Bangladesh Journal of Pharmacology Research Article Effects of L-dopa and p-coumaric acid combination on oxidative stress, DNA damage, and mitochondrial apoptosis in neuroblastoma cells BJP Introduction Neuroblastoma is a ganglion cell-derived tumor group consisting of primordial neural crest cells (Rha et al., 2003). Through advances in basic science and clinical research in the treatment of neuroblastoma in recent years, new therapeutic options have been sought. In Parkinson's, Alzheimer's, and neurological cancers, dopaminergic neuron loss is characterized by a signifi- cant decrease in the neostriatal ingredient of dopamine and its main metabolites (Hornykiewicz, 1966, 1973, 1988). With the preferred treatment, the administration of L-dopa is aimed at its conversion to dopamine by catalyzing decarboxylase in the brain and thus increas- ing dopamine in surviving neurons. Although L-dopa can alleviate most of the signs of neurodegenerative diseases, treatment is not sufficient and dopaminergic cells proceed to die in most patients taking L-dopa therapy (German et al., 1989). Studies have found that L -dopa and dopamine are cytotoxic to cells in culture. The mechanism of dopamine toxicity in melanoma and other tumor cells is not clear yet. Studies show that focusing on the G1/S phase of the cell cycle and inhibi- tion of DNA synthesis in cells is necessary (Oberley and Buettner, 1979; Park et al., 1990). Inhibition of ribonu- cleotide reductase affects cytotoxicity (Pawelek and Ler- ner, 1978). p-Coumaric acid, a phenolic acid of the hydroxycinna- mic acid family, is synthesized by phenylalanine and tyrosine (Ossio et al., 2017; Kianmehr et al., 2020). It can be converted into phenolic acids, flavonoids, secondary metabolites, and lignin precursors. A protective role in atherosclerosis, oxidative cardiac injury, oxidative heart damage, UV-ocular tissue damage, neuron damage, anxiety, gout, and diabetes had been published (Kian- mehr et al., 2020). Abstract This study aimed to investigate the effects of levodopa (L-dopa), p-coumaric acid, and combinations in the neuroblastoma (N1E-115) cell. L-dopa and L- dopa plus p-coumaric acid group caused oxidative stress by increasing 12.5 and 3.7-fold in superoxide dismutase gene, 11.5 and 4.8-fold increase in catalase gene, respectively. In L-dopa and L-dopa plus p-coumaric acid application, p21 gene expression increased 1.3-fold and 3.2-fold, and the cell cycle stopped in the G1 phase in response to stress in the treatment groups. In the application of L-dopa plus p-coumaric acid to N1E-115 cells, the BCL-2 gene, which is an apoptosis inhibitor, was suppressed and the BAX gene increased 13-fold compared to the control. As a result, it was determined that the cytotoxic effect of L-dopa plus p-coumaric acid application was less than the individual application of the substances, and p-coumaric acid had an inhibitory effect on L-dopa-induced stress. Article Info Received: 8 April 2023 Accepted: 15 May 2023 Available Online: 8 June 2023 DOI: 10.3329/bjp.v18i2.65531 Cite this article: Turker NP, Bakar E. Effects of L-dopa and p-coumaric acid combination on oxidative stress, DNA damage, and mitochondrial apoptosis in neuroblas- toma cells. Bangladesh J Pharmacol. 2023; 18: 49-57. Effects of L-dopa and p-coumaric acid combination on oxidative stress, DNA damage, and mitochondrial apoptosis in neuroblastoma cells Nebiye Pelin Turker1 and Elvan Bakar2 1 Technology Research Development Application, and Research Center, Trakya University, Edirne, Turkey; 2 Department of Basic Pharmaceutical Sciences, Faculty of Pharmacy, Trakya University, Edirne, Turkey. This work is licensed under a Creative Commons Attribution 4.0 License. You are free to copy, distribute and perform the work. You must attribute the work in the manner specified by the author or licensor. A Journal of the Bangladesh Pharmacological Society (BDPS) Bangladesh J Pharmacol 2023; 18: 49-57 Journal homepage: www.banglajol.info; www.bdpsjournal.org0 Abstracted/indexed in Academic Search Complete, Agroforestry Abstracts, Asia Journals Online, Bangladesh Journals Online, Biological Abstracts, BIOSIS Previews, CAB Abstracts, Current Abstracts, Directory of Open Access Journals, EMBASE/Excerpta Medica, Global Health, Google Scholar, HINARI (WHO), International Pharmaceutical Abstracts, Open J-gate, Science Citation Index Expanded, SCOPUS and Social Sciences Citation Index ISSN: 1991-0088 This study aims to elucidate the possible mechanisms by which combined L-dopa plus p-coumaric acid cau- ses neuroblastoma toxicity. The idea is that p-coumaric acid may be associated with oxidative or non-oxidative dopamine toxicity. Therefore, in this study, neuroblas- toma (N1E-115) cells were exposed to concentrations of L-dopa and L-dopa plus p-coumaric acid for 24 hours. Materials and Methods Cell culture and passage Neuroblastoma N1E-115 (ATCC® CRL2263™) cell line was used in the study. The cell line was cultured in the flow room [Safe Fast Elite (EN 12469 2000)]. In the passage and culture of cells, DMEM:EMEM:Ham’s F-12 (Multicell) (in proportion as: 1:1:1), 1% penicillin- streptomycin (Multicell (450-201-Z2), 1% L-glutamine [Multicell (609-065-E2)], 5% newborn medium contain- ing bovine serum (Multicell, FBS-HI-IIA) was used and incubated in sterile incubators at 37ºC and 5% CO2 (Panasonic). Cultured cell lines were replicated until the 5th passage and stocks were prepared for further use (DMSO (Merck 67-68-15) was frozen in liquid nitrogen in medium-containing cryotubes and stored at -150°C (Panasonic). In all studies, it started from the 5th passage of the cell lines, and the study was terminated at the 15th passage. Application of molecules and dose determination Cell viability and proliferation were determined by an MTT assay. First, L-dopa, p-coumaric acid, and L-dopa plus p-coumaric acid combination doses were calculated and LD50 doses was determined. RNA isolation and cDNA synthesis Pure Link RNA isolation kit was used for total RNA isolation from the N1E-115 cell line (Invitrogen™- 12183018A). The amount of RNA isolated was determi- ned with NanoDrop (NanoQ Optizen). PCR conditions using the cDNA reverse transcription kit (Applied Biosystems-00709629) step 1: 25°C, 10 min; step 2: 37°C, 120 min; step 3: 85°C was programmed to be 5 min and cDNA synthesis were done. 50 Bangladesh J Pharmacol 2023; 18: 49-57 Box 1: MTT Assay Principle NAD(P)H-linked oxidoreductase in living cells converts the yellow MTT reagent to dark purple formazan (an insoluble crystal). The darker the fluid, the more live and metabolically active cells there are. Requirements Benchtop centrifuge; Dimethyl sulfoxide; Ethanol; Formazan; Incubator with 5% CO2 at 37°C; Microplates-96 well; Modified Eagle medium culture of Dulbecco (5% FBS); MTT (3-[4,5- dimethylthiazol-2-yl]-2,5 diphenyl tetrazolium bromide); Multi-channel pipette (0.01-0.3); Multiwell plate reader (Thermofisher, Microplate reader); N1E-115 cells; Plate shaker; Round or flat bottom well; Single channel pipette (0.001-1 mL) Procedure MTT solution preparation Step 1: Dissolve 150 mg of MTT powder in 30 mL of phosphate buffer solution Step 2: In the dark, mix the solution using a magnetic stirrer for roughly 1 hour Step 3: Sterilize the solution using a 0.22 mm filter and store in 10 mL aliquots at -20°C Incubation of cell Day 1 Step 1: Culture N1E-115 cells in 10 mL of Dulbecco's modified Eagle's medium Step 2: Centrifuge the medium for 2.3 min in a sterile hawk tube (15 mL) at 2500 rpm Step 3: Drain the medium and resuspend the cells in 1 mL of culture media Step 4: Count and record cells per mL aseptically Step 5: Dilute the cells to 106 cells/mL. Use Dulbecco's modi- fied Eagle medium to dilute cells Step 6: Add 180 µL of cells (105 cells total) to each well and incubate for 24 hours Day 2 Step 1: Plant the substances to be applied in the wells at 20 µL Step 2: Final volume should be 200 µL/well Step 3: Cells are plated in 8 replicates to minimize variation in results. Incubate cells for 24 hours Day 3 Step 1: Add 20 µL of 0.5 mg/mL MTT to each well. Everything should be done aseptically Step 2: Next, incubate the plate for an additional 2-4 hours at 37°C in a CO2 incubator, depending on the cell. Intracellular formazan crystals wait until it becomes visible under the microscope Step 3: Remove the medium and add 100-200 µL of DMSO Step 4: Measure absorbance at 492 nm using the microplate reader Calculation IC50 values were calculated by probit analysis of SPSS 20 software Reference Deivasigamani et al., 2019 Reference (Video) Bahuguna et al., 2017 Real-Time PCR (qRT-PCR) Quantstudio 6 Flex qRT-PCR system (Sybr green method (PowerSYBR green- Applied Biosystems- 1805575)), which can read 384-well microplates, was used. GAPDH was used as the endogenous gene and samples were analyzed. The genes used and their sequences are given in Supplementary Table I. Determination of intracellular ion concentration After the LD50 value was determined, the cells were taken into 6-well plates and this LD50 value was applied to N1E-115 cell lines. After 24 hours of incubation, the cells of the treatment and control groups were incubated with nitric acid overnight and the amounts of sodium and potassium were determined on the ICP-MS device (Agilent 7700x ICP-MS). Genetic stability analysis with random amplified poly- morphic DNA The genetic stability of the substances applied in the N1E-115 cell lines was evaluated on the cell by PCR- based RAPD analysis using 3 randomly selected primers [30 OPAF 05 (CCCGATCAGA), 5 OPA 09 (GGGTAACGCC), and 14 OPC 09 (CTCACCGTCC)]. A commercial kit was used for DNA isolation. The quality and quantity of DNA were controlled from the values obtained by running on a 1% agarose gel and also with 260/280 nm UV. The duplicability of PCR amplification was evaluated using chosen primers with isolated DNA samples. RAPD PCR content and the amplification reaction are given in Supplementary Table II. The PCR products were stained with 2% agarose gel, ethidium bromide (0.5 µg/mL) in 2% tris-acetate EDTA buffer, and were run on electrophoresis and imaged under UV light. The number of bands was registered using the Gel Doc System (Bio-Rad). The size of the amplification products was guessed using the 100–3000 bp DNA ladder (Biomatic, M7123-100 loads). Genomic template stability (GTS (%) was calculated with the following equation: GTS%=100-(100a/n), where ‘n’ is the number of bands detected in control DNA profiles, ‘a’ is the average number of changes in DNA profiles Immunofluorescence staining method N1E-115 cell lines were cultured for 24 hours in the presence of L-dopa, p-coumaric acid, and L-dopa plus p -coumaric acid, and then the cell lines were washed with PBS. Cas3,7 (Thermofisher Cat. No. C10423), and cell viability imaging kit (blue/red) (Thermofisher Cat. No. R37610) using fluorescence microscopy (Carl Zeiss, Axio Observer) by staining according to the kit protocol images were obtained. Statistical analysis In the MTT study, Probit analysis was performed to determine the IC50. In the ICP-MS study, one-way of variance (ANOVA) Duncan test was preferred. In real time PCR studies, GADPH gene expression was used as ΔΔCT method and calibration curve and correction factor in determining gene expression differences between groups. In the comparison of control and trial groups, ANOVA test was performed and the groups in which the averages entered were determined by Duncan Test (p<0.0001). SPSS 20 (university licensed) were used in all analyzes. Results MTT analysis results Within the scope of the study, the effect of L-dopa and L-dopa plus p-coumaric acid combinations on cell viability for 24 hours in N1E-115 cell lines was determined with the MTT. Exposure of the N1E-115 cell line to L-dopa and L-dopa plus p-coumaric acid for 24 hours caused dose-related death on cell viability. The LD50 dose, which was 52.5 µM and 25.4 µM with the application of L-dopa and p-coumaric acid alone, 7.6 µM was found in the combination application. The cell viability (%) graph obtained from MTT results is given in Figure 1. ANOVA test revealed that there was a statistically significant difference in mean values between at three groups (F(17.1), 95% C.I., p=0.01). Gene expression results by qRT-PCR In the study, changes in gene expressions were determined by the qRT-PCR method using cDNAs obtained from RNAs isolated from neuroblastoma cell lines. The changes in the expressions of the genes determined in the N1E-115 neuroblastoma cells of the groups in which the applications were made compared to the control group were included in the study as 3 repetitions and statistical evaluations were made. The changes caused by the combinations of L-dopa and L-dopa plus p-coumaric acid in the expression of 0 100 50 25 12.5 6.25 3.12 1.56 0.78 0.39 0.19 Dose (µM) 100 80 60 40 20 0 % V ia b il it y L-dopa p-coumaric acid L-dopa plus p-coumaric acid Figure 1: MTT cell viability (%) on N1E-115 neuroblastoma cell line after treatment with L-dopa, p-coumaric acid and both Bangladesh J Pharmacol 2023; 18: 49-57 51 apoptotic signaling pathway (intrinsic and extrinsic apoptosis) genes are given in Figure 2A. When the L- dopa plus p-coumaric acid combination was applied to neuroblastoma cells, it was determined that the BCL-2 gene, which is an apoptosis inhibitor, was suppressed and the BAX gene increased 13.0 ± 0.5 times compared to the control (Figure 2A). There was a statistically significant difference in BAX gene between at L-dopa plus p-coumaric acid combination (F:5600.42, p=0.01, 95% C.I. = [13.04]). This increase in BAX expression level disrupted the mitochondrial membrane and initiated apoptosis by releasing cytochrome-c into the cytosol. The increase in BAX expression level in L-dopa administration could not suppress the activity of BCL-2 but increased BAX gene expression changed the BAX/ BCL-2 ratio (Figure 2B). One-way ANOVA was perfor- med to compare the effect of gene expressions on three different groups. There was a statistically significant difference in the mean of some apoptosis genes between groups (p<0.05). Average relative fold changes and standard deviation values are given in Table I. Figure 2C shows the changes in the expression of genes linked to the oxidative stress pathway induced by C B A Figure 2: On N1E-115 neuroblastoma cell line, mRNA expression of apoptotic signaling pathway genes (n=3 ± SD) (relative to the control group; one-way ANOVA post hoc Duncan, a,bp<0.05)[A]. BAX/BCL-2 ratio relative fold change (n=3 ± SD) (relative to the control group; one-way ANOVA post hoc Duncan, a,bp<0.05)[B]. mRNA expression of oxidative stress signaling pathway genes (n=3 ± SD) (relative to the control group; one-way ANOVA post hoc Duncan, a,bp<0.05)[C]. mRNA expression of cell cycle signaling pathway genes (n=3 ± SD) (relative to the control group; one-way ANOVA post hoc Duncan, a,bp<0.05)[D] a 100 80 60 40 20 0 R e la ti v e f o ld c h a n g e Apoptotic pathway Genes Relative fold change L-dopa p-coumaric acid L-dopa plus p-coumaric acid None 0 10 20 30 40 BAX/BCL-2 D 25 20 15 10 5 0 R e la ti v e f o ld c h a n g e Genes Oxidative stress pathway 4 3 2 1 0 Genes p27 p21 Cell cycle pathway a a a a a a a a a a a a a a a a a a a a a a a b b b b b b b b 52 Bangladesh J Pharmacol 2023; 18: 49-57 combinations of L-dopa and L-dopa + p-coumaric acid. A one-way ANOVA was performed to compare the effect of three groups' oxidative stress genes (95% C.I.). Application of L-dopa, L-dopa plus p-coumaric acid combinations caused oxidative stress in N1E-115 cells and it was determined that it caused oxidative stress by increasing 12.5 ± 0.1 fold, 3.7 ± 0.1 fold in superoxide dismutase gene, 11.5 ± 0.1 fold, and 4.8 ± 0.0 fold in catalase gene, respectively (p<0.05). There was no statistically significant difference in glutathione peroxi- dase (p=0.101) and reduced glutathione (p=0.055). Average relative fold changes and standard deviation values are given in Table I. Changes in p21cip1 and p27kip1 gene expressions are given in Figure 2D. A one-way ANOVA revealed that there was a statistically significant difference between groups. There was no statistically significant difference in p21 genes between groups (F:187.74, 95% C.I., p=0.066). According to the results of the analysis, the p21cip1 gene expression in the N1E-115 cell lines was increased by 1.4 ± 0.3 and 1.3 ± 0.5 fold, respectively, in the application of L-dopa and L-dopa plus p-coumaric acid combinations compared to control. The highest increase in p27kip1 gene expression was observed in L- dopa plus p-coumaric acid (3.2 ± 0.3) (p27, F: 16.346, 95% C.I., p=0.01). Average relative fold changes and standard deviation values are given in Table I. Results of intracellular Na+, K+ determination L-dopa, L-dopa plus p-coumaric acid administration disrupted the intracellular ion balance (Na+, K+) (data are not shown). While there was a 1.6-fold increase in ions with L-dopa application, there was a 2.4-fold decrease in L-dopa plus p-coumaric acid application (one-way ANOVA post hoc Duncan, p<0.05). Genetic stability analysis results by RAPD PCR Fingerprint profiles of cells made by RAPD markers were evaluated to confirm whether the cells were c Figure 3: On N1E-115 neuroblastoma cell line, Agarose gel electrophoresis image (nprimer: 3, Marker: 100 bp)[A]. Genetic stability analysis with RAPD PCR (nprimer: 3, ± SD). (relative to the control group; one-way ANOVA post hoc Duncan, a,bp<0.05)[B] B A 150 100 50 0 % G e n e ti c s ta b il it y None L-dopa p-coumaric acid L-dopa plus p-coumaric acid 30 OPAF 05 5 OPA 09 14 OPC 09 Marker None L-dopa p-Coumaric L-dopa + None L-dopa p-Coumaric L-dopa + None L-dopa p-Coumaric L-dopa + acid p-coumaric acid p-coumaric acid p-Coumaric acid acid acid b a a Bangladesh J Pharmacol 2023; 18: 49-57 53 genetically stable with the substances applied in cell culture applications. A total of 3 random RAPD primers were tested for initial screening (Gel image Figure 4). For each RAPD primer, the treatment groups were compared with the control group, and the genetic stability ratios were calculated by determining the number of bands that disappeared (Figure 3). A signi- ficant difference was found in the combination of L- dopa plus p-coumaric acid compared to one-way ANOVA (p=0.02). Immunofluorescence staining results The images of cas3,7 and cell viability (blue/red) stain- ing analysis performed in the N1E-115 neuroblastoma cell line are given in Figure 4. In the staining results, the dead cell density was highest in the L-dopa application compared to the control. In the L-dopa plus p-coumaric acid application, as expressed in the qRT-PCR results, the change of BAX/BCL-2 ratio and the initiation of cytochrome-c release was confirmed by apoptotic cells. Discussion The combination group formed a more stable genetic structure in N1E-115 cells compared to L-dopa or p- coumaric acid applied alone. L-dopa induced oxidative stress-induced cellular death. In addition, the combina- tion application caused an increase in TNF-α gene expression by binding TNF-α, one of the death signals, to the Fas/TNFR/DR5 death receptors on the cell surface. With the increase in TNF-α, CAS-9 was activa- ted and there was an increase in gene expression com- pared to the control. In combination application, it is seen that the increases in the HSP70 and HSP83 genes show that p-coumaric acid has a protective effect against the oxidative stress caused by L-dopa in neuro- blastoma cells. In addition, especially in the application of L-dopa plus p-coumaric acid combination increased ATF-4 gene expression. It is thought that stress-sensi- tive genes may be increased as the main transcription factor in response to eIF-2-alpha/EIF2S1 phosphoryla- tion caused by L-dopa-induced oxidative stress and to promote cell recovery. In the results of intracellular ion analysis with ICP-MS. With the application of L-dopa, it is confirmed that sodium and potassium ions, which increase 1.6 times compared to the control, increase the ion permeability of the cell due to oxidative stress. In L- dopa and p-coumaric acid combination (2.4 fold) administration, a decrease in sodium and potassium Figure 4: Immunofluorescent staining of control (A), l-dopa (B), p-coumaric acid (C), L-dopa plus p-coumaric acid (D) groups of neuroblastoma (N1E-115) cells by cell viability imaging kit caspase 3/7. (Blue: live cell; Red: dead cell; Green: caspase 3/7 posi- tive) A B C D 54 Bangladesh J Pharmacol 2023; 18: 49-57 channels occurred compared to the control. Results of intracellular ion analysis by qRT-PCR confirm that death caused by L-dopa plus p-coumaric acid combina- tion application is caused by apoptosis. Auto-oxidation of L-dopa can occur both extracellularly and intracellularly, whereas cells do not have a dopamine transport system, and therefore dopamine likely only causes extracellular damage (Leanza et al., 2013). This study suggests that L-dopa is a toxic agent. Alie et al. (1995), in their study on L-dopa toxicity in PC12 cells, carbidopa, an inhibitor of A-aromatic L- amino acid decarboxylase, is caused by dopamine com- posed of exogenously added L-dopa of L-dopa cytotoxicity. They investigated that it does not origi- nate. The results showed that L-dopa is toxic to PC12 cells through its auto-oxidation (Basma et al., 1995). Pedrosa R. et al. (2002) conducted a study to evaluate the neurotoxicity of L-dopa and dopamine and oxida- tive stress/apoptosis. This study was made to appreciate the importance of dopamine and L-dopa in neuronal cell death. The results showed that besides H2O2 production and quinone generation, L-dopa- and dopamine-dependent cell death may result from apoptosis induction by an increase in caspase3 activity. Caspase-3 activity, which increased with dopamine administration, also showed dopamine-induced toxicity by a mechanism distended of oxidative stress (Pedrosa and Soares-da-Silva, 2002). In this study, the increased catalase gene expression with L-dopa administration indicates that hydrogen peroxide is formed during the auto-oxidation of L- dopa. The anti-proliferative effect of p-coumaric acid on glioblastoma cell lines (A172, LN-229, LN-18, and LBC3) were evaluated (Naumowicz et al., 2019). Con- centrations of 0.5–10 mmol/dm3 for all four cell lines evaluated were found to cause reductions in cell viability. However, the cytotoxic effect of p-coumaric acid was found to be most effective in A172 and LBC3 cells. A significant increase in CASP-9 activity was sighted in A172 cells applied to p-coumaric acid. Administration of 5 mmol/dm3 p-coumaric acid produced a significant increase in CASP-9 activity in LBC3 cells, while a concentration of 8 mmol/dm3 did not significantly increase this activity. Similarly, in A172 cells, they observed an almost two-fold increase in caspase 3/7 activity at both p-coumaric acid doses tested. Caspase 3/7 activity was reduced in LBC3 cells at both 5 and 8 mmol/dm3 p-coumaric acid doses. This effect showed that events other than apoptotic cell death may be responsible (Naumowicz et al., 2019). Xiuci Yan et al. (2020); studied the protective effect of p- coumaric acid to alleviate hepatocyte damage induced by palmitic acid. In this study, intracellular lipid accu- mulation decreased and the percentage of viability increased with the progression of fatty acid p-oxidation and lipolysis in PA-treated hepatocytes. They conclu- ded that p-coumaric acid is effective on multiple hepa- tocellular metabolic lanes to arrange lipid metabolism. They reported that their results increased the likelihood that the therapeutic use of p-coumaric acid could allevi- ate hepatic lipid metabolic disorders (Yan et al., 2020). Human cancer cell lines such as colon (HT29-D4, HCT- 15), glioblastoma, lung (A549), and neuroblastoma have demonstrated anti-cancer activity with decreased proli- feration and reduced adhesion-suppressed cell migra- tion (Chien et al., 1999; Javadov et al., 2011). Caffeic acid, tyrosol and p-coumaric acid are potent inhibitors of 5-S-cysteinyl-dopamine induced neurotoxicity (David et al., 2010). It was determined that p-coumaric acid is a dopamine inhibitor (Vauzour et al., 2010). Various channels act a role in ion balance in organelles such as the endoplasmic reticulum, lysosome, nucleus, and mitochondria. In mitochondria, which plays a Table I Statistically significant apoptotic signal path, oxidative stress singal path and cell cycle control genes Relative fold change Genes L-dopa p-Coumaric acid L-dopa plus p-coumaric acid Apoptotic signal path cyc-c 10.8 ± 0.2↑ 86.6 ± 0.2↑ 23.0 ± 0.0↑ BAX 10.6 ± 0.3↑ 29.9 ± 0.1↑ 13.0 ± 0.5↑ BCL-2 4.9 ± 0.1↑ 1.0 ± 0.4↓ 0.6 ± 0.0↓ APAF-1 5.9 ± 0.1↑ 12.0 ± 1.1↑ 12.1 ± 0.0↑ ATF4 1.6 ± 0.1↑ 19.7 ± 1.2↑ 10.4 ± 0.0↑ CASP-9 1.1 ± 0.0↑ 1.0 ± 0.1↓ 4.0 ± 0.0↑ Oxidative stress signal path Superoxide dismutase 12.5 ± 0.0↑ 3.5 ± 0.0↑ 3.7 ± 0.1↑ Catalase 11.5 ± 0.1↑ 5.4 ± 0.4↑ 4.8 ± 0.0↑ Cell cycle control p21cip1 1.4 ± 0.3↑ 2.1 ± 0.2↑ 1.3 ± 0.5↑ p27kip1 1.3 ± 0.4↑ 3.3 ± 0.2↑ 3.2 ± 0.36↑ Bangladesh J Pharmacol 2023; 18: 49-57 55 centrical role in apoptosis, the transition of ion channels can cause the death of cancer cells. In oncotherapy, it is very important to selectively stimulate the inner mitochondrial membrane permeability of cancer cells. Certain cellular stresses and cytotoxic agents stimulate a prime example of such a pathway that is considered to be the last common pathway of cell death, namely the mitochondrial transmissivity transition (Brenner and Grimm, 2006; Brenner and Moulin, 2012). Opening large calcium to mitochondrial transmissivity transition makes the inner mitochondrial membrane permeable to ions, activated by oxidative stress. The mitochondrial membrane potential is hoped to attend in the regulation of ROS production. The expression of the mitochondria- targeted potassium channel (Kv1.3) structure, which plays a significant role in the potassium channel, has been defined as a target of the Bax gene, indicating the physical interplay between the proteins in apoptotic cells. Incubation of Kv1.3 positive isolated mitochon- dria with BAX has been found to stimulate apoptosis, including ROS production, membrane potential chan- ges, and cytochrome c release (Szabo et al., 2008; Szabo et al., 2011). The loss of mitochondrial membrane poten- tial, ie, decrease in ions, induced apoptosis associated with cytochrome c release and caspase activation (Fer- nandez-Salas et al., 2002). Conclusion p-Coumaric acid causes death in N1E-115 cell lines due to apoptosis. Addition of L-dopa indicates that alterna- tive therapies are of great importance in the treatment of diseases. Financial Support Self-funded Ethical Issue The development, acquisition, authentication, cryopreserva- tion, and transfer of cell lines between laboratories were followed according to the guidelines published in British Journal of Cancer, 2014 Conflict of Interest Authors declare no conflict of interest Acknowledgement The authors would like to acknowledge Trakya University Technology Research Development Application and Research Center References Adamczyk B, Tharmalingam T, Rudd PM. Glycans as cancer biomarkers. Biochim Biophys Acta. 2012; 1820: 47-53. Anden NE, Hfuxe K, Hamberger B, Hokfelt T. 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