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Phytomedicine
journal homepage: www.elsevier.com/locate/phymed
Indicaxanthin from Opuntia Ficus Indica (L. Mill) impairs melanoma cell
proliferation, invasiveness, and tumor progression
Mario Allegra
a
, Paola De Cicco
b
, Giuseppe Ercolano
b
, Alessandro Attanzio
a
, Rosalia Busà
a
,
Giuseppe Cirino
b
, Luisa Tesoriere
a
, Maria A. Livrea
a
, Angela Ianaro
a,
⁎
a
Dipartimento di Scienze e Tecnologie Biologiche, Chimiche e Farmaceutiche, Università di Palermo, Via Archirafi 28, 90123 Palermo, Italy
b
Dipartimento di Farmacia, Scuola di Medicina, Università di Napoli Federico II, Via Montesano 49, 80131 Napoli, Italy
ARTICLE INFO
Keywords:
Opuntia Ficus Indica (L.Mill)
Indicaxanthin
Melanoma
Apoptosis
Inflammation
Phytochemical
List of Abbrevations: AxV-FITC, annexin V-
fluorescein isothiocyanate
Bcl-2, B cell lymphoma gene-2 (Bcl-2)
c-FLIP, FLICE-inhibitory protein
CXCL1, chemokine (C-X-C motif) ligand 1
MTT, 3-[4,5-dimethyltiazol-2-yl]-2,5-diphenyl
tetrazolium bromide
NHEM, normal human epidermal melanocytes
NF-κB, nuclear factor kappa B
PhC, phytochemicals
PI, propidium iodide PI
ABSTRACT
Background: A strong, reciprocal crosstalk between inflammation and melanoma has rigorously been demon-
strated in recent years, showing how crucial is a pro-inflammatory microenvironment to drive therapy resistance
and metastasis. Purpose: We investigated on the effects of Indicaxanthin, a novel, anti-inflammatory and bioa-
vailable phytochemical from Opuntia Ficus Indica fruits, against human melanoma both in vitro and in vivo. Study
Design and Methods: The effects of indicaxanthin were evaluated against the proliferation of A375 human mel-
anoma cell line and in a mice model of cutaneous melanoma. Cell proliferation was assessed by MTT assay,
apoptosis by Annexin V-Fluorescein Isothiocyanate/Propidium Iodide staining, protein expression by western
blotting, melanoma lesions were subcutaneously injected in mice with B16/F10 cells, chemokine release was
quantified by ELISA. Results: Data herein presented demonstrate that indicaxanthin effectively inhibits the
proliferation of the highly metastatic and invasive A375 cells as shown by growth inhibition, apoptosis induction
and cell invasiveness reduction. More interestingly, in vitro data were paralleled by those in vivo showing that
indicaxanthin significantly reduced tumor development when orally administered to mice. The results of our
study also clarify the molecular mechanisms underlying the antiproliferative effect of indicaxanthin, in-
dividuating the inhibition of NF-κB pathway as predominant. Conclusion: In conclusion, we demonstrated that
indicaxanthin represents a novel phytochemical able to significantly inhibit human melanoma cell proliferation
in vitro and to impair tumor progression in vivo. When considering the resistance of melanoma to the current
therapeutical approach and the very limited number of phytochemicals able to partially counteract it, our
findings may be of interest to explore indicaxanthin potential in further and more complex melanoma studies in
combo therapy, i.e. where different check points of melanoma development are targeted.
Introduction
Cancer is a growing health problem around the world and according
to estimates from the International Agency for Research on Cancer
(IARC), 14.1 million new cancer cases and 8.2 million cancer deaths
worldwide have been reported in 2012 (Ferlay et al., 2015). By 2030,
the global burden is expected to grow to 21.7 million new cancer cases
and 13 million cancer deaths simply due to the growth and aging of the
population.
It has been estimated that more than two-thirds of human cancers
could be prevented through modification of the lifestyle, with special
attention to diet. The link between cancer risk and nutritional factors
has clearly emerged in the past few years (Biesbroek et al., 2017;
Bradbury et al., 2014). Specifically, both epidemiologic and basic
science studies showed promising results on the effects of phytochem-
icals (PhC) in the chemoprevention of melanoma (Caini et al., 2017;
Strickland et al., 2015; Tong and Young, 2014). Along these lines, the
investigation of new molecules able to counteract the onset and/or the
development of this very aggressive cancer is rapidly growing
(Strickland et al., 2015).
Indicaxanthin ((2S)-2,3-dihydro-4-[2-[(2S)-2a-carboxypyrrolidin-1-
yl]ethenyl]pyridine-2a,6-dicarboxylic acid), a betalain pigment from
cactus pear fruit, has been the object of sound experimental work over
the latest years. As many phytochemicals, indicaxanthin is a redox-ac-
tive compound and has been shown to act as antioxidant in a number of
in vitro studies (Allegra et al., 2005; Turco Liveri et al., 2009). Inter-
estingly, thanks to its charged portions, ionizable groups and lipophilic
moieties, it is amphiphilic at physiological pH (Turco Liveri et al.,
https://doi.org/10.1016/j.phymed.2018.09.171
Received 7 May 2018; Received in revised form 13 July 2018; Accepted 17 September 2018
⁎
Corresponding author.
E-mail address: ianaro@unina.it (A. Ianaro).
Phytomedicine 50 (2018) 19–24
0944-7113/ © 2018 Elsevier GmbH. All rights reserved.
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