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Indo-Am. J. Agric. & Vet. Sci., 2018
The Effects of Vernonia amygdalina on Vascular Smooth
Muscle Cell Proliferation and Cytotoxicity in HT 29 Cell
Lines
Miss. V. Prasanna Vaishnavi1
, Mrs. A. Deepthi2
, Mrs. S. Shaheentaj3
, Miss.
P.S. Chandana4
, Mr. A. Sreedhar5
, Mr. N.V. Murali Krishna6
ABSTRACT
Using the Cell Titer 96 MTT Proliferation Assay, the antiproliferative effects of methanol leaf extracts of Vernonia
amygdalina (V. amygdalina) Del (Asteraceae) on Vascular Smooth Muscle Cells (VSMC) and Human Colorectal
Adenocarcinoma Cell line (HT 29) were examined. The extract was administered to VSMC at log doses of 200 and
800 g/mL and incubated for 24 and 48 hours. Extracts were also incubated for varying amounts of time with VEGF
and ET-1 (the mitogens). The HT 29 cell line was treated with varying concentrations of extract (200, 400, and 700
g/mL) for 24, 48, and 72 hours. After 24 hours, both the plant extract and the mitogens had a greater impact on
VSMC proliferation than the plant extract alone or in the presence of mitogens (except at 200 g/mL, when there was
no proliferation in the presence of ET-1). The increase in growth was much more noticeable after 48 hours. Increase
of 153.3% was seen, for instance, when 800 g/mL of V. amygdalina was combined with VEGF. In the cytotoxic
trial with HT 29, the extract was cytotoxic throughout the whole dosage range. At 72 hours, 69.2% of cells were
inhibited by a V. amygdalina dose of 200 g/mL. However, it should be pointed out that the extract's impact was
most evident and persistent at the 24-hour time point. From these results, we may infer that although the extract
stimulates VSMC proliferation, it has the opposite impact on the HT 29 cell line. Since the extract was shown to
have inhibitory effects on the HT 29 cell line, this suggests that it displays a cytotoxic impact and might potentially
serve as lead agents in the quest for an anticancer medication derived from natural sources.
Keywords: V. amygdalina; HT 29; VSMC; anticancer; VEGF; ET-1.
1. INTRODUCTION
The identification of substances that may either slow
or speed up cell division is crucial in the fields of
cell biology and drug development. More than 25%
of medications during the last few of decades have
come from plant species, and another 25% have been
chemically modified from their original state. About
5-15% of the 250,000 or more higher plants have
had their bioactive chemicals researched [1,2].
New and unique products from possible bioactive
plants or their extracts for disease treatment and
prevention are still enormous [3], despite the fact
that synthetic chemistry has developed as a
technique of drug discoveries and drug manufactures
in recent years. The virtually infinite potential of
plants to produce chemicals that interest scientists in
their hunt for novel chemotherapeutics [4].
Cancer is one of the worst illnesses people may get,
but scientists have recently made important
discoveries in the development of novel anticancer
drugs derived from natural chemicals [5]. Surgery,
radiation therapy, immunotherapy, and
chemotherapy are all alternatives for treatment, but
they are either too hazardous, too costly, or both.
This prompted the research of potential herbal
treatments with anti- Cancerous behavior. Natural
compounds from plants have demonstrated great
promise in reducing cancer while presenting few or
no side effects, and medicinal plants have long been
utilized to treat a wide range of chronic conditions.
This is why plant extracts are becoming more
popular as an alternative to conventional medication.
In reality, because to a lack of access to allopathic
medication [6-9], as much as 80% of the population
in poor nations relies on herbal therapy to cure
various ailments.
Department of Pharmaceutics1,2,3,4,5
, Pharmaceutical Analysis6
Approved by AICTE& Pharmacy Council of India, New Delhi.(Affiliated to jawahalal Nehru Technological University.
Anantapur&S.B.T.E.T.A.P)
Chennai-Hyderabad By Pass Road, Ukkayapalli, Kadapa-516002
While chemotherapy may prolong a cancer patient's
life by a few years, it comes with the danger of fatal
host toxicity and other major side effects [10]. There
is a growing interest in and understanding of the fact
that chemotherapeutic medicines work largely by
causing cancer cell death through the process of
apoptosis, and there is a corresponding desire for the
employment of alternative ideas or tactics for cancer
prevention. Many tumors, however, are genetically
programmed to resist apoptosis, making it imperative
to create new medications for combination
chemotherapy [11,12]. Natural extracts' chemo-
protective potential may be better understood by
measuring their anti-proliferative effects on cancer
cells using the MTT test.
Chemoprevention relies heavily on early-stage
cancer eradication [13].
The Asteraceae family member Vernonia
amygdalina Del is used for its therapeutic properties,
and it is found over most of East and West Africa
[14,15]. Bitter leaf, also known as berberine, has
potential as a cancer-fighting agent [16], as well as
against germs, malaria, and parasites [17]. The
plant's complex active components have therapeutic
use in pharmacology. Both the roots and the leaves
are used in traditional medicine [18,19] to alleviate
symptoms such as fever, hiccups, renal issues, and
abdominal pain.
Vernonia amygdalina chloroform extract was
originally found to have an anti-cancer effect in
human carcinoma of the nasopharynx [20,21]. This
effect was subsequently confirmed in leukemia cells
P-388 and L-1210. Water-soluble leaf extracts at low
concentrations (g/mL) significantly inhibited the
proliferation of estrogen receptor positive (ER+)
human breast cancer (MCF-7) cells in vitro, as
shown by research by Izevbigie [16]. Treatment with
Vernonia amygdalina- has been demonstrated in
other research [22] to affect phase 1 and phase 2
gene expressions in MCF-7 cells in a time- and dose-
dependent manner. The purpose of this investigation
was to assess Vernonia amygdalina's (VA) methanol
leaf extract's (VE) effects on vascular smooth muscle
cells (VSMC) and the HT29 cell line.
2. MATERIALS AND METHODS
2.1 Collections and Identification of Plant
Materials
Fresh leaves of Vernonia amygdalina were
collected from the community around the
University of Ibadan campus and then
subsequently authenticated at the Department of
Botany University of Ibadan where specimen
voucher was also kept. The herbarium number is
UIH-22640.
2.2 Preparation of Plant Extracts
2.2.1 Methanol leaf extraction of
Vernoniaamygdalina
The fresh plant leaves were washed with waterto
remove dirt and then dried under shade. The
leaves were pulverized into powder form and 200g
of the powdered materials were separately
dissolved in 2 L of methanol under cold
maceration. After 72 hrs, the solution was filtered
using Whatman filter paper. The black material in
a slurry form was then placed in porcelain plate
and put on hot water at about 40ºC to removethe
remaining methanol in the extract.
2.2.2 MTT assay
Cells were cultured to confluence, trypsinized
and plated in 96-well plates for cell proliferation
assay. Twenty four hours after plating, cells were
treated with various concentrations (25-100
µg/mL) of the extract along with the control in
thepresence or absence of mitogens and cultured
for 24-48 hours to determine effects of treatment
on cell growth.
MTT assay is based on the ability of cell to
reduce MTT (3-(4, 5-Dimethylthiazol-2-yl)-2, 5-
diphenyltetrazolium bromide to purple formazan
in the mitochondria of living cells. The viable
cells (VSMC and HT 29) were seeded at a
density of 5×104
(100 𝜇L/well) in 96-well plates
and incubated in a humidified atmosphere of 5%
CO2 and 95% air at 37ºC for 24 h to form a cell
monolayer. MTT assay was performed over three
days. On day one, the cells were trypsinized.
After these have confluenced and on the second
day, the cells were treated with Vernonia
amygdalina, mitogens and Vernonia
amygdalina
+ mitogens and the final volume of the media
was adjusted to 100 µL and the incubation
continued. On day three, 20 µL of 5 mg/mL of
MTT was added to each of the 96 wells but the
well used, as controls have no cell. This wasthen
incubated for three and half hours at 37ºC in
culture hood. After this, the media was carefully
removed and 150 µL of MTT solvent was added
and covered with tin foil and cells agitated on
orbital shakers for 15 minutes. Thereafter, the
absorbance was read at 590 nm.
2.3 Statistics
Results are expressed as mean ± SD. Statistical
analysis was performed by one-way analysis of
variance (ANOVA), using Graph Pad Prism
version 6. The level of statistical significance
wasconsidered as α<0.05.
3. RESULTS AND DISCUSSION
3.1 Effects of the Extract of V. amygdalina
on VSMC
The result of this study showed that after 24
hours, the effect of the extract on the VSMC
alone and in the presence of the mitogens was
more of proliferation. For instance, the
200
𝜇g/mL of the extract alone and in the presence of
VEGF caused respectively 25 and 108.3% increase
in cell proliferation but in the case of the 800
𝜇g/mL alone and in the presence of VEGF the
result was 83.3 and 41.7% increase in cell
proliferation showing that in a way there is
reduction in cell proliferation at this dose in the
presence of VEGF. The result also showed that the
extract at 200 𝜇g/mL in the presence of ET-1
caused no cell proliferation whereas the 800
𝜇g/mL in the presence of ET-1 caused 33.3% cell
proliferation indicating that this mitogen also
interfere with the extract’s cell proliferation
activity. At 48 hrs, the 200 𝜇g/mL alone caused
73.3% increase in cell proliferation but in the
presence of VEGF and ET-1 it caused 86.7 and
80% increase in cell proliferation. With respect to
the 800 𝜇g/mL alone and in the presence of VEGF
and ET-1, there was increase in the proliferation
of the cells at 126.7, 153.3 and 100%, respectively
(Figs 1 and 2).
Studies with natural products involve biological
activity and pharmacological assays for the
screening of plant extracts, with subsequent
evaluation of the fractions and isolated
compounds were responsible for the activity
observed [23].
In this present study Vernonia amygdalina alone
and in the presence of VEGF resulted in a dose
dependent and time dependent increase in cell
proliferation which is similar to what Parenti et al.
[24] demonstrated that VSMC proliferation
induced by monocyte chemoattractant protein-1
was mediated by endogenous production of
VEGF-A.
Vasoactive agents such as norepinephrine (NE),
angiotensin II (ANG II), and endothelin-1 can
induce hypertrophy and proliferation of vascular
smooth muscle cell and thus are implicated in
pathogenesis of hypertension [25-28].
Endothelins (ETs) are a family of three peptides
(ET-1, ET-2, ET-3) that are implicated in the
physiological control of vascular smooth muscle
cell (VSMC) and myocardial contractility and
growth. ET-1 is vasoactive peptide that acts via
ET-A receptors coupling inducing vascular
smooth muscle cell contraction [29-31].
In this study at 24 hours, the 200 𝜇g/mL dose of
Vernonia amygdalina resulted in an inhibition of
the proliferation of VSMC in the presence of ET-
1, the higher dose (800 𝜇g/mL) however showed a
slight increase in cell proliferation. At 48 hours,
however, there was an increase in theproliferation
of the VSMCs in the presence of
both Vernonia amygdalina and Vernonia
amygdalina+ET-1. It can be deduced from this
observation that the proliferative effect of the
plant on VSMC is dependent on time and dose.
VSMCs have been viewed as directly
responsible for generating the atherosclerotic
plaque, via proliferation, migration from the
media and synthesis of matrix proteins [32].
Consequently huge efforts have been made to
inhibit the accumulation of these cells, which in
the case of stent stenosis have largely been
successful. However, reviews of atherosclerosis
have emphasized the advantageous protective
function of VSMCs in atherosclerosis [33]. This
isbased on findings that plaques in humans that
have undergone plaque rupture, and directly led
to heart attacks, show a paucity of VSMCs
compared with stable lesions [34]. Indeed
VSMCs are the only cells capable of
synthesizing components of the fibrous cap in
plaques (the structure that separates the blood
from the thrombogenic plaque interior), and
whose ruptureor erosion may trigger myocardial
infarction.
Apoptosis of VSMCs has been recognised in
atherosclerosis. In early lesions, apoptotic
frequencies are minimal but peak in advanced
plaques with both VSMCs and macrophages
showing features of apoptosis [35]. This
observation raised the possibility that VSMC
apoptosis could promote plaque rupture by
thinning the fibrous cap. Indeed, plaques from
patients with unstable symptoms show higher
levels of apoptosis than those with stable lesions
[36]. VSMC apoptosis has also been associated
with numerous other features within plaques
including inflammation, calcification,
thrombosis
[37] and both negative remodeling (vessel
shrinkage) [38,39] and aneurysm formation [40].
VSMC apoptosis causes release of IL-1 and up-
regulation of monocyte-chemoattractant protein
1 (MCP-1) [41] and interleukin (IL) 8, causing
infiltration of macrophages in vivo [42]. In vitro,
VSMC apoptosis can promote both thrombin
generation [43] and vascular calcification [44],
and apoptotic vascular cells are thrombogenic
both locally [45] and systemically [46].
Therefore the proliferation of VSMC by
Vernonia amygdalina at higher dose in this study
might be a useful therapeutic target to prevent
VSMC apoptosis in stable and unstable
atherosclerosis.
3.2 Effects of the Extract of V. amygdalina
on HT 29 Cell Line
In the case of HT 29 cytotoxic study, at 24 hrs,
the 700 𝜇g/mL concentration caused the greatest
cytotoxicity at 61.8% cell inhibition and this was
followed by the 400 𝜇g/mL concentration at
60.5% decrease in proliferation. The 200 𝜇g/mL
concentration of the extract only caused 52.6%
inhibition of the HT 29 cell line. At 48 hrs time
point, the 200 𝜇g/mL concentration caused 50%
inhibition followed by that of 400 𝜇g/mL causing
inhibition at 37.5% while the 700 𝜇g/mL caused
12.5% cell inhibition. At 72 hrs, the 200 𝜇g/mL
concentration caused the greatest cytotoxic
effect at 56.1% cell inhibition and this is
followed by 400 and 700 𝜇g/mL at 51.2 and
31.7%, respectively. It is to be noted that the
antiproliferative effect of the extract increases
with time with the 200 𝜇g/mL concentration
showing some form of consistency with time
(Figs. 3 and 5).
It has been known that plants have a long history
of use in the treatment of cancer [47] and herbal
medicines have a vital role in the prevention and
treatment of cancer [48]. The use of plant derived
natural compounds as part of herbal preparations
and alternative sources of drugs continues to play
major roles in the general wellness of people all
over the world [47,49]. Agents capable
4. CONCLUSION
The present data demonstrate that Vernonia
amygdalina has protective and proliferative
effects on VSMC at higher concentration and
may inhibit the proliferation of cancer cells
possibly through apoptosis. The anticancer
property of the plant may be attributable to its
high phenol content. We can conclude that
Vernonia amygdalina extract has a good potential
to be used as a new cancer therapeutic agent.
CONSENT
It is not applicable.
ETHICAL APPROVAL
It is not applicable.
ACKNOWLEDGEMENT
The study was carried out with the University of
Ibadan revitalization fund awarded to Drs.
Adedapo and Omobowale.
COMPETING INTERESTS
Authors have declared that no competing interests
exist.
REFERENCES
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medication candidates. Vuorelaa P,
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2. Two Amrs, four Halas, one Matthias, and
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3. Authors: Kviecinski MR, Felipe KB,
Schoenfelder T, de Lemos T, Wiese LP,
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traditional medicine herb Bidens pilosa
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Journal of Ethnopharmacology.
4. Blood. 2005;106:408-441. 4. Reed JC,
Pellecchia M. Apoptosis-based treatments
for hematopoietic malignancies.
5. P.T. Eisai Indonesia, Bogor, Indonesia,
1998;1-2 Kasahara S, Hemini S. Medicinal
herb index in Indonesia.
6. Toxicon. 2001;39:603-613. 6. Rates SMK.
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review by Mzid M., Tahir A. Khan, and
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  • 1.
  • 2. Indo-Am. J. Agric. & Vet. Sci., 2018 The Effects of Vernonia amygdalina on Vascular Smooth Muscle Cell Proliferation and Cytotoxicity in HT 29 Cell Lines Miss. V. Prasanna Vaishnavi1 , Mrs. A. Deepthi2 , Mrs. S. Shaheentaj3 , Miss. P.S. Chandana4 , Mr. A. Sreedhar5 , Mr. N.V. Murali Krishna6 ABSTRACT Using the Cell Titer 96 MTT Proliferation Assay, the antiproliferative effects of methanol leaf extracts of Vernonia amygdalina (V. amygdalina) Del (Asteraceae) on Vascular Smooth Muscle Cells (VSMC) and Human Colorectal Adenocarcinoma Cell line (HT 29) were examined. The extract was administered to VSMC at log doses of 200 and 800 g/mL and incubated for 24 and 48 hours. Extracts were also incubated for varying amounts of time with VEGF and ET-1 (the mitogens). The HT 29 cell line was treated with varying concentrations of extract (200, 400, and 700 g/mL) for 24, 48, and 72 hours. After 24 hours, both the plant extract and the mitogens had a greater impact on VSMC proliferation than the plant extract alone or in the presence of mitogens (except at 200 g/mL, when there was no proliferation in the presence of ET-1). The increase in growth was much more noticeable after 48 hours. Increase of 153.3% was seen, for instance, when 800 g/mL of V. amygdalina was combined with VEGF. In the cytotoxic trial with HT 29, the extract was cytotoxic throughout the whole dosage range. At 72 hours, 69.2% of cells were inhibited by a V. amygdalina dose of 200 g/mL. However, it should be pointed out that the extract's impact was most evident and persistent at the 24-hour time point. From these results, we may infer that although the extract stimulates VSMC proliferation, it has the opposite impact on the HT 29 cell line. Since the extract was shown to have inhibitory effects on the HT 29 cell line, this suggests that it displays a cytotoxic impact and might potentially serve as lead agents in the quest for an anticancer medication derived from natural sources. Keywords: V. amygdalina; HT 29; VSMC; anticancer; VEGF; ET-1. 1. INTRODUCTION The identification of substances that may either slow or speed up cell division is crucial in the fields of cell biology and drug development. More than 25% of medications during the last few of decades have come from plant species, and another 25% have been chemically modified from their original state. About 5-15% of the 250,000 or more higher plants have had their bioactive chemicals researched [1,2]. New and unique products from possible bioactive plants or their extracts for disease treatment and prevention are still enormous [3], despite the fact that synthetic chemistry has developed as a technique of drug discoveries and drug manufactures in recent years. The virtually infinite potential of plants to produce chemicals that interest scientists in their hunt for novel chemotherapeutics [4]. Cancer is one of the worst illnesses people may get, but scientists have recently made important discoveries in the development of novel anticancer drugs derived from natural chemicals [5]. Surgery, radiation therapy, immunotherapy, and chemotherapy are all alternatives for treatment, but they are either too hazardous, too costly, or both. This prompted the research of potential herbal treatments with anti- Cancerous behavior. Natural compounds from plants have demonstrated great promise in reducing cancer while presenting few or no side effects, and medicinal plants have long been utilized to treat a wide range of chronic conditions. This is why plant extracts are becoming more popular as an alternative to conventional medication. In reality, because to a lack of access to allopathic medication [6-9], as much as 80% of the population in poor nations relies on herbal therapy to cure various ailments. Department of Pharmaceutics1,2,3,4,5 , Pharmaceutical Analysis6 Approved by AICTE& Pharmacy Council of India, New Delhi.(Affiliated to jawahalal Nehru Technological University. Anantapur&S.B.T.E.T.A.P) Chennai-Hyderabad By Pass Road, Ukkayapalli, Kadapa-516002
  • 3. While chemotherapy may prolong a cancer patient's life by a few years, it comes with the danger of fatal host toxicity and other major side effects [10]. There is a growing interest in and understanding of the fact that chemotherapeutic medicines work largely by causing cancer cell death through the process of apoptosis, and there is a corresponding desire for the employment of alternative ideas or tactics for cancer prevention. Many tumors, however, are genetically programmed to resist apoptosis, making it imperative to create new medications for combination chemotherapy [11,12]. Natural extracts' chemo- protective potential may be better understood by measuring their anti-proliferative effects on cancer cells using the MTT test. Chemoprevention relies heavily on early-stage cancer eradication [13]. The Asteraceae family member Vernonia amygdalina Del is used for its therapeutic properties, and it is found over most of East and West Africa [14,15]. Bitter leaf, also known as berberine, has potential as a cancer-fighting agent [16], as well as against germs, malaria, and parasites [17]. The plant's complex active components have therapeutic use in pharmacology. Both the roots and the leaves are used in traditional medicine [18,19] to alleviate symptoms such as fever, hiccups, renal issues, and abdominal pain. Vernonia amygdalina chloroform extract was originally found to have an anti-cancer effect in human carcinoma of the nasopharynx [20,21]. This effect was subsequently confirmed in leukemia cells P-388 and L-1210. Water-soluble leaf extracts at low concentrations (g/mL) significantly inhibited the proliferation of estrogen receptor positive (ER+) human breast cancer (MCF-7) cells in vitro, as shown by research by Izevbigie [16]. Treatment with Vernonia amygdalina- has been demonstrated in other research [22] to affect phase 1 and phase 2 gene expressions in MCF-7 cells in a time- and dose- dependent manner. The purpose of this investigation was to assess Vernonia amygdalina's (VA) methanol leaf extract's (VE) effects on vascular smooth muscle cells (VSMC) and the HT29 cell line. 2. MATERIALS AND METHODS 2.1 Collections and Identification of Plant Materials Fresh leaves of Vernonia amygdalina were collected from the community around the University of Ibadan campus and then subsequently authenticated at the Department of Botany University of Ibadan where specimen voucher was also kept. The herbarium number is UIH-22640. 2.2 Preparation of Plant Extracts 2.2.1 Methanol leaf extraction of Vernoniaamygdalina The fresh plant leaves were washed with waterto remove dirt and then dried under shade. The leaves were pulverized into powder form and 200g of the powdered materials were separately dissolved in 2 L of methanol under cold maceration. After 72 hrs, the solution was filtered using Whatman filter paper. The black material in a slurry form was then placed in porcelain plate and put on hot water at about 40ºC to removethe remaining methanol in the extract. 2.2.2 MTT assay Cells were cultured to confluence, trypsinized and plated in 96-well plates for cell proliferation assay. Twenty four hours after plating, cells were treated with various concentrations (25-100 µg/mL) of the extract along with the control in thepresence or absence of mitogens and cultured for 24-48 hours to determine effects of treatment on cell growth. MTT assay is based on the ability of cell to reduce MTT (3-(4, 5-Dimethylthiazol-2-yl)-2, 5- diphenyltetrazolium bromide to purple formazan in the mitochondria of living cells. The viable cells (VSMC and HT 29) were seeded at a density of 5×104 (100 𝜇L/well) in 96-well plates and incubated in a humidified atmosphere of 5% CO2 and 95% air at 37ºC for 24 h to form a cell monolayer. MTT assay was performed over three days. On day one, the cells were trypsinized. After these have confluenced and on the second day, the cells were treated with Vernonia amygdalina, mitogens and Vernonia amygdalina + mitogens and the final volume of the media was adjusted to 100 µL and the incubation continued. On day three, 20 µL of 5 mg/mL of MTT was added to each of the 96 wells but the well used, as controls have no cell. This wasthen
  • 4. incubated for three and half hours at 37ºC in culture hood. After this, the media was carefully removed and 150 µL of MTT solvent was added and covered with tin foil and cells agitated on orbital shakers for 15 minutes. Thereafter, the absorbance was read at 590 nm. 2.3 Statistics Results are expressed as mean ± SD. Statistical analysis was performed by one-way analysis of variance (ANOVA), using Graph Pad Prism version 6. The level of statistical significance wasconsidered as α<0.05. 3. RESULTS AND DISCUSSION 3.1 Effects of the Extract of V. amygdalina on VSMC The result of this study showed that after 24 hours, the effect of the extract on the VSMC alone and in the presence of the mitogens was more of proliferation. For instance, the 200 𝜇g/mL of the extract alone and in the presence of VEGF caused respectively 25 and 108.3% increase in cell proliferation but in the case of the 800 𝜇g/mL alone and in the presence of VEGF the result was 83.3 and 41.7% increase in cell proliferation showing that in a way there is reduction in cell proliferation at this dose in the presence of VEGF. The result also showed that the extract at 200 𝜇g/mL in the presence of ET-1 caused no cell proliferation whereas the 800 𝜇g/mL in the presence of ET-1 caused 33.3% cell proliferation indicating that this mitogen also interfere with the extract’s cell proliferation activity. At 48 hrs, the 200 𝜇g/mL alone caused 73.3% increase in cell proliferation but in the presence of VEGF and ET-1 it caused 86.7 and 80% increase in cell proliferation. With respect to the 800 𝜇g/mL alone and in the presence of VEGF and ET-1, there was increase in the proliferation of the cells at 126.7, 153.3 and 100%, respectively (Figs 1 and 2). Studies with natural products involve biological activity and pharmacological assays for the screening of plant extracts, with subsequent evaluation of the fractions and isolated compounds were responsible for the activity observed [23]. In this present study Vernonia amygdalina alone and in the presence of VEGF resulted in a dose dependent and time dependent increase in cell proliferation which is similar to what Parenti et al. [24] demonstrated that VSMC proliferation induced by monocyte chemoattractant protein-1 was mediated by endogenous production of VEGF-A. Vasoactive agents such as norepinephrine (NE), angiotensin II (ANG II), and endothelin-1 can induce hypertrophy and proliferation of vascular smooth muscle cell and thus are implicated in pathogenesis of hypertension [25-28]. Endothelins (ETs) are a family of three peptides (ET-1, ET-2, ET-3) that are implicated in the physiological control of vascular smooth muscle cell (VSMC) and myocardial contractility and growth. ET-1 is vasoactive peptide that acts via ET-A receptors coupling inducing vascular smooth muscle cell contraction [29-31]. In this study at 24 hours, the 200 𝜇g/mL dose of Vernonia amygdalina resulted in an inhibition of the proliferation of VSMC in the presence of ET- 1, the higher dose (800 𝜇g/mL) however showed a slight increase in cell proliferation. At 48 hours, however, there was an increase in theproliferation of the VSMCs in the presence of
  • 5. both Vernonia amygdalina and Vernonia amygdalina+ET-1. It can be deduced from this observation that the proliferative effect of the plant on VSMC is dependent on time and dose. VSMCs have been viewed as directly responsible for generating the atherosclerotic plaque, via proliferation, migration from the media and synthesis of matrix proteins [32]. Consequently huge efforts have been made to inhibit the accumulation of these cells, which in the case of stent stenosis have largely been successful. However, reviews of atherosclerosis have emphasized the advantageous protective function of VSMCs in atherosclerosis [33]. This isbased on findings that plaques in humans that have undergone plaque rupture, and directly led to heart attacks, show a paucity of VSMCs compared with stable lesions [34]. Indeed VSMCs are the only cells capable of synthesizing components of the fibrous cap in plaques (the structure that separates the blood from the thrombogenic plaque interior), and whose ruptureor erosion may trigger myocardial infarction. Apoptosis of VSMCs has been recognised in atherosclerosis. In early lesions, apoptotic frequencies are minimal but peak in advanced plaques with both VSMCs and macrophages showing features of apoptosis [35]. This observation raised the possibility that VSMC apoptosis could promote plaque rupture by thinning the fibrous cap. Indeed, plaques from patients with unstable symptoms show higher levels of apoptosis than those with stable lesions [36]. VSMC apoptosis has also been associated with numerous other features within plaques including inflammation, calcification, thrombosis [37] and both negative remodeling (vessel shrinkage) [38,39] and aneurysm formation [40]. VSMC apoptosis causes release of IL-1 and up- regulation of monocyte-chemoattractant protein 1 (MCP-1) [41] and interleukin (IL) 8, causing infiltration of macrophages in vivo [42]. In vitro, VSMC apoptosis can promote both thrombin generation [43] and vascular calcification [44], and apoptotic vascular cells are thrombogenic both locally [45] and systemically [46]. Therefore the proliferation of VSMC by Vernonia amygdalina at higher dose in this study might be a useful therapeutic target to prevent VSMC apoptosis in stable and unstable atherosclerosis. 3.2 Effects of the Extract of V. amygdalina on HT 29 Cell Line In the case of HT 29 cytotoxic study, at 24 hrs, the 700 𝜇g/mL concentration caused the greatest cytotoxicity at 61.8% cell inhibition and this was followed by the 400 𝜇g/mL concentration at 60.5% decrease in proliferation. The 200 𝜇g/mL concentration of the extract only caused 52.6% inhibition of the HT 29 cell line. At 48 hrs time point, the 200 𝜇g/mL concentration caused 50% inhibition followed by that of 400 𝜇g/mL causing inhibition at 37.5% while the 700 𝜇g/mL caused 12.5% cell inhibition. At 72 hrs, the 200 𝜇g/mL concentration caused the greatest cytotoxic effect at 56.1% cell inhibition and this is followed by 400 and 700 𝜇g/mL at 51.2 and 31.7%, respectively. It is to be noted that the antiproliferative effect of the extract increases with time with the 200 𝜇g/mL concentration showing some form of consistency with time (Figs. 3 and 5). It has been known that plants have a long history of use in the treatment of cancer [47] and herbal medicines have a vital role in the prevention and treatment of cancer [48]. The use of plant derived natural compounds as part of herbal preparations and alternative sources of drugs continues to play major roles in the general wellness of people all over the world [47,49]. Agents capable 4. CONCLUSION The present data demonstrate that Vernonia amygdalina has protective and proliferative effects on VSMC at higher concentration and may inhibit the proliferation of cancer cells possibly through apoptosis. The anticancer property of the plant may be attributable to its high phenol content. We can conclude that Vernonia amygdalina extract has a good potential to be used as a new cancer therapeutic agent. CONSENT It is not applicable. ETHICAL APPROVAL It is not applicable. ACKNOWLEDGEMENT The study was carried out with the University of Ibadan revitalization fund awarded to Drs. Adedapo and Omobowale. COMPETING INTERESTS Authors have declared that no competing interests exist.
  • 6. REFERENCES 1. Natural products in the search for novel medication candidates. Vuorelaa P, Leinonenb M, Saikkuc P, Tammelaa P, Rauhad JP, Wennberge T. The current issue of Curr. Med. Chem. 2. Two Amrs, four Halas, one Matthias, and one Regine SS. An outline of the primary classes of anticancer medicines generated from plants. Journal of International Biomedical Sciences. 2009; 5(1):1-11. 3. Authors: Kviecinski MR, Felipe KB, Schoenfelder T, de Lemos T, Wiese LP, Rossi MH, Gonçalez E. 3. The Brazilian traditional medicine herb Bidens pilosa (Asteraceae) and its potential anticancer effects were investigated. (2008) 117:69–75 Journal of Ethnopharmacology. 4. Blood. 2005;106:408-441. 4. Reed JC, Pellecchia M. Apoptosis-based treatments for hematopoietic malignancies. 5. P.T. Eisai Indonesia, Bogor, Indonesia, 1998;1-2 Kasahara S, Hemini S. Medicinal herb index in Indonesia. 6. Toxicon. 2001;39:603-613. 6. Rates SMK. Plants as source of medicines. 7. Medicinal plants used by rural Indians: a review by Mzid M., Tahir A. Khan, and Fatima M. Mohammad. 7. Reference: Indo Global Journal of Pharmaceutical Sciences 2012, 2, p. 8. MM Pandey, R Subha, and AKS Rawat. The Ayurvedic medical and nutritional supplement system of ancient India. Complementary and Alternative Medicine: a Review of the Evidence. 2013;7:1-12. 9. Ekor M. The rising popularity of herbal medicines: Concerns about side effects and difficulties in keeping an eye on them. 2014;4(177):1-10. Front Pharmacol. 10. Apoptosis and cancer: How a new area of study got its start. 501-507 Nat Rev Cancer. 2009. 9:7. 11. In Carcin. 2000;21:485-495, Lowe SW and Lin AW wrote on apoptosis and its role in cancer. 12. Parthasarathy V. Merlin N.J., Santhoshkumar T.R. Gmelina asiatica phytochemicals induce apoptosis in the human breast cancer cell line MCF-7. 2010;9(28):4451-4456 in Afr J Biotech. 13. 13. Khalili R, Mohd A, Norhayati Abd H, Rochman N, Atif A, Amin B, Khairi M. Bismillah (Vernonia amygdalina) leaf antioxidant and anticancer activities research. Publish date: 2014. 3.(6):14-29. 14. List of plants used in traditional medicine in Nigeria. Ainslie JR., 2014. 14. Royal Botanic Gardens, Kew. 1973;42. 15. "The Useful Plants of West Tropical Africa," by Henry M. Burkill; published by the Royal Botanic Gardens, Kew in 1985;1. 16. Using a vegetable found in Benin City, Nigeria, Izevbigie EB discovered water- soluble anticancer compounds called Edotides. The year 2003 saw Exp Bio Med 228(3):293-298. 17. Djote M, Frommel D, Asres K, Tadesse A, and Gebre-Hiwot A. Leishmania aethiopica inhibition by Vernonia amygdalina in vitro. Medical Journal of Ethiopia. 1993;31:183– 189. 18. Medicinal research on Vernonia amygdalina (Del) and Tithonia diversifolia (Gray) by Hamowia AM and Saffaf AM. Journal of Veterinary Internal Medicine. 42(2):91-97. 19. Enhancement of chloroquine's anti-malarial activities by aqueous Vernonia amygdalina leaf extract in chloroquine-resistant and sensitive Plasmodium berghei-infected mice (Iwalokun BA). 2008;8(1):25-35. Afr Hlth Sci. 20. Tumor Inhibitors. XLVII. Kupchan SM, Hemingway RJ, Karim A, Werner D. Two novel cytotoxic sesquiterpene lactones from Vernonia amygdalina: vernodalin and vernomygdin The Journal of Organic Chemistry was published in 1969;vol.