“…2), the methyl ester of 2-cyano-3,12-dioxo-oleana-1,9-dien-28-oic acid (CDDO-Me) and betulinic acid (a naturally occurring pentacyclic triterpenoid) down-regulate Sp1, Sp3, and Sp4 transcription factors and Spregulated genes (Chintharlapalli, et al, 2011b;Chintharlapalli, et al, 2007;Jutooru, et al, 2010a;Jutooru, et al, 2010c;Jutooru, et al, 2014;Safe, et al, 2014). Arsenic trioxide appears to modulate several pathways in cancer cells leading to increased apoptosis, inhibition of cell proliferation and angiogenesis in cancer cell lines (Jutooru, et al, 2010c;Safe, et al, 2014), and it has been indicated that arsenic trioxide suppresses transcription of the human telomerase reverse transcriptase (hTERT) gene through the regulation of multiple transcription factors, including Sp1 (Zhang, et al, 2015).…”