Molecular Medicine Reports. Mar/31/2018; 17(4): 5258-5264

Published online Jan/21/2018

PMID: 29363716

PMC: 5865991

doi: 10.3892/mmr.2018.8468

Apoptosis induced by methanol extract of Potentilla discolor in human mucoepidermoid carcinoma cells through STAT3/PUMA signaling axis

Abstract

Potentilla discolor has been used in traditional Chinese medicine for the treatment of hyperglycemia. However, the potential role of Potentilla discolor against cancer and its mode of action remain to be fully elucidated. The present study explored the apoptotic effect of methanol extract of Potentilla discolor (MEPD) in human mucoepidermoid carcinoma (MEC) cell lines of salivary glands. MEPD markedly suppressed the growth and induced apoptotic cell death in MC3 and YD15 cells. MEPD treatment significantly upregulated the expression of PUMA and reduced STAT3 phosphorylation. Overexpression of STAT3 partially recovered the growth of MEC cells inhibited by MEPD. In addition, dephosphorylation of STAT3 by cryptotanshinone (a potent STAT3 inhibitor) was sufficient to inhibit the growth of MEC cells and induce apoptosis via affecting PUMA protein. These results suggest that MEPD has a potential anticancer property via the STAT3/PUMA signaling axis in human MEC cells of salivary gland.

Introduction

Salivary gland tumors are a rare group of tumors that comprise almost 5% of head and neck cancers and ~0.5% of all malignancies (1) and they differ in their responsiveness to anticancer therapies because of their heterogeneities in their phenotypic, biological and clinical behavior (2). Mucoepidermoid carcinoma (MEC) is the most common malignant salivary gland tumor in adults and children and usually affects the parotid and minor salivary glands. Surgery is the most common treatment for MEC, but often results in diminishing the quality of life by devastating functional and cosmetic consequences (3). Thus, it is necessary to develop promising chemotherapeutic agents to kill residual tumor cells and prevent the recurrence of MEC.

For centuries, medicinal natural products have been regarded as precious sources of chemotherapeutic agents, and still lots of medicines are originated from plant-derived natural products (4,5). Over the past, plant-derived natural products or their single components have been currently employed for the treatments of various diseases (6,7). They have anti-neoplastic potentials as suitable candidates for extending the range of therapeutic options for several types of cancers (8). Recently, our research demonstrated that natural products induce apoptotic cell death in human oral cancer cell lines. For examples, methanol extracts of Dianthus chinensis and Acalypha australis L. target specificity protein 1 (Sp1) to induce apoptosis (9) and Impatiens balsamina L. promotes apoptosis by downregulation of Akt pathway in human oral cancer cells (10). Several papers also reviewed the beneficial of natural products for the treatment of oral cancer, for which current treatment approaches have not succeeded in improving long-term clinical outcome (11,12). These suggest that natural products may be promising chemotherapeutic drug candidates for treatment of oral cancer. Potentilla discolor of the rosaceae commonly founded in the north temperate, is a noticed traditional Chinese medicine (13,14). It has been also reported to improve the complications of diabetes mellitus in both experimental animals and clinical trials (15). However, the anticancer role of Potentilla discolor in human mucoepidermoid carcinoma (MEC) cell lines still remains to be determined. Our main objectives were to assess antitumor effects of methanol extract of Potentilla discolor (MEPD) and decipher the molecular mechanism involved in its antitumor activity in human MEC cells.

Materials and methods

Cell culture and chemical treatment

Salivary gland mucoepidermoid carcinoma MC3 cells which were kindly provided by Professor Wu Junzheng in the Forth Military Medical University (Xi'an, China), were isolated by repeated in situ-transplants of MEC-1 human mucoepidermoid carcinoma cell line derived from palatal salivary gland as described in the study by Wen et al (16). YD15 cells were obtained from Professor Jin Kim in Yonsei University (Seoul, Korea), which was derived from salivary gland mucoepidermoid carcinoma of tongue origin (17). MC3 cells were grown in DMEM and YD15 cells were grown in RPMI-1640; both types of media were supplemented with 10% fetal bovine serum (FBS) and 100 U/ml each of penicillin and streptomycin in a humidified atmosphere containing 5% CO₂ at 37°C. An equal number of cells were seeded and allowed to attach. All experiments were performed in cells cultured at 50–60% confluence. Methanol extract of Potentilla discolor (MEPD) was supplied from Korea Plant Extract Bank at the Korea Research Institute of Bioscience and Biotechnology (Cheongju, Korea), and cryptotanshinone was purchased from Sigma-Aldrich (St. Louis, MO, USA). Each chemical was dissolved in dimethyl sulfoxide (DMSO), aliquoted, and stored at −20°C.

Trypan blue exclusion assay

The cytotoxicity of MEPD or cryptotanshinone was determined with trypan blue solution (Gibco, Paisley, UK). Harvested cells were stained with trypan blue (0.4%) and then viable cells were counted using a hemocytometer.

Western blot analysis

Whole-cell lysates were prepared with lysis buffer and protein concentration in each sample was measured using a DC Protein Assay Kit (Bio-Rad Laboratories, Madison, WI, USA). After normalization, equal amounts of protein were separated by SDS-PAGE and then transferred to Immuno-Blot PVDF membranes. The membranes were blocked with 5% skim milk in TBST at room temperature (RT) for 2 h, and incubated with primary antibodies and corresponding HRP-conjugated secondary antibodies (1:5,000; catalog no. SC-2004 for anti-rabbit and SC-2020 for anti-goat). Rabbit anti-human polyclonal antibodies against cleaved PARP (1:3,000; catalog no. 9541), p-STAT3 (1:1,000; catalog no. 9145), total STAT3 (1:3,000; catalog no. 4904) and PUMA (1:1,000; catalog no. 4976) were purchased from Cell Signaling Technology, Inc. (Charlottesville, VA, USA). p53 antibody (1:2,000; catalog no. OP43) was obtained by Calbiochem (San Diego, CA, USA). Goat anti-human actin polyclonal antibody (1:5,000; catalog no. SC-1615) was obtained from Santa Cruz Biotechnology, Inc., (Santa Cruz, CA, USA). The immunoreactive bands were visualized by ImageQuant LAS 500 (GE Healthcare Life Sciences, Piscataway, NJ, USA).

4′-6-Diamidino-2-phenylindole (DAPI) staining

To detect nuclear morphological changes of apoptotic cells, cells were stained with DAPI solution (Sigma-Aldrich). Briefly, cells were fixed in 100% methanol at RT for 10 min, deposited on slides, and stained with DAPI solution (2 µg/ml). The morphological changes of apoptotic cells were observed under a fluorescence microscopy.

Live/dead assay

The cytotoxicity of MEPD or cryptotanshinone were determined using Live/Dead Viability/Cytotoxicity assay (Life Technologies, Grand Island, NY, USA). The polyanionic dye calcein-AM is retained within live cells, producing an intense green fluorescence through intracellular esterase activity. Ethidium homodimer-1 enters cells with damaged membranes and binds to nucleic acids, producing a bright red fluorescence in dead cells. Briefly, cells were stained with 2 µM calcein-AM and 4 µM ethidium homodimer-1, and then incubated for 30 min at RT. Cells were analyzed under a fluorescence microscopy.

Immunofluorescence staining

MC3 and YD15 cells were seeded on 4-well culture plate and treated with DMSO or MEPD. After 24 h, cells were fixed and permeabilized using the cytofix/cytoperm solution for 1 h at 4°C. Cells were then blocked with 1% bovine serum albumin (BSA) in PBS for 1 h at RT and incubated overnight at 4°C with antibodies against p-STAT3 or PUMA. Subsequently, the cells were exposed to the FITC-conjugated secondary antibody for 1 h at RT and were visualized using a fluorescence microscope equipped with the appropriate filters for DAPI and FITC dyes.

Construction of STAT3 overexpression vector and transient transfection

The open reading frame of human STAT3 (NM_139276) was amplified from cDNA that was synthesized in HSC3 cells using the specific primers of the gene (primer sequence; STAT3 sense, 5′-GATATCATGGCCCAATGGAATCAG-3′, with an included EcoRV site, STAT3 antisense, 5′-GATATCTCACATGGGGGAGGTAGC-3′, with an included EcoRV site), and then cloned into pGEM^® T-easy vector (Promega, Madison, WI, USA). The STAT3 was confirmed by sequence analysis. Finally, the gene was cloned into the multi cloning site of pcDNA3.1 (+) vector (Invitrogen, San Diego, CA, USA). MC3 and YD15 cells were transfected by two kinds of vector constructs (pcDNA3.1; pcDNA3.1-STAT3) by Lipofectamine 3000 transfection reagent (Life Technologies, Carlsbad, CA, USA) according to the manufacturer's instructions, respectively.

Statistical analysis

Student's t-test or one-way ANOVA followed by Tukey's post hoc test were used to determine the significance of differences between the control and treatment groups; P-values of <0.05, 0.01 or 0.001 are considered significant.

Results

MEPD suppresses the growth of human mucoepidermoid carcinoma cells of salivary gland by inducing apoptotic cell death

To explore the potential antitumor activities of MEPD in MC3 and YD15 human mucoepidermoid carcinoma (MEC) cell lines, we evaluated the growth-inhibitory effects of MEPD using trypan blue exclusion assay after treatment of MEPD (30 µg/ml for MC3 cells and 50 µg/ml for YD15 cells) for 48 h. MEPD treatment significantly reduced cell viability in both cells relative to the controls (Fig. 1A). In order to demonstrate the effect of MEPD on apoptosis of MEC cells, we performed western to detect the protein expression level of PARP in both MC3 and YD15 cells. As presented in Fig. 1B, PARP cleaved in both cell lines treated with MEPD. Moreover, qualitative evaluation of apoptotic cell death in MEPD-treated cells was made by DAPI staining (Fig. 1C, upper; Fig. 1D, left) and Live/dead assay (Fig. 1C, down; Fig. 1D, right). The results showed that DNA-fragmented or EthD-1-stained (red fluorescence) cells were observed in MEPD-treated group indicating that apoptosis may be involved in MEPD-mediated growth suppression in MEC cells of salivary gland.

MEPD induces PUMA, but inactivates STAT3

PUMA induced by natural compound is known as one of the main mediators for apoptosis of cancer cells (18). A previous study also reported that exogenous expression of PUMA resulted in suppression of tumor growth by inducing apoptosis in an orthotopic mouse model of oral cancer (19). To investigate whether PUMA is related to MEPD-induced apoptosis, we detected expression level of PUMA protein in MEPD-treated both MEC cell lines. As shown in Fig. 2A, MEPD markedly induced PUMA protein expression. We also visually observed the increase in PUMA expression in MEPD-treated cells using immunofluorescence staining compared to the controls (Fig. 2B). Several recent reports demonstrated that STAT3 represents a target for therapeutic intervention in oral cancer (20–22). Thus, STAT3 signaling was examined after the treatment of MEPD in MEC cell lines. The results demonstrated that MEPD significantly inhibited the expression of phospho-STAT3 evidenced by western blotting and immunofluorescence analysis (Fig. 3A and B). To further clarify the functional role of STAT3 on cell viability in MEC cell lines, we transfected STAT3 overexpression vector into both MEC cell lines. The results showed that STAT3 overexpression slightly brought back MEPD-mediated growth inhibition of MC3 and YD15 cells, but it was statistically significant (Fig. 3C). These results suggest that MEPD-caused growth inhibition may be due to both PUMA and STAT3 signaling in MEC cell lines.

Inactivating STAT3 by cryptotanshinone leads to apoptotic cell death by inducing PUMA expression

Previously, the abrogation of STAT3 was sufficient to induce p53-mediated apoptosis and PUMA is a key mediator in p53-mediated apoptosis (23,24). Hence, we hypothesized that STAT3 may be involved in the induction of PUMA protein during MEPD-mediated apoptosis in MEC cell lines. To prove our hypothesis, we used a potent STAT3 inhibitor, cryptotanshinone. The results showed the dephosphorylation of STAT3 by cryptotanshinone significantly inhibited cell growth and increased apoptotic cell death in both MEC cell lines by enhancing the expression level of PUMA protein (Fig. 4). We also investigated whether cryptotanshinone affects p53 protein as an upstream molecule of Puma in MC3 and YD15 cells. However, p53 was not consistently affected by cryptotanshinone in both cell lines. In addition, we checked protein levels of Puma in STAT3 overexpression cells to clarify the relationship between STAT3 and Puma. The result showed that STAT3 overexpression slightly reduced MEPD-mediated Puma expression in both cell lines (data not shown). These results suggest that blocking STAT3 signaling pathway may contribute to apoptosis via induction of PUMA in both MC3 and YD15 cells.

Discussion

In order to kill the remaining cancer cells and prevent the recurrence, chemotherapy is essential following surgery. More than 50% of all available drugs on the market derived from natural sources including plants, microbes and marine life, of which over 70% of anticancer drugs have their origin from natural resources (25). Naturally Occurring Plant-based Anticancer Compound-Activity-Target database (NPACT) provide a thousand of natural resources exhibiting antitumorigenic activities which are experimentally validated (in vitro or in vivo) in various cancers (26). Thus, the discovery of pharmacologically active natural resources with antitumorigenic activity is very important for developing a new cancer medicine. A number of plant-derived natural compounds also has potential drug carriers for the treatment of oral cancer. For example, Impatiens balsamina L., a traditional herb medicine for the treatment of rheumatism, swelling and fingernail inflammation, regulates either AMPK or Akt signaling to promote apoptotic response in human oral cancer cell lines (10,27). Our prior study has reported that Smilax china L. can induce apoptosis via the ERK signaling pathway to treat human MEC of salivary gland (28) and it gives notice of importance that natural compounds can be promising resources of new drugs for MEC in the future. In this study, we showed that one of natural resources, Potentilla discolor, caused blocked cell growth and induced apoptotic cell death in both MC3 and YD15 MEC cell lines. Recently, several Potentilla discolor-derived active components induced apoptosis in human HepG-2 hepatocellular carcinoma, MCF-7 breast adenocarcinoma and T-84 colon carcinoma cell lines (29). This is consistent with our findings that Potentilla discolor can have an ability to induce apoptosis in various cancers including MEC.

Natural products with anticancer properties may have various targets inside human cancer cells, but they often regulate the members of Bcl-2 family which play a pivotal role in a programmed cell death process (30). Our group recently found that parthenolide increased Bim protein (28) and pycnogenol increased Bak protein by increasing its protein stability (31), resulting in the induction of apoptosis in human oral cancer supporting that natural products-derived compounds can influence Bcl-2 family members to exert their apoptotic activities in oral cancer. PUMA (p53 upregulated modulator of apoptosis) is one of BH3-only subgroup of the Bcl-2 family. A considerable amount of literature published on PUMA mentioned the involvement of PUMA in stress-induced apoptosis (32–35). Our results also here suggest that upregulation of PUMA by MEPD mediates apoptosis in human MEC cell lines. In addition, we screened the expression levels of other Bcl-2 family in MEPD-treated both cell lines; yet no Bcl-2 family proteins except PUMA were commonly regulated by MEPD during apoptotic condition (data not shown). PUMA was originally known as a downstream target of p53 protein. However, our western blot data showed no significant difference of p53 protein level after treatment of MEPD in human MEC cell lines (data not shown). It means p53-independent regulation of MEPD on PUMA protein during MEPD-mediated apoptosis in human MEC cell lines.

Signal transducers and activators of transcription 3 (STAT3) is one of a family of transcription factors that regulate apoptosis as well as cell proliferation, differentiation, and angiogenesis and a target for inducing apoptosis in various cancers (36,37). Several studies have revealed the critical role of STAT3 in oral cancer development (22,38,39). As previously stated from our laboratory, the inhibition of STAT3 by cryptotanshinone or sorafenib clearly induced apoptosis in human MEC cell lines or tumor xenograft (40,41). In the present study, MEPD clearly inhibited STAT3 to induce apoptosis in human MEC cell lines and this observation may support other previous research demonstrating that STAT3 as a promising target for chemotherapy. In addition, inhibition of STAT3 by a STAT3 inhibitor (cryptotanshinone) in both cell lines significantly increased the expression of PUMA. Notably, prior study reported that STAT5 directly controls the expression of pro-apoptotic protein PUMA suggesting the possibility of the involvement of STATs in the regulation of PUMA protein. Although more research is required to determine direct interaction between STAT3 and PUMA, this is the first time that STAT3 regulates PUMA to induce apoptosis in human MEC cell lines.

In conclusion, the present study revealed that MEPD caused a marked increase in salivary MEC cellular apoptosis in vitro. The molecular targets of MEPD-induced apoptosis were PUMA and STAT3. All these results should be useful in the search for naturally occurring plant-based new potential antitumor agents for the treatment of MEC.

Figure 1.

The effects of MEPD on cell viability and apoptosis in human mucoepidermoid carcinoma cells of salivary gland. MC3 and YD15 cells were treated with DMSO or certain dose of MEPD (30 µg/ml for MC3 cells, 50 µg/ml for YD15 cells) for 48 h. (A) The effects of MEPD on cell viability were analyzed by trypan blue exclusion assay. The graph represents the mean ± SD of triplicate experiments. (B) Western blot analysis was performed to detect cleaved PARP. Actin was used to normalize the protein loading of each treatment group. (C) Both cells were stained with DAPI solution as mentioned in Materials and methods (magnification, ×400, upper panel). Live (green) and dead (red) cells were determined by Live/Dead assay kit as mentioned in Materials and methods (magnification, ×200, lower panel). (D) Nuclei of apoptotic cells (left panel) or Calcein-AM-stained cells (right panel) were counted and the graphs represent the means ± SD of triplicate experiments. **P<0.05; ***P<0.01 compared with DMSO treatment group.

Figure 2.

The effects of MEPD on PUMA expression in MC3 and YD15 cells. MC3 and YD15 cells were treated with DMSO or certain dose of MEPD for 48 h. (A) The cell lysates were analyzed by western blotting using PUMA antibody. The graph represents the mean ± SD of three independent experiments and significance compared with the control group was indicated (*P<0.05 vs. control group). (B) Immunofluorescence was performed using PUMA antibody (magnification, ×400).

Figure 3.

The effects of MEPD on STAT3 phosphorylation in MC3 and YD15 cells. (A) The cell lysates were analyzed by western blot analysis using antibodies against p-STAT3 and total STAT3. The graph represents the mean ± SD of three independent experiments and significance compared with the control group was indicated (*P<0.05). (B) Immunofluorescence was performed using with p-STAT3 antibody (magnification, ×400). (C) Cells were transiently transfected with 500 ng pcDNA3.1 or pcDNA3.1-STAT3 for 24 h and treated with certain dose of MEPD for 48 h. The cell viability was performed by trypan blue exclusion assay. *P<0.05 compared with DMSO treatment group; ^#P<0.05 compared with pcDNA3.1 control group.

Figure 4.

The effects of cryptotanshinone on apoptosis and PUMA expression in MC3 and YD15 cells. MC3 and YD15 cells were treated with DMSO or certain concentration (14 µM for MC3 cells, 10 µM for YD15 cells) of cryptotanshinone (a potent STAT3 inhibitor) for 24 h. (A) The effect of cryptotanshinone on cell viability was analyzed by trypan blue exclusion assay. The graph represents the mean ± SD of triplicate experiments. ***P<0.001 compared with DMSO treatment group. (B) Western blot analysis was performed to detect p-STAT3, total STAT3 and cleaved PARP. Actin was used to normalize the protein loading of each treatment group. *P<0.05, **P<0.01 and ***P<0.001 compared with DMSO treatment group. (C) Cells were stained with DAPI solution as mentioned in Materials and methods (magnification, ×400) (upper panel), and live (green) and dead (red) cells were determined by Live/Dead assay kit as mentioned in Materials and methods (magnification, ×200) (lower panel). (D) The cell lysates were analyzed by western blot analysis using antibodies against Puma and p53. The graph represents the mean ± SD of three independent experiments and significance compared with the control group was indicated (*P<0.05 vs. control group).

Acknowledgements

This study was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science ICT & Future Planning [2017R1A2B2003491].

References

1. EttlTSchwarz-FurlanSGosauMReichertTESalivary gland carcinomasOral Maxillofac Surg162672832012[PubMed][Google Scholar]
2. GoyalGMehdiSAGantiAKSalivary gland cancers: Biology and systemic therapyOncology297737802015[PubMed][Google Scholar]
3. ZhangLLiLWangYLiuYLiCMC3 Mucoepidermoid carcinoma cell line enriched cancer stem-like cells following chemotherapyOncol Lett7156915752014[PubMed][Google Scholar]
4. KingstonDGModern natural products drug discovery and its relevance to biodiversity conservationJ Nat Prod744965112011[PubMed][Google Scholar]
5. NewmanDJCraggGMNatural products as sources of new drugs over the 30 years from 1981 to 2010J Nat Prod753113352012[PubMed][Google Scholar]
6. HungHYQianKMorris-NatschkeSLHsuCSLeeKHRecent discovery of plant-derived anti-diabetic natural productsNat Prod Rep295806062012[PubMed][Google Scholar]
7. TarkangPAAppiah-OpongROforiMFAyongLSNyarkoAKApplication of multi-target phytotherapeutic concept in malaria drug discovery: A systems biology approach in biomarker identificationBiomark Res4252016[PubMed][Google Scholar]
8. GuptaSCKimJHPrasadSAggarwalBBRegulation of survival, proliferation, invasion, angiogenesis, and metastasis of tumor cells through modulation of inflammatory pathways by nutraceuticalsCancer Metastasis Rev294054342010[PubMed][Google Scholar]
9. ShinJAKimJJChoiESShimJHRyuMHKwonKHParkHMSeoJYLeeSYLimDWIn vitro apoptotic effects of methanol extracts of Dianthus chinensis and Acalypha australis L. targeting specificity protein 1 in human oral cancer cellsHead Neck359929982013[PubMed][Google Scholar]
10. ShinJARyuMHKwonKHChoiBChoSDDown-regulation of Akt by methanol extracts of Impatiens balsamina L. promotes apoptosis in human oral squamous cell carcinoma cell linesJ Oral Pathol Med444204282015[PubMed][Google Scholar]
11. ZlotogorskiADayanADayanDChaushuGSaloTVeredMNutraceuticals as new treatment approaches for oral cancer: II. Green tea extracts and resveratrolOral Oncol495025062013[PubMed][Google Scholar]
12. RamshankarVKrishnamurthyAChemoprevention of oral cancer: Green tea experienceJ Nat Sci Biol Med5372014[PubMed][Google Scholar]
13. YangJChenHZhangLWangQLaiMXAnti-diabetic effect of standardized extract of Potentilla discolor Bunge and identification of its active componentsDrug Dev Res711271322010[Google Scholar]
14. ZhangLYangJChenXQZanKWenXDChenHWangQLaiMXAntidiabetic and antioxidant effects of extracts from Potentilla discolor Bunge on diabetic rats induced by high fat diet and streptozotocinJ Ethnopharmacol1325185242010[PubMed][Google Scholar]
15. SongCHuangLRongLZhouZPengXYuSFangNAnti-hyperglycemic effect of Potentilla discolor decoction on obese-diabetic (Ob-db) mice and its chemical compositionFitoterapia83147414832012[PubMed][Google Scholar]
16. WenDSZhuXLGuanSMWuYMYuLLWuJZSilencing of CXCR4 inhibits the proliferation, adhesion, chemotaxis and invasion of salivary gland mucoepidermoid carcinoma Mc3 cells in vitroOral Oncol445455542008[PubMed][Google Scholar]
17. LeeEJKimJLeeSACharacterization of newly established oral cancer cell lines derived from six squamous cell carcinoma and two mucoepidermoid carcinoma cellsExp Mol Med373793902005[PubMed][Google Scholar]
18. ShankarSSiddiquiISrivastavaRKMolecular mechanisms of resveratrol (3,4,5-trihydroxy-trans-stilbene) and its interaction with TNF-related apoptosis inducing ligand (TRAIL) in androgen-insensitive prostate cancer cellsMol Cell Biochem3042732852007[PubMed][Google Scholar]
19. YehCCHsiehHLLeeJJanYHLaiTCHongCYHsiaoMKuoMYPolyethylenimine-mediated PUMA gene delivery to orthotopic oral cancer: Suppression of tumor growth through apoptosis induction in situ and prolonged survivalHead Neck338788852011[PubMed][Google Scholar]
20. YangJGLuRYeXJZhangJTanYQZhouGIcaritin reduces oral squamous cell carcinoma progression via the inhibition of STAT3 signalingInt J Mol Sci18piiE1322017[PubMed][Google Scholar]
21. PengHYChengYCHsuYMWuGHKuoCCLiouJPChangJYJinSLShiahSGMPT0B098, a microtubule inhibitor, suppresses JAK2/STAT3 signaling pathway through modulation of SOCS3 stability in oral squamous cell carcinomaPLoS One11e01584402016[PubMed][Google Scholar]
22. BrownMEBearMDRosolTJPremanandanCKisseberthWCLondonCACharacterization of STAT3 expression, signaling and inhibition in feline oral squamous cell carcinomaBMC Vet Res112062015[PubMed][Google Scholar]
23. NiuGWrightKLMaYWrightGMHuangMIrbyRBriggsJKarrasJCressWDPardollDRole of Stat3 in regulating p53 expression and functionMol Cell Biol25743274402005[PubMed][Google Scholar]
24. HikiszPKiliańskaZMPUMA, a critical mediator of cell death-one decade on from its discoveryCell Mol Biol Lett176466692012[PubMed][Google Scholar]
25. ChinembiriTNdu PlessisLHGerberMHammanJHdu PlessisJReview of natural compounds for potential skin cancer treatmentMolecules1911679117212014[PubMed][Google Scholar]
26. MangalMSagarPSinghHRaghavaGPAgarwalSMNPACT: Naturally occurring plant-based anti-cancer compound-activity-target databaseNucleic Acids Res41D1124D11292013[PubMed][Google Scholar]
27. ShinJAKwonKHChoSDAMPK-activated protein kinase activation by Impatiens balsamina L. is related to apoptosis in HSC-2 human oral cancer cellsPharmacogn Mag111361422015[PubMed][Google Scholar]
28. YuHJShinJALeeSOKwonKHChoSDExtracellular signal-regulated kinase inhibition is required for methanol extract of Smilax china L.-induced apoptosis through death receptor 5 in human oral mucoepidermoid carcinoma cellsMol Med Rep96636682014[PubMed][Google Scholar]
29. ZhangJLiuCHuangRZChenHFLiaoZXSunJYXiaXKWangFXThree new C-27-carboxylated-lupane-triterpenoid derivatives from Potentilla discolor Bunge and their in vitro antitumor activitiesPLoS One12e01755022017[PubMed][Google Scholar]
30. ChristodoulouMIKontosCKHalabalakiMSkaltsounisALScorilasANature promises new anticancer agents: Interplay with the apoptosis-related BCL2 gene familyAnticancer Agents Med Chem143753992014[PubMed][Google Scholar]
31. YangIHShinJAKimLHKwonKHChoSDThe caspase 3-dependent apoptotic effect of pycnogenol in human oral squamous cell carcinoma HSC-3 cellsJ Clin Biochem Nutr5840472016[PubMed][Google Scholar]
32. YangSZhuZZhangXZhangNYaoZIdelalisib induces PUMA-dependent apoptosis in colon cancer cellsOncotarget8610261132017[PubMed][Google Scholar]
33. ChatwichienJBasuSBudina-KolometsAMurphyMEWinklerJDPUMA-dependent apoptosis in NSCLC cancer cells by a dimeric β-carbolineBioorg Med Chem Lett26488448872016[PubMed][Google Scholar]
34. ZhuHJLiuLFanLZhangLNFangCZouZJLiJYXuWThe BH3-only protein Puma plays an essential role in p53-mediated apoptosis of chronic lymphocytic leukemia cellsLeuk Lymphoma54271227192013[PubMed][Google Scholar]
35. ZhangYXingDLiuLPUMA promotes Bax translocation by both directly interacting with Bax and by competitive binding to Bcl-X_L during UV-induced apoptosisMol Biol Cell20307730872009[PubMed][Google Scholar]
36. XiongAYangZShenYZhouJShenQTranscription factor STAT3 as a novel molecular target for cancer preventionCancers69269572014[PubMed][Google Scholar]
37. Al Zaid SiddiqueeKTurksonJSTAT3 as a target for inducing apoptosis in solid and hematological tumorsCell Res182542672008[PubMed][Google Scholar]
38. MaliSBReview of STAT3 (Signal transducers and activators of transcription) in head and neck cancerOral Oncol515655692015[PubMed][Google Scholar]
39. Leeman-NeillRJSeethalaRRSinghSVFreilinoMLBednashJSThomasSMPanahandehMCGoodingWEJoyceSCLingenMWInhibition of EGFR-STAT3 signaling with erlotinib prevents carcinogenesis in a chemically-induced mouse model of oral squamous cell carcinomaCancer Prev Res42302372011[PubMed][Google Scholar]
40. YuHJParkCKimSJChoNPChoSDSignal transducer and activators of transcription 3 regulates cryptotanshinone-induced apoptosis in human mucoepidermoid carcinoma cellsPharmacogn Mag10Suppl 3S622S6292014[PubMed][Google Scholar]
41. YuHJShinJAJungJYNamJSHongISChoNPChoSDInhibition of myeloid cell leukemia-1: Association with sorafenib-induced apoptosis in human mucoepidermoid carcinoma cells and tumor xenograftHead Neck37132613352015[PubMed][Google Scholar]