Abstract. Hypericum ascyron L. (Great St. Johnswort), which belongs to the Hypericaceae family, has been used for the treatment of hematemesis, metrorrhagia, rheumatism, swelling, stomach ache, abscesses, dysentery and irregular menstruation for >2,000 years in China. The aim of the present study was to clarify the anticancer activity compounds from H. ascyron L. and the underlying molecular mechanism. Anticancer activity of H. ascyron L. extract was evaluated using an MTT assay. To confirm the anticancer mechanism of activity compounds, Hoechst 33258, Annexin V-fluorescein isothiocyanate/propidium iodide, 2',7'-dichlorodihydrofluorescein diacetate, rhodamine 123 staining and caspase-3 activity analysis were performed. The results demonstrated that the anti-proliferative action of the mixture of kaempferol 3-O-β-(2"-acetyl) galactopyranoside (K) and quercetin (Q) (molar ratio, 1:1) was significantly increased compared with either of these two compounds separately, and the active fraction of the H. ascyron L. extract |(HALE). HALE, indicating that the anti-proliferative function of H. ascyron L. may be a synergic effect of K and Q. Furthermore, the inhibitory effect of KQ on the growth of HeLa cells was mediated by the induction of apoptosis. To the best of our knowledge, the present study is the first to identify that KQ exhibits significant anti-proliferation activity on HeLa cells via the apoptotic pathway, and is also the first to evaluate the anticancer potential of H. ascyron L. The results of the present study may provide a rational base for the use of H. ascyron L. in the clinic, and shed light on the development of novel anticancer drugs.
IntroductionInvasive cervical cancer is one of the most common forms of female malignancies worldwide (1). According to an estimate, in 2008 alone there were ~530,000 novel cases of invasive cervical cancer and ~275,000 cervical cancer-associated mortalities worldwide (1,2). A growing number of young patients suffer from cervical cancer and the pathological types of the malignancies undergo changes (2). Current treatments for cervical cancer include surgery, radiation and chemotherapy, and conventional chemotherapy remains the most common treatment for advanced-stage cancers (3). In the last decade, increasing advances in cancer research have enhanced the understanding of cancer biology and genetics, and anticancer effects may be exhibited through selective cytotoxicity, anti-proliferative action, stimulation of apoptosis and induction of differentiation (4,5).Hypericum ascyron L. (Great St. Johnswort) has been used for the treatment of hematemesis, metrorrhagia, rheumatism, swelling, stomach ache, abscesses, dysentery and irregular menstruation for >2,000 years in China (6,7). H. ascyron L. extract has been investigated and revealed to exhibit anticancer activities (8,9). H. ascyron L. extract also possesses numerous other beneficial functions, including inhibition of histamine release (10), anti-inflammatory activity, analgesic effects (11), antioxidant activity (11),...