J Biochem Mol Toxicol. 2020;e22642. wileyonlinelibrary.com/journal/jbt © 2020 Wiley Periodicals LLC
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1 of 12
https://doi.org/10.1002/jbt.22642
Received: 1 February 2020
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Revised: 7 September 2020
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Accepted: 16 September 2020
DOI: 10.1002/jbt.22642
RESEARCH ARTICLE
Chlorogenic acid induces 4T1 breast cancer tumor's apoptosis
via p53, Bax, Bcl‐2, and caspase‐3 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, Bcl‐2, and caspase‐3 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 real‐time reverse transcription‐
polymerase chain reaction (RT‐PCR) 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 real‐time RT‐PCR showed that CGA therapy
increased the expression ratio of Bax/Bcl‐2(P < .001 and P < .05, respectively) and
the expression of p53 (P < .001 and P < .05, respectively) and caspase‐3 genes
(P < .01) in the PR and TM groups. The IHC data regarding the Bax/Bcl‐2 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 long‐term therapeutic effects, and
may even create side effects in patients.
[6]
Therefore, more effective
strategies and safe compounds, like plant‐derived ones, are strongly