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



            thioredoxin, increases ROS generation and Bak expression,   thyroid carcinoma, it has been found that the induction of
            stimulates activator protein (AP)-1 and apoptosis signal-  apoptosis is associated with the activation of ERK, JNK,
            regulating kinase  (ASK)1-JNK-Bim  signaling axis,   and MAPK pathways, G2/M arrest through ATM and
            and  deactivates  transforming  growth  factor  (TGF)-β1,   H2AX phosphorylation, and a positive feedback loop
            Wnt/β-catenin, NF-κB, ERK/MAPK, AKT, and Notch     due to a rise in H S and CSE levels, resulting in NF-κB
                                                                              2
            pathways . In mice models, the combination of DATS and   hyperactivation . It has been shown that treating colon
                                                                           [95]
                   [84]
            doxorubicin has been reported to induce multi-signaling   cancer cells with DATS can significantly promote cell
            targeted apoptosis, inhibit Notch and NF-κB pathways,   death and reduce migration activities by inhibiting focal
            and activate the p53 apoptotic axis . Similarly, treatment   adhesion  kinase  (FAK),  Src,  and  Ras,  facilitating  G1/S
                                        [85]
            with DATS in bladder cancer markedly suppresses EMT.   arrest by oxidating  β-tubulin, ROS production, and
            DATS also elevates apoptotic activities in a caspase-  mitochondria-mediated apoptosis .
                                                                                          [96]
            dependent manner through the inhibition of PI3K/AKT   The elevation of Ca  levels, the generation of ROS,
                                                                                  2+
            and the activation of JNK pathway .
                                       [86]
                                                               the  downregulation  of  antiapoptotic  proteins,  integrins,
              Recent studies have reported an increase in apoptosis   and FAK, and the activation of caspases and p53 pathway
            and a decrease in EMT in bladder carcinoma cells following   have been observed in skin cancer cells following DATS
            DATS treatment. G2/M arrest, NF-κ2 inactivation, ATM-  treatment . Likewise, DATS improves the anticancer
                                                                       [97]
            mediated CHK2/Cdc25C/Cdc2 stimulation, and ERK1/2,   effects of cisplatin in ovarian cancer cells (SKOV-3) . In
                                                                                                         [98]
            JNK, and p38 phosphorylation were observed . In gastric   leukemia, DATS treatment suppresses cancer progression
                                                [87]
            cancer, DATS treatment exerts pro-apoptotic properties   by triggering G0/G1 arrest and caspase activation, the
            by inducing mitotic arrest through ROS-dependent   disruption of mitochondria potential due to high ROS
            activation  of  AMP-activated  protein  kinase  (AMPK)   levels , and the dimerization of heat shock protein
                                                                   [99]
            pathway, regulating apoptotic markers , and reducing   (HSP)-27. In brain cancer, DATS reduces migration and
                                            [88]
            ROS,  sulfiredoxin,  and  malondialdehyde  (MDA)  levels.   proliferation activities  by suppressing Wnt/β-catenin,
            DATS also sensitizes gastric cancer cells to docetaxel and   mTOR, EGFR, C-MYC, active Bcl-2, and HDAC activity,
            cisplatin by elevating the levels of metallothionein 2A,   and increasing histone acetylation and p21/p53 levels [100] .
            which leads to NF-κB pathway inhibition, and inhibiting
            Nrf2/AKT as well as activating p38MAPK/JNK signaling   In pancreatic cancer, lymphoma, and nasopharyngeal
            cascades, respectively .                           carcinoma, DATS induces apoptosis through p53 elevation,
                             [89]
                                                               TRAF-6 degradation and NF-κa inactivation, as well as
              Besides that, in the treatment of osteosarcoma with DATS,   caspase-8 and MAPK pathway activation, respectively [101] .
            the compound also suppresses tumor growth by targeting   Collectively, the above data confirms the potential of DATS
            G0/G1 through decreasing cyclin D1 and upregulating   in cancer treatment by targeting numerous vital signaling
            p21 and p27 by ROS-mediated PI3K/AKT inhibition .   pathways associated with proliferation and migration
                                                        [90]
            DATS also suppresses P-gp and glucose-regulated protein   activities. However, the research on the possible side effects
            78, switches microRNA levels, downregulates NF-κB and   and mode of action of this drug is still lacking regardless
            Notch 1 pathways, as well as upregulates the expression   of the possibility. Figure 2 explains the signaling pathways
            of Ca -binding protein calreticulin . A recent study has   involved  in  the  apoptosis  induction  effect  of  DATS
                2+
                                        [91]
            also reported the downregulation of vimentin and Bcl-2 as   exposure.
            well as the upregulation of Bax, Bak, and E-cadherin due
            to PI3K/AKT/GSK3β inhibition following the treatment of   2.1.6. Sulforaphane (SFN)
            osteosarcoma cells with DATS .                     SFN is a sulfur-rich isothiocyanate (ITC) member
                                    [92]
              Otherwise, in the treatment of lung cancer with   commonly found in cruciferous vegetables, such as broccoli
            DATS,  the  compound  promotes  DNA damage  and    and cabbages. The compound is known to have anticancer
            apoptosis through the elevation of caspase-3, -8, -9, Bax,   properties. In a study, SFN has been reported to have a potent
            and Bak; the attenuation of Bcl-xl and Bcl-2 proteins; as   inhibitory effect in bladder cancer cells, which is associated
            well as the induction of JNK, p53, and p38 pathways .   with the suppression of growth promoters such as survivin,
                                                        [93]
            DATS can also potentiate its protective effect in lung   EGFR, and human epidermal growth factor receptor 2
            cancer by suppressing Wnt/β-catenin . Furthermore,   (HER2) [102] . Treating bladder cancer cells with SFN also
                                            [94]
            its modification with extracellular microparticle carriers   upregulates insulin-like growth factor (IGF)-binding
            enhances  anti-inflammatory  and  ROS  activities  by   protein-3, caspase-3, cyt c, and cell cycle inhibitor p27,
            suppressing S100 calcium-binding protein A8/A9, serum   resulting in G0/G1 arrest, as well as induces ROS-dependent
            amyloid A, fibronectin, IL-6, and toll-like receptor-4. In   mitotic arrest, Nrf-2 activation, HDAC inhibition [103] , NF-κB


            Volume 2 Issue 1 (2023)                         7                      https://doi.org/10.36922/gpd.v2i1.164
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