarrhea and most importantly some species have been used in cancer chemotherapy [
7]. Some species of
Vincetoxicum have exhibited very high cytotoxicity against brine shrimps [
16], antidiarrheal and antispasmodic [
8], antibiotic [
9], anti-inflammatory [
10], antidiabetic and antioxidant [
11] activities etc. Alkaloids are normally reported from various
Vincetoxicum species [
12,
13]. The plant
V. arnottianum (syn.
C. arnottianum) has been reported for the treatment of maggots in wounds of cattle, horses and sheep [
14], wounds and injuries [
15] etc.
Berberis orthobotrys Bien ex Aitch. is a shrub that belongs to the family Berberidaceae. Berberidaceae family comprises 13 genera and 650 species [
25] and it is represented in Pakistan by 3 genera and 22 species. Various species of the genus
Berberis are reported from different parts of Pakistan i.e. Gilgit, Baltistan, Chitral, Skardu, Astor etc. Hussain et al. [
16] have studied the diversity and ecological characteristics of different plants including
B. orthobotrys. Mokhber-Dezfuli et al. [
17] and Srivastava et al. [
18] have reviewed on the chemical and biological diversity in
Berberis. The plant
B. orthobotrys has been reported for the treatment of ulcer, stomach problems, kidney stones, uterine tumor, wounds [
19], blood purification, jaundice, urine problem, diarrhea [
20], gastrointestinal diseases [
21] etc. Moreover the plant
B. orthobotrys has revealed various biological activities including antihypertensive [
22], cardiac depressant [
23], antihyperlipidemic [
24] etc. The chemical constituents that are reported from
B. orthobotrys include alkaloids [
25].
Onosma hispida Wall. ex G. Don. is a perennial herb of the Boraginaceae family found in different localities in Pakistan including Gilgit, Chitral, Baluchistan, Swat, Hazara etc. Kumar et al. [
26] have reviewed the genus for its phytochemical and pharmacological aspects. The genus
Onosma L. is one of the largest and most species-rich genera of the family Boraginaceae comprising more than 150 species [
27‐
29].
O. hispida is used as a medicinal herb [
30,
31] exhibiting various biological properties including antibacterial activity [
32]. The plant
O. hispida has been reported to be used as blood purifier and for cuts, swells, wounds [
33]. And it has also been reported for the treatment of abdominal ulcers, hair problems, bladder and kidney stones and rheumatism [
34], pneumonia, typhoid fever and also used for dyeing hairs [
35]. A number of chemical constituents including benzoic acid derivatives, apigenin derivatives, flavones and flavanone derivatives have been isolated from
O. hispida [
26].
Caccinia macranthera (Banks & Sol.) Brand (Syn:
Borago macranthera Banks & Sol.) is a leafy perennial plant of the Boraginaceae family found in Baluchistan province in Pakistan [
36]. The roots of
C. macranthera have been reported to be used for the treatment of dermal infections, liver disorders and dyspepsia and some other traditional uses [
37,
38], sedative, treatment of cough, expectorant [
39]. Moreover, the leaves of
C. macranthera have also been reported for its medicinal properties [
40]. The Boraginaceae is a large family that comprises approximately 205 genera and 2500 species worldwide [
41]. The root extract of
C. macranthera was studied for induction of phage production [
42]. Different chemical constituents including glycosides [
43], pyrrolizidine alkaloids [
44], triterpenoid sapogenin [
45] have been reported from the species of the genus
Caccinia other than
C. macranthera. However El-Shazly & Wink have reported that pyrrolizidine alkaloids are commonly found in Boraginaceae family. However, the overview about the medicinal plants
Vincetoxicum arnottianum,
Berberis orthobotrys,
Onosma hispida and
Caccinia macranthera of Pakistan origin is given in Table
1.
Table 1
Overview of the selected Pakistani plants used in this study
Vincetoxicum arnottianum Wight | VSM | Methanolic extract of the plant. | Apocynaceae | Wounds, Injuries, Maggots in wounds of cattle, horses etc. |
Berberis orthobotrys Bien. ex Aitch. | BORM | Methanolic root extract of the plant. | Berberidaceae | Uterine tumor, wounds, gastrointestinal problems, ulcer, blood purification, jaundice, urine problem, diarrhea, antihypertensive, cardiac depressant, antihyperlipidemic etc |
BOFM | Methanolic extract of the flowers of the plant |
BO-5 | Ethylacetate soluble oily substance extracted from the methanolic fruit extract of the plant. |
BO-23 | n-hexane soluble oily substance extracted from the methanolic fruit extract of the plant. |
Onosma hispida Wall. ex G. Don. | OHRM | Methanolic root extract of the plant. | Berberidaceae | Wounds, cuts, swells, abdominal ulcer, antibacterial, blood purifier, hair problems, dying hair, bladder and kidney stones, rheumatism, pneumonia, typhoid fever etc. |
OHAM | Methanolic extract of the aerial parts of the plant. |
Caccinia macranthera (Banks & Sol.) Brand | CMM | Methanolic extract of the plant. | Boraginaceae | Dermal infections, liver disorders, dyspepsia, sedative, cough, expectorant, induction of phage production etc |
Despite their widespread use, however, no scientific assessment for anticancer effect has been conducted in most cases. Considering their increasing recognition and consumption, the present study was undertaken to evaluate the anticancer potential of these plant extracts in the inhibition of cell proliferation, induction of cell death, metabolic alterations and structural modifications in human breast (MCF-7, BT-20) and bone (MG-63, Saos-2) cancer cell lines. As a kind of control, non-tumorigenic cell lines of the breast (MCF-12A) and bone (POB) were included in the screening.
Methods
Plant material collection and identification
Four plants were employed in the present study.
Vincetoxicum arnottianum and
Caccinia mancranthera were collected from Baluchistan (Pakistan) and
Berberis orthobotrys and
Onosma hispida were collected from Gilgit-Baltistan (Pakistan) in 2014 (Table
1). The plants were identified by Dr. Sher Wali Khan and reference specimens were deposited at the Department of Biological Sciences, Karakoram International University, Pakistan.
Each plant sample including the aerial part of V. arnottianum (VSM), root (BORM) and fruit (BOFM) parts of B. orthobotrys, root (OHRM) and aerial (OHAM) parts of O. hispida, and the aerial part of C. macranthera (CMM) were air dried in shade and mechanically ground to fine powder. The finely-powdered material of each plant was soaked in methanol for several days and extracted. The dried methanolic extracts were obtained by removing the methanol by evaporation under reduced pressure. Furthermore, the fruit extract (BOFM) of B. orthobotrys was fractionated using solvent-solvent extraction and yielding n-hexane soluble oily substance (BO-23) and ethylacetate soluble oily substance (BO-5). Finally, eight samples i.e. VSM, BORM, BOFM, BO-5, BO-23, OHRM, OHAM and CMM were obtained and used for further study. Then, 50 mg of each dry sample was dissolved in 1 ml DMSO, EtOH or MeOH for the antitumor activity tests.
Chemicals
For soaking and extraction purposes, the commercial grade solvents were used. For preparation of the samples for the antitumor activity, absolute ethanol, DMSO, and absolute methanol from Sigma Aldrich were employed.
Cell lines, culturing and treatment conditions
Human osteosarcoma cell lines MG-63 (CRL-1427), Saos-2 (HTB-85) and human breast adenocarcinoma cell lines MCF-7 (ATCC: HTB-22), BT-20 (HTB-19) as well as non-tumorigenic human epithelial breast cell line MCF-12A (CRL-10782) were purchased from ATCC (
http://www.lgcstandards-atcc.org/) under the given numbers. The human non-tumorigenic, primary osteoblast cells (POB) were chosen as control cells. Briefly, cells were isolated from the spongiosa of the femoral heads of patients undergoing primary total hip replacement. The samples were collected with patient agreement and approval by the Local Ethical Committee (registration number: A 2010-10). Human primary osteoblasts were already used and isolation procedure was already described [
46]. Except for MCF-12A, all other cell lines and the primary POB cells were cultivated in Dulbecco’s modified Eagle’s medium (Invitrogen, Germany) with 10 % fetal bovine serum (PAN Biotech GmbH, Germany) and 1 % gentamycin (Ratiopharm, Germany). MCF-12A was grown in Dulbecco’s modified Eagle’s medium Ham’s F12 without phenol red (Invitrogen, Germany) containing 10 % horse serum (PAA Laboratories GmbH, Germany), the Mammary Epithelial Cell Growth Medium SupplementPack (PromoCell, Germany) including Bovine Pituitary Extract 0.004 nl/ml, Epidermal Growth Factor (recombinant human) 10 ng/ml, Insulin (recombinant human) 5 g/ml, Hydrocortisone 0.5 g/ml and 1 % gentamycin (Ratiopharm, Germany).
Prior treatment with the plant extract cells were adapted to phenol-red-free Dulbecco’s modified Eagle’s medium (PAA Laboratories GmbH, Germany) with 10 % charcoal stripped fetal bovine serum (PAN Biotech GmbH, Germany) for 48 h to avoid unspecific stimulation of endogenous hormones in the serum (assay medium). Treatment with plant extracts (final concentration 1, 10, 25, 50, and 100 μg/ml) was carried out for 48 h in assay medium. As negative control substance the vehicle DMSO, ethanol or methanol (0.1 %) was used in the same manner.
Viability assay and calculation of IC50 values
MTS (3-(4, 5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium) assay to determine cell viability was performed according to manufactures protocol (CellTiter 96® AQueous One Solution Cell Proliferation Assay; Promega Corp., Madison, WI, USA). Briefly, cells were seeded in 96-well plates at a density of 2000 cells/well in 100 μl medium and left to attach for 24 h. Treatment with plant extracts at final concentrations of 1, 10, 25, 50 and 100 μg/ml was carried out as described previously [
47]. In parallel, control approaches were carried out with medium only and 0.1 % of the solvent DMSO, EtOH or MeOH to calculate background absorbance. No background absorbance was obtained for the extracts and MTS in the absence of cells, as some extracts are capable of reducing the MTS. After an initial incubation for 24 h cells were assayed with MTS. Colorimetric changes were measured at 490 nm and raw data was transferred to Microsoft Excel and analyzed. At least 8 replicates corrected with the background absorbance were performed. Reduction of cell viability at each concentration was plotted as a dose response curve. The IC
50 values were calculated using nonlinear regression to fit data to the dose–response.
Cell cycle analysis
Proliferation alterations as well as apoptosis induction under the exposure of the plant extracts were estimated by cell cycle analysis via flow cytometry (FACS Calibur, BD Biosciences) after propidium iodide (Roche Diagnostics, IN, USA) staining (50 mg/ml) of the cells as already described [
47,
48]. For data acquisition and histogram preparation, the software FlowJo version 7.6.5 (Tree Star;
www.flowjo.com) was used. A minimum of 15,000 ungated events were recorded. Doublets and clumps were excluded by gating on the DNA pulse width versus pulse area displays. For statistical evaluation, the sum of cells in S- and G2/M-phase was defined as proliferative events and the sub-G1-peak of the histogram as apoptotic ones.
Annexin V/PI apoptosis detection
Annexin-V detects the translocation of phosphatidylserine from the inner leaflets to the outer leaflets of the plasma membrane, which is a key feature of apoptotic cells, whereas PI detects necrotic cells with permeabilized plasma membrane. Labeling of early apoptotic and dead cells was performed according to the manufacturers’ instructions from the Alexa Fluor488 Annexin V/Dead Cell Apoptosis Kit (Thermo Fisher Scientific Inc., Germany). Cells were treated with 100 μg/ml plant extract for 48 h. After treatment detached as well as adherent cells were washed twice with cold PBS. The cell pellet was resuspended in 100 μl of annexin binding buffer at a density of 1 × 106 cells per ml and incubated with 5 μl of Alexa488-conjugated Annexin-V and 5 μl of PI for 15 min at room temperature in the dark. 400 μl of 1× binding buffer was added to each sample tube, and the samples were immediately analyzed by flow cytometry. Histograms and statistics were designed with the software FlowJo Version 7.6.5.
Microscopy
For bright field as well as fluorescence microscopic imaging, cells were seeded on glass cover slips and cultured for 24 h. After treatment with plant extracts bright field images were obtained using Axio Scope A1 microscope and the software AxioVision Imaging Software Release 4.8.2. (Carl Zeiss, Germany). For fluorescence imaging cell were fixed with 4 % paraformaldehyde for 15 min, followed by three washings with PBS and then permeabilized with 0.1 % Triton X-100 for 15 min. After carefully washing, cells were incubated with 100 μl 6.6 μM Alexa Fluor594 phalloidin (Invitrogen, Germany) for 60 min in the dark at room temperature, washed again, counterstained with DAPI (Roche Diagnostics GmbH, Germany) for 15 min. Finally, cell were washed four times with PBS and embedded in mounting medium. Lysosomes were labeled with LysoTracker® Green DND-26 (Molecular Probes, Carlsbad, CA, USA) following the protocol supplied. The other cell compartments: mitochondria (MitoTracker® Mitochondrion-Selective Probes Green FM), Golgi complex (BODIPY® FL C5-ceramide complexed to BSA), endoplasmic reticulum (ER-Tracker™ Green BODIPY® FL glibenclamide), neutral lipids (4,4-difluoro-1,3,5,7,8-pentamethyl-4-bora-3a,4a-diaza-s-indacene BODIPY® 493/503), all from Molecular Probes, Germany were labeled following the manufactures’ instructions. All fluorescence signals were investigated with an inverted confocal laser scanning microscope (LSM780, Carl Zeiss, Germany) equipped with a helium/neon-ion laser and a ZEISS 63 × oil immersion objectives. The confocal images (1024 × 1024 pixel) were optimized using the ZEN software (Carl Zeiss, Germany).
Scanning electron microscopy
For scanning electron microscopy (SEM) cells grown on glass cover slips were fixed with 2 % glutaraldehyde and 1 % PFA in 0.1 M phosphate buffer pH 7.3. After washes in 0.1 M phosphate buffer the cells were dehydrated with a graded series of ethanol and were processed for critical point drying using CO2 as intermedium (Emitech K850 critical point dryer, Emitech Ltd. Ashford, UK). The cover slips were mounted on SEM stubs with adhesive carbon tape (Plano, Wetzlar, Germany) and sputter-coated with a gold layer (approximately 15–20 nm thickness) using a Bal-Tec SCD004 sputter coater (Balzers Union Ltd., Balzers, Liechtenstein). Specimens were viewed in a field-emission SEM operated at 5 kV (Merlin VP compact, Carl Zeiss Microscopy, Jena, Germany) and images with a size of 1024 x 768 pixels were recorded. Morphometric measurements of cell body axis length and width were taken with the free line measurement tool on calibrated pictures imported into iTEM imaging software (Olympus Soft Imaging Solutions, Münster, Germany).
Mitochondrial O2-consumption
Mitochondrial O
2-consumption as a measure for respiratory activity was determined by the Bionas® 2500 analyzing system combined with the metabolic chip Bionas DisocveryTM SC1000 equipped with Clark-type oxygen sensors. Prior experiments, chips were cleaned with 70 % ethanol for 10 min, washed with PBS and were adapted to the measurement medium for 5 min. Measurement medium was composed of DMEM without NaHCO3 (Invitrogen, Germany), 0.1 % charcoal stripped fetal bovine serum (PAN Biotech GmbH, Germany) and 1 % gentamycin (Ratiopharm, Germany), pH value 7.4 and sterile filtered. On each chip 2x10
6 cells were seeded and let them adhere over night at 37 °C and in 5 % CO
2 so that 80 % sub-confluence on the sensor chips was reached. Bionas measurements were carried out with a pump rate of 56 ml/min [
49]. After an adaption phase of 2 h to the new culture conditions, extracellular oxygen consumption of MG-63 cells after application of 25 μg/ml BORM or VSM was measured continuously for 20 h. Thereafter the recovery status (measurement medium without plant extracts) of the cells was monitored for additional 24 h. Data sets were evaluated and normalized with the software Bionas15002 Data analyzerV1.07.
Migration and invasion
Influence on migration was conducted on MG-63 cells, pre-incubated in assay medium for 48 h adaption in 6-well plates (Greiner, Germany). A scratch wound was made by Ibidi culture inserts (μ-Dish 35 mm; Ibidi GmbH, Martinsried, Germany) following the instructors recommendations. When cell layers reached confluence, the culture insert was removed and cells were treated with VSM (25–50 μg/ml) extract or control (vehicle, DMSO). Gap closure was analyzed as described previously [
50]. Cell invasion assay was performed with the CytoSelect™ 24 –Well Cell Invasion Assay (Basement Membrane, Fluorometric Format) from Cell Biolabs, Inc., CA, USA. Briefly, 1x10
6 MG-63 cells with the plant extracts were seeded in the membrane insert for 48 h. Fluorescence of invaded cells was counted with a plate reader at 480/520 nm.
Western blotting procedure
The general steps of the Western blot procedure have been described previously [
49]. Briefly, after treatment with the plant extracts VSM and BORM for at least 48 h the cells were trypsinized, washed with PBS and lysed in ice-cold lysis buffer (Bio-Plex Cell Lysis Kit, Bio-Rad, USA). After SDS-PAGE, protein content per lane as well separation quality was controlled with the Criterion Stain FreeTM gel imaging system (Bio-Rad, Germany). For protein detection primary antibodies (PCNA: sc-56, from Santa Cruz, USA; BCL-2: B3170, from Sigma) were incubated overnight at 4 °C followed by labeling with a horseradish peroxidase (HPR)-conjugated secondary antibody (Dako, Glostrup, Denmark) for 1 h at room temperature. Protein signals were visualized by using SuperSignal West Femto Chemiluminescent Substrate (Pierce Biotechnology, Rockford, USA). Band intensity was analyzed densitometrically with the Molecular Imager ChemiDoc XRS and Image Lab 3.0.1 software (Bio-Rad, USA). Protein detection was repeated at least three times with individually prepared cell lysates from independently passaged cells.
Statistical analysis
Every experiment was replicated three times with individually passaged cells and data sets were expressed as means ± standard deviations (SD). Statistical significance was determined by the unpaired one-way ANOVA or t-test (***P < 0.001, **P < 0.005, *P < 0.05).
Discussion
In this study, eight samples from four Pakistani plant extracts were evaluated for their potential as anticancer agents in selected human bone and breast cancer cell lines in comparison with non-tumorigenic control cells via cell viability measurements, cell cycle analysis, live cell imaging and monitoring of metabolic as well as motility features. After the first initial screening, BORM and VSM revealed the highest potential with regard to its antitumor activity. Both extracts caused a significant reduction of cell viability in the breast and bone cancer cells. However, BORM also induced a strong reduction of cell viability in the primary osteoblasts (POB), as well as VSM lowered the cell vitality in the non-tumorigenic breast cell line MCF-12A. But, VSM caused no negative influence on POBs wherein the bone cancer cell lines were strongly influenced (Fig.
1). These results suggest that the therapeutic use of VSM particularly for the treatment of bone cancer would be possible. For the treatment of breast cancer the BORM extract may be suitable on the basis of the vitality studies. Because BORM caused only a marginal effect on the vitality of the control cell line MCF-12A and induces a significant vitality reduction in both, the estrogen receptor-positive breast cancer cell line MCF-7 and in the triple-negative cell line BT-20.
Subsequent cell cycle analysis revealed a substantial increase of the proliferative phases G2/M and S after exposure to 50 μg/mg VSM whereas BORM slightly lowered the proliferation (Fig.
2a-
b; exemplarily illustrated at the bone cancer cell line MG-63). Although VSM especially increases the G2/M phase in MG-63 cells, a simultaneous increase in DNA strand breaks, to be mentioned in the sub-G1 phase (Fig.
2c), could be observed. This suggests that the VSM extract induces apoptotic changes which are often associated with elevated proliferation rates in order to obtain the cell layer. Another possibility is a G2/M arrest of the cell population similar to the effect of paclitaxel which stabilizes tubulin polymerization resulting in arrest in mitosis and apoptotic cell death [
53].
So far, the obtained results imply that the extracts VSM and BORM mediate different cellular responses which lead to cytotoxic events. In order to identify these cellular mechanisms, dose-response curves were created first (Figs.
3 and
4). From these curves it can be concluded that both extracts exert concentration-dependent effects on both, breast as well as bone cancer cells. The calculated IC
50 values (Table
2) show that VSM primarily affects the bone cancer cells and only minimally impaired the vitality of healthy osteoblasts. The IC
50 values of BORM illustrate that this extract reduces the vitality of the breast cancer cell, predominantly. For the non-tumorigenic control cell line MCF-12A a considerably higher IC
50 value was determined.
However, bright field, scanning electron and laser scanning microscopy observations revealed morphological and structural alterations of MG-63 osteoblastic cells after exposure to 100 μg/ml VSM or BORM (Fig.
6). In comparison to the control, VSM treated MG-63 cells exhibit a prolonged shape accompanied with reduced cell-cell contacts. F-actin staining revealed a strong induction of stress fiber formation through the entire cells. Along with the reduced cell viability, the mediated G2/M arrest in the cell cycle phases and increased actin fiber formation can be assumed that the VSM extract causes a stabilization of the tumor cells, thus causing the cytotoxic properties. In contrast, the BORM extract promotes the formation of vesicle-like structures in the cell which can be due to a stimulation of the lysosomal activity or aggregation of lysosomal vesicles. Even at low concentration (1–10 μg/ml BORM) an increased formation of lysosomes was observed (Fig.
7). The higher the BORM concentrations, the greater the expansion of the lysosomal compartments. At the highest concentration (100 μg/ml) the lysosomes are large clusters around the nucleus (Fig.
7). This means that the cytotoxic effect of BORM is due to the activation of lysosomes which can selectively activate programmed cell death [
54]. Briefly, lysosomal ROS generation can cause lysosomal membrane permeabilization, whereby lysosomal cathepsins, as well as other hydrolytic enzymes, are released from the lysosomal lumen to the cytosol, and can trigger programmed cell death [
55,
56]. In addition, BORM caused a stronger granularisation and formation of Golgi vesicles as well as a diffuse distribution of neutral lipids. This is not surprising, because it is thought that the reservoir of chemicals in the lysosome can be ‘topped up’ by supplies from the Golgi apparatus. The chemicals are manufactured in the endoplasmic reticulum, modified in the Golgi apparatus and transported to the lysosomes in vesicles (sealed droplets). Modification in the Golgi apparatus includes ‘destination labeling’ at a molecular level ensuring that the vesicle is delivered to a lysosome and not to the plasma membrane or elsewhere. The ‘label’ is returned to the Golgi apparatus for re-use (
http://bscb.org/ Society for Cell Biology.org). This suggests that BORM primarily affects cell metabolism by the disruption of lysosomal function and thus initiating cell death. This view is supported by the changes in the apoptotic signaling cascades, i.e. the upregulation of Bcl-2 expression and further confirmed by a nearly complete reduction of mitochondrial O
2 consumption (Fig.
8). Although the treatment with VSM also resulted in a significant reduction in respiration rate, the underlying mechanisms are different. Because of the stabilization of the actin cytoskeleton, the MG-63 cells are limited in their motility and can no longer divide, so that a G2/M arrest is forced.
Abbreviations
ANOVA, one-way analysis of variance; Bcl-2/BCL-2, B-cell lymphoma 2; BORM, Berberis orthobotrys roots; BOFM, Berberis orthobotrys fruits; BO-5, ethylacetate soluble oily substance of Berberis orthobotrys fruits; BO-23, n-hexane soluble oily substance of Berberis orthobotrys fruits; CMM, Caccinia macranthera aerial part; DAPI, 4’,6-diamidino-2-phenylindole; DMSO, dimethyl sulfoxide; DNA, Deoxyribonucleic acid; EtOH, ethanol; IC50, inhibitory concentration of 50 % population; MeOH, methanol; MTS, 3-(4, 5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium; OHRM, Onosma hispida roots; OHAM, Onosma hispida aerial parts; PCNA, Proliferating cell nuclear antigen; PI, propidium iodide; POB, primary osteoblast cells; SEM, standard error of mean or scanning electron microscopy; TCM, Traditional Chinese medicine; VSM, Vincetoxicum arnottianum