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



            DAS can potentially induce antiproliferative properties in   arrest by activating cyclin B1 and promoting apoptosis
            thyroid carcinoma by activating the mitochondria apoptotic   through ROS-mediated activation of p53 pathway, thereby
            pathway as displayed by the elevation of Bax, caspase-3, -9,   promoting cell death . In another colon cancer cell
                                                                                 [58]
            and cytochrome c (cyt c) expressions, as well as the   line SW480, treatment with DADS has shown to inhibit
            suppression of Bcl-2 expression . DAS can also prevent   migration and invasion by downregulating glycogen
                                      [46]
            the progression of colon cancer by containing the gene   synthase kinase (GSK)3β/NF-κB and LIM kinase-1
            expression and activities of arylamine N-acetyltransferase   (LIMK-1)/dextrin/cofilin cascades, resulting in the
            and downregulating  ERK1/2  pathway . In  a leukemia   suppression of vimentin, Ki-67, and CD-34 expressions
                                           [47]
            model, DAS restored the elevated levels of P-glycoprotein   and the elevation of E-cadherin . Other signaling
                                                                                            [59]
            (P-gp), a multidrug protein . The treatment of cervical   markers targeted with DADS treatment in colon cancer
                                  [48]
            cancer cells with DAS has been reported to promote cell   cells include the elevation of Ca  levels, phosphorylation
                                                                                         2+
            cycle arrest and apoptosis by increasing ROS, calcium ions   of ERK, activation of STAT-1, and inhibition of Rac1/
                                                                                        [60]
               2+
            (Ca ), and the number of cells accumulated in the gap 0   PAK1/LIMK1/cofilin pathways .
            (G0)/G1 phase . The treatment increases the expressions   In leukemia, DADS induces cell death through the
                        [49]
            of p21, p27, p53, Bad, Bid, Bax, apoptosis-inducing factor   inhibition of Rac1/ROCK1/LIMK1/cofilin and ERK
            (AIF), caspases, and cyt c but decreases the expressions of   pathways as well as the activation of p38MAPK, Rac2/
            Bcl-xl, Bcl-2, cyclin-dependent kinase 2 (CDK2), CDK6,   JNK, and caspase-dependent apoptotic pathways . Its
                                                                                                        [61]
            checkpoint kinase (CHK)2, and human papillomavirus   anticancer effects in leukemia cells are evident through
            (HPV) oncogenes E6 and E7 .                        the downregulation of vascular endothelial growth factor
                                   [50]
              Furthermore, treating neuroblastoma  cells  SH-SY5Y   (VEGF) and calreticulin. It inactivates epidermal growth
            with DAS has been shown to suppress pro-proliferative   factor receptor (EGFR) and mTOR pathways that mediate
            activities and  trigger  apoptosis by increasing caspases   the induction of G2/M and G0/G1 arrest through the
            activation and Ca  levels while suppressing NF-κB   downregulation of PARK-7,  cofilin 1, and Rho GDP
                            2+
                                                                                 [62]
            pathway . In a mice lung cancer model, DAS significantly   dissociation inhibitor 2 .
                  [51]
            reduced tumor growth and increased antioxidant levels   In a mice prostate cancer model, testosterone and
            and apoptotic activities by suppressing the expression of   N-methyl N-nitroso urea-induced cancer and its
            fatty acid synthase . In a recent study, the combination of   associated features such as dysplasia, hyperplasia, and
                          [52]
            paclitaxel and DAS has been demonstrated to improve skill   prostatic intraepithelial neoplasia were significantly
            texture and downregulate antiapoptotic protein Bcl-2 in a   reduced with DADS treatment . In addition, it has also
                                                                                        [63]
            mice skin cancer model .                           been reported that DADS treatment can promote apoptosis
                               [53]
              Alternatively, in esophageal carcinoma, a previous study   through G2/M arrest due to decreased CDK1 expression
            has revealed that DAS is only effective when administered   and the activation and inhibition of JNK and PI3K/AKT
            after its exposure to carcinogen, which suggests that the   pathways, respectively. Furthermore, DADS also initiates
            compound is more effective as a treatment rather than for   histone  hyperacetylation, increasing  DNA damage,
            prevention purposes [54,55] . Overall, DAS has considerable   raising the expression of pro-apoptotic cell markers, and
                                                                                                           [64]
            potential as a therapeutic option for cancer. However, further   decreasing migration and invasion-associated proteins .
            studies are required to shed light on the possible ways of   In hepatocellular carcinoma (HCC), DADS has been
            improving its efficiency and reducing the side effects.  reported  to  reduce  cell  proliferation  and  migration  by
                                                               promoting apoptosis by regulating associated markers and
            2.1.4. Diallyl disulfide (DADS)                    G2/M arrest. Moreover, it also been reported to induce
            DADS is an organosulfur compound from garlic with   antiapoptotic activities and reduce toxicity by inhibiting
                                                                      [65]
            strong anticancer properties. It is formed from allicin.   CYP2E1 . Albeit, the pro-apoptotic effects of DADS can
            DADS has demonstrated its effects in different types of   be increased in HCC by cotreating with other compounds,
                                                                                               [66]
            cancers through the regulation of apoptosis, oxidative   such as p38 or p42/44 MAPK inhibitors .
            stress, and cell cycle, along with several cellular pathways   DADS enhances programmed cell death in breast cancer
            associated with cancer survival and progression .   by promoting G0 arrest, altering Bcl-2 family proteins,
                                                        [56]
            For  example,  in colon cancer  cells HT-29  and Caco-2,   inhibiting HDAC through histone-4 hyperacetylation,
            treatment with DADS has shown to induce anticancer   suppressing ERK, and activating SAPK/JNK and p38MAPK
            effects by activating histone 3, inhibiting histone   pathways . The inhibition of ERK by DADS in breast
                                                                      [67]
            deacetylase (HDAC), and increasing p21 expression .   cancer is initiated through the upregulation of miR-34a
                                                        [57]
            In HCT-116, DADS has been shown to trigger G2/M    expression, leading to the inhibition of upstream cascades,

            Volume 2 Issue 1 (2023)                         5                      https://doi.org/10.36922/gpd.v2i1.164
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