Background
Currently used drugs in cancer treatment cause severe side effects, since the targeted pathways also occur in rapidly dividing normal cells[
1]. Newly emerging targeted drugs rely on inhibiting an aberrant tumor-promoting pathway and the heterogeneity of cell types enable cancers develop drug resistance[
2]. In addition, genetic instability enables malignant cells to evade inhibitor drugs by secondary mutations in target genes and other genetic changes[
2]. As a consequence, progress has been lacking in treating the majority of cancers.
Plant constituents and derivatives hold great promise for cancer prevention and treatment[
3‐
5]. It is now believed that majority of cancers are attributed to environmental and dietary factors and incorporating fruits, vegetables, whole grains and spices in the diet seem to reduce the incidence of various cancers[
6‐
9]. Several plant components exhibit superior anticancer properties by overcoming limitations of chemo- and targeted-therapies. Several plant compounds used in traditional medicine are common dietary ingredients and, hence, are considered safe[
10]. Plant-derived anticancer agents are broad specific and affect multiple pathways simultaneously. Some plant constituents inhibit tumor-promoting pathways while also activating tumor-suppressor pathways[
11,
12]. Plant-derived agents have been effective at reducing inflammation and the level of reactive oxygen species (ROS), both common hallmarks of the genesis and progression of all cancers[
13,
14]. Certain plant components capable of killing cancer cells are also known to suppress the tumor promoting actions of immune and other tumor stromal cells[
15]. In addition, plant products are less expensive and readily available. Intense research in this area has lead to multiple ongoing clinical trials involving plant derivatives while a few have already been approved for human use[
16‐
18].
Fenugreek is commonly used as a traditional dietary ingredient in India and Egypt, among others. As a medicinal herb it has proven activity against hepatotoxicity[
19], diabetes[
20,
21], hyperlipidemia[
22] and cardiovascular diseases[
19,
23,
24]. Fenugreek has anticancer properties[
25] and has proven to be effective in preventing colon[
26] and breast cancers[
27]. Fenugreek extract also showed stimulatory effect on immune functions of mice[
28].
More research on underlying molecular mechanism of the anticancer activity of fenugreek may lead to its development as an effective therapeutic/chemopreventive agent against various cancers. In this in vitro study we show, for the first time, that fenugreek causes death of T-lymphoma Jurkat cells by inducing autophagy.
Materials
The cell culture medium (RPMI-1640), fetal bovine serum (FBS) and penicillin-streptomycin were purchased from Gibco-BRL Life Technologies Inc. Jurkat cell line was obtained from American Type Culture Collection (ATCC), USA. Dry seeds of fenugreek, fennel, black pepper, coriander and cumin and sticks of cinnamon used in this study were of food grade and obtained from commercial sellers in Riyadh.
Methods
1.5 g of each of the finely ground spices was suspended in 50% ethanol in tightly capped bottles and shaken overnight in water bath maintained at 40°C. The spice suspensions were filtered and the filtrates evaporated under N2 and the dry residues resuspended in 1.5 mL of 50% ethanol to obtain stock solutions of 1 g/1 mL. Further dilutions of fenugreek extract were made by mixing with RPMI medium. Stock solution of fenugreek extract was directly used for GC-MS.
Cell culture
The Jurkat cell line was cultured in RPMI-1640 medium supplemented with FBS (10%, v/v), streptomycin (100 μg/mL) and penicillin (100 U/mL). 5 X 104 cells/mL were distributed into 24 well plates (1 mL/well) and incubated under 5% CO2 in a humidified atmosphere at 37°C.
Cell viability assay
Cell numbers and viabilities were assessed using a hemocytometer based on the ability of the viable cells to exclude trypan blue. Briefly, at the end of treatment period cells in the wells were mixed well and an aliquot of cells were mixed with an equal volume of 0.4% trypan blue and after 2-3 minutes viable cells were counted by hemocytometer. Viable cells were expressed as a percentage of cells in the untreated well, which at the end of the incubation period was considered 100%. Cell numbers with standard error were averaged from 3 independent experiments.
Morphological evaluation of cells
Normal and fenugreek extract treated cells were photographed using inverted light microscope at a magnification of 400x.
Quantification of autophagy associated genes expression by RT-PCR
Total RNA was isolated from Jurkat cells using Qiagen RNeasy mini kit (Qiagen). RNA was reverse transcribed into cDNA using QuantiTect Reverse Transcription Kit (Qiagen). qRT-PCR was performed using SYBR Green PCR kit (Qiagen). Primers used for RT-PCR are shown in Additional file
1: Table S1. The master mixes were pipetted into a 96-well plate followed by the addition of 40 ng of RNA. All samples were analyzed in triplicate. PCR was run using the Bio-Rad Real-Time PCR System which was programmed as follows: (1) 95°C stage for 10 minutes, and (3) 40 cycles alternating between 95°C for 15 seconds and 60°C for 1 minute. Results were analyzed by comparative Ct method using the formula: 2
-ΔΔCT. ΔC
T= C
T value of gene of interest minus C
T value of β-actin. The ΔΔC
T was calculated by subtracting the ΔC
T of the untreated cells from the ΔC
T of the test sample.
Gas chromatography–Mass spectrometry (GC-MS) analysis
GC/MS analysis of fenugreek extract was performed using an Agilent 7890 GC System Gas Chromatograph interfaced to a Mass Spectrometer (GC/MS) equipped with a VF-5ms capillary column (30 m × 0.25 mm ID × 0.25 μm). GC/MS detection was achieved using an electron ionization system with 70 eV ionization energy. Helium (99.999%) was used as carrier gas at a constant flow rate of 1 mL/min. An injection volume of 2 μL was employed in splitless mode. Injector and ion-source were maintained at 250°C and 280°C, respectively. The oven temperature was raised from 100°C (isothermal for 2 min.) to 200°C at a rate of 5°C/min and further up to 240°C by 10°C/min and maintained at 240°C for 11 min. Total GC running time was 40 minutes. The relative amount of each constituent was calculated by measuring corresponding peak area and represented as a percentage of the sum of areas of all peaks. MS Workstation 7.0 software was used to analyze mass spectra and chromatograms.
Statistical analysis
Data was analyzed using the Microsoft Excel (Microsoft Office 2007). Variables were presented as percentages (%).
Discussion
Plant derivatives have great promise as anticancer agents. In this study, low concentrations of fenugreek extract was found to induce death of Jurkat cells, a commonly used cell line model to understand anticancer functions and underlying mechanisms of exploratory drugs or compounds. Fenugreek extract affected the viability of Jurkat cells in a dose- and time-dependent manner. Fenugreek extract-induced death was preceded by dramatic morphological changes involving the appearance of multiple large vacuoles and transcriptional up-regulation of LC3, both of which imply activation of autophagy. Results from this study imply autophagy as a novel mechanism by which fenugreek may bring about death of preneoplastic/neoplastic cells. T-cell lymphoid malignancies are a group of highly aggressive diseases that are generally resistant to current treatment modalities and results from this study indicate benefits of fenugreek as a potential therapeutic. Further, induction of autophagy may be a general anticancer mechanism underlying chemopreventive/therapeutic function of fenugreek.
Anticancer properties of fenugreek or its constituents involve multiple functional and molecular targets. Fenugreek induced apoptosis in a wide variety of tumor cell lines, including those of human colon[
26], osteosarcoma[
29], leukemia[
30], breast[
31,
32], and liver[
33]. Fenugreek blocked migration and invasion by reducing matrix metalloproteinase expression in human prostate cancer PC-3 cells[
34], decreased nitric oxide (NO) and prostaglandin production by suppressing iNOS and COX-2, respectively, in an osteosarcoma cell line[
35]. Fenugreek blocked activation of NF-KB, I kappa B kinase and AKT and suppressed the production of various proinflammatory cytokines like IL-6, IL-1 and TNF-α by cancer cells[
31,
36]. An earlier study noted the formation of cytoplasmic vacuoles in breast tumor tissue of 7, 12-dimethylbenz (α) anthracene (DBMA) treated rats upon feeding of fenugreek compared to control[
27]. To our knowledge, ours is the first report to show death of human cancer cells by fenugreek-induced autophagy.
Apoptosis and autophagy are important pathways designed to cause programmed death of stressed cells and cancers suppress both these pathways and evade death. Autophagy has been defined as a process of transport of cytoplasmic contents to the lysozomes in double membrane compartments, called vacuoles[
37]. Autophagy is a physiological response to stress and has been suggested to enable cells to adapt and survive and, hence, is considered a pro-survival mechanism[
38]. Autophagy has also been defined as a highly conserved process of programmed cell death[
39] and its activation causes cell death[
40]. Defective regulation of autophagy in cancers suggests that autophagy is a true tumor-suppressor pathway[
41,
42] and this is further supported by the fact that several commonly activated oncogenes (for example, those encoding PI3K, TOR, Bcl-2) inhibit autophagy, whereas commonly mutated or epigenetically silenced tumor suppressor genes (such as those encoding p53, PTEN, TSC1/TSC2) stimulate autophagy[
43].
Several studies have used electron microscopic methods to detect autophagic vacuoles. However, fenugreek-induced vacuoles in Jurkat cells were large and distinct and could be directly seen using an inverted light microscope. This study established the vacuolization as an autophagic process from the transcriptional up-regulation LC3. LC3 plays a critical role in autophagy and is considered suitable marker of this process[
44]. In the present study, fenugreek extract increased LC3 transcript level with increasing concentrations of fenugreek extract over a period of 48 h. Harmol, a beta carotenoid, induced death of lung cancer cells A549 was associated with increased expression of LC3[
45] and siRNA knockdown of LC3 resulted in blockade of cell death, which, in turn, served to prove that harmol-induced autophagy was only a death mechanism[
45]. Transcripts of beclin 1 and ATG5, the other autophagic pathway genes, did not show any decline in our fenugreek-treated Jurkat cells and this was similar to harmol-treated A549 cells which failed to show any changes in the expression and phosphorylation of beclin 1[
45].
Some health benefits of various medicinal plants or their constituents have been attributed to their ability to induce autophagy in diseased cells[
46]. Experiments performed to measure the autophagy-inducing ability of several plant constituents, for eg., fisetin (found in tomatoes, apples, onions, and grapes), genistein (soybean) and quercetin (apple skins and red onions), report opposing findings (induction or suppression) resulting in reduced clarity on the beneficial effect of autophagy in cancer treatment. These contradictory results have been attributed to several factors, such as different methods employed to measure autophagy and the use of different cell types, such as cancerous cells versus normal cells[
46]. Also, autophagy, at low levels, was suggested to serve a pro-survival role in tumors[
47]. However, results from our study revealed increased production of autophagic markers and decreased viability to be associated with increasing concentrations of fenugreek implying only an anti-proliferative /pro-death function for autophagy at all concentrations of fenugreek extract. Results from our study support the notion that fenugreek-induced autophagy in Jurkat cells could only be an antitumor function.
Some of the components of fenugreek extract identified by GC-MS in our study have already been shown to possess significant anticancer activities and these include gingerol[
14], cedrene[
48], zingerone[
49], vanillin[
50], and eugenol[
51‐
53]. Future studies will be designed to identify the specific compound(s) responsible for induction autophagy.
The cytotoxic effects of fenugreek are limited, mostly, to cancer cells[
25,
32]. Bioavailability of therapeutic components of fenugreek, unlike curcumin, is high as seen from its hepatoprotective effect from various in vivo studies[
54,
55]. Feeding studies have indicated tolerance and absence of any toxicities of up to several grams of fenugreek per day over several weeks[
56].
The authors acknowledge some limitations. The study included a limited type and number of cell lines and lacked specific assays to confirm apoptosis and autophagy. Nevertheless, the present study identified autophagy as a new mechanism by which fenugreek may exert its therapeutic/chemoprevention/anticancer function.
Competing interests
The authors have no competing interests to declare.
Authors’ contributions
SK and OEA performed cell culture experiments. AKM conducted RT-PCR quantifications. SHA and SMY were involved in preparation of spice extracts and GC-MS analysis. SK, MSA and KMA designed the experiments and helped to draft the manuscript. NMD conceived and coordinated the study. All the authors have read and approved the final manuscript.