Cervical cancer is one of the most commonly diagnosed cancers in woman worldwide and is the first leading cause of cancer-related deaths in Thai women.1) The major cause of mortality associated with this disease is the metastasis of cancer cells that fails to respond to chemotherapeutic drugs.
2)Novel preventive and therapeutic strategies are therefore urgently needed to decrease the mortality associated with this malignancy.Natural products have been found to be a potential source of novel anticancer drugs over the decades and have much contributed to cancer chemotherapy such as etoposide, camptothecin, paclitaxel, etc. 3) In addition, these chemotherapeutic agents have been reported to exert their antitumor effects by inducing apoptosis. 4) Thus, chemical agents with strong apoptosis-inducing activity but minimal toxicity would be expected to have a potential utility as anticancer drugs.Rhinacanthone (3,4-dihydro-3,3-dimethyl-2H-naphthol-[1,2-b]pyran-5,6-dione), one of the main bioactive naphthoquinones, was isolated from Rhinacanthus nasutus which traditionally used in Thai folk medicine for treating various cancers including cervical and hepatocellular cancers. It has also been reported to have antiproliferative activity in various cancer cells 5,6) and antitumor activity against Dalton's lymphoma in mice.7) It has chemical structure closely related to b -lapachone (3,4-dihydro-2,2-dimethyl-2H-naphthol[1,2-b]pyran-5,6-dione) which was proved to be a novel anticancer drug and DNA topoisomerase I and II inhibitor.
8-11)Recently, we reported that rhinacanthins (C, N and Q), another naphthoquinones isolated from the Rhinacanthus plant, exhibited antiproliferative activity in various cancer cells 5) and induced apoptosis in human cervical carcinoma (HeLaS3) cells involving in G 2 /M cell cycle arrest and activation of caspase-3. 12) Rhinacanthins-N and -Q also act as topoisomerase II inhibitors.13) Therefore, it is possible that rhinacanthone functions on cancer cells by the same action as b-lapachone and/or rhinacanthins. Up to present, the potential anticancer mechanism(s) of this drug has not been elucidated. In present study, effects of rhinacanthone on the induction of apoptosis and its molecular mechanism in human cervical carcinoma (HeLa) cells were investigated. Here, we demonstrate that rhinacanthone, 1,2-naphthoquinone, induces apoptosis on human cervical carcinoma cells. To the best of our knowledge, this is the first report showing that rhinacanthone-induced apoptotic cell death is mediated via mitochondria-dependent pathway. Rhinacanthone would be a candidate for apoptosis-inducing cancer Rhinacanthone, a main bioactive naphthoquinone, isolated from roots of Rhinacanthus nasutus KURZ, (family Acanthaceae), a Thai traditional medicine, has been reported to possess anticancer effects, although the anticancer mechanism is still unclear. Therefore, we investigated the effects of rhinacanthone on cell proliferation, cell cycle progression and apoptosis induction in human cervical carcinoma ( The apoptot...