J Biochem Mol Toxicol. 2020;e22642. wileyonlinelibrary.com/journal/jbt © 2020 Wiley Periodicals LLC | 1 of 12 https://doi.org/10.1002/jbt.22642 Received: 1 February 2020 | Revised: 7 September 2020 | Accepted: 16 September 2020 DOI: 10.1002/jbt.22642 RESEARCH ARTICLE Chlorogenic acid induces 4T1 breast cancer tumor's apoptosis via p53, Bax, Bcl2, and caspase3 signaling pathways in BALB/c mice Zahra Changizi 1 | Azam Moslehi 2 | Ali Haeri Rohani 1 | Akram Eidi 1 1 Department of Biology, Science and Research Branch, Islamic Azad University, Tehran, Iran 2 Department of Cellular and Molecular Research Center, Qom University of Medical Sciences, Qom, Iran Correspondence Azam Moslehi, Department of Cellular and Molecular Research Center, Qom University of Medical Sciences, Qom 3715965181, Iran. Email: moslehi2000@gmail.com Abstract Despite all the new treatments, metastatic breast cancer (BC) causes many deaths. Chlorogenic acid (CGA) is a polyphenol compound with various pharmacological traits, such as anticancer properties. Targeting apoptotic death pathways has been propounded as the most effective therapeutic method in various cancers. In the current study, apoptotic agents such as p53, Bax, Bcl2, and caspase3 have been investigated. The experimental groups included saline, BC, CGA, protective (PR), and treatment (TM) groups. First, 4T1 mouse BC was established and then the effects of treatment with CGA were investigated through measurement of tumor weight and volume, metastatic nodules, liver biochemical tests, hematoxylin and eosin (H&E), immunohistochemistry (IHC) staining, and realtime reverse transcription polymerase chain reaction (RTPCR) in experimental groups. The findings showed that CGA reduced tumor weight and volume in the PR group (P < .05) and in the TM group (P < .001). Surprisingly, it eliminated the tumors in the TM group. Metastatic nodules in the PR and TM groups were significantly reduced as compared with the BC group (P < .001). The evaluation by H&E staining showed cell apoptosis in both the PR and TM groups. The results of realtime RTPCR showed that CGA therapy increased the expression ratio of Bax/Bcl2(P < .001 and P < .05, respectively) and the expression of p53 (P < .001 and P < .05, respectively) and caspase3 genes (P < .01) in the PR and TM groups. The IHC data regarding the Bax/Bcl2 ratio confirmed the other results (P < .001). The findings demonstrate that CGA plays a significant role in the induction of apoptosis and the treatment of 4T1 BC tumors in BALB/c mice. KEYWORDS 4T1 cell, apoptosis, BALB/c, breast cancer, chlorogenic acid 1 | INTRODUCTION Breast cancer (BC) is the most prevalent cancer in women [1,2] . It is ranked third for fatalities in the United States. [2] According to sta- tistics, 15% of the total deaths of women in the world are due to cancer. [3] In the United States in 2017, approximately 3.1 million women were identified as having a background of BC. [4] Chemotherapy, surgery, radiation therapy, hormone therapy, or a combination of the above have been the standard treatments of BC. [5] Notwithstanding the covered efficacy and increased survival rates presented by recent treatments, these treatments are often incompletely effective, have no longterm therapeutic effects, and may even create side effects in patients. [6] Therefore, more effective strategies and safe compounds, like plantderived ones, are strongly