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US 20040009239A1
(19) United States
(12) Patent Application Publication (10) Pub. No.: US 2004/0009239 A1
Shyur et al. (43) Pub. Date: Jan. 15, 2004
(54)
(75)
(73)
USE OF ANOECTOCHILUS FORMOSANUS
PLANT EXTRACTS AND THEIR DERIVED
FRACTIONS AS HERBAL MEDICINES OR
NUTRACEUTICAL SUPPLEMENTS FOR
CHEMOPREVENTION OR TREATMENT OF
HUMAN MALIGNANCIES
Inventors: Lie-Fen Shyur; Taipei (TW); Ning-Sun
Yang; Taipei (TW); Pei-Ling Kang;
Taipei (TW); Show-Jane Sun; Taipei
(TW); Sheng-Yang Wang; Taipei (TW)
Correspondence Address:
COHEN, PONTANI, LIEBERMAN & PAVANE
Suite 1210
551 Fifth Avenue
New York, NY 10176 (US)
Assignee: Academia Sinica
(21)
(22)
(51)
(52)
(57)
Appl. No.: 10/194,345
Filed: Jul. 12, 2002
Publication Classi?cation
Int. C1.7 .....................A61K 35/78; A61K 31/7076;
A61K 31/7048
US. Cl. ............................. .. 424/725; 514/27; 514/46
ABSTRACT
The present invention provides medicinally active extracts
and fractions; and a method for preparing the same by
extracting and fractioning constituents from the tissue of
plant components of the Anoectochilus family. These active
extracts and fractions are useful for preventing or inhibiting
tumor groWth.
Patent Application Publication Jan. 15, 2004 Sheet 2 0f 14 US 2004/0009239 A1
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Patent Application Publication Jan. 15, 2004 Sheet 9 0f 14 US 2004/0009239 A1
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US 2004/0009239 A1
USE OF ANOECTOCHILUS FORMOSANUS PLANT
EXTRACTS AND THEIR DERIVED FRACTIONS
AS HERBAL MEDICINES OR NUTRACEUTICAL
SUPPLEMENTS FOR CHEMOPREVENTION OR
TREATMENT OF HUMAN MALIGNANCIES
BACKGROUND OF THE INVENTION
[0001] 1. Field of the Invention
[0002] Anoectochilusformosanus Hayata (Orchidaceae) is
an indigenous and important Taiwanese medicinal plant and
has been used popularly as a nutraceutical herbal tea in
Taiwan and other Asian countries. This herbal plant is also
called “King Medicine” due to its diverse pharmacological
effects such as liver-protection, cancer-prevention, diabetes,
and for treatment of cardiovascular diseases (Kan, 1986).
However, limited scienti?cally proven information is avail
able on the bioactivity, physiological function, and speci?c
clinical efficacy of this herbal orchid plant.
[0003] Apoptosis is a mechanistically driven form of cell
death that is either developmentally regulated or activated in
response to speci?c sets of stimuli or various forms of cell
injury. It is now evident that many cancer cells can circum
vent the normal apoptotic mechanisms to avoid their self
destruction. Many previous reports have suggested that the
induction of apoptosis via the mediation with immune
defense mechanism (Williams, 1991; Bursch et al., 1992) or
other tissue-speci?c homeostatic controls (Raff, 1992) may
contribute as an important process for elimination of nascent
tumor cells. Recent advances in understanding the mode of
action of anti-cancer agents indicate that regardless of the
diverse nature of anti-cancer drugs, most of them can elicit
apoptosis in targeted test tumor cells (Whllie et al., 1980;
Jiang et al., 1996). Moreover, over-expression of certain
“anti-apoptotic” proteins (e.g., Bcl-2 or BclxL) can inhibit
apoptosis induced by anti-cancer agents including Taxol,
ara-C, and etoposide (Fang et al., 1998). Conversely, num
bers of known or suspected tumor promoters, e.g., phorbol
myristate acetate (PMA), 1,1-bis(p-meZerein, diethylstil
bestrol (DDT), saccharin, a?atoxin, etc., are known to
induce resistance to apoptosis in a variety of tested cell
types, indicating that the effect on inhibition of apoptosis is
apparently mediated via a mechanism of tumor promotion
(Wright et al., 1994). Therefore, it would be advantageous to
tip the balance in favor of apoptosis over mitosis as cancer
chemotherapy and preventative approaches.
[0004] There are recent indications that apoptosis involves
the disruption of mitochondrial membrane integrity and
results in the release of cytochrome c from mitochondria
into cytosol, and that this sequence is decisive for the cell
death process (Liu et al., 1996; Yang et al., 1997). Several
antitumor drugs, e.g., Taxol and etoposide, with a diverse
spectrum of target molecules, have been also shown to cause
the release of mitochondrial components, and result in
cytosolic accumulation of cytochrome c (Fang et al., 1998).
The cellular mechanisms known to involve the process of
apoptosis is the regulation of biochemical activities of a
family of cysteine proteases designated as caspases.
[0005] In vitro tumor-inhibition screening systems with a
bioactivity-based evaluation principal, using a panel of
human tumor cell lines correlated to different types of
cancerous diseases, and coupled with tetraZolium (MTT)
assay and a protein-binding dye (sulforhodamine B) assay,
Jan. 15, 2004
have been developed by research groups at the National
Cancer Institute (NCI), USA (Monks et al., 1991). These
assays in essence are to measure tumor cell viability, growth,
and cellular biochemistry behaviors. Following various
pilot-screening studies, a screening rate of 400 compounds
per week was achieved by Monks and coworkers and other
groups at NCI, USA. Among the at least 8000 single
compounds that have been screened to date, only a limited
number of test samples (about 30) have shown signi?cant,
reproducible and stringent in vitro anti-tumor cell activity.
Of that limited number, only approximately 8-10 com
pounds have shown an in vivo anti-tumor activity without
excessive toxicity, and have been further tested in human
clinical trials. This task and the results have illustrated the
great dif?culty of screening single compounds for cancer
drug delivery.
[0006] A much faster, systematic strategy of using com
binatorial chemistry and high throughput systems for drug
screening is now commercially available, and is being
actively employed by a number of pharmacological compa
nies for new drug discoveries. It is also being appreciated as
“not necessarily so straightforward” for cancer drug discov
eries and consideration is being given to combined com
pounds or “cocktails.” (Dr. G. Craggi, International Confer
ence on Traditional Chinese Medicine Aug. 30-Sep. 2, 2000,
Maryland, USA). This strategy of using crude or partially
puri?ed plant secondary metabolites/phytochemicals as a
mixture of compounds for drug discovery, food supplements
and nutraceuticals is the main policy and direction of the
National Center of Complementary and Alternative Medi
cine (NCCAM) recently set up in the United States. Our
research and this invention were designed with this new
strategy and direction in mind. A most recent systematic
effort of this approach employed for medicinal plants on
tumor prevention and inhibition activities has also been
studied on green tea and its derived active compound,
epigallocatechin-3-gallate (EGCG)(Lin et al., 1999; Ahmad
et al., 1997).
SUMMARY OF THE INVENTION
[0007] The present invention is in the herbal plant extracts
of the Anoectochilus family of plants and in particular
Anoectochilus formosanus (“A. formosanus”), prepared
either as crude but de?ned plant extracts or as bioorganic
chemically fractionated plant metabolic compounds, a
method for their preparation, compositions containing such
extracts and in their use for chemo-prevention, or comple
mentary/alternative control of various human malignant
diseases.
[0008] Other species of Anoectochilus, for instance, A.
koshunensis or cultivars from China, America, or Vietnam,
have also been increasingly used as substitutes ofA. forma
sanus for herbal medicines or nutraceuticals in Asian coun
tries. Plant extracts of these Anoectochilus plants and their
derivatives may also possess similar anti-tumor or tumor
prevention activities, and thus be potentially useful as spe
ci?c pharmaceuticals or nutraceuticals.
[0009] This invention includes the use of such extracts and
their phytochemical derivatives as tumor-prevention or
tumor-inhibition remedies or nutraceuticals. Efficacious
tumor cell-inhibition activities, that may be speci?cally
potent against melanoma, breast cancer and hepatoma
US 2004/0009239 A1
tumors, are de?ned here to confer prevention, control or
suppression of growth of solid tumors, and this may poten
tially bene?t normal individuals or cancer patients. Admin
istration of herbal plant extracts to humans, either as non
symptomatic or as cancerous patients, may be by oral
delivery (liquid-drinking), intra-tumoral (intra-dermal)
injection, intra-peritoneal injection, topical application, or
even intravenous injection of partially puri?ed plant
extracts.
[0010] Another aspect of the invention includes a process
for obtaining the extracts of the invention either as a crude
extract, a fraction derived from the crude extract or a
subfraction. These extracts are obtained by one or more
extraction steps using certain solvents and/or for speci?ed
extraction periods.
[0011] In other embodiments, the extracts or fractions are
subjected to subsequent processing to obtain a more re?ned
form.
[0012] In the invention, plant materials are groWn Wider
speci?c and constant green house conditions. The plant
tissues are harvested under speci?ed conditions, ?nely
homogeniZed, and extracted With an aqueous medium, such
as Water, folloWed by a stepWise gradient fractionation.
Further partitioned fractions lead to identi?cation of useful
index compounds Which can be characteriZed by IR, mass,
and NMR spectrometric analyses. The consistency and
quality of lot-to-lot variations of the plant extracts can thus
be monitored, adjusted, standardiZed or controlled by nor
maliZing the levels of index compounds for ingredient/
compound composition and pro?ling in speci?c plant
extracts or the derived bio-organic solvent fractionation.
After such normaliZation/standardiZation and quality con
trol/analysis (QC/QA) measures, the obtained preparations
of bioactive plant crude extracts or the derived organic
fractions, can then be de?ned and systematiZed for use as
nutraceuticals or remedies for prevention/control of tumor
groWth and related malignancies.
[0013] The use of the plant extracts and the derived
fractions in in vitro (cell culture) cytotoxicity experiments,
using MTT and 3H-thymidine incorporation assays, confers
an effective inhibitory effect on cell-proliferation activities
against MCF-7 cells (human breast adenocarcinoma), B16
cells (mouse melanoma), human hepatoma HepG2 of human
or mouse tumor origin. The results obtained from in vitro
cytotoxicity studies demonstrate that the kinetics of inhibi
tion of tumor cell proliferation is a dose-dependent effect.
[0014] The invention also exhibits an inhibitory effect on
in vivo tumor groWth, using mouse B16 melanoma cells/
C57 black mouse as the target tumor/animal model system.
Intra-tumoral injections of A. formosanus extracts effec
tively inhibit B16 tumor groWth in vivo, and a very signi?
cant effect on reduction of tumor groWth Was detected When
A. formosanus extract is administered intra-peritoneally. A
detectable effect is also observed in test mice by oral
force-feeding.
[0015] Fluorescent microscopy and How cytometry analy
ses shoW that the observed cell-killing effects of A. forma
sanus extract on the test tumor cells is apparently mediated
through the process of programmed cell death (the so called
“apoptosis”). We demonstrated in this invention that apop
tosis of MCF-7 cells Was medicated via the expression of
Jan. 15, 2004
Fas ligand (FasL) signaling pathWay. Western-blot analyses
of various signaling proteins involved in knoWn apoptotic
pathWays shoWed that the expression levels of apical
caspases (e.g., caspascs 8 and 9), effecter caspases (e.g.,
caspase 7) cytochrome c, and poly-ADP ribose polymerase
(PARP) protein molecules are signi?cantly and speci?cally
affected, When MCF-7 human mammary tumor cells are
treated WithA. formosanus plant extracts. Apossible mecha
nism for the apoptosis in MCF-7 tumor cells as induced by
the plant extract of A. formosanus is also proposed in this
invention. A signi?cant ?uctuation of activity, increase and
then decrease, of the caspase 3-like and caspase 8 activity is
detected in good association With the killing of B16 mela
noma cells, resulting as a function of time With the treatment
ofA. formosanus extract. These results strongly suggest that
speci?c types of cell biological mechanism(s) or pathWays,
not general “intoxication of cells”, are responsible for the
observed anti-tumor cell effect of A. formosanus.
[0016] Other bene?cial aspects of the invention include:
[0017] an essentially non-chemical technique or pro
cedure, (i.e., no synthetic compounds, no buffer, and
no toxic organic solvent) using boiling Water for 0.1
to 500 minutes for aqueous and bio-organic extrac
tion;
[0018] the use of a simple ethanol stepWise gradient
(50 to 87.5%, v/v) extraction procedure to obtain a
more biologically potent sub-fraction, i.e., the AH
sup fraction;
[0019] the further bio-organic extraction of AH-sup
With ethyl acetate and butanol to yield groups of
more puri?ed or enriched metabolic compounds,
Which can confer a signi?cant and higher level of
anti-tumor activity than that from total crude
extracts;
[0020] the preparation of a fraction (AH-sup), as
derived from the total, crude aqueous extract (AF
Hot), Which shoWs a high level of cytotoxicity on
mouse B 16 melanoma, MCF-7 human mammary
carcinoma and HepG2 human hepatoma cells in
vitro, as compared to the activities obtained from
other fractions (AF-Hot, AH-I, AH-II, and AH-III
fractions);
[0021] the further bio-organic fractionation of the
AH-sup fraction to yield three subfractions (desig
nated as EA, BuOH, and Water fractions) Which,
based on the MTT assay shoWs the EA fraction, as
compared to that of those obtained from AH-sup,
BuOH, and Water fractions to have the most signi?
cant anti-tumor cell effect;
[0022] The plant extracts of the invention shoW the ability
to inhibit tumor groWth:
[0023] a) based on MTT assay and How cytometry
analysis, the AH-sup BuOH, and EA fractions ofA.
formosanus shoW different levels of anti-tumor cell
proliferation effect, varying among the three tested
cell lines, suggesting the A. formosanus plant
extracts performed With differential anti-tumor or
tumor-prevention activities;
[0024] b) in the case of HepG2 human hepatoma
cells, a very signi?cant cell-killing effect is observed
US 2004/0009239 A1
When HepG2 cells are treated With the fractionated
plant extracts, especially the EA fraction hence, the
crude extract of A. formosanus may be used With
minimal toxicity to liver cells, and can be more
potent in treating other forms of tumor;
[0025] c) an anti-melanoma effect of the AH-sup or
crude plant extracts When CS7BL/6J mice harboring
B16 melanoma tumors are treated in situ intra
tumorally, intra-peritoneally, or orally fed With plant
extracts ofA. formosanus (AH-sup), ie the groWth
of B 16 tumor can be effectively inhibited in mice;
[0026] The animal model study in vivo shoWed that intra
tumoral, intra-peritoneal, and the oral-force feeding/drink
ing methods for delivery ofA. formosanus plant extracts into
animals can result in appreciable levels in inhibition of
tumor groWth, and hence be potentially useful for treatment
or prevention of certain cancers.
[0027] The various features of novelty Which characteriZe
the invention are pointed out in particularity in the claims
annexed to and forming a part of the disclosure. For a better
understanding of the invention, its operating advantages, and
speci?c objects attained by its use, reference should be made
to the folloWing draWings and description of the preferred
embodiments of the invention.
BRIEF DESCRIPTION OF THE DRAWINGS
[0028]
[0029] FIG. 1. Extraction protocol for preparation of total
and fractionated plant extracts of A. formosanus.
In the draWings:
[0030] This protocol in principle folloWed a “bioactivity
guided fractionation strategy” Where the anti-tumor related
bio-activity experimental systems Were performed in accor
dance With the How chart of an effective extraction and
fractionation procedure for A. formosanus
[0031] FIG. 2. Anti-tumor cell proliferation effect of AF-
Hot extract of A. formosanus on MCF-7 human mammary
adenocarcinoma, HepG2 human hepatoma, and mouse B16
melanoma cell lines in groWth media containing With or
Without fetal bovine serum.
[0032] Cell viability Was measured 48 hours post-treat
ment of test cells With varying dosage of crude extract
(AF-Hot) as indicated in the presence or absence of fetal
bovine serum, using MTT assays. Each data point Was
obtained from the average of at least triplicate test samples.
[0033] FIG. 3. Anti-cell proliferation effect of the total
plant extract and bio-organically fractionated extracts of A.
formosanus on MCF-7 mammary, HepG2 hepatoma, and
B16 melanoma cell lines.
[0034] Cell viability Was measured at 48 hours post
treatment of test cells With various dosages of crude extract
(AF-Hot) and the derived fractions (AH-sup, EA, BuOH,
and Water fractions, respectively), using MTT assays. Each
data point Was obtained from the average of at least triplicate
samples.
[0035] FIG. 4. Light microscopy analysis of cell morphol
ogy of MCF-7 cells Without (A) and With the treatment of
total crude extract (AF-Hot) (B), AH-sup fraction (C), and
EA fraction (D) of A. formosanus.
Jan. 15, 2004
[0036] MCF-7 cells Were incubated in RPMI 1640
medium spiked either With phosphate buffered saline (A,
control) or treated With 1 mg/ml of indicated plant extracts
of A. formosanus for 48 hours. Each photomicrograph Was
taken With an Olympus PM-30 camera installed on an
Olympus CK4O microscope With 200-fold magni?cation.
[0037] FIG. 5. Microscopic analysis of normal or apop
totic MCF-7 cells at the cellular level, as stained With
Annexin-V and propidium iodide (PI).
[0038] MCF-7 cells Were treated With EA fraction (1
mg/ml) for 4 hours and then stained With PI and Annexin-V
(A) or With Annexin-V only C & D Were the control
cells treated With vehicle (0.4% DMSO) and stained With PI
and Annexin-V. A, B, and D Were ?uorescent photomicro
graphy taken With an Olympus PM-30 camera installed on
a Nikon ECLIPSE E800 microscope With 200-fold magni
?cation using B-2A ?lter (Ex 450-490), and C Was a
bright?eld vieW of D.
[0039] FIG. 6. FloW cytometry analysis of the DNA
content in normal and apoptotic MCF-7 cells as a function
of treatment time.
[0040] MCF-7 cells Were incubated in RPMI 1640
medium spiked either With 0.4% DMSO (vehicle) or 1
mg/ml EA fraction ofA. formosanus, and then harvested at
indicated time points. M1 denotes the apoptotic peak and the
image analyZer generated percent of apoptotic cells.
[0041] FIG. 7. Effect of the EA fraction ofA. formosanus
on inducing cell surface expression of FasL activities on
MCF7 cells. MCF7 cells Were exposed for 5, 8 or 16 hours,
respectively, to 1 mg/ml EA extract or 0.4% DMSO solution
(vehicle control).
[0042] FasL expression Was determined by How cytometry
analysis using a mouse anti-human FasL IgG, clone NOK-1,
or isotype control mouse IgG, MOPC-21, and a FITC
conjugated rat anti-mouse IgG for secondary staining. The
results Were analyZed by a Coulter EPICS XL ?oW cytom
eter (Beckman Coulter, USA) using the Expo XL 4 Cytom
eter softWare.
[0043] FIG. 8. Protein expression pro?le of caspases 7, 8,
and 9, cytochrome c, NF-KB, actin (A), and poly-ADP
ribose-polymerase (PARP) (B) in MCF-7 cells treated With
out (control) or With the EA fraction of A. formosanus.
[0044] Aliquots of comparable cell lysates containing 40
pg of proteins of MCF-7 tumor cells treated With or Without
test plant extract Were subjected to a 5-20% SDS gradient
gel electrophoresis. After electro-transblotting proteins in
SDS gel onto a PVDF membrane, speci?c protein bands
reacted With test primary antibodies and then treated With
horse radish peroxidase (HRP)-conjugated secondary anti
bodies at room temperature for 1 h. The reacted protein
bands Were visualiZed by calorimetric method.
[0045] FIG. 9. In vivo inhibition of B16 melanoma tumor
groWth in CS7BL/6J mouse model by plant extract (AH
sup) ofA. formosanus.
[0046] Various administrating methods of plant extracts
into test mice, including intraperitoneal (i.p.), intratumoral
(it), and oral force-feeding, Were employed for this experi
ment. Mice administered With phosphate buffer only via ip
injection (control 1), or via force-feeding and ip injection
US 2004/0009239 A1
concomitantly (control 2) Were used as controls. Seven mice
per group Were used for each experiment.
[0047] FIG. 10. The chemical ?ngerprints and the candi
date index compounds of the AH-sup (A) and EA fraction
(B) of A. formosanus.
[0048] Panel A: Metabolite pro?ling of the three different
preparations of AH-sup extract from Anoectochilus forma
sanus plant. The three chromatograms Were obtained from a
C-18 reverse phase HPLC system, and the structures and
identities of eight indexing compounds for composition
pro?ling of the mixtures of phyto-compounds Were identi
?ed using IR, mass and NMR spectrometric analyses. Com
pounds 1: Nicotinic amide; 2: adenosine; 3: cytosine; 4:
isorhamnetin 3,4‘-O-[3-D-diglucopyranoside; 5: isorhamne
tin 3-O-[3-D-glucopyranoside; 6: caffeic acid; 7: (6R, 9S)
hydroxy-megastima-4,7-diene-3-one-9-O-[3-D-glucopyra
noside; and 8: kinsenone.
[0049] Panel B represents a chromatogram of the EA
fraction from Anoectochilus formosanus plant extract, as
obtained from a Si-60 HPLC system. The candidate com
pounds to serve for indexing or referencing in EA fraction
are: 1: long chain aliphatic acid; 2: ot-amyrin trans-p
hydroxy cinamate; 3:0t-amyrin cis-p-hydroxy cinamate; 4:
isorhamnetin; 5: kinsenone; 6: p-hydroxybenZyl alcohol.
[0050] FIG. 11. A proposed signaling pathWay of apop
tosis in MCF7 tumor and human mammary tumor cells
induced by plant extract of A. formosanus.
DETAILED DESCRIPTION OF THE
PREFERRED EMBODIMENT
[0051] We adapted the anti-tumor drug-screening strategy
developed at the NCI (Monks et al., 1991) With some
modi?cations, primarily aimed at evaluating speci?c cyto
toxicity on tumor cells by A. formosanus plant extracts. We
employed a de?ned and reproducible “bioactivity-guided
fractionation strategy and protocol” to evaluate the potential
anti-tumor cell effects of the A. formosanus total plant
extracts and the bio-organically derived fractions. The
mechanism-speci?c cytotoxic activity on tumor cells
obtained from speci?c plant extracts of A. formosanus is
apparently involved in the induction of apoptosis, as evalu
ated using ?oW cytometry, Western-blot analysis, and
caspase(s) activity assays. These ?ndings are very similar to
various published studies demonstrating the apototic effects
induced by speci?c anti-cancer drugs. See for instance the
published studies of Whllie et al., 1980 and Jiang et al.,
1996).
1. Anti-Cell Proliferation Assay
[0052] B 16, MCF-7, and HepG2 cells Were groWn in
ATCC-recommended culture media, containing 10% fetal
bovine serum, 100 U/ml penicillin, and 100 pig/ml strepto
mycin as supplements. RPMI 1640 (Gibco BRL, USA) Was
used to groW B16 and MCF-7 cells, and Minimum Essential
Medium (MEM, Gibco BRL, USA) for HepG2 cells.
[0053] The effect ofA. formosanus plant extracts and the
derived fractions on groWth of target tumor cells Was mainly
evaluated by using MTT colorimetric assay as described
elseWhere (Mosmann, 1983) With minor modi?cations. The
tetraZolium ring of MTT (Which confers a yelloW color) is
cleaved by mitochondrial dehydrogenase in living cells, and
Jan. 15, 2004
this produces the broWn colored formaZan precipitates. The
relative absorbance changes at 570 nm are then measured.
For MTT assays, target tumor cells (5><103 to 1x104) Were
incubated With or Without plant extracts in 96 Well titer
plates for 1 to 3 days. After incubation, adherent cells Were
Washed once With fresh medium, and MTT dye (0.5 mg/ml
in PBS) Was then added into the corresponding cell culture
medium as described above, and reactions alloWed to be
carried out at 37° C. for 4 hours. The insoluble reaction
product Was then collected by centrifugation, dissolved in
100 ML of DMSO, and incubated at 37° C. for 2 hours. All
assays Were performed in quadruplicate cell sets. The cell
proliferation-inhibition effect Was expressed as the relative
absorption at 570 nm using a microplate reader (Labsystems
Multiskan MS, Finland). The percentage of cell survival
after treatment With plant extracts Was calculated using the
folloWing formula: viable cell number (%) OD570 (treated
cell culture)/OD570 (control (un-treated) cell culture)><100%.
For certain test cells, a 3H-thymidine incorporation assay
Was also employed to determine the anti-cell proliferation
activity in plant extracts ofA. formosanus, by folloWing the
stringent experimental protocol, as described by Seufferlein
and RoZengurt (1995).
2. Fluorescent Microscopy Analysis and FloW
Cytometry Analysis of Tumor Cells
[0054] The Apoalert Annexin V-EGFP method (CLON
TECH. Palo Alto, Calif.) Was used to assess for apoptosis in
test cells (Zhang et al., 1997). MCF-7 tumor cells Were
treated for 4 hours With EA fraction (1 mg/ml) or the vehicle
(0.1% DMSO), Washed With ?xing solution, and stained
With Annexin V-EGFP and/or propidium iodide for 15 min
in dark. Cells Were vieWed using a Nikon ECLIPSE E800
inverted ?uorescentscope.
[0055] Test tumor cells (1><106 cells), With or Without
treatment using the evaluating plant extracts or the derived
phytochemicals, Were harvested and ?xed With 1 ml ice
cold, 70% ethanol at 4° C. for 2 hr. Cellular DNA Was
stained for 30 minutes in the dark With PI staining solution
containing 50 pig/ml propidium iodide (PI) and 100 pig/ml
RNase Ain PBS buffer. The percentage of cells With a sub-G
1 DNA content over total DNA Was taken as a measure of
the apoptotic cell population using a Coulter EPICS XL ?oW
cytometer (Beckman Coulter, USA). Data Were generated
from samples With at least 10,000 cells per assay and
analyZed With the DNA MultiCycle program (Beckman
Coulter, USA).
3. Induction of FasL Expression on MCF7 Cells
and FloW Cytometry Analysis of FasL Expression
[0056] Aliquots of 1><106/ml cells Were cultured for over
night in six-Well ?at-bottom plates in RPMI 1640 medium
supplemented With 10% heat inactivated fetal bovine serum.
EA plant extract (1 mg/ml) or 0.4% DMSO Was then added
to groWth media and incubated for 5.8 or 16 hours. After
treatment, cells Were harvested using 0.5 ml/Well Trypsin/
EDTA and Washed tWice in phosphate buffered saline (PBS),
pH 7.2.
[0057] Aliquots of 5><105 cells in a ?nal volume of 100 pl
each PBS Were incubated for 30 min at 20° C. With 1 pg
mouse anti-human FasL IgG1, clone NOK-1 (Pharmingen,
USA), Washed once, and resuspended in 100 pl PBS. A
US 2004/0009239 A1
mouse IgG1, clone MOPC-21 (Pharmingen, USA) Was used
as the isotype control. For secondary staining, cells Were
incubated for 30 min at 20° C. in the dark With 1 pg
FITC-conjugated rate anti-mouse IgG, clone LO-MG1-15
(Biosource, California, USA), and Washed tWice in PBS
prior to analysis by a Coulter EPICS XL ?oW cytometer
(Beckman Coulter, USA) using the Expo XL 4 Cytometer
softWare.
4. Western Blot Analysis
[0058] Test cells (2x106) Were Washed With PBS once and
lysed in 100 pL lysis buffer (pH 7.0, 20 mM PIPES, 10 mM
NaCl, 1 mM EDTA, 0.1% CHAPS, 10% sucrose, 10 mM
DTT, 5 mM HEPES, 0.05% (v/v) Triton X-100, 1 mM
MgCl2, 2.5 mM EGTA, and 0.438% (W/v) [3-glycerol
phosphate) and 2 pL protease inhibitor cocktail set III
(Calbiochem Co., USA) for 20 minutes on ice, and vorteX
miXed every 5 minutes. PIPES, CHAPS and HEPES chemi
cals Were purchased from Sigma Chemical Co. (MO, USA).
After centrifugation, protein concentration in the superna
tant Was determined as described by Bradford (1976), using
bovine serum albumin as a standard. Aliquots of 40 pg of
protein Were separated on a 5-20% gradient mini-SDS
polyacrylamide gel (Laemmli, 1970), and then transferred
onto a PVDF membrane (Millipore). PVDF ?lters Were
blocked for non-speci?c binding With 3% non-fat dry milk
in TBS buffer (10 mM Tris, pH 7.5 and 100 mM NaCl), and
probed With speci?c primary antibodies in blocking solution
at 4° C. overnight With agitation. Rabbit anti-actin (Onco
gene Research Products), mouse anti-PARP (Related Prod
ucts), mouse anti-cytochrome c (Pharmingen), rabbit anti
NF-KB (Oncogene Research Products), mouse anti
porcaspases-2, -7, and -9 and anti-porcaspase-8 (BD
Research Products) Were used as primary antibodies. After
Washing With TBST buffer (0.1% TWeen 20 in TBS buffer),
blotting membrane Was treated With alkaline phosphatase
conjugated secondary antibodies at room temperature for 3
h. The reacted protein bands Were visualiZed by colorimetric
method or by an enhanced chemi-luminescence system
(ECL, Amersham Pharmacia Biotech Co., UK) for image
analysis on Kodak BiomaX MS ?lms (Eastman Kodak
Company, USA).
5. Inhibition of B16 Tumor GroWth in C57BL/6J
Mouse
[0059] The animal tumor system employed Was the mouse
strain C57BL/6J, or often called C57 or B6 mouse system
harbored With murine B-16 melanoma cells. Possible in vivo
effects of Anoectochilus formosanus plant eXtract on tumor
groWth Were evaluated in vivo using a moderate tumor cell
load of B16 melanoma cells inoculated and groWn in 2-3
month old test mice.
[0060] Five groups of mice, each With 7 mice per test
group, Were employed. A total of 1x1 B-16 tumor cells
suspended in 50 pl of phosphate buffered saline (PBS) Was
implanted into the dermal tissue (intra-dermally) of the right
abdominal area of each mouse on day 0. Three sets of mice
Were tested for the AH-sup treatment, by intra-peritoneal
(i.p or intra-tumoral (i.t.) injections of test plant eXtracts, or
by the force-feeding (f.f.) mode for testing anti-tumor
effects. Speci?cally, from day 2 on, test mice in group 1
received PBS only via ip injection (control 1), and group 2
mice Were treated With PBS only via force-feeding and ip
Jan. 15, 2004
injection concomitantly (control 2). Groups 3, 4 and 5 mice
Were treated With AH-sup solution by it. injection, ip
injection, and force-feeding by mouth, respectively.
[0061] The injection dosage received by each test mouse
Was 1 mg of AH-sup in 100 pl PBS per day, While the
force-fed mice took 2 mg in 200 pl per day orally. Both test
groups Were treated for 7 consecutive days after inoculation
of tumor cells. Starting on day 8, the frequency of the
treatment Was changed to a sloWer pace, by treating mice
every tWo days until day 21. In the case of force-feeding, the
relative herb dosage tested in mice Was equivalent to the
ingestion or uptake of a 50 kg person drinking tWo servings
of instant herb tea poWders (2 tea bags) made from about 30
g of dried A. formosanus plant.
6. Metabolite Pro?ling and the Index or
Composition Compound Analysis of AH-sup and
EA Fractions of Anoectochilus formosanus
[0062] Analytical high performance liquid chromato
graphic (HPLC) analyses Were performed using a Waters
HPLC system equipped With a Waters 600 controller, Waters
Delta 600 pump, and 2487 Duel )L absorbance detector. A 5
pm C-18 column (250><10 nm, Merck, Germany) Was
employed for the analysis of AH-sup fraction With tWo
solvent systems, methanol-Water (90:10, v/v) (A) and
methanol The elution conditions Were performed as
folloWs: 0 to 5 minutes, 80% A to B (isocratic); 5 to 30
minutes, 80-0% A to B (linear gradient); 30 to 60 minutes,
100% B (isocratic). The detector Wavelength Was set at 254
nm. A 5 pm Si-60 column (250><10 nm Merck, Germany)
Was employed for the FA active fraction With tWo solvent
systems, n-haXane (A) and ethyl acetate The elution
gradient pro?le Was performed as folloWs: 0-5 min, 70% A
to B (isocratic); 5-15 min, 70-30% A to B (linear gradient);
15-20 min, 30% Ato B (isocratic); 20-30 min 30%-0% A to
B, the How rate Was 5 ml/min, and the detector Wavelength
Was set at 280 nm. The structures of compounds 1 to 8 in the
All-sup fraction and compounds 1 to 6 in the EA fraction
Were then elucidated using various spectroscopic analyses.
UV spectra of test compounds Were recorded With a Jasco
V-550 spectrometer, and IR spectra obtained from a Bio-Rad
FTS-40 spectrophotometer. Electron-impact mass spectrom
etry (EIMS) and high resolution electron-impact mass spec
trometry (HREIMS) data Were collected With a Finnigan
MAT-958 mass spectrometer, and the NMR spectra recorded
With Bruker Avance 500 and 300 MHZ FT-NMR spectrom
eters, at 500 MHZ (1H) and 75 MHZ (13C).
[0063] Quanti?cation of the content of indeX compound in
EA fraction Was done by a HPLC analysis using a knoWn
concentration of EA fraction. Individual peak area corre
sponding to indeX compound in the HPLC pro?le (metabo
lite pro?le) of the EA fraction Was determine at the observed
maXimal absorbance of OD28O. The standard calibration
curves (peak areas vs. concentrations) of the compounds,
ranging from 0.05 to 1 mg/ml, revealed good linearity and
R2 values (>0.98). Quanti?cation of the content of indeX
compound in EA fraction Was done by a HPLC analysis
using a knoWn concentration of EA fraction, and the peak
area of speci?c compound Was then determined and referred
to their contents in the eXtract based on the standard cali
bration curve.
United States Patent Application Publication
United States Patent Application Publication
United States Patent Application Publication
United States Patent Application Publication
United States Patent Application Publication

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United States Patent Application Publication

  • 1. US 20040009239A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2004/0009239 A1 Shyur et al. (43) Pub. Date: Jan. 15, 2004 (54) (75) (73) USE OF ANOECTOCHILUS FORMOSANUS PLANT EXTRACTS AND THEIR DERIVED FRACTIONS AS HERBAL MEDICINES OR NUTRACEUTICAL SUPPLEMENTS FOR CHEMOPREVENTION OR TREATMENT OF HUMAN MALIGNANCIES Inventors: Lie-Fen Shyur; Taipei (TW); Ning-Sun Yang; Taipei (TW); Pei-Ling Kang; Taipei (TW); Show-Jane Sun; Taipei (TW); Sheng-Yang Wang; Taipei (TW) Correspondence Address: COHEN, PONTANI, LIEBERMAN & PAVANE Suite 1210 551 Fifth Avenue New York, NY 10176 (US) Assignee: Academia Sinica (21) (22) (51) (52) (57) Appl. No.: 10/194,345 Filed: Jul. 12, 2002 Publication Classi?cation Int. C1.7 .....................A61K 35/78; A61K 31/7076; A61K 31/7048 US. Cl. ............................. .. 424/725; 514/27; 514/46 ABSTRACT The present invention provides medicinally active extracts and fractions; and a method for preparing the same by extracting and fractioning constituents from the tissue of plant components of the Anoectochilus family. These active extracts and fractions are useful for preventing or inhibiting tumor groWth.
  • 2.
  • 3. Patent Application Publication Jan. 15, 2004 Sheet 2 0f 14 US 2004/0009239 A1 Relative viable cell no. CD510 (%) momoAono IOIZ01.“TmQEBV.lmlgomk$2.53,IIIImUQN152.53[ml-Iona.»$2.53lllmaTdwEBVIDI-m.__032.5.3- ohoh PmPm Brio"365.: A A 4h Fig. 2
  • 4. Patent Application Publication Jan. 15, 2004 Sheet 3 0f 14 US 2004/0009239 A1 QEBEV99300 M: mo QEBEVmmmmooNQQQI O :EBEVmmmwooN2rmo9 iii‘“lillli.illlxiiiiliii,‘FillI;I..O ,% .9‘96mW)O 8Wa 0 cmW U Q9.0 ON? “Q02.wzoo$828663506Em96“@68325E3:@0326508080CQEEQEwowacosowaQQQEQwBĂ©B98pombxo32m58B:we88%QQESESQ23.9%.m.wE
  • 5. Patent Application Publication Jan. 15, 2004 Sheet 4 0f 14 US 2004/0009239 A1 QESWSEQ.wQo g@263Eas“Q@0555.56VGENE V SE3625658,HoEoEEob2:ÂŁ5,.6A350%;260 m5 “QUEF$293.68:8mo29225mmommo??cEms.q.
  • 6. Patent Application Publication Jan. 15, 2004 Sheet 5 0f 14 US 2004/0009239 A1 >5552+E
  • 7.
  • 8.
  • 9. Patent Application Publication Jan. 15, 2004 Sheet 8 of 14 US 2004/0009239 A1 PvI 0m m;11/ l owCSapS Cum FllL'LllFllrllLlLO0O000 LmOnIO42 e52528528g932g 60 Treatment (hours) 4 8 l2 16 24 31 48 5601) Treatmcnt (hours) 4 8 ll l624324856 Control -Control - 'l-EA. NFKB I30 I00 8O 60 41) Ill Caspase-9 , 0‘70/ 2% $5335205P623" 60 Treatment (hours)Treatment (hours) 4 vhu 142%] Control " Control - Actin + EA _ caspase-7 25:605805352mm 60 Treatment (hours)Treatment (hours) 777 Control - '- u a. ‘a ‘,- w “a Control - (m'Qr;;;“w“w .31 Fig. 8A
  • 10. Patent Application Publication Jan. 15, 2004 Sheet 9 0f 14 US 2004/0009239 A1 Control + EA 24 32 48 56 24 32 4s 56 (h) -ll3kDa -28 kDa Fig. 8B
  • 11. Patent Application Publication Jan. 15, 2004 Sheet 10 0f 14 US 2004/0009239 A1 Ew?bmob6mm@QQ:a5w E2222Q 3358bH298@QQZ222Qiw RQQQEQQQSEHEH632w :0w02w c22Q:aN@w. iit.__OM ww_______vw, w_w ~w( 2_ BMQ NSE88RBEBMMEH2 _Om :0w@ii..ii. oovQ §§€§5.~weAna-Etna395$ENE>569::3:2:EEMEMUE:Eiw.555“E2565Em3E53252.:E.Q.5 38$DEE.
  • 12. Patent Application Publication Jan. 15, 2004 Sheet 11 0f 14 US 2004/0009239 A1 an _~_______________ <2.mm AEEVm8:cozcmpmm4% avon _________________u__ ON2Q _______________________SOUE’QJOSQV
  • 13. Patent Application Publication Jan. 15, 2004 Sheet 12 0f 14 US 2004/0009239 A1 40.00 O O. 0 m E [I] 5 Q Q) T O E 0') a: _ O. ‘Ho a??? w 8 x5} 2: In {7 C M, , ‘E ;El CD MR“ __ H w: (“i X Q) <- ‘_xw_} [K H‘? o mug; _ O M O N? P 3 ___.J I g CI, I O N ‘4 _g eouecposqv
  • 14. Patent Application Publication Jan. 15, 2004 Sheet 13 0f 14 US 2004/0009239 A1 3.mmmomm6LNQL1nuwwmmmU QCEEQSQmommmmmuu050E830b. 6mg? 95552:6Q wpombxom< ,308:6Hz. mzmoSE3BLUEso2859?@8351m<vvigswogtotx.W@8885$5@863wszmcwawvmomo?<
  • 15. Patent Application Publication Jan. 15, 2004 Sheet 14 0f 14 US 2004/0009239 A1 3:62C.5 cotucozuozi/ @8330Z§§§F5.Tx?5.5.58ESQL 2538:35‘?8223»:53an@333:$3.655DQEENE53:5me$832523E“515338@3395<
  • 16. US 2004/0009239 A1 USE OF ANOECTOCHILUS FORMOSANUS PLANT EXTRACTS AND THEIR DERIVED FRACTIONS AS HERBAL MEDICINES OR NUTRACEUTICAL SUPPLEMENTS FOR CHEMOPREVENTION OR TREATMENT OF HUMAN MALIGNANCIES BACKGROUND OF THE INVENTION [0001] 1. Field of the Invention [0002] Anoectochilusformosanus Hayata (Orchidaceae) is an indigenous and important Taiwanese medicinal plant and has been used popularly as a nutraceutical herbal tea in Taiwan and other Asian countries. This herbal plant is also called “King Medicine” due to its diverse pharmacological effects such as liver-protection, cancer-prevention, diabetes, and for treatment of cardiovascular diseases (Kan, 1986). However, limited scienti?cally proven information is avail able on the bioactivity, physiological function, and speci?c clinical efficacy of this herbal orchid plant. [0003] Apoptosis is a mechanistically driven form of cell death that is either developmentally regulated or activated in response to speci?c sets of stimuli or various forms of cell injury. It is now evident that many cancer cells can circum vent the normal apoptotic mechanisms to avoid their self destruction. Many previous reports have suggested that the induction of apoptosis via the mediation with immune defense mechanism (Williams, 1991; Bursch et al., 1992) or other tissue-speci?c homeostatic controls (Raff, 1992) may contribute as an important process for elimination of nascent tumor cells. Recent advances in understanding the mode of action of anti-cancer agents indicate that regardless of the diverse nature of anti-cancer drugs, most of them can elicit apoptosis in targeted test tumor cells (Whllie et al., 1980; Jiang et al., 1996). Moreover, over-expression of certain “anti-apoptotic” proteins (e.g., Bcl-2 or BclxL) can inhibit apoptosis induced by anti-cancer agents including Taxol, ara-C, and etoposide (Fang et al., 1998). Conversely, num bers of known or suspected tumor promoters, e.g., phorbol myristate acetate (PMA), 1,1-bis(p-meZerein, diethylstil bestrol (DDT), saccharin, a?atoxin, etc., are known to induce resistance to apoptosis in a variety of tested cell types, indicating that the effect on inhibition of apoptosis is apparently mediated via a mechanism of tumor promotion (Wright et al., 1994). Therefore, it would be advantageous to tip the balance in favor of apoptosis over mitosis as cancer chemotherapy and preventative approaches. [0004] There are recent indications that apoptosis involves the disruption of mitochondrial membrane integrity and results in the release of cytochrome c from mitochondria into cytosol, and that this sequence is decisive for the cell death process (Liu et al., 1996; Yang et al., 1997). Several antitumor drugs, e.g., Taxol and etoposide, with a diverse spectrum of target molecules, have been also shown to cause the release of mitochondrial components, and result in cytosolic accumulation of cytochrome c (Fang et al., 1998). The cellular mechanisms known to involve the process of apoptosis is the regulation of biochemical activities of a family of cysteine proteases designated as caspases. [0005] In vitro tumor-inhibition screening systems with a bioactivity-based evaluation principal, using a panel of human tumor cell lines correlated to different types of cancerous diseases, and coupled with tetraZolium (MTT) assay and a protein-binding dye (sulforhodamine B) assay, Jan. 15, 2004 have been developed by research groups at the National Cancer Institute (NCI), USA (Monks et al., 1991). These assays in essence are to measure tumor cell viability, growth, and cellular biochemistry behaviors. Following various pilot-screening studies, a screening rate of 400 compounds per week was achieved by Monks and coworkers and other groups at NCI, USA. Among the at least 8000 single compounds that have been screened to date, only a limited number of test samples (about 30) have shown signi?cant, reproducible and stringent in vitro anti-tumor cell activity. Of that limited number, only approximately 8-10 com pounds have shown an in vivo anti-tumor activity without excessive toxicity, and have been further tested in human clinical trials. This task and the results have illustrated the great dif?culty of screening single compounds for cancer drug delivery. [0006] A much faster, systematic strategy of using com binatorial chemistry and high throughput systems for drug screening is now commercially available, and is being actively employed by a number of pharmacological compa nies for new drug discoveries. It is also being appreciated as “not necessarily so straightforward” for cancer drug discov eries and consideration is being given to combined com pounds or “cocktails.” (Dr. G. Craggi, International Confer ence on Traditional Chinese Medicine Aug. 30-Sep. 2, 2000, Maryland, USA). This strategy of using crude or partially puri?ed plant secondary metabolites/phytochemicals as a mixture of compounds for drug discovery, food supplements and nutraceuticals is the main policy and direction of the National Center of Complementary and Alternative Medi cine (NCCAM) recently set up in the United States. Our research and this invention were designed with this new strategy and direction in mind. A most recent systematic effort of this approach employed for medicinal plants on tumor prevention and inhibition activities has also been studied on green tea and its derived active compound, epigallocatechin-3-gallate (EGCG)(Lin et al., 1999; Ahmad et al., 1997). SUMMARY OF THE INVENTION [0007] The present invention is in the herbal plant extracts of the Anoectochilus family of plants and in particular Anoectochilus formosanus (“A. formosanus”), prepared either as crude but de?ned plant extracts or as bioorganic chemically fractionated plant metabolic compounds, a method for their preparation, compositions containing such extracts and in their use for chemo-prevention, or comple mentary/alternative control of various human malignant diseases. [0008] Other species of Anoectochilus, for instance, A. koshunensis or cultivars from China, America, or Vietnam, have also been increasingly used as substitutes ofA. forma sanus for herbal medicines or nutraceuticals in Asian coun tries. Plant extracts of these Anoectochilus plants and their derivatives may also possess similar anti-tumor or tumor prevention activities, and thus be potentially useful as spe ci?c pharmaceuticals or nutraceuticals. [0009] This invention includes the use of such extracts and their phytochemical derivatives as tumor-prevention or tumor-inhibition remedies or nutraceuticals. Efficacious tumor cell-inhibition activities, that may be speci?cally potent against melanoma, breast cancer and hepatoma
  • 17. US 2004/0009239 A1 tumors, are de?ned here to confer prevention, control or suppression of growth of solid tumors, and this may poten tially bene?t normal individuals or cancer patients. Admin istration of herbal plant extracts to humans, either as non symptomatic or as cancerous patients, may be by oral delivery (liquid-drinking), intra-tumoral (intra-dermal) injection, intra-peritoneal injection, topical application, or even intravenous injection of partially puri?ed plant extracts. [0010] Another aspect of the invention includes a process for obtaining the extracts of the invention either as a crude extract, a fraction derived from the crude extract or a subfraction. These extracts are obtained by one or more extraction steps using certain solvents and/or for speci?ed extraction periods. [0011] In other embodiments, the extracts or fractions are subjected to subsequent processing to obtain a more re?ned form. [0012] In the invention, plant materials are groWn Wider speci?c and constant green house conditions. The plant tissues are harvested under speci?ed conditions, ?nely homogeniZed, and extracted With an aqueous medium, such as Water, folloWed by a stepWise gradient fractionation. Further partitioned fractions lead to identi?cation of useful index compounds Which can be characteriZed by IR, mass, and NMR spectrometric analyses. The consistency and quality of lot-to-lot variations of the plant extracts can thus be monitored, adjusted, standardiZed or controlled by nor maliZing the levels of index compounds for ingredient/ compound composition and pro?ling in speci?c plant extracts or the derived bio-organic solvent fractionation. After such normaliZation/standardiZation and quality con trol/analysis (QC/QA) measures, the obtained preparations of bioactive plant crude extracts or the derived organic fractions, can then be de?ned and systematiZed for use as nutraceuticals or remedies for prevention/control of tumor groWth and related malignancies. [0013] The use of the plant extracts and the derived fractions in in vitro (cell culture) cytotoxicity experiments, using MTT and 3H-thymidine incorporation assays, confers an effective inhibitory effect on cell-proliferation activities against MCF-7 cells (human breast adenocarcinoma), B16 cells (mouse melanoma), human hepatoma HepG2 of human or mouse tumor origin. The results obtained from in vitro cytotoxicity studies demonstrate that the kinetics of inhibi tion of tumor cell proliferation is a dose-dependent effect. [0014] The invention also exhibits an inhibitory effect on in vivo tumor groWth, using mouse B16 melanoma cells/ C57 black mouse as the target tumor/animal model system. Intra-tumoral injections of A. formosanus extracts effec tively inhibit B16 tumor groWth in vivo, and a very signi? cant effect on reduction of tumor groWth Was detected When A. formosanus extract is administered intra-peritoneally. A detectable effect is also observed in test mice by oral force-feeding. [0015] Fluorescent microscopy and How cytometry analy ses shoW that the observed cell-killing effects of A. forma sanus extract on the test tumor cells is apparently mediated through the process of programmed cell death (the so called “apoptosis”). We demonstrated in this invention that apop tosis of MCF-7 cells Was medicated via the expression of Jan. 15, 2004 Fas ligand (FasL) signaling pathWay. Western-blot analyses of various signaling proteins involved in knoWn apoptotic pathWays shoWed that the expression levels of apical caspases (e.g., caspascs 8 and 9), effecter caspases (e.g., caspase 7) cytochrome c, and poly-ADP ribose polymerase (PARP) protein molecules are signi?cantly and speci?cally affected, When MCF-7 human mammary tumor cells are treated WithA. formosanus plant extracts. Apossible mecha nism for the apoptosis in MCF-7 tumor cells as induced by the plant extract of A. formosanus is also proposed in this invention. A signi?cant ?uctuation of activity, increase and then decrease, of the caspase 3-like and caspase 8 activity is detected in good association With the killing of B16 mela noma cells, resulting as a function of time With the treatment ofA. formosanus extract. These results strongly suggest that speci?c types of cell biological mechanism(s) or pathWays, not general “intoxication of cells”, are responsible for the observed anti-tumor cell effect of A. formosanus. [0016] Other bene?cial aspects of the invention include: [0017] an essentially non-chemical technique or pro cedure, (i.e., no synthetic compounds, no buffer, and no toxic organic solvent) using boiling Water for 0.1 to 500 minutes for aqueous and bio-organic extrac tion; [0018] the use of a simple ethanol stepWise gradient (50 to 87.5%, v/v) extraction procedure to obtain a more biologically potent sub-fraction, i.e., the AH sup fraction; [0019] the further bio-organic extraction of AH-sup With ethyl acetate and butanol to yield groups of more puri?ed or enriched metabolic compounds, Which can confer a signi?cant and higher level of anti-tumor activity than that from total crude extracts; [0020] the preparation of a fraction (AH-sup), as derived from the total, crude aqueous extract (AF Hot), Which shoWs a high level of cytotoxicity on mouse B 16 melanoma, MCF-7 human mammary carcinoma and HepG2 human hepatoma cells in vitro, as compared to the activities obtained from other fractions (AF-Hot, AH-I, AH-II, and AH-III fractions); [0021] the further bio-organic fractionation of the AH-sup fraction to yield three subfractions (desig nated as EA, BuOH, and Water fractions) Which, based on the MTT assay shoWs the EA fraction, as compared to that of those obtained from AH-sup, BuOH, and Water fractions to have the most signi? cant anti-tumor cell effect; [0022] The plant extracts of the invention shoW the ability to inhibit tumor groWth: [0023] a) based on MTT assay and How cytometry analysis, the AH-sup BuOH, and EA fractions ofA. formosanus shoW different levels of anti-tumor cell proliferation effect, varying among the three tested cell lines, suggesting the A. formosanus plant extracts performed With differential anti-tumor or tumor-prevention activities; [0024] b) in the case of HepG2 human hepatoma cells, a very signi?cant cell-killing effect is observed
  • 18. US 2004/0009239 A1 When HepG2 cells are treated With the fractionated plant extracts, especially the EA fraction hence, the crude extract of A. formosanus may be used With minimal toxicity to liver cells, and can be more potent in treating other forms of tumor; [0025] c) an anti-melanoma effect of the AH-sup or crude plant extracts When CS7BL/6J mice harboring B16 melanoma tumors are treated in situ intra tumorally, intra-peritoneally, or orally fed With plant extracts ofA. formosanus (AH-sup), ie the groWth of B 16 tumor can be effectively inhibited in mice; [0026] The animal model study in vivo shoWed that intra tumoral, intra-peritoneal, and the oral-force feeding/drink ing methods for delivery ofA. formosanus plant extracts into animals can result in appreciable levels in inhibition of tumor groWth, and hence be potentially useful for treatment or prevention of certain cancers. [0027] The various features of novelty Which characteriZe the invention are pointed out in particularity in the claims annexed to and forming a part of the disclosure. For a better understanding of the invention, its operating advantages, and speci?c objects attained by its use, reference should be made to the folloWing draWings and description of the preferred embodiments of the invention. BRIEF DESCRIPTION OF THE DRAWINGS [0028] [0029] FIG. 1. Extraction protocol for preparation of total and fractionated plant extracts of A. formosanus. In the draWings: [0030] This protocol in principle folloWed a “bioactivity guided fractionation strategy” Where the anti-tumor related bio-activity experimental systems Were performed in accor dance With the How chart of an effective extraction and fractionation procedure for A. formosanus [0031] FIG. 2. Anti-tumor cell proliferation effect of AF- Hot extract of A. formosanus on MCF-7 human mammary adenocarcinoma, HepG2 human hepatoma, and mouse B16 melanoma cell lines in groWth media containing With or Without fetal bovine serum. [0032] Cell viability Was measured 48 hours post-treat ment of test cells With varying dosage of crude extract (AF-Hot) as indicated in the presence or absence of fetal bovine serum, using MTT assays. Each data point Was obtained from the average of at least triplicate test samples. [0033] FIG. 3. Anti-cell proliferation effect of the total plant extract and bio-organically fractionated extracts of A. formosanus on MCF-7 mammary, HepG2 hepatoma, and B16 melanoma cell lines. [0034] Cell viability Was measured at 48 hours post treatment of test cells With various dosages of crude extract (AF-Hot) and the derived fractions (AH-sup, EA, BuOH, and Water fractions, respectively), using MTT assays. Each data point Was obtained from the average of at least triplicate samples. [0035] FIG. 4. Light microscopy analysis of cell morphol ogy of MCF-7 cells Without (A) and With the treatment of total crude extract (AF-Hot) (B), AH-sup fraction (C), and EA fraction (D) of A. formosanus. Jan. 15, 2004 [0036] MCF-7 cells Were incubated in RPMI 1640 medium spiked either With phosphate buffered saline (A, control) or treated With 1 mg/ml of indicated plant extracts of A. formosanus for 48 hours. Each photomicrograph Was taken With an Olympus PM-30 camera installed on an Olympus CK4O microscope With 200-fold magni?cation. [0037] FIG. 5. Microscopic analysis of normal or apop totic MCF-7 cells at the cellular level, as stained With Annexin-V and propidium iodide (PI). [0038] MCF-7 cells Were treated With EA fraction (1 mg/ml) for 4 hours and then stained With PI and Annexin-V (A) or With Annexin-V only C & D Were the control cells treated With vehicle (0.4% DMSO) and stained With PI and Annexin-V. A, B, and D Were ?uorescent photomicro graphy taken With an Olympus PM-30 camera installed on a Nikon ECLIPSE E800 microscope With 200-fold magni ?cation using B-2A ?lter (Ex 450-490), and C Was a bright?eld vieW of D. [0039] FIG. 6. FloW cytometry analysis of the DNA content in normal and apoptotic MCF-7 cells as a function of treatment time. [0040] MCF-7 cells Were incubated in RPMI 1640 medium spiked either With 0.4% DMSO (vehicle) or 1 mg/ml EA fraction ofA. formosanus, and then harvested at indicated time points. M1 denotes the apoptotic peak and the image analyZer generated percent of apoptotic cells. [0041] FIG. 7. Effect of the EA fraction ofA. formosanus on inducing cell surface expression of FasL activities on MCF7 cells. MCF7 cells Were exposed for 5, 8 or 16 hours, respectively, to 1 mg/ml EA extract or 0.4% DMSO solution (vehicle control). [0042] FasL expression Was determined by How cytometry analysis using a mouse anti-human FasL IgG, clone NOK-1, or isotype control mouse IgG, MOPC-21, and a FITC conjugated rat anti-mouse IgG for secondary staining. The results Were analyZed by a Coulter EPICS XL ?oW cytom eter (Beckman Coulter, USA) using the Expo XL 4 Cytom eter softWare. [0043] FIG. 8. Protein expression pro?le of caspases 7, 8, and 9, cytochrome c, NF-KB, actin (A), and poly-ADP ribose-polymerase (PARP) (B) in MCF-7 cells treated With out (control) or With the EA fraction of A. formosanus. [0044] Aliquots of comparable cell lysates containing 40 pg of proteins of MCF-7 tumor cells treated With or Without test plant extract Were subjected to a 5-20% SDS gradient gel electrophoresis. After electro-transblotting proteins in SDS gel onto a PVDF membrane, speci?c protein bands reacted With test primary antibodies and then treated With horse radish peroxidase (HRP)-conjugated secondary anti bodies at room temperature for 1 h. The reacted protein bands Were visualiZed by calorimetric method. [0045] FIG. 9. In vivo inhibition of B16 melanoma tumor groWth in CS7BL/6J mouse model by plant extract (AH sup) ofA. formosanus. [0046] Various administrating methods of plant extracts into test mice, including intraperitoneal (i.p.), intratumoral (it), and oral force-feeding, Were employed for this experi ment. Mice administered With phosphate buffer only via ip injection (control 1), or via force-feeding and ip injection
  • 19. US 2004/0009239 A1 concomitantly (control 2) Were used as controls. Seven mice per group Were used for each experiment. [0047] FIG. 10. The chemical ?ngerprints and the candi date index compounds of the AH-sup (A) and EA fraction (B) of A. formosanus. [0048] Panel A: Metabolite pro?ling of the three different preparations of AH-sup extract from Anoectochilus forma sanus plant. The three chromatograms Were obtained from a C-18 reverse phase HPLC system, and the structures and identities of eight indexing compounds for composition pro?ling of the mixtures of phyto-compounds Were identi ?ed using IR, mass and NMR spectrometric analyses. Com pounds 1: Nicotinic amide; 2: adenosine; 3: cytosine; 4: isorhamnetin 3,4‘-O-[3-D-diglucopyranoside; 5: isorhamne tin 3-O-[3-D-glucopyranoside; 6: caffeic acid; 7: (6R, 9S) hydroxy-megastima-4,7-diene-3-one-9-O-[3-D-glucopyra noside; and 8: kinsenone. [0049] Panel B represents a chromatogram of the EA fraction from Anoectochilus formosanus plant extract, as obtained from a Si-60 HPLC system. The candidate com pounds to serve for indexing or referencing in EA fraction are: 1: long chain aliphatic acid; 2: ot-amyrin trans-p hydroxy cinamate; 3:0t-amyrin cis-p-hydroxy cinamate; 4: isorhamnetin; 5: kinsenone; 6: p-hydroxybenZyl alcohol. [0050] FIG. 11. A proposed signaling pathWay of apop tosis in MCF7 tumor and human mammary tumor cells induced by plant extract of A. formosanus. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT [0051] We adapted the anti-tumor drug-screening strategy developed at the NCI (Monks et al., 1991) With some modi?cations, primarily aimed at evaluating speci?c cyto toxicity on tumor cells by A. formosanus plant extracts. We employed a de?ned and reproducible “bioactivity-guided fractionation strategy and protocol” to evaluate the potential anti-tumor cell effects of the A. formosanus total plant extracts and the bio-organically derived fractions. The mechanism-speci?c cytotoxic activity on tumor cells obtained from speci?c plant extracts of A. formosanus is apparently involved in the induction of apoptosis, as evalu ated using ?oW cytometry, Western-blot analysis, and caspase(s) activity assays. These ?ndings are very similar to various published studies demonstrating the apototic effects induced by speci?c anti-cancer drugs. See for instance the published studies of Whllie et al., 1980 and Jiang et al., 1996). 1. Anti-Cell Proliferation Assay [0052] B 16, MCF-7, and HepG2 cells Were groWn in ATCC-recommended culture media, containing 10% fetal bovine serum, 100 U/ml penicillin, and 100 pig/ml strepto mycin as supplements. RPMI 1640 (Gibco BRL, USA) Was used to groW B16 and MCF-7 cells, and Minimum Essential Medium (MEM, Gibco BRL, USA) for HepG2 cells. [0053] The effect ofA. formosanus plant extracts and the derived fractions on groWth of target tumor cells Was mainly evaluated by using MTT colorimetric assay as described elseWhere (Mosmann, 1983) With minor modi?cations. The tetraZolium ring of MTT (Which confers a yelloW color) is cleaved by mitochondrial dehydrogenase in living cells, and Jan. 15, 2004 this produces the broWn colored formaZan precipitates. The relative absorbance changes at 570 nm are then measured. For MTT assays, target tumor cells (5><103 to 1x104) Were incubated With or Without plant extracts in 96 Well titer plates for 1 to 3 days. After incubation, adherent cells Were Washed once With fresh medium, and MTT dye (0.5 mg/ml in PBS) Was then added into the corresponding cell culture medium as described above, and reactions alloWed to be carried out at 37° C. for 4 hours. The insoluble reaction product Was then collected by centrifugation, dissolved in 100 ML of DMSO, and incubated at 37° C. for 2 hours. All assays Were performed in quadruplicate cell sets. The cell proliferation-inhibition effect Was expressed as the relative absorption at 570 nm using a microplate reader (Labsystems Multiskan MS, Finland). The percentage of cell survival after treatment With plant extracts Was calculated using the folloWing formula: viable cell number (%) OD570 (treated cell culture)/OD570 (control (un-treated) cell culture)><100%. For certain test cells, a 3H-thymidine incorporation assay Was also employed to determine the anti-cell proliferation activity in plant extracts ofA. formosanus, by folloWing the stringent experimental protocol, as described by Seufferlein and RoZengurt (1995). 2. Fluorescent Microscopy Analysis and FloW Cytometry Analysis of Tumor Cells [0054] The Apoalert Annexin V-EGFP method (CLON TECH. Palo Alto, Calif.) Was used to assess for apoptosis in test cells (Zhang et al., 1997). MCF-7 tumor cells Were treated for 4 hours With EA fraction (1 mg/ml) or the vehicle (0.1% DMSO), Washed With ?xing solution, and stained With Annexin V-EGFP and/or propidium iodide for 15 min in dark. Cells Were vieWed using a Nikon ECLIPSE E800 inverted ?uorescentscope. [0055] Test tumor cells (1><106 cells), With or Without treatment using the evaluating plant extracts or the derived phytochemicals, Were harvested and ?xed With 1 ml ice cold, 70% ethanol at 4° C. for 2 hr. Cellular DNA Was stained for 30 minutes in the dark With PI staining solution containing 50 pig/ml propidium iodide (PI) and 100 pig/ml RNase Ain PBS buffer. The percentage of cells With a sub-G 1 DNA content over total DNA Was taken as a measure of the apoptotic cell population using a Coulter EPICS XL ?oW cytometer (Beckman Coulter, USA). Data Were generated from samples With at least 10,000 cells per assay and analyZed With the DNA MultiCycle program (Beckman Coulter, USA). 3. Induction of FasL Expression on MCF7 Cells and FloW Cytometry Analysis of FasL Expression [0056] Aliquots of 1><106/ml cells Were cultured for over night in six-Well ?at-bottom plates in RPMI 1640 medium supplemented With 10% heat inactivated fetal bovine serum. EA plant extract (1 mg/ml) or 0.4% DMSO Was then added to groWth media and incubated for 5.8 or 16 hours. After treatment, cells Were harvested using 0.5 ml/Well Trypsin/ EDTA and Washed tWice in phosphate buffered saline (PBS), pH 7.2. [0057] Aliquots of 5><105 cells in a ?nal volume of 100 pl each PBS Were incubated for 30 min at 20° C. With 1 pg mouse anti-human FasL IgG1, clone NOK-1 (Pharmingen, USA), Washed once, and resuspended in 100 pl PBS. A
  • 20. US 2004/0009239 A1 mouse IgG1, clone MOPC-21 (Pharmingen, USA) Was used as the isotype control. For secondary staining, cells Were incubated for 30 min at 20° C. in the dark With 1 pg FITC-conjugated rate anti-mouse IgG, clone LO-MG1-15 (Biosource, California, USA), and Washed tWice in PBS prior to analysis by a Coulter EPICS XL ?oW cytometer (Beckman Coulter, USA) using the Expo XL 4 Cytometer softWare. 4. Western Blot Analysis [0058] Test cells (2x106) Were Washed With PBS once and lysed in 100 pL lysis buffer (pH 7.0, 20 mM PIPES, 10 mM NaCl, 1 mM EDTA, 0.1% CHAPS, 10% sucrose, 10 mM DTT, 5 mM HEPES, 0.05% (v/v) Triton X-100, 1 mM MgCl2, 2.5 mM EGTA, and 0.438% (W/v) [3-glycerol phosphate) and 2 pL protease inhibitor cocktail set III (Calbiochem Co., USA) for 20 minutes on ice, and vorteX miXed every 5 minutes. PIPES, CHAPS and HEPES chemi cals Were purchased from Sigma Chemical Co. (MO, USA). After centrifugation, protein concentration in the superna tant Was determined as described by Bradford (1976), using bovine serum albumin as a standard. Aliquots of 40 pg of protein Were separated on a 5-20% gradient mini-SDS polyacrylamide gel (Laemmli, 1970), and then transferred onto a PVDF membrane (Millipore). PVDF ?lters Were blocked for non-speci?c binding With 3% non-fat dry milk in TBS buffer (10 mM Tris, pH 7.5 and 100 mM NaCl), and probed With speci?c primary antibodies in blocking solution at 4° C. overnight With agitation. Rabbit anti-actin (Onco gene Research Products), mouse anti-PARP (Related Prod ucts), mouse anti-cytochrome c (Pharmingen), rabbit anti NF-KB (Oncogene Research Products), mouse anti porcaspases-2, -7, and -9 and anti-porcaspase-8 (BD Research Products) Were used as primary antibodies. After Washing With TBST buffer (0.1% TWeen 20 in TBS buffer), blotting membrane Was treated With alkaline phosphatase conjugated secondary antibodies at room temperature for 3 h. The reacted protein bands Were visualiZed by colorimetric method or by an enhanced chemi-luminescence system (ECL, Amersham Pharmacia Biotech Co., UK) for image analysis on Kodak BiomaX MS ?lms (Eastman Kodak Company, USA). 5. Inhibition of B16 Tumor GroWth in C57BL/6J Mouse [0059] The animal tumor system employed Was the mouse strain C57BL/6J, or often called C57 or B6 mouse system harbored With murine B-16 melanoma cells. Possible in vivo effects of Anoectochilus formosanus plant eXtract on tumor groWth Were evaluated in vivo using a moderate tumor cell load of B16 melanoma cells inoculated and groWn in 2-3 month old test mice. [0060] Five groups of mice, each With 7 mice per test group, Were employed. A total of 1x1 B-16 tumor cells suspended in 50 pl of phosphate buffered saline (PBS) Was implanted into the dermal tissue (intra-dermally) of the right abdominal area of each mouse on day 0. Three sets of mice Were tested for the AH-sup treatment, by intra-peritoneal (i.p or intra-tumoral (i.t.) injections of test plant eXtracts, or by the force-feeding (f.f.) mode for testing anti-tumor effects. Speci?cally, from day 2 on, test mice in group 1 received PBS only via ip injection (control 1), and group 2 mice Were treated With PBS only via force-feeding and ip Jan. 15, 2004 injection concomitantly (control 2). Groups 3, 4 and 5 mice Were treated With AH-sup solution by it. injection, ip injection, and force-feeding by mouth, respectively. [0061] The injection dosage received by each test mouse Was 1 mg of AH-sup in 100 pl PBS per day, While the force-fed mice took 2 mg in 200 pl per day orally. Both test groups Were treated for 7 consecutive days after inoculation of tumor cells. Starting on day 8, the frequency of the treatment Was changed to a sloWer pace, by treating mice every tWo days until day 21. In the case of force-feeding, the relative herb dosage tested in mice Was equivalent to the ingestion or uptake of a 50 kg person drinking tWo servings of instant herb tea poWders (2 tea bags) made from about 30 g of dried A. formosanus plant. 6. Metabolite Pro?ling and the Index or Composition Compound Analysis of AH-sup and EA Fractions of Anoectochilus formosanus [0062] Analytical high performance liquid chromato graphic (HPLC) analyses Were performed using a Waters HPLC system equipped With a Waters 600 controller, Waters Delta 600 pump, and 2487 Duel )L absorbance detector. A 5 pm C-18 column (250><10 nm, Merck, Germany) Was employed for the analysis of AH-sup fraction With tWo solvent systems, methanol-Water (90:10, v/v) (A) and methanol The elution conditions Were performed as folloWs: 0 to 5 minutes, 80% A to B (isocratic); 5 to 30 minutes, 80-0% A to B (linear gradient); 30 to 60 minutes, 100% B (isocratic). The detector Wavelength Was set at 254 nm. A 5 pm Si-60 column (250><10 nm Merck, Germany) Was employed for the FA active fraction With tWo solvent systems, n-haXane (A) and ethyl acetate The elution gradient pro?le Was performed as folloWs: 0-5 min, 70% A to B (isocratic); 5-15 min, 70-30% A to B (linear gradient); 15-20 min, 30% Ato B (isocratic); 20-30 min 30%-0% A to B, the How rate Was 5 ml/min, and the detector Wavelength Was set at 280 nm. The structures of compounds 1 to 8 in the All-sup fraction and compounds 1 to 6 in the EA fraction Were then elucidated using various spectroscopic analyses. UV spectra of test compounds Were recorded With a Jasco V-550 spectrometer, and IR spectra obtained from a Bio-Rad FTS-40 spectrophotometer. Electron-impact mass spectrom etry (EIMS) and high resolution electron-impact mass spec trometry (HREIMS) data Were collected With a Finnigan MAT-958 mass spectrometer, and the NMR spectra recorded With Bruker Avance 500 and 300 MHZ FT-NMR spectrom eters, at 500 MHZ (1H) and 75 MHZ (13C). [0063] Quanti?cation of the content of indeX compound in EA fraction Was done by a HPLC analysis using a knoWn concentration of EA fraction. Individual peak area corre sponding to indeX compound in the HPLC pro?le (metabo lite pro?le) of the EA fraction Was determine at the observed maXimal absorbance of OD28O. The standard calibration curves (peak areas vs. concentrations) of the compounds, ranging from 0.05 to 1 mg/ml, revealed good linearity and R2 values (>0.98). Quanti?cation of the content of indeX compound in EA fraction Was done by a HPLC analysis using a knoWn concentration of EA fraction, and the peak area of speci?c compound Was then determined and referred to their contents in the eXtract based on the standard cali bration curve.