Bangladesh Journal of Pharmacology Research Article BJP Introduction Colorectal cancer is one of the main causes of death in developed nations. Red and processed meats, excessive alcohol intake, body and belly obesity, NSAID use, Crohn's disease, ulcerative colitis, and characteristics associated with higher ages are among its risk factors (Saleh et al., 2023; Ahmed et al., 2007). Currently, phar- maceutical therapy, radiotherapy, and surgical proce- dures are applied for the management of colorectal cancer. Currently, the utilization of herbal phytoconstituents with potential anti-cancer against colorectal cancer treatment and management. Medicinal plants that contain secondary metabolites show potential against colorectal cancer like those present in Astragali radix and Glycyrrhizae radix et Rhizoma (licorice root). Treatment for colorectal cancer benefits from these drugs’ anti-inflammatory, immuno- modulatory, and antiproliferative properties. For example, Glycyrrhiza glabra contains glycyrrhizin and glycyrrhetinic acid to help reduce the pathophysiology of colorectal cancer, whereas Astragali Radix's calycosin inhibits the growth of cancer cells via particular biochemical pathways (Deshmukh et al., 2024; Zhang et al., 2024; Hu et al., 2024). Adenoon indicum Dalzell is a native plant of the western ghats of India commonly known as blue sonaki, or motha sonaki. Adenoon indicum from the Asteraceae (Compositae) family has been used in the treatment of ulcers, gastric irritations, and wound healing locally (Mane et al., 2016). There is no scientific evidence for the anti-cancer and anti-inflammatory activity of A. indicum. Hence, the aim of the present study is to evaluate the anti-cancer and anti-inflammatory activity of A. indicum methanol extract. Abstract In the present study, methanolic extract of Adenoon indicum leaves is investigated for its cytotoxic, apoptotic, and anti-inflammatory properties using HT29 cell lines. The extract yield was 1.6%. MTT assay of HT-29 cells shows that the extract's IC50 value was 80 μg/mL with 10 μg/mL for doxorubicin, confirming its cytotoxic effect. Flow cytometry analysis demonstrated that extract caused cell cycle arrest, with 2.3% of cells in the G2/M phase and 32.2% in the S phase at a dosage of 160 μg/mL. Propidium iodide/annexin V staining revealed that the extract caused 3.1% early apoptosis and 6.0% late apoptosis, compared to 0% early apoptosis and 13.4% late apoptosis with doxorubicin at 11 μg/mL and anti-inflammatory effect in the egg albumin denaturation inhibition assay. The results show methanolic extract of A. indicum has anti-cancer activities against colorectal cancer via triggering apoptosis, and cell cycle arrest. In addition, it has an anti- inflammatory effect. Article Info Received: 25 December 2024 Accepted: 31 January 2025 Available Online: 25 February 2025 DOI: 10.3329/bjp.v19i4.78705 Cite this article: Patil AB, Shinde AJ. Cytotoxic, apop- totic, and anti-inflammatory proper- ties of Adenoon indicum leaf methanol- ic extract using HT29 cell lines. Bangladesh J Pharmacol. 2024; 19: 122 -27. Cytotoxic, apoptotic, and anti-inflammatory properties of Adenoon indicum leaf methanolic extract using HT29 cell lines Ajit B. Patil and Anilkumar J. Shinde Department of Pharmaceutics, Bharati Vidyapeeth College of Pharmacy, Kolhapur, India. 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 2024; 19: 122-127 Journal homepage: www.bdpsjournal.org; www.banglajol.info 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 Materials and Methods Chemicals All chemicals and reagents for the current study i.e. methanol, ethanol, dimethyl sulfoxide, 3-(4,5-dimethyl- thiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), fetal bovine serum, trypsin, EDTA, and DMEM were procured from Sigma-Aldrich and Gibco (India). HT29 cell lines were procured from the American Type Culture Collection (ATCC). Collection and authentication of plant Leaves of A. indicum were collected from local areas of the Western ghat (Amboli), Kolhapur in the August to October period when this seasonal plant is abundantly available. The plant A. indicum was identified by com- paring the characteristic features mentioned in the available literature. The plant was authenticated by Dr. V. S. Jadhav at the Department of Botany, Shivaji University, Kolhapur. The collected leaves were air- dried at the room temperature for 6 to 7 days, then the plant materials were subjected to crushing, resulting in coarsely powdered particles, and stored for further studies. Extraction Plant leaf crushed powder (500 g) were used in a sox- hlet system to extract plant material. Petroleum ether, acetone, ethyl acetate, chloroform, and methanol were employed with increasing polarity. The extracts were then obtained utilizing a rotary evaporator (Supervac, India) to evaporate the solvents under reduced pressure, and the yields were noted (Patil et al., 2024). Cell culture The stock HT29 cell lines were cultured in DMEM with 10% inactivated fetal bovine serum, penicillin (100 IU/ mL), and streptomycin (100 μg/mL) in a humidified atmosphere of 5% CO2 at 37°C until confluent. The cells were dissociated using 0.05% trypsin and centrifuged (Remi CM-8 Plus, India) at 1,000 rpm for 5 min. The culture media was discarded, and the cell pellet was gently re-suspended using 2 mL DMEM complete media. The viability of the cells was checked, and a sin- gle cell suspension of 5.0 x 105 cells/mL was prepared. MTT assay To each well of the pre-labeled 96-well microtiter plate, 100 μL of the prepared cell suspension (50,000 cells/ well) was added and incubated at 37°C with 5% CO2. After 24 hours of incubation, the supernatant was removed, and the monolayer was rinsed with DMEM. To each pre-designated well, 100 μL of petroleum ether extract and stigmasterol (unsaturated phytosterol) at various concentrations were added and incubated for 24 hours. After incubation, the test solutions in the wells were discarded and 100 μL of MTT reagent (4 mg/10 mL of MTT in phosphate buffer solution) was added to each well. The plates were incubated for 4 hours at 37°C in 5% CO2. The supernatant was removed, 100 μL of dimethyl sulfoxide was added, and the plates were gently shaken to solubilize the formazan crystals. The absorbance was measured using a microplate reader (Spectramax i3X, South Africa) at 590 nm wavelength. The percentage growth inhibition was calculated using a formula and the concentration of test drug to inhibit cell growth by 50% (IC50) values is generated from the dose-response curves for each cell line using GraphPad Prism 5.0 software (Ali et al., 2021; Turker et al., 2023). Calculating inhibition: Bangladesh J Pharmacol 2024; 19: 122-127 123 Box 1: Egg albumin denaturation assay Principle A in vitro study of the anti-inflammatory effect of a plant extract by denaturation of protein (hen albumin, bovine serum albumin, etc) by heat. Requirements 96-Well plate, A. indicum leaf extracts, Diclofenac, Hen egg, Micropipette, Microplate reader, Shaker, Tween 80, Water bath Procedure Step 1: The egg albumin was collected from freshly laid hen egg. Step 2: Different concentrations of the isolated compounds and diclofenac) at concentrations (3.9-500 μg/mL) were prepared by serial dilution. Step 3: The test tubes were filled with 5 mL of the reagent mixture which contained 0.2 mL of egg albumin, 2.8 mL of phosphate-buffered saline (pH 6.4) and 2 mL of compound/ standard drug reconstituted with 2% tween 80 in double- distilled water. Step 4: Double-distilled water was used as the control (blank). The mixtures were mixed slowly by shaking the test tubes, incubating at 37 C for 15 min, and then kept in a water bath at 70°C for 5 min. Step 5: The mixture was cooled and 200 μL pipetted into wells of 96-well plate and the absorbance was measured at 660 nm using a microplate reader. Calculation The %inhibition of protein denaturation was estimated by considering denaturation in control as 100% and calculated by using the following formula: %Inhibition = 100 x [At/Ac] - 1 Whereas, At = absorbance of a test sample; Ac = absorbance of the control sample References Chandra et al., 2012; Anokwah et al., 2022 %Inhibition = ((OD of control – OD of sample))/OD of control) x 100 Apoptosis by flow cytometry Cells were plated 1 x 106 cells per well in the 6-well plate in a respected cell culture medium and incubated at the standard condition of 5% CO2 at 37℃. After overnight incubation, the medium was removed gently by pipette and replaced with a new fresh culture medi- um (without fetal bovine serum). Further, the cells were treated with respective concentrations of respective samples and incubated for 24 hours at the standard condition of a CO2 incubator. Later, the cell culture medium was collected into Ria tubes to avoid loss of cells due to cell death. Using 0.05% trypsin, the remain- ing cells were detached from the 6-well plate and 1 mL of medium was added to stop trypsin activity in each well and transferred the contents to the Ria tubes. Cen- trifuged the cell suspension at 4,000 rpm for 5 min at 4℃ and discarded the supernatant. Cells were fixed by resuspending in 300 µL of sheath fluid followed by the addition of 1 mL of chilled 70% ethanol drop by drop with continuous gentle shaking and another 1 mL of chilled 70% ethanol was added at once. The cells were then stored at 4°C overnight. Post fixing the cells were centrifuged at 4,000 rpm for 5 min. The cell pellet was washed twice with 2 mL of cold 1 x PBS (phosphate buffer solution). The cell pellet was then resuspended in 300 µL of sheath fluid containing propidium iodide/ annexin V (0.05 mg/mL) and RNase A (0.05 mg/mL) and incubated for 15 min in the dark. The percentage of cells in various stages of the cell cycle in compounds treated and untreated populations was determined using FACS Caliber (BD Biosciences, USA). After stain- ing, the cells were acquired by flow cytometer as soon as possible (within 1 hour) using an FL2 filter and fur- ther analyzed by Cell Quest software (Khan et al., 2021). Statistical analysis The results were reported as mean ± SD. The experi- ments were repeated three times, each in duplicate. A one-way ANOVA test was conducted to identify differ- ences, and results were graphed using Graph Pad Prism 6.01 software. A p-value of <0.05 was considered statis- tically significant. Results Extract yield The methanolic extract yield of A. Indicum leaves were obtained 7.9 g (1.6%). MTT assay The cytotoxic activity of the methanolic extract of A. indicum and doxorubicin was determined using the MTT test, with results provided as IC50. Figure 1 illus- trates the IC50 values of the A. indicum methanolic extract and doxorubicin as standard (80 μg/mL and 10 μg/mL, respectively). A. indicum methanolic extract shows great anti-cancer activity against HT-29 cancer cells. At a lower dose of 10 μg/mL and the highest dose of 160 μg/mL, the plant extract showed 29.2% and 96.4% inhibition of cancer cells. This indicates the dose- dependent anti-cancer potential of A. indicum methanolic extract. Flow cytometry The impact of the extract on the cell cycle phases of the HT-29 cell line is shown (Figures 2). The control, doxo- rubicin and extract show a reduction in population up to 85.0, 78.7 and 68.7% respectively during the G0/G1 phase. Control cells show 12.1% of the cell population in the S phase. Whereas treatment of cells with doxo- rubicin and extract for 24 hours resulted in an increased cell population of 12.1 to 22.4% and 29.19% respectively in the S phase of the cell cycle. This significant increase in the S phase indicated an increased proportion of cells with reduced DNA content, resulting in apoptosis. These findings reveal that A. indicum methanolic extract mainly targets the S phase of cell cycle arrest in colon cancer cell lines and shows anti-cancer activity through this mechanism. Apoptosis Figure 3 shows the histograms of untreated HT-29 cells, doxorubicin-treated cells, and extract-treated cells res- pectively. Extract at 160 µg/mL induced 3.1% early apoptosis and 6.0% late apoptosis in cells when com- pared to control cells. While the doxorubicin 11 µg/mL induced 0.0% early apoptosis and 13.4% late apoptosis in cells when compared to control HT-29 cells. Egg albumin denaturation assay The methanolic extract of A. indicum and diclofenac was investigated for anti-inflammatory activity using egg albumin denaturation inhibition assay. All the metha- nolic extracts of A. indicum showed concentration- dependent anti-inflammatory activity (Figure 4). Methanolic extract Doxorubicin 10 50 100 160 Concentration (µg/mL) % In h ib it io n 100 80 60 40 20 0 Figure 1: MTT cytotoxicity assay with determination of IC50 value for the methanolic extracts of A. indicum 124 Bangladesh J Pharmacol 2024; 19: 122-127 Discussion In this study, the methanolic extract of A. indicum exhi- bits significant anti-cancer activity against HT-29 colon cancer cells using an in vitro approach. The extract not only inhibits cell proliferation in a dose-dependent manner but also induces apoptosis, particularly affec- ting the S phase of the cell cycle. The in vitro protein denaturation assay of methanolic extract of A. indicum shows anti-inflammatory efficacy in a concentration- dependent manner by successfully suppressing protein denaturation. A. indicum belongs to the genus Adenoon and belongs to the family Asteraceae. It has only one species. The genus is endemic and mainly found in forests of the A B C A B C 3.9 7.8 15.6 31.2 62.4 125 250 500 % In h ib it io n 100 80 60 40 20 0 Concentration (µg/mL) Extract Diclofenac Figure 4: Effect of methanolic extract of A. indicum and diclo- fenac at concentration range (3.9-500 μg/mL) on protein dena- turation expressed as %inhibition of egg albumin denaturation Figures 3: Apoptosis detection using annexin V-FITC and pro- pidium staining of untreated HT-29 cells (A), doxorubicin- treated HT-29 cells (B) and extract-treated HT-29 cells (C) by flow cytometry Figure 2: Cell cycle study of untreated HT-29 cells (A), doxoru- bicin-treated HT-29 cells (B) and extract-treated HT-29 cells (C) by flow cytometry Bangladesh J Pharmacol 2024; 19: 122-127 125 Northern Western Ghats of India. There is no phyto- chemical study of A. indicum. These findings emphasize the methanolic extract of A. indicum powerful cytotoxic and apoptotic actions, confirming its status as natural anti-cancer properties (Sengupta et al., 2022; Kushwaha et al., 2019; Gao et al., 2018; Marciniak et al., 2023). Certain medicinal plants have anti-inflammatory pro- perties due to their bioactive components, which include flavonoids, alkaloids, and sterols. Medicinal plants such as Curcuma longa, Withania somnifera, and Boswellia serrata, influence critical signaling pathways (SoRelle et al., 2013). A. indicum may have anti-inflammatory and anti-cancer properties through various molecular mechanisms. Inhibiting NF-κB signaling may reduce the expression of pro-inflammatory cytokines, including TNF-α, IL-6, and COX-2. Furthermore, it may influence apoptosis by activating caspase-dependent pathways and inhibiting anti-apoptotic proteins like Bcl-2. The chemical may also interfere with PI3K/Akt and MAPK signaling, reducing cancer cell growth and survival. While findings are consistent with earlier studies on phytosterols' anti-cancer potential, there were excep- tions in activity (Patel et al., 2022; Awad et al., 2000; He et al., 2020). Previous research has focused on related chemicals, such as β-sitosterol and stigmasterol, which have similar but unique effects on cancer cells. Com- pared to previous research, the methanolic extract of A. indicum demonstrated higher activity against colorectal cancer cells, possibly due to its unique structural bio- active phytoconstituents within it. Furthermore, When comparing these findings to previous studies, it is noted that while other research has also highlighted the anti- cancer properties of A. indicum, the specific mecha- nisms, and effects observed in this study provide new insights (Gopalakrishnan et al., 1997; Patel et al., 2022). This suggests its ability to stabilize proteins under infla- mmatory conditions, similar to standard anti-inflamma- tory drugs, highlighting its therapeutic potential in managing inflammation-related disorders. The medici- nal plant bioactive compounds help to reduce inflam- mation by interfering with cytokine signaling. They can suppress pro-inflammatory mediators such as TNF-α, IL-6, and COX-2 (Kim et al., 2011). These findings em- phasize the therapeutic potential of plant-derived bio- actives, implying their significance in alleviating inflammation-associated illnesses, including cancer. This suggests that A. indicum methanolic extract could be a promising candidate for developing natural anti- cancer therapies, potentially offering an alternative or complement to conventional chemotherapy. However, this study has limitations such as in vivo study and the need for isolation of active compounds for a better understanding of the mechanisms and therapeutic potential of A. indicum. 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