Abstract. Resveratrol, a natural polyphenolic phytochemical, has received considerable attention due to its potential chemopreventive and chemotherapeutic properties. In the present study, we first evaluated the growth-inhibitory effect of resveratrol on HepG2 cells and explored the underlying molecular mechanisms. Resveratrol inhibited proliferation and induced apoptosis in HepG2 cells via activation of caspase-9 and caspase-3, upregulation of the Bax/Bcl-2 ratio and induction of p53 expression. Cell cycle analysis demonstrated that resveratrol arrested cell cycle progression in the G 1 and S phase. We further focused on the combination of matrine, a natural component extracted from the traditional Chinese medical herb Sophora flavescens Ait., as a mechanism to potentiate the growth-inhibitory effect of resveratrol on HepG2 cells. Both MTT and colony formation assay results indicated that the combined treatment of resveratrol and matrine exhibited a synergistic antiproliferative effect. In addition, resveratrol-induced apoptosis was significantly enhanced by matrine, which could be attributed to activation of caspase-3 and caspase-9, downregulation of survivin, induction of reactive oxygen species (ROS) generation and disruption of mitochondria membrane potential (Δψ m ). Our findings suggest that the combination treatment of resveratrol and matrine is a promising novel anticancer strategy for liver cancer; it also provides new insights into the mechanisms of combined therapy.
IntroductionLiver cancer is the fifth most common cancer in men and the seventh in women; it accounts for 9% of all cancer-related deaths worldwide and 12% in developing countries (1).Epidemiologic studies have shown that the main risk factors for hepatocellular carcinoma (HCC) are chronic hepatitis B virus (HBV) and hepatitis C virus (HCV) infections (2,3). Among primary live cancers, HCC accounts for almost 70-85% of the total liver cancer burden. Until recently, there is still a lack of systemic chemotherapy in treating HCC efficaciously. Although sorafenib has been approved by FDA for the treatment of advanced HCC, it causes several adverse effects including diarrhea, hand-foot skin reaction, hypophosphatemia and the risk of bleeding (4,5). Therefore, it is urgent to develop alternative therapeutic strategies for liver cancer.Resveratrol, a naturally occurring polyphenolic compound, is commonly present in the skin of grapes and in red wine (6). Due to its high toxicity toward tumor cells, resveratrol appears to be a good candidate drug for cancer therapy. Resveratrol can delay or prevent all stages of carcinogenesis in vitro and in vivo, including initiation, promotion and progression (6,7). When resveratrol is combined with other anticancer agents, such as 5-fluorouracil and curcumin, they display synergistic anticancer properties (8-10). Previous studies have also demonstrated that resveratrol inhibits cell proliferation and induces apoptotic cell death in HCC cells in vivo and in vitro (7).Matrine is an important ingredient of a tr...