Abstract
Pancreatic cancer is one of the most aggressive human malignancies with an increasing
incidence worldwide. In addition to the poor survival rates, combinations using gemcitabine
as a backbone have failed to show any benefit beyond monotherapy. These facts underscore
an urgent need for novel therapeutic options and motivated us to study the effect
of berberine on pancreatic cancer cells. Here, we undertook an mRNA-based gene expression
profiling study in order to get deeper insight into the molecular targets mediating
the growth inhibitory effects of berberine on pancreatic cancer cells compared to
normal ones. Twenty-four hours after treatment, berberine showed preferential selectivity
toward pancreatic cancer cells compared to normal ones. Moreover, expression profiling
and Ingenuity pathway analysis results showed that the cytotoxicity of berberine was
accompanied with an activation of BRCA1-mediated DNA damage response, G1/S and G2/M
cell cycle checkpoint regulation, and P53 signalling pathways. The activation of these
signalling pathways might be explained by the fact that berberine intercalates DNA
and induces DNA strand break through inhibition of topoisomerases and induction of
DNA lesions.
Key words
berberine - pancreatic cancer - microarray - cell death - photodynamic therapy
References
- 1
Bezakova L, Misik V, Malekova L, Svajdlenka E, Kostalova D.
Lipoxygenase inhibition and antioxidant properties of bisbenzylisoqunoline alkaloids
isolated from Mahonia aquifolium.
Pharmazie.
1996;
51
758-761
- 2
Misik V, Bezakova L, Malekova L, Kostalova D.
Lipoxygenase inhibition and antioxidant properties of protoberberine and aporphine
alkaloids isolated from Mahonia aquifolium.
Planta Med.
1995;
61
372-373
- 3 Kraft K, Hobbs H. Pocket guide to herbal medicine. Stuttgart; Georg Thieme Verlag
2004
- 4
Lans C, Turner N, Khan T, Brauer G, Boepple W.
Ethnoveterinary medicines used for ruminants in British Columbia, Canada.
J Ethnobiol Ethnomed.
2007;
3
11
- 5
Zhu X Z, Li X Y, Liu J.
Recent pharmacological studies on natural products in China.
Eur J Pharmacol.
2004;
500
221-230
- 6
Imanshahidi M, Hosseinzadeh H.
Pharmacological and therapeutic effects of Berberis vulgaris and its active constituent, berberine.
Phytother Res.
2008;
22
999-1012
- 7
Zha W, Liang G, Xiao J, Studer E J, Hylemon P B, Pandak W M, Wang G, Li X, Zhou H.
Berberine inhibits HIV protease inhibitor-induced inflammatory response by modulating
ER stress signaling pathways in murine macrophages.
PLoS One.
2010;
5
e9069
- 8
Pasqual M S, Lauer C P, Moyna P, Henriques J A.
Genotoxicity of the isoquinoline alkaloid berberine in prokaryotic and eukaryotic
organisms.
Mutat Res.
1993;
286
243-252
- 9
Jantova S, Letasiova S, Brezova V, Cipak L, Labaj J.
Photochemical and phototoxic activity of berberine on murine fibroblast NIH-3T3 and
Ehrlich ascites carcinoma cells.
J Photochem Photobiol B.
2006;
85
163-176
- 10
Lin C C, Yang J S, Chen J T, Fan S, Yu F S, Yang J L, Lu C C, Kao M C, Huang A C,
Lu H F, Chung J G.
Berberine induces apoptosis in human HSC-3 oral cancer cells via simultaneous activation
of the death receptor-mediated and mitochondrial pathway.
Anticancer Res.
2007;
27
3371-3378
- 11
Lin J P, Yang J S, Lee J H, Hsieh W T, Chung J G.
Berberine induces cell cycle arrest and apoptosis in human gastric carcinoma SNU-5
cell line.
World J Gastroenterol.
2006;
12
21-28
- 12
Mantena S K, Sharma S D, Katiyar S K.
Berberine, a natural product, induces G1-phase cell cycle arrest and caspase-3-dependent
apoptosis in human prostate carcinoma cells.
Mol Cancer Ther.
2006;
5
296-308
- 13
Mantena S K, Sharma S D, Katiyar S K.
Berberine inhibits growth, induces G1 arrest and apoptosis in human epidermoid carcinoma
A431 cells by regulating Cdki-Cdk-cyclin cascade, disruption of mitochondrial membrane
potential and cleavage of caspase 3 and PARP.
Carcinogenesis.
2006;
27
2018-2027
- 14
Piyanuch R, Sukhthankar M, Wandee G, Baek S J.
Berberine, a natural isoquinoline alkaloid, induces NAG-1 and ATF3 expression in human
colorectal cancer cells.
Cancer Lett.
2007;
258
230-240
- 15
Serafim T L, Oliveira P J, Sardao V A, Perkins E, Parke D, Holy J.
Different concentrations of berberine result in distinct cellular localization patterns
and cell cycle effects in a melanoma cell line.
Cancer Chemother Pharmacol.
2008;
61
1007-1018
- 16
Katiyar S K, Meeran S M, Katiyar N, Akhtar S.
p 53 Cooperates berberine-induced growth inhibition and apoptosis of non-small cell
human lung cancer cells in vitro and tumor xenograft growth in vivo.
Mol Carcinogen.
2009;
48
24-37
- 17
Liu Z, Liu Q, Xu B, Wu J, Guo C, Zhu F, Yang Q, Gao G, Gong Y, Shao C.
Berberine induces p 53-dependent cell cycle arrest and apoptosis of human osteosarcoma
cells by inflicting DNA damage.
Mutat Res.
2009;
662
75-83
- 18
Lin H L, Liu T Y, Lui W Y, Chi C W.
Up-regulation of multidrug resistance transporter expression by berberine in human
and murine hepatoma cells.
Cancer.
1999;
85
1937-1942
- 19
Kim J B, Ko E, Han W, Shin I, Park S Y, Noh D Y.
Berberine diminishes the side population and ABCG2 transporter expression in MCF-7
breast cancer cells.
Planta Med.
2008;
74
1693-1700
- 20
Jemal A, Siegel R, Ward E, Hao Y, Xu J, Thun M J.
Cancer statistics, 2009.
CA Cancer J Clin.
2009;
59
225-249
- 21
Li J, Saif M W.
Any progress in the management of advanced pancreatic cancer? Highlights from the
45th ASCO annual meeting, Orlando, FL; 2009.
JOP.
2009;
10
361-365
- 22
Burris 3rd H A, Moore M J, Andersen J, Green M R, Rothenberg M L, Modiano M R, Cripps M C,
Portenoy R K, Storniolo A M, Tarassoff P, Nelson R, Dorr F A, Stephens C D, Von Hoff D D.
Improvements in survival and clinical benefit with gemcitabine as first-line therapy
for patients with advanced pancreas cancer: a randomized trial.
J Clin Oncol.
1997;
15
2403-2413
- 23
Rivera F, Lopez-Tarruella S, Vega-Villegas M E, Salcedo M.
Treatment of advanced pancreatic cancer: from gemcitabine single agent to combinations
and targeted therapy.
Cancer Treat Rev.
2009;
35
335-339
- 24
Youns M, Efferth T, Reichling J, Fellenberg K, Bauer A, Hoheisel J D.
Gene expression profiling identifies novel key players involved in the cytotoxic effect
of artesunate on pancreatic cancer cells.
Biochem Pharmacol.
2009;
78
273-283
- 25
Esposito I, Bauer A, Hoheisel J D, Kleeff J, Friess H, Bergmann F, Rieker R J, Otto H F,
Kloppel G, Penzel R.
Microcystic tubulopapillary carcinoma of the pancreas: a new tumor entity?.
Virchows Arch.
2004;
444
447-453
- 26
Boujrad H, Gubkina O, Robert N, Krantic S, Susin S A.
AIF-mediated programmed necrosis: a highly regulated way to die.
Cell Cycle.
2007;
6
2612-2619
- 27
Agnello M, Morici G, Rinaldi A M.
A method for measuring mitochondrial mass and activity.
Cytotechnology.
2008;
56
145-149
- 28
Hara A, Iizuka N, Hamamoto Y, Uchimura S, Miyamoto T, Tsunedomi R, Miyamoto K, Hazama S,
Okita K, Oka M.
Molecular dissection of a medicinal herb with anti-tumor activity by oligonucleotide
microarray.
Life Sci.
2005;
77
991-1002
- 29
Iizuka N, Oka M, Yamamoto K, Tangoku A, Miyamoto K, Miyamoto T, Uchimura S, Hamamoto Y,
Okita K.
Identification of common or distinct genes related to antitumor activities of a medicinal
herb and its major component by oligonucleotide microarray.
Int J Cancer.
2003;
107
666-672
- 30
Ramachandran C, Rodriguez S, Ramachandran R, Raveendran Nair P K, Fonseca H, Khatib Z,
Escalon E, Melnick S J.
Expression profiles of apoptotic genes induced by curcumin in human breast cancer
and mammary epithelial cell lines.
Anticancer Res.
2005;
25
3293-3302
- 31
Mathiasen I S, Jaattela M.
Triggering caspase-independent cell death to combat cancer.
Trends Mol Med.
2002;
8
212-220
- 32
Maiti M, Kumar G S.
Molecular aspects on the interaction of protoberberine, benzophenanthridine, and aristolochia
group of alkaloids with nucleic acid structures and biological perspectives.
Med Res Rev.
2007;
27
649-695
- 33
Pereira G C, Branco A F, Matos J A, Pereira S L, Parke D, Perkins E L, Serafim T L,
Sardao V A, Santos M S, Moreno A J, Holy J, Oliveira P J.
Mitochondrially targeted effects of berberine [Natural Yellow 18,5,6-dihydro-9,10-dimethoxybenzo(g)-1,3-benzodioxolo(5,6-a)
quinolizinium] on K1735-M2 mouse melanoma cells: comparison with direct effects on
isolated mitochondrial fractions.
J Pharmacol Exp Ther.
2007;
323
636-649
- 34
Tsang C M, Lau E P, Di K, Cheung P Y, Hau P M, Ching Y P, Wong Y C, Cheung A L, Wan T S,
Tong Y, Tsao S W, Feng Y.
Berberine inhibits Rho GTPases and cell migration at low doses but induces G2 arrest
and apoptosis at high doses in human cancer cells.
Int J Mol Med.
2009;
24
131-138
- 35
Gemin A, Sweet S, Preston T J, Singh G.
Regulation of the cell cycle in response to inhibition of mitochondrial generated
energy.
Biochem Biophys Res Commun.
2005;
332
1122-1132
- 36
Krishnan P, Bastow K F.
The 9-position in berberine analogs is an important determinant of DNA topoisomerase
II inhibition.
Anticancer Drug Des.
2000;
15
255-264
- 37
Letasiova S, Jantova S, Miko M, Ovadekova R, Horvathova M.
Effect of berberine on proliferation, biosynthesis of macromolecules, cell cycle and
induction of intercalation with DNA, dsDNA damage and apoptosis in Ehrlich ascites
carcinoma cells.
J Pharm Pharmacol.
2006;
58
263-270
- 38
Sun Y, Xun K, Wang Y, Chen X.
A systematic review of the anticancer properties of berberine, a natural product from
Chinese herbs.
Anticancer Drugs.
2009;
20
757-769
- 39
Debnath D, Kumar G S, Nandi R, Maiti M.
Interaction of berberine chloride with deoxyribonucleic acids: evidence for base and
sequence specificity.
Indian J Biochem Biophys.
1989;
26
201-208
- 40
Letasiova S, Jantova S, Muckova M, Theiszova M.
Antiproliferative activity of berberine in vitro and in vivo.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub.
2005;
149
461-463
- 41
Konkimalla V B, Efferth T.
Inhibition of epidermal growth factor receptor over-expressing cancer cells by the
aphorphine-type isoquinoline alkaloid, dicentrine.
Biochem Pharmacol.
2010;
79
1092-1099
- 42
Efferth T, Fabry U, Osieka R.
Apoptosis and resistance to daunorubicin in human leukemic cells.
Leukemia.
1997;
11
1180-1186
- 43
Johansson M, Persson J L.
Cancer therapy: targeting cell cycle regulators.
Anticancer Agents Med Chem.
2008;
8
723-731
- 44
Efferth T, Fabry U, Glatte P, Osieka R.
Expression of apoptosis-related oncoproteins and modulation of apoptosis by caffeine
in human leukemic cells.
J Cancer Res Clin Oncol.
1995;
121
648-656
- 45
Wong A, Soo R A, Yong W P, Innocenti F.
Clinical pharmacology and pharmacogenetics of gemcitabine.
Drug Metab Rev.
2009;
41
77-88
- 46
Bergman A M, Pinedo H M, Peters G J.
Determinants of resistance to 2′,2′-difluorodeoxycytidine (gemcitabine).
Drug Resist Updat.
2002;
5
19-33
- 47
Kroep J R, Loves W J, van der Wilt C L, Alvarez E, Talianidis I, Boven E, Braakhuis B J,
van Groeningen C J, Pinedo H M, Peters G J.
Pretreatment deoxycytidine kinase levels predict in vivo gemcitabine sensitivity.
Mol Cancer Ther.
2002;
1
371-376
Dr. Mahmoud Youns
Department of Pharmaceutical Biology
Institute of Pharmacy and Biochemistry
University of Mainz
Staudinger Weg 5
55128 Mainz
Germany
Phone: + 49 62 21 42 46 79
Email: m.youns@dkfz.de