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



            SRC and Ras . Similarly, other studies have shown that   progression of cancer by regulating cell cycle, apoptosis,
                       [68]
            DADS treatment can reduce breast cancer progression and   and oxidative stress events by promoting the activation of
            metastases by elevating the expressions of tristetraprolin .   p53- and p21-mediated Nrf2 . In brain tumors, treatment
                                                        [68]
                                                                                     [42]
            Furthermore, the investigation of normal breast cancer   with DADS can effectively reduce p38 MAPK, NF-κB, and
            cells  MCF-10A has  indicated that  DADS pre-treatment   H-RAS expressions,  increase peroxisome proliferator-
            can protect against benzo(a)pyrene-induced cancer and   activated receptor-gamma coactivator-1α and Ca  levels,
                                                                                                       2+
            the compound can help to avert environmentally induced   trigger G2/M arrest, and activate JNK/c-Jun pathways
            cancer initiation . It has also been demonstrated that   and mitochondria-dependent apoptosis, which ultimately
                         [69]
            DADS treatment can effectively inhibit pro-cancer activities   result in tumor suppression .
                                                                                     [79]
            in triple-negative breast cancer (TNBC) cells by suppressing   Furthermore, in the treatment of cervical cancer
            antiapoptotic proteins and  β-catenin activation . In   with DADS, the compound inhibits cell proliferation by
                                                     [70]
            addition, nanoemulsions of DADS with  α-linolenic acid   targeting  TAp73/ΔNp73  status  and  activating  p53/p21
            can trigger G0/G1 arrest and regulate the ERK pathway in          [80]
            MCF-7 cells . Moreover, the modification of DADS loaded   signaling pathways . DADS induces its anticancer effects
                     [71]
                                                               in bladder cancer by inhibiting N-acetyl transferase (NAT)
            in solid-lipid nanoparticles with receptor for advanced   activities as well as promoting ROS production and G2/M
            glycation end products antibody improves the efficiency of   arrest .  Besides,  the  inhibitory  effects  of  DADS  have
                                                                   [81]
            DADS by facilitating target-specific delivery and reducing   been reported in other types of cancers, including the
            off-target effects in TNBC .
                                [72]
                                                               suppression of EMT through MAPK/ERK  inactivation
              DADS exerts its anticancer effects in lung cancer by   in oral cancer, G2/M arrest in pancreatic cancer, G1/S
            regulating the expression of apoptotic proteins, increasing   arrest associated with MAPK phosphorylation in
            ROS levels, and Ca  elevation, inducing G2/M arrest,   nasopharyngeal  carcinoma,  the  upregulation  of  miR-34
                            2+
            and activating p53, p42/44MAPK, and JNK pathways .   and p21 expressions and inactivation of PI3K/AKT/mTOR
                                                        [73]
            Cisplatin-resistant lung cancer cells A549/DPP can be   in osteosarcoma , as well as C-MYC, specificity protein
                                                                            [82]
            sensitized to DADS by cotreating with small interfering   1 (SP1), and MAD1-mediated attenuation of human
            (si)RNA  BCL-2 . In a recent study, DADS has been   telomerase  reverse  transcriptase  (hTERT)  in  lymphoma.
                         [74]
            shown to prevent cancer growth and EMT in A549 cells   Overall, the role of DADS in cancer has been extensively
            by suppressing E-cadherin and cytokeratin-18 as well as   studied, and numerous pathways have been implicated in
            elevating N-cadherin and vimentin through inactivating   the process. However, the research on the side effects of
            Wingless and Int-1 (Wnt)/β-catenin pathway .       the drug and its elimination mechanisms is still lacking,
                                                [75]
              Moreover,  the  treatment  of  esophageal  carcinoma   thereby requiring further investigations.
            models with DADS has been reported to cause cell death   2.1.5. Diallyl trisulfide (DATS)
            through the suppression of NAT and CYP2E1 expressions,
            the activation of mitochondria-apoptosis and p53/p21   Similar to DAS and DADS, DATS is an organic compound
            pathways,  and  the  inhibition  of  Raf/mitogen-activated   produced by garlic. It has immense therapeutic significance
            protein kinase kinase (MEK)/ERK pathway .          in different types of cancers. Dose combination also affects
                                              [76]
                                                               various cellular processes, including cell cycle, apoptosis,
              In a recent study, DADS has also been shown to prevent
            the metastasis of type  2 esophageal-gastric junction   proliferation, EMT, and oxidative stress. Numerous in vitro
                                                               and in vivo studies of different types of cancers have been
            adenocarcinoma cells by decreasing the expression of   conducted to investigate the drug’s potential for therapeutic
            matrix metalloproteinases (MMPs) and increasing the   purposes. In prostate cancer models, DATS treatment has
            expression of  MMP tissue inhibitors partly through
                                                        [55]
            the  inactivation of  NF-κB  and  PI3K/AKT  pathways .   been shown to promote a decrease in the expression of
            Furthermore, DADS inhibits the cell cycle. DADS promotes   X-linked inhibitor of apoptosis protein (XIAP), an increase
                                                               in pro-apoptotic protein Bak, JNK1-mediated activation of
            ROS production, causes DNA damage, upregulates miR-  ITCH ubiquitin ligase signaling axis, JNK1/2 and ERK1/2
            34a, miR-22, and miR-200b expressions, as well as inhibits   activation; AKT, NF-κB, and p-STAT-3 inhibition; as well
            PI3K/AKT  and Wnt/β-catenin  cascades .  However,  a
                                             [77]
            possible resistance to DADS by gastric cancer cells has   as G2/M arrest due to CHK1 activation and increase in p53
                                                                                    [82,83]
            been  found  to  be  associated  with  the  increase  in  GSH   and p-Cdc25C expressions  .
            peroxidase or GSH levels, resulting in the alteration of   In breast cancer, DATS treatment suppresses the
            ROS status. This suggests that the compound may not be   expressions of Bcl-2, Bcl-xL, MMP-2, estrogen receptor
            fully efficient in treating this type of cancer . Studies on   (ER)-α, lactate dehydrogenase-A (LDHA), Forkhead
                                               [78]
            skin cancer have demonstrated that DADS can prevent the   box Q1 (FOXQ1), hypoxia-inducible factor (HIF)-α, and

            Volume 2 Issue 1 (2023)                         6                      https://doi.org/10.36922/gpd.v2i1.164
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