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



            upregulated in hepatoma cells SMMC-7721 and HepG2   3.3. 3-mercaptopyruvate sulfurtransferase inhibitor
            but downregulated in BEL-7404 compared to normal cells   3-MPST in commonly found in cells. It regulates
            HL-7702 and QSG-7701 [237] . In addition, the silencing of   various cellular activities, including bioenergetics,
            CBS through siRNA or pharmacological inhibitors, AOAA   angiogenesis, and the mitochondria electron transport
            and quinolone-indolone conjugate, effectively induced an   system [265] . In an animal model of colon cancer, treatment
            anticancer effect in SMMC-7721 by promoting oxidative   with the 3-MPST inhibitor 2-[(4-hydroxy-6-methyl
            stress and activating caspase-3.
                                                               pyrimidin-2-yl)sulfanyl]-1-(naphthalen-1-yl)ethan-1-
              Besides, treatment with another inhibitor of CBS,   one (HMPSNE) suppresses H S production, CT26  cells
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            CH004, has also been shown to cause cell death in   proliferation, migration, and oxidative phosphorylation-
            HCC by promoting ferroptosis [256] . High CBS level has   associated cellular bioenergetics [266] . HMPSNE treatment
            been found to be associated with drug resistance in   also  suppresses  migration-  and invasion-promoting
            HepG2 cells, and its inhibition increases their sensitivity   markers in colon cancer cells by suppressing Wnt-β-
            to doxorubicin and sunitinib; however, in BEL-7404, the   catenin pathway [267] . In human breast cancer cells MCF-7,
            elevation of CBS levels enhances the sensitivity to the   treatment with another inhibitor, S-Allyl-L-cysteine, has
            drugs [257] . This confirms that the effect of CBS in HCC is   been shown to reduce cell viability by attenuating 3-MPST
            cell dependent. CBS expression has also been reported   expression and, subsequently, H S level [268] . On the
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            to be significantly increased and associated with poor   contrary, in neuroblastoma cells, the elevation of 3-MPST
            prognosis in renal cancer and cholangiocarcinoma [258] ,   activities has shown anticancer properties [167] . The above
            suggesting that the enzyme is involved in cancer   evidence suggests an involvement of 3-MPST in cancer
            activities.  However,  evidence  on  its  inhibition  is  still   progression; however,  its  precise  mechanism  of  action,
            lacking. In ovarian cancer, CBS gene silencing reduces   the pathways involved, and its inhibition effect in different
            migration,  angiogenesis,  and  lipid  contents [241] .  The   types of cancers are yet to be identified.
            inhibition of CBS also activates the JNK pathway
            and suppresses mitofusin, resulting in mitochondrial   4. Translation of H S research into
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            morphogenesis reprogramming and the sensitization of   therapeutic format
            cells to erastin [259] . In a recent study, a nanoformulation
            comprising selenium-containing chrysin has been    The findings from the aforementioned research on H S
                                                                                                            2
            shown to induce its anticancer effects in ovarian cancer   donors and inhibitors show considerable potential for
            cells by  reducing  CBS expression, thereby causing   the  development  of  H S-based  chemopreventive  cancer
                                                                                  2
            oxidative stress [260] . In colon cancer, CBS overexpression   therapies  in  the  near  future.  The  research  community
            is  associated  with  cancer  development  and treatment   expects substantial outcomes from the preclinical trials
            with AOAA, and  CBS gene silencing can significantly   on H S-based chemopreventive drugs. However, to
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            reverse pro-cancer activities [261] . AOAA also sensitizes   shape the future of H S research in oncology practice, it
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            colon  cancer  cells  to  oxaliplatin  by  impairing  the   is highly significant to investigate the biochemistry and
            antioxidant system and promoting ROS generation.   pharmacology of H S donors and inhibitors as well as
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            Treatment with AOAA has also been indicated to     characterize their dose-dependent responses to cancer
            induce the upregulation of E-cadherin and zonula   cells. A  huge gap remains in understanding how H S-
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            occludens-1 as well as the suppression of fibronectin,   producing enzymes respond to the exposure of inhibitors
            thereby inhibiting the migration and invasion activities   and donors in cancer cells and how they reinforce to
            of  colon  cancer cells and  promoting  mesenchymal-  generate signals of apoptosis and proliferation in the
            epithelial transition [262] . Other CBS inhibitors that   cancer microenvironment. To reach a large audience
            induce apoptosis in colon cancer cells include     across multiple disciplines and promote the innovation
            2,3,4-trihydroxybenzylhydrazine and sikokianin  C [263] .   of H S biomedicine, identifying potential therapeutic H S
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            Moreover, treatment with AOAA in multiple myeloma   scavengers and donors are as important as assessing their
            reduces cell cycle progression by triggering G0/G1 arrest   biomedical applications.
            and promotes apoptosis through Bcl-2 inhibition and   5. Conclusion
            caspase-3 activation [264] . CBS knockdown in glioma cells
            is to have a fatal outcome, as it results in the progression   H S is widely recognized for its enormous diagnostic
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            and metastasis of cancer. These data suggest that CBS   and therapeutic advantages in various diseases,
            plays a role in cancer activities in different types of cells,   including cancer. Besides its involvement in other
            with its effects varying accordingly; its anticancer effect   pathophysiological illnesses, H S plays a significant role in
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            is selective only to certain types of cancers or cells.  regulating various cellular activities, such as angiogenesis,

            Volume 2 Issue 1 (2023)                         17                     https://doi.org/10.36922/gpd.v2i1.164
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