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



            radiosensitivity of cancer cells by suppressing the nuclear   reactive oxygen species (ROS)-induced apoptosis and the
            factor-kappa B (NF-κB) signaling pathway in CRC  and   activation of JNK/p38 cascade .
                                                     [27]
                                                                                       [25]
            through the promotion of intracellular DNA damage that   In a human study of basal cell carcinoma, the patients
            is related to the downregulation of interleukin (IL)-6 and   were topically treated with ajoene. The study showed that
            interferon-β as well as the increase in p53 expressions in   ajoene can effectively suppress tumor growth through the
            glioblastoma . Despite the promising anticancer effects   activation of mitochondria-dependent apoptosis and the
                      [28]
            of allicin, a recent study has shown that allicin can trigger   subsequent reduction of antiapoptotic Bcl-2 expression .
                                                                                                           [35]
            hemolysis, eryptosis, and oxidative stress in erythrocytes   Besides, apoptotic regulators such as p53, p63, and p73 have
            through calcium overload and the activation of MAPK and   also been demonstrated to be activated by the compound in
                         [29]
            casein kinase-1α . The combined treatment of allicin with   cellular models . Furthermore, Z-ajoene could selectively
                                                                           [36]
            eryptosis inhibitors could be helpful in reducing the effect.  inhibit cancer stem cells from glioblastoma multiform by
              In  recent  years,  nanoparticles  have  been  established  as   attenuating phosphorylated (p)-SMAD4, p-AKT, and
            effective and efficient carriers for delivering numerous drugs.   FOXO3A expressions . In MDA-MB-231 and HeLa
                                                                                 [37]
            In the case of allicin, its cytotoxicity in HepG2  cells has   cancer cells, ajoene has shown to reduce migration and
            been demonstrated to be enhanced with the encapsulation   invasion  activities  through  s-thiolation  of  cysteine-328
            of gelatin nanoparticles coated with glycyrrhetinic acid .   of the vimentin, thereby disrupting it and subsequently
                                                        [30]
            Moreover, the loading of allicin with cyclodextrin-based   inhibiting metastatic activities .
                                                                                       [38]
            nanoparticles also enhances its delivery and the resulting   An analog of ajoene, bis[(para-methoxy) benzyl], has
            corresponding pro-apoptotic effect on cancer cells . Overall,   more substantial anticancer effects. It acts by activating
                                                  [31]
            allicin has shown promising anticancer activity. In addition,   unfolded  protein  response  mechanisms  through  CHOP/
            it is cost-efficient and can be used in combination with other   growth arrest-  and DNA damage-inducible protein 153
            drugs to increase sensitivity and alleviate side effects.
                                                               (GADD153) in esophageal carcinoma . In the treatment
                                                                                             [39]
            2.1.2. Ajoene                                      of colon cancer cells, Z-ajoene effectively inhibits tumor
                                                               growth by decreasing the expression of  β-catenin and
            The  anticancer  properties  of  ajoene  have  been  widely   increasing  CK-1α-mediated  β-catenin  phosphorylation
            recognized  and  attentively  investigated.  Ajoene  and prevents skeletal muscle atrophy induced by colon
            (4,5,9-trithiadodeca-1,6,11-triene-9-oxide)  is  a  sulfur-  cancer by suppressing muscle-specific E3 ligases and
            containing organic compound formed after the       NF-κB . Therefore, ajoene can specifically and selectively
                                                                    [40]
            rearrangement of allicin. Ajoene occurs in two forms:   target cancer cells as well as promote apoptosis and
            Z-  and E-isomers. By characterization, the former is   antimetastatic activities.
            more bioactive, while the latter is relatively more stable.
            Recently, the compound has been shown to be synthesized   2.1.3. Diallyl sulfide (DAS)
            in the laboratory through a new technique involving
            four key steps: (1) propargylation; (2) radical addition of   DAS is a significant component of garlic with protective
            thioacetate; (3) deprotection; and (4) disulfide formation/  properties against various physiological disorders. The
            allylation. Ajoene has antimicrobial, antithrombosis,   regulation of cellular markers associated with apoptosis,
                                                               redox status, necrosis, angiogenesis, and cytotoxicity
            anti-inflammatory, and anticancer  properties . In   (cytochrome P450  2E1), as well as the interaction with
                                                    [32]
            cancer,  the  compound  targets several  activities,  such   membrane lipids are among the mechanisms targeted
            as migration, apoptosis, oxidative stress, and protein   by the compound . In cancer, DAS has been previously
                                                                             [41]
            folding . A  previous study has suggested that ajoene   shown to delay the onset of cancer in chemically induced
                 [33]
            can induce anticancer effects in leukemia cells (HL-60)            [42]
            by triggering G2/M arrest, attenuating proteasome-  skin tumors in mice . The corresponding effects of DAS
            mediated trypsin-  and chymotrypsin-like activities as   are associated with the inhibition of key cellular pathways,
            well as inhibiting ERK-1/2 signaling cascade . Moreover,   such as p53, p21/Ras, PI3K/AKT, and p38 MAPK cascades,
                                               [34]
                                                                                                    [43]
            the ajoene has been shown to promote apoptosis in   with JNK1 and ERK1/2 remaining unaffected . In vitro
            leukemic cells but not in peripheral mononuclear blood   evidence has revealed that DAS can effectively protect
            cells of healthy individuals by elevating the oxidative   normal human breast cells MCF-10A from a carcinogenic
                                               [25]
            status and activating the NF-κB pathway . Similarly,   chemical compound, diethylstilbestrol, which can cause
                                                                                            [44]
            in lung adenocarcinoma, the treatment with 25  µM of   DNA damage and lipid peroxidation .
            ajoene significantly reduced the cell viability of cancerous   In prostate cancer, DAS has been shown to improve
            cells A549, NCI-H1373, and NCI-H1395, but not non-  oxidative status by suppressing a testosterone-mediated
            carcinogenic bronchus cells BEAS-2B, partially through   decrease in antioxidants . It has also been reported that
                                                                                  [45]

            Volume 2 Issue 1 (2023)                         4                      https://doi.org/10.36922/gpd.v2i1.164
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