Telekin, a eudesmane-type sesquiterpene lactone compound isolated from Chinese folk medicine Carpesium divaricatum, has been reported to strongly inhibit the proliferation of cancer cells. In this study, the involvement of a mitochondria-mediated pathway in the pro-apoptotic action of telekin was investigated in human hepatocellular carcinoma cells. 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assays showed that telekin exhibited excellent anti-proliferation activity in hepatocellular carcinoma cells and low cytotoxicity to normal hepatocyte cells. Telekin-induced apoptosis was characterized by chromatin condensation, formation of apoptotic bodies, and exposure of phosphatidylserine on the extracellular surface, as revealed by 4,6-diamidino-2-phenylindole (DAPI) nuclear staining and flow cytometry. Flow cytometry analysis showed that telekin induced the loss of mitochondrial membrane potential (MMP), as well as increased the levels of intracellular free calcium and reactive oxygen species (ROS). Additionally, Western blot results demonstrated that telekin induced the decrease in Apaf-1 and Bcl-2 expression, increase in Bax expression, release of cytochrome C, and activation of caspase-9 and caspase-3 in HepG-2 cells. These findings indicate that telekin activates the mitochondria-mediated apoptotic pathway in hepatocellular carcinoma cells and may merit further investigation as a potential therapeutic agent for the treatment of hepatocellular carcinoma.Key words telekin; Carpesium divaricatum; apoptosis; hepatocellular carcinoma; mitochondria Hepatocellular carcinoma (HCC) is one of the most frequent primary tumors in adults with a high mortality rate worldwide.1,2) Chemotherapy is currently the most common and effective strategy against HCC in the clinical field. A number of anticancer drugs derived from natural products, such as taxane, vinca alkaloid, and hydroxyl-camptothecin, have exhibited excellent anticancer potential.3) Telekin is isolated from Carpesium divaricatum, which has long been used as Chinese folk medicine given its antipyretic, analgesic, vermifugic, and anti-inflammatory properties.4) In China, the whole C. divaricatum plant is used in medicine as febrifuge and astringent. It is also used to treat colds, wind syndrome of the head, sore throat, toothache, mumps, hemorrhoids, and malaria.5) Telekin has also been reported to exhibit strong antitumor activity in several human carcinoma cell lines.
6,7)Apoptosis is a genetically controlled and evolutionarily conserved process of cell death. Cells undergoing apoptosis are characterized by membrane blebbing, cytoplasmic shrinkage, DNA fragmentation, and apoptotic body formation. [8][9][10] This process is also most frequently taken as a major pathway for chemotherapeutics to combat cancer cells. Therefore, searching for agents that can trigger tumor cells apoptosis has become an attractive strategy in anti-cancer drug discovery.Molecular biological studies indicate that extrinsically and intrinsically mediated pathways cause a...