IMR Press / FBL / Volume 29 / Issue 1 / DOI: 10.31083/j.fbl2901040
Open Access Original Research
Sanguinarine Triggers Apoptosis in Cutaneous Squamous Cell Carcinoma Cells through Reactive Oxygen Species-Dependent c-Jun N-Terminal Kinase Signaling Pathway
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1 Translational Research Institute, Academic Health System, Hamad Medical Corporation, 2030 Doha, Qatar
2 Dermatology Institute, Academic Health System, Hamad Medical Corporation, 2030 Doha, Qatar
3 Department of Human Genetics-Precision Medicine in Diabetes, Obesity and Cancer Research Program, Sidra Medicine, 26999 Doha, Qatar
4 Department of Dermatology and Venereology, Rumailah Hospital, Hamad Medical Corporation, 3050 Doha, Qatar
5 Department of Medicine, Weill Cornell Medicine Qatar, Qatar Foundation-Education City, 24144 Doha, Qatar
6 Department of Medicine, Weill Cornell Medicine Qatar, New York, NY 10065, USA
7 College of Medicine, Qatar University, 2713 Doha, Qatar
8 Laboratory of Animal Research Center, Qatar University, 2713 Doha, Qatar
*Correspondence: MSteinhoff@hamad.qa (Martin Steinhoff); Skhan34@hamad.qa (Shahab Uddin)
Front. Biosci. (Landmark Ed) 2024, 29(1), 40; https://doi.org/10.31083/j.fbl2901040
Submitted: 10 August 2023 | Revised: 30 October 2023 | Accepted: 15 November 2023 | Published: 23 January 2024
Copyright: © 2024 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: The benzophenanthridine Sanguinarine (Sng) is one of the most abundant root alkaloids with a long history of investigation and pharmaceutical applications. The cytotoxicity of Sng against various tumor cells is well-established; however, its antiproliferative and apoptotic potential against the cutaneous squamous cell carcinoma (cSCC) cells remains unknown. In the present study, we investigated the anti-cancer potential of Sng against cSCC cells and elucidated the underlying mechanisms relevant to the drug action. Methods: The inhibitory effect of Sng on cSCC cells was evaluated by analyzing cell viability, colony-forming ability and multi-caspase activity. Apoptosis was quantified through Annexin-V/Propidium iodide flow cytometric assay and antagonized by pan-caspase inhibitor z-VAD-FMK. Mitochondrial membrane potential (ΔΨm) dysfunction was analyzed by JC-1 staining, whereas reactive oxygen species (ROS) generation was confirmed by pretreatment with N-acetylcysteine (NAC) and fluorogenic probe-based flow cytometric detection. The expression of cell cycle regulatory proteins, apoptotic proteins and MAPK signaling molecules was determined by Western blotting. Involvement of JNK, p38-MAPK and MEK/ERK in ROS-mediated apoptosis was investigated by pretreatment with SP600125 (JNK inhibitor), SB203580 (p38 inhibitor) and U0126 (ERK1/2 inhibitor), respectively. The stemness-targeting potential of Sng was assessed in tumor cell-derived spheroids. Results: Treatment with Sng decreased cell viability and colony formation in primary (A431) and metastatic (A388) cSCC cells in a time- and dose-dependent manner. Sng significantly inhibited cell proliferation by inducing sub-G0/G1 cell-cycle arrest and apoptosis in cSCC cells. Sng evoked ROS generation, intracellular glutathione (GSH) depletion, ΔΨm depolarization and the activation of JNK pathway as well as that of caspase-3, -8, -9, and PARP. Antioxidant NAC inhibited ROS production, replenished GSH levels, and abolished apoptosis induced by Sng by downregulating JNK. Pretreatment with z-VAD-FMK inhibited Sng-mediated apoptosis. The pharmacological inhibition of JNK by SP600125 mitigated Sng-induced apoptosis in metastatic cSCC cells. Finally, Sng ablated the stemness of metastatic cSCC cell-derived spheroids. Conclusion: Our results indicate that Sng exerts a potent cytotoxic effect against cSCC cells that is underscored by a mechanism involving multiple levels of cooperation, including cell-cycle sub-G0/G1 arrest and apoptosis induction through ROS-dependent activation of the JNK signaling pathway. This study provides insight into the potential therapeutic application of Sng targeting cSCC.

Keywords
cutaneous squamous cell carcinoma
Sanguinarine
apoptosis
reactive oxygen species
JNK signaling pathway
Funding
MRC-01-23-065/Medical Research Center, Hamad Medical Corporation
Figures
Fig. 1.
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