“…α-AMA does not show a direct cytolytic effect, but it does block DNA transcription by inhibiting the RPB1 subunit of RNA polymerase II, leading to cell death (15,16). Additionally, α-AMA induces both necrotic and apoptotic cell death concomitantly in the hepatocytes, where elevated cellular apoptosis is especially emphasized (2,18). In human fibroblasts and human colon carcinoma cell line 116 (HTC116), α-AMA was shown to induce the accumulation of p53 in the mitochondria, which leads to p53-and caspase-dependent apoptosis (16,21,(30)(31)(32).…”