Background: Common butterbur (Petasites hybridus L.)
is a traditional medicinal plant with numerous therapeutic properties among which
is its recently uncovered anti-tumor activity. The present study aims to examine
the activity of a standardized Bulgarian Petasites hybridus L. root
extract, containing the active ingredients petasins, on the human breast cancer
cell line MDA-MB-231 and non-cancerous MCF-10A cells. Specifically, we examined
cell death, oxidative stress, and nuclear factor kappa-B (NF-B)
signaling. Methods: A standardized butterbur powdered extract containing
a minimum of 15% petasins was used. A lipophilic extract was obtained from
subterranean portion of the plant of Bulgarian populations of Petasites
hybridus using liquid-liquid extraction after completely removing pyrrolizidine
alkaloids. The induction of apoptosis and necrosis was analyzed by flow
cytometry, and oxidative stress biomarkers and NF-B were measured using enzyme-linked immunosorbent assay
(ELISA). Results: Petasites hybridus L. root extract triggered
apoptosis in a cancer-specific fashion and induced a moderate oxidative stress
characterized by diminished glutathione (GSH) levels and elevated malondialdehyde
(MDA) levels in MDA-MB-231 72 h after treatment. NF-B levels were
higher in cancer cells after treatment with IC and IC doses, this
suggested that the NF-B pathway was activated in response to oxidative
stress leading to the induction of apoptosis. MCF-10A cells were affected to a
lesser extent by the Petasites hybridus extract, and the adaptive
response of their antioxidant defense system halted oxidative stress.
Conclusions: Overall, these results indicate that Petasites
hybridus L. root extract selectively acts as a pro-oxidant in breast cancer
cells and thus represents a potential therapeutic option for cancer treatment
with fewer side effects.