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Gene & Protein in Disease                          Therapeutic opportunities in hydrogen sulfide for cancer research



            environmentally harmful . In mammals, H S can      anticipate that this state-of-the-art review will empower
                                 [1]
                                                    2
            be endogenously generated through the catalysis of   the synthesis of H S-based chemopreventive drugs and
                                                                               2
            L-cysteine and homocysteine by cystathionine  γ-lyase   promote the need for further in-depth exploration of the
            (CSE) and cystathionine β-synthase (CBS), which are the   associations between H S and cancer treatments in clinical
                                                                                 2
            two members of pyridoxal-5bers of pyri(PLP)-dependent   settings.
            enzymes  that  are  predominantly  found  in  the  cytosol
            form . Besides, 3-mercaptopyruvate sulfurtransferase   2. Targeting exogenous H S for cancer
                [2]
                                                                                          2
            (3-MPST), which is a non-PLP-dependent enzyme, acts   treatment
            in unison with cysteine aminotransferase (CAT) and   2.1. Natural world
            in the presence of  α-ketoglutarate to produce H S from
                                                    2
            L-cysteine. Both enzymes are colocalized in the cytosol   2.1.1. Allicin
            and mitochondria . Moreover, it has been indicated that   Diallyl thiosulfinate, also known as allicin, is a biologically
                          [3]
            D-amino acid oxidase can catalyze D-cysteine to form   active compound found in garlic. Having antitumor
            Achiral ketoacid  and 3-mercaptopyruvate, which is further   and antimicrobial properties, this compound induces
            processed by 3-MPST into H S in both the brain and kidneys   antitumor activities by regulating cellular processes, such as
                                  2
            (Figure 1) . The produced H S is then instantly released   apoptosis, inflammation, oxidative stress, autophagy, and
                    [4]
                                    2
            or converted into acid-labile sulfur or bound sulfane   angiogenesis . The mechanisms targeted in mediating
                                                                         [11]
            sulfur and stored in mammalian cells . The catabolism   its effects include post-translational modifications of the
                                           [5]
            of H S can occur through mitochondrial oxidation to   protein cell cycle, mitochondria apoptotic pathways, redox-
                2
            sulfate and thiosulfate, excretion from the kidney or   sensitive signaling cascades, catalytic actions of telomerase
            lung, sulfhemoglobin-mediated scavenging, and thiol   enzyme, and activities of intercellular glutathione (GSH)
            methyltransferase and rhodanese-mediated methylation   and nucleic acid modifications . The effects of allicin
                                                                                         [12]
            to generate methanethiol and dimethylsulfide .     vary with different cancers and cell types . It has been
                                                [6]
                                                                                                 [13]
              Due to its unique chemistry, molecular reactivity   shown that the treatment of colon cancer cells (HCT-
            mechanisms, ability to  modify  proteins,  and active   116) with allicin can effectively inhibit cell proliferation
            participation in many redox reactions with metal, H S   by promoting pro-apoptotic events characterized by the
                                                         2
            has emerged as an essential signaling molecule in cancer   upregulation of Bax and cytochrome (Cyt)-c expressions,
            biology. A huge volume of research has indicated the key   the downregulation of Bcl-2 and Bcl-xL, and subsequently,
            roles of H S in a wide range of physiological activities   the activation of nuclear factor erythroid-2-related factor 2
                     2
            related to cell cycle and tumorigenesis. H S is involved in   (Nrf2) and deactivation of signal transducer and activator of
                                             2
                                                                                           [14]
            angiogenesis, tumor growth, cellular and mitochondrial   transcription 3 (STAT-3) pathways . The administration
            biogenesis, migration and invasion, tumor blood flow,   of allicin induces autophagic cell death in liver and thyroid
            metastases, epithelial-mesenchymal transition (EMT),   cancer through the stimulation of p53 and the inactivation
            DNA repair, protein sulfhydration, and chemotherapy   of protein kinase B (AKT)/mammalian target of rapamycin
            resistance [7-10] .                                (mTOR) pathway, respectively .
                                                                                       [15]
              Since the last decades of research trend in translating   In ovarian cancer, glioblastoma, gastric cancer, cervical
            H S to therapeutic forms, extensive efforts have been made   cancer, and cholangiocarcinoma, the anti-carcinogenic
             2
            by exploring natural H S-based molecules and designing   effects of allicin have been found to be associated with
                               2
            synthetic ones (donors and inhibitors) to exploit the role of   the activation of c-Jun N-terminal kinase (JNK) mitogen-
            H S in cancer development. H S donors and inhibitors have   activated protein kinase (MAPK)/extracellular signal-
                                   2
             2
            gained importance and are being extensively explored to   regulated kinase (ERK) and p38 MAPK/Nrf2 pathways as
                                                                                                [16]
            determine their clinical application in research, especially   well as the inhibition of STAT-3 cascades . Furthermore,
            cancer. The research community is constantly struggling   the loss of mitochondria potential, the activation of
            to design H S-based pharmacological drugs using these   caspases, and the overexpression of p21, NOX4, and Bak
                      2
            molecules and expecting significant breakthroughs in H S   have been reported in a breast cancer cellular model
                                                         2
                                                                                             [17]
            research  in cancer. Considering the  clinical  importance   following the treatment with allicin . A  recent study
            of these naturally existing and those pharmacologically   has also revealed that allicin can effectively suppress the
            synthesized H S-based chemicals and research trends, it   migration and invasion of gastric cancer cells by elevating
                       2
            is worth summarizing the relevant literature that focuses   miR-383-5p and inhibiting the receptor protein-tyrosine
            on their use in translational research. The present study   kinase ERBB4 . In addition, allicin effectively reverses
                                                                          [18]
            provides a detailed discussion of the types of H S donors   the oncogenic properties of ornithine decarboxylase in
                                                   2
            and inhibitors and their role in cancer research. We   neuroblastoma .
                                                                           [19]
            Volume 2 Issue 1 (2023)                         2                      https://doi.org/10.36922/gpd.v2i1.164
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