Hepatoma is one of the most prevalent malignant tumor types and the third leading cause of cancer-related death worldwide.1) Each year, approximately 550000 new cases of hepatoma are reported worldwide, representing more than 5% of all human cancers.2) The incidence is particularly high among Eastern Asian and African regions, 3) but also rapidly rising in other parts of the world such as the United States.
4)Despite the development and use of multimodality therapies including chemotherapy, the clinical outcome of hepatoma treatment remains unsatisfactory, with usually less than 7% of the 5-year overall survival rate, 5,6) This may be in part due to ineffectiveness of the currently available chemotherapeutic drugs. Therefore, novel effective chemotherapeutic agents are desired, particularly those derived from natural products because of their intrinsic advantages. 7,8) One such agent is tubeimoside I (TBMS I), a constituent isolated from tuber of Bolbostemma paniculatum (MAXIM.) FRANQUET (Cucurbitaceae) that has long been used as a traditional Chinese herbal medicine to treat a wide variety of illnesses including inflammation and snake venom. 9) In the early 1980's, TBMS I was isolated and identified as a triterpenoid saponin with a unique macrocyclic structure as shown in Fig. 1. 10,11) Subsequently, it has been shown that TBMS I could be a potent anti-tumor agent 12) by inducing apoptosis in a variety of human cancer cell lines including promyelocytic leukemia (HL-60) cells, 13) cervical cancer (HeLa) cells, 14) and nasopharyngeal carcinoma (CNE-2Z) cells.15) However, TBMS I so far has not been well studied for its anti-tumor activity against hepatoma, even though that TBMS I is known to preferentially distribute in the liver during in vivo metabolism, and thus might better target liver cancer, or hepatoma.
16)Therefore, we evaluated TBMS I for its cytotoxicity to cultured human hepatoma cells or normal liver cells, from HepG2 or L-02 cell lines, respectively. We also investigated apoptosis-associated molecular events as potential mechanisms responsible for the cytotoxic effect of TBMS I on HepG2 cells. We found that compared to normal L-02 cells, TBMS I could inhibit proliferation of HepG2 cells more potently, which was paralleled by induction of several important signaling pathways associated with apoptosis, suggesting that TBMS I may be a potent promoter of apoptosis-mediated cell death in HepG2 cells and thus a particularly good candidate