1Department of Pharmacology and Pharmacological Research Center of Medicinal Plants, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
2Department of Pharmacognosy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
3Medical Toxicology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
4Research Center of Natural Products Safety and Medicinal Plants, North Khorasan University of Medical Sciences, Bojnurd, 01830-49504, Iran.
5Department of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad, University of Medical Sciences, Mashhad, Iran.
Salvia chorassanica Bunge is one of the Iranian endemic species of Salvia. There is not any reported literature on S. chorassanica. This study was designed to examine the in-vitro anti-proliferative and proapoptotic effects of the methanol extract of S. chorassanica and its fractions on HeLa cell line. Cells were cultured in EX-CELL®, an animal free medium specially designed for HeLa cell line and incubated with different concentrations of plant extracts. Cell viability was quantified by MTS assay. Apoptotic cells were determined using propidium iodide (PI) staining of DNA fragmentation by flow cytometry (sub-G1 peak). Activity of caspase -3, -8 and -9 was measured by the caspase colorimetric kit assay. S. chorassanica inhibited the growth of malignant cells and the CH2Cl2 fraction was determined as the most cytotoxic fraction in comparison with other fractions. The calculated IC50 values for methanol extract, n-hexane, CH2Cl2 and EtOAc fractions were 8.841, 5.45, 2.38, and 58.03 µg/mL, respectively. S. chorassanica induced a sub-G1 peak in the flow cytometry histogram of treated cells compared to control cells indicating that the cytotoxic mechanism is characterized by apoptosis induction. The activity of caspase-3 and 8 proteins in treated HeLa cells was significantly higher than that of the control while caspase-9 activity did not change significantly. Based on the result obtained from our study, the apoptosis pathway involved in S. chorassanica-induced cell death may be through the extrinsic pathway and it can be a novel promising candidate in the treatment of cancer.
Natural products have long been used as the important source of cancer treatment, which is estimated to become the major cause of death in the current century. There are more than one thousand species that have been found to possess significant anticancer properties (1). Several potential lead molecules have emerged as drugs upon modification of these natural leads and many more are yet to come (2).
However, there is continues need for development of new anticancer drugs, byscientific exploration of a vast variety of synthetic, biological and natural products (1).
Clinical studies as well as experimental approaches have revealed the anticancer properties of a large amount of medicinal herbs that are mediated through different mechanisms including altered carcinogen metabolism, induction of DNA repair systems, immune activation and suppression of cell cycle progression/promotion of apoptosis (3).
Apoptosis is a gene-regulated phenomenon induced by many chemotherapeutic agents which is considered very useful in the management and therapy as well as in the prevention of cancer (4).
The genus Salvia (Lamiaceae) includes nearly 900 species spread throughout the world, 17 of which are endemic to Iran (5). Salvia species are known for various biological activities in folk and modern medicine.
Previous chemical investigations on different species of Salvia have shown the presence of flavonoids, diterpenoids, triterpenoids, sesterterpenes, and essential oils exhibits the antitumor, antimicrobial, cytotoxic and anti-inflammatory activities (6-8).
In Chinese traditional medicine, S. miltiorrhiza has been used for the treatment of menstrual disorder, menostasis, menorrhagia, insomnia, arthritis, and coronary heart diseases, particularly angina pectoris and myocardial infarction (9-11). In modern experimental studies, numerous diterpenoid tanshinones isolated from S. miltiorrhiza (12, 13) were shown to have various biological activities including antitumor (10, 14-16) and antimicrobial (17, 18) activities.
S. chorassanica Bunge is one of the Iranian endemic species of Salvia that only grows in Razavi Khorasan province. There is not any reported literature on S. chorassanica. However, different reports have verified the cytotoxic and antitumor properties of some species belonging to this genus. Therefore, this study was designed to explore the cytotoxic and proapoptotic effect of S. chorassanica on HeLa cell line. It has been one of the most widely studied cell lines in cervical cancer, the second most frequent malignant tumor in women worldwide (19). In this study, Paclitaxel was used as a positive control. EX-CELL®, an animal free medium was used in this study in all experiments in order to respect animal rights.
Reagents and chemicals
The fluorescent probe propidium iodide (PI), sodium citrate, Paclitaxel, EX-CELL® and Triton X-100 were purchased from Sigma (St Louis, MO, USA); 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulphophenyl)-2H-tetrazolium (MTS), from Promega (Madison, WI, USA); and caspase colorimetric kits from abcam (Cambridge, UK).
The roots of S. chorassanica were collected from Hosseinabad valley (2100 m height) in Pivejan, a village located in 65 km from south-west of Mashhad, Razavi Khorasan province, northeast of Iran. The plant was identified by Mr. M.R. Joharchi, from Ferdowsi University of Mashhad Herbarium (FUMH). Voucher specimen (No. 11289) was deposited in herbarium of faculty of pharmacy, Mashhad University of Medical Sciences.
HeLa cell line was obtained from Pasteur Institute (Tehran, Iran) and lymphocytes were isolated from human peripheral blood using the Lympholyte®-H (a density gradient separation medium) according to the manufacturer’s protocol and maintained at 37°C in a humidified atmosphere (90%) containing 5% CO2. Cells were cultured in EX-CELL® medium, 100 U/mL penicillin and 100 mg/mL streptomycin. Cells were seeded overnight and then incubated with various concentrations of different extracts for 48 h. For MTS assay, cells were seeded at 5 × 104 cell per well onto 96-well culture plates. For assay of apoptosis, cells were seeded at 105 cells per well onto a 24-well plate.
For each concentration, there was a control sample that remained untreated and received the equal volume of medium.
Extraction and fractionation
The dried roots (100 g) were peculated with methanol at room temperature. The whole extract was filtered and the solvent was evaporated under vacuum at 45°C, to afford 11.4 g crude (yield 11.4%) extract. The fractionationwas done according to Otsuka, 2006. Briefly, the solution was successively partitioned among n-hexane, CH2Cl2, ethyl acetate (EtOAc), and n-butanol (n-BuOH), and finally water. N-Hexane, CH2Cl2, EtOAc, n-BuOH, and water fractions were evaporated under vacuum to yield the residues of 0.27, 2, 0.12, trace, and 1.5 g respectively. Extracts were stored at 4°C until analysis. A partitioning scheme of S. chorassanica methanol extract is presented in Figure 1 (20).
Figure 1. Partitioning scheme using immiscible solvents.
All of the isolated fractions were dissolved in dimethyl sulfoxide (DMSO) and then subjected to cytotoxic and apoptosis assays.
The MTS assay (21) is based on the reduction, by mitochondrial dehydrogenase in metabolically active cells of the novel tetrazolium compound 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulphophenyl)-2H-tetrazolium inner salt (MTS), to the colored water-soluble formazan absorbed at 490 nm. About 5×104 HeLa cells were seeded in each well of a 96-microwell plate and treated with various concentrations of each fraction of S. chorassanica. After incubating for 48 h, CellTiter 96® Aqueous One Solution Reagent (Promega, Madison, WI, USA), which is composed of the novel tetrazolium compound MTS and an electron coupling reagent, phenazine methosulfate (PES, a redox intermediary), was added to each well according to the manufacturer’s instructions. After 3 h in culture, cell viability was determined by measuring the absorbance at 490 nm using an ELISA microplate reader (Awareness, Palm City, FL, USA). The cytotoxicity of fractions of S. chorassanica was expressed as IC50, which was calculated using Graph Pad Software (Graph Pad prism 5 software) and presented as mean ± SEM of three independent experiments with three replicates for each concentration fraction of S. chorassanica fractions.
Apoptotic cells were detected using PI staining of treated cells followed by flow cytometry to detect the so-called sub-G1 peak (22, 23). It has been reported that DNAfragmentation creates small fragments of DNA that can be eluted following the incubation in a hypotonic phosphate citrate buffer. When stained with a quantitative DNA-binding dye such as PI, cells that have lost DNA will take up less stain and will appear to the left of the G1 peak. Briefly, HeLa cells were cultured overnight in a 24-well plate and treated with various concentrations of CH2Cl2 extract for 48 h. Floating cells were harvested and incubated at 4°C overnight in the dark with 750 mL of a hypotonic buffer (50 mg/mL PI in 0.1% sodium citrate+0.1% Triton X-100) before that the flow cytometric analysis using a Partec flow cytometer (GmbH, Münster, Germany) was conducted. Ten thousand events were acquired.
Caspase activity assay
Activity of caspases -3, -8 and -9 was measured by the colorimetric assay, using a caspase colorimetric protease kit. Cells were treated with 2 μg/mL of the CH2Cl2 fraction of S. chorassanica. After incubating for 48 h, the cell lysate was obtained according to the manufacturer’s instructions. The cell lysate containing 75 mg of protein was incubated with 4 mL of 4 mmole/L pNA-conjugated substrates (DEVD-pNA, IETD-pNA and LEHD-pNA; substrates for caspases -3, -8 and -9, respectively) at 37°C for 3.5 h. The amount of pNA released was measured at 405 nm using an ELISA microplate reader (Awareness, Palm City, FL, USA).
All results represent means ± SEM from triplicate experiments performed in a parallel manner unless otherwise indicated. Statistical analyses were performed using an unpaired, two-tailed Student’s t-test. All comparisons are made relative to the untreated controls and significance of difference is indicated as *p < 0.05 and **p < 0.01.
Results and Discussion
Cytotoxicity of various fractions of S. chorassanica
Cytotoxicity of the total methanol extract of S. chorassanica and its different fractions were examined on HeLa cell line. Firstly, cells were incubated with various concentrations of the total methanol extract of S. chorassanica (3.125-100 μg/mL) for 48 h. The results demonstrated that this extract decreased the cell viability in a concentration-dependent manner and the toxicity started at a concentration of 6.25 μg/mL (Figure 2).
Figure 2. Dose-dependent growth inhibition of malignant and non-malignant cell lines by different fractions obtained from S. chorassanica. HeLa cells (human cervix carcinoma) were treated for 48 h in the presence of different concentrations of methanol crud extract and n-hexan, CH2Cl2, EtOAc, and water fractions of S. chorassanica. Cytotoxicity was determined by MTS assay. The CH2Cl2 fraction showed most potent inhibitory effects on the proliferation of HeLa cells. Paclitaxel was used as a positive control in a concentration of 0.35 μM. The viability of HeLa cells in this concentration was 17%. Results are the mean ± SEM of three independent experiments.
In order to compare the cytotoxicity of obtained fractions of S. chorassanica, another MTS assay was carried out for different concentrations (3.125-100 μg/mL). Among them, the CH2Cl2 fraction was found to be more effective than the other fractions of the plant. The CH2Cl2 fraction showed most potent inhibitory effects on the proliferation of HeLa cells (Figure 2). The IC50 value of this fraction against HeLa cell line after 48 h was determined as 2.38 μg/mL.
IC50 values for different fractions in HeLa cell line are presented in Table 1.
Table 1. IC50 values (μg/mL) for different solvent fractions of S. chorassanica in HeLa cell line.
In comparison, the cytotoxic effect of CH2Cl2 fraction on normal lymphocyte proliferation isolated from peripheral blood was minimal (Figure 2).
Paclitaxel was used as a positive control in a concentration of 0.35 μM. The viability of HeLa cells in this concentration was 17%.
Apoptosis induction by the CH2Cl2 fraction of S. chorassanica
Apoptosis following the treatment with different fractions of S. chorassanica was measured with PI staining and flow cytometry, aiming to detect the sub-G1 peak resulting from DNA fragmentation. Flow cytometry histograms of EtOAc-treated cells (10, 25, and 50 μg/mL) and CH2Cl2-treated cells (1.25, 2.5, and 5 μg/mL) for 48 h demonstrated a concentration-dependent sub-G1 peak as an
indicative of apoptotic cells, in treated but not in control cells (Figure 3).
Figure 3. Flow cytometry histograms of apoptosis assays by PI method in HeLa cells. Cells were treated with methanol extract (50 μg/mL), n-hexan (25 μg/mL), and CH2Cl2 (25 μg/mL) fractions of S. chorassanica. Flow cytometry histograms of EtOAc-treated cells (10, 25, and 50 μg/mL) and CH2Cl2-treated cells (1.25, 2.5, and 5 μg/mL) for 48 h demonstrated concentration-dependent sub-G1 peak as an indicative of apoptotic cells, in treated but not in control cells. Results are demonstrated as the mean ± SEM of three independent experiments.
Caspase activity in CH2Cl2 fraction of S. chorassanica-induced apoptosis in HeLa cells
To examine the mechanism of the CH2Cl2 fraction of S. chorassanica-induced apoptosis, we measured the caspase activities using synthetic pNA-conjugated substrates. The activity of caspases, -3, -8 and -9 was evaluated after 48 h of incubation with the CH2Cl2 fraction of S. chorassanica (Figure 4). Finally, we observed that the activities of initiator caspase -8 as well as executioner caspase-3 were elevated significantly (p < 0.05).
Figure 4. Fold activity of caspases after 48 h of treatment with 2.5 μg/mL of the CH2Cl2 fraction of S. chorassanica in HeLa cells. The activities of initiator caspase - 8 as well as the executioner caspase-3 were elevated significantly (p < 0.05). Results are the mean ± SEM of three independent experiments.
This study aimed to evaluate the cytotoxic and pro-apoptotic effect of S. chorassanica, an Iranian endemic species of genus Salvia (Lamiaceae), on HeLa cell line (human cervix carcinoma).
In the first step, we examined the cytotoxicity of the crude methanol extract of S. chorassanica on HeLa cells by MTS assay, and confirmed that the extract possesses anti-proliferative qualities.
Many Salvia species have been reported to have anti-proliferative and cytotoxicity effects on several cancer cell lines (24-26). However, there was not any similar investigation on S. chorassanica.
Badisa et al. evaluated eight crude extracts of five Salvia species for cytotoxic activities against brine shrimps and four human cancer cell lines (HCA, HepG2, MCF-7, HPC). In the brine shrimp lethality test, all samples, except S. fruticosa. L. and S. verbenaca. L., were found to be highly active with ED50 values less than 300 μg/mL. In the case of human cancer cell lines, S. fruticosa was active against HCA cells with LC50 of near 50 μg/mL. Only one of the samples, S. fruticosa, was active against HepG2 cells with LC50 of 68.1 μg/mL. In the case of MCF-7 cells, S. fruticosa showed similar activity with LC50 near 40 μg/mL (27).
In-vitro anti-proliferative screening investigation of crude methanol extracts of six Salvia species including S. dominica L. leaves, S. lanigera Desf. aerial parts, S. menthaefolia Ten. roots, S. palaestina Benth. aerial parts, S. sclarea L. roots and S. spinosa L. aerial parts, revealed growth inhibitory activity with IC50 values ranged from 90 to 400 μg/mL (25).
Among the different Salvia species screened for cytotoxic activity in multitude studies, S. chorassanica, the plant we evaluated in this study, was shown to be the most active species with IC50 value of 8.841 μg/mL in HeLa cells after 48 h.
Successively, the purification by solvent extraction for the isolation of active components of S. chorassanica was applied and the potential antitumor activities of various fractions (n-hexane, CH2Cl2, EtOAc, and water-soluble) were compared. We observed that the CH2Cl2 fraction had the greatest cytotoxic effect in-vitro.
To determine the role of apoptosis in the cytotoxicity of S. chorassanica, we evaluated the percentage of apoptotic cells among cells treated with different fractions by PI staining and flow cytometry, aiming to detect the sub-G1 peak resulting from DNA fragmentation. The crude methanol extract, and specific fractions of S. chorassanica induced a sub-G1 peak in HeLa cells that indicates the involvement of an apoptotic process in cell death. The CH2Cl2 fraction, as the most active one, could induce apoptosis in a concentration-dependent manner compared to untreated control cells.
Apoptotic cell death is known to be induced by many chemotherapeutic agents routinely used in cancer treatment regimens. Apoptosis is characterized by distinct morphological features including chromatin condensation, cell and nuclear shrinkage, membrane blebbing and oligonucleosomal DNA fragmentation. Apoptosis is an important homeostatic mechanism that balances cell division and cell death and maintains the appropriate number of cells in the body. In the present study, apoptosis was determined using PI staining of DNA fragmentation by flow cytometry (sub-G1 peak) (28).
The induction of apoptosis in tumor cells is considered as a valuable way to treat the cancer (29). A wide variety of natural substances have been recognized to have the ability to induce apoptosis in various tumor cells. It is thus considered important to screen apoptotic inducers from plants, either in the form of crude extracts or as components isolated from them (3).
To further elucidate the mechanism of celldeath induced by S. chorassanica, caspases-3, -8 and -9 colorimetric assays were conducted to establish the level of caspases-3 -8 and -9 activation before and after the treatment with CH2Cl2 fraction of S. chorassanica. Exposure of cells to the CH2Cl2 fraction of S. chorassanica enhanced caspase-8 activation while caspase-9 activity did not change significantly. The results of this experiment show that the treatment of HeLa cells with the CH2Cl2 fraction of S. chorassanica strongly increased the caspase-3 activity. This suggests the involvement of caspase-3 in triggering apoptosis in S. chorassanica-treated HeLa cells.
The typical executioners of apoptosis are the proteolytic enzymes called cysteinyl aspartate specific proteases. Caspases are grouped into initiator caspases (2, 8 and 10), and execution caspases (3, 6, and 7). Caspases are the essential effector molecules of apoptosis, and assaying for cleaved caspases allows detecting early apoptosis (30).
The two main pathways of apoptosis are extrinsic and intrinsic as well as a perforin/granzyme pathway. Each requires specific triggering signals to begin an energy-dependent cascade of molecular events. Each pathway activates its own initiator caspase (8, 9, 10) which in turn will activate the executioner caspase-3. Executioner caspases are common to both the extrinsic and intrinsic death pathways (31).
Caspase 8, the major extrinsic pathway protein, is the initiator of death receptor-mediated apoptosis. Caspase-3 activation is a crucial component in the apoptotic signaling cascade.
Based on the results obtained from our study, the apoptosis pathway involved in S. chorassanica-induced cell death may be through the extrinsic pathway. Further investigations are needed to clarify the exact mechanism through which S. chorassanica induces apoptosis.
To sum up, this study showed the potent cytotoxic property of the crude methanol extract and various fractions of S. chorassanica on HeLa cell line. CH2Cl2 fraction was determined as the most cytotoxic fraction among other fractions and we observed that the cytotoxic mechanism is characterized by the induction of apoptosis. Moreover, we observed the increasing of caspases 3 and 8 activities during the apoptosis induction.
This is the first report about the cytotoxicity and pro-apoptotic effects of S. chorassanica, hence further studies will be necessary to supplement our findings by fully recognizing the mechanism of cytotoxicity and cytotoxicity- conducted isolation of constituents to determine the main constituents that are responsible for the anti-proliferative effects.
The authors would like to thank Dr. H. Nasirli for her assistance in flow cytometry. This work was supported by grants from Research Affairs of Mashhad University of Medical Sciences, the Specialized Research Fund (No. 88589) for the Pharmacy Doctoral Program. We are also grateful for the editorial assistance of Dr N. Tayarani-Najaran.
(1) Mukherjee AK, Basu S, Sarkar N, Ghosh AC. Advances in Cancer Therapy with Plant Based Natural Products. Curr. Med. Chem. (2001) 8: 1467-1486.
(2) Srivastava V, Negi AS, Kumar JK, Gupta MM and Khanuja SP. Plant-based anticancer molecules: a chemical and biological profile of some important leads. Bioorg. Med. Chem. (2005) 13: 5892-908.
(3) Taraphdar AK, Roy M and Bhattacharya RK. Natural products as inducers of apoptosis: implication for cancer therapy and prevention. Curr. Sci. (2001) 80: 1387-96.
(4) Mousavi SH, Tayarani-Najaran Z and Hersey P. Apoptosis from signaling pathways to therapeutic tools Iran. J. Basic Med. Sci. (2008) 11: 121-142.
(5) Mozafarian V. A Dictionary of Iranian Plant Names. (Latin-English- Persian) Farhang Moaser Publication Tehran. (1996) p 477.
(6) Wang M, Likuzaki H, Zhu N, Sang N, Nakatani N and Ho CT. Isolation and Structural Elucidation of Two New Glycosides from Sage. (Salvia officinalis L ). J. Agric. Food Chem. (2000) 48: 235-238.
(7) Lu Y and Foo LY. Polyphenolics of Salvia a review. Phytochemistry. (2002) 59: 117-140.
(8) Ayatollahi SA, Shojaiia A, Kobarfard F, Mohammadzadehd M and Choudharye MI. Two Flavones from Salvia leriaefolia. Iran. J. Pharm. Res. (2009) 8 (3): 179-184.
(9) Jiangsu New Medical College: Dictionary of Chinese Material Medica. (Zhong Yao Da Ci Dian) Shanghai Scientific and Technological Publishers Shanghai (1988) 478-482.
(10) Chang HM and But P In: Chang HM and But P. (Eds) Pharmacology and Applications of Chinese Materia Medica vol 1 World Scientific Singapore. (2001) 237-249.
(11) Chen WZ. Pharmacology of Salvia miltiorrhiza. (Yao Xue Xue Bao). Acta Pharm. Sinica (1984) 19: 876-880.
(12) Chang HM, Cheng KP, Choang TF, Chow HF, Chui KY, Hon PM, Lau Tan FW, Yang Y, Zhong Z P, Lee CM, Sham HL, Chan CF, Cui YX and Wong HNC. Structure elucidation and total synthesis of new tanshinones isolated from Salvia miltiorrhiza Bunge. (Danshen). J. Org. Chem. (1990) 55: 3537-3543.
(13) Kakisawa H, Hayashi T, Yamazaki T. Structures of isotanshinones. Tetrahedron Lett. (1969) 5: 301-304.
(14) Ryu SY, Lee CO and Choi SU. In-vitro cytotoxicity of tanshinones from Salvia miltiorrhiza. Planta Med. (1997) 63: 339-342.
(15) Wu WL, Chang WL and Chen CF. Cytotoxic activities of tanshinones against human carcinoma cell lines. Am. J.Chin. Med. (1991) 19: 207-216.
(16) Yang M H, Blunden G, Xu YX, Nagy G and Mathe I. Diterpenoids from Salvia species. Pharm. Sci. (1981) 2: 69-72.
(17) Gao YG, Song YM, Yang YY, Liu WF and Tang JX. Pharmacology of tanshinone. Acta Pharm. Sinica. (Yao Xue Xue Bao) (1979) 14: 75-82.
(18) Honda G, Koezuka Y and Tabata M: Isolation of an antidermatophytic substance from the root of Salvia miltiorrhiza. Chem. Pharm. Bull. (1988) 36: 408-411.
(19) Tayarani-Najaran Z, Emami SA, Asili J, Mirzaei A andMousavi SH. Analyzing cytotoxic and apoptogenic properties of Scutellaria litwinowii root extract on cancer cell lines Evid. Based Complement. Alternat. Med. (2011) 2011, 9 pages.
(20) Otsuka H. Purification by solvent extraction using partition coefficient In: Sarker S, Latif Z, Gray AL. (eds.) Natural Products Isolation second ed Humana Press Totowa New Jersey pp. (2006) 269-273.
(21) Malich G, Markovic B and Winder C. The sensitivity and specificity of the MTS tetrazolium assay for detecting the in-vitro cytotoxicity of 20 chemicals using human cell lines. Toxicology. (1997) 124: 179-192.
(22) Nicoletti I, Migliorati G, Pagliacci MC, Grignani F and Riccardi CA. Rapid and simple method for measuring thymocyte apoptosis by propidium iodide staining and flow cytometry. J. Immunol. Methods (1991) 139: 271-279.
(23) Tayarani-Najaran Z, Mousavi SH, Asili J and Emami SA. Growth-inhibitory effect of Scutellaria lindbergii in human cancer cell lines. Food Chem. Toxicol. (2010) 48: 599-604.
(24) Liu J, Shen HM and Ong CN. Salvia miltiorrhiza inhibits cell growth and induces apoptosis in human hepatoma HepG2 cells. Cancer Lett. (2000) 153: 85-93.
(25) Fiore G, Nencini C, Cavallo F, Capasso A, Bader A, Giorgi G and Micheli L. In-vitro antiproliferative effect of six Salvia species on human tumor cell lines. Phytother. Res. (2006) 20: 701-703.
(26) Rózalski M, Kuźma L, Krajewska U and Wysokińska H. Cytotoxic and proapoptotic activity of diterpenoids from in-vitro cultivated Salvia sclarea roots studies on the leukemia cell lines. Z. Naturforsch. C. (2006) 61(7-8): 483-8.
(27) Badisa R B, Tzakou O, Couladis M and Pilarinou E. Cytotoxic Activities of Salvia of the Labiatae Family. Pharm Biol. (2004) 42: 640-645.
(28) Zhang XD, Franco A, Myers K, Gray C, Nguyen T and Hersey P. Relation of TNF-related apoptosis-inducing ligand. (TRAIL) receptor and FLICE-inhibitory protein expression to TRAIL-induced apoptosis of melanoma. Cancer Res. (1999) 59: 2747-53.
(29) Dixon SC, Soriano BJ, Lush RM, Borner MM and Figg WD. Apoptosis: its role in the development of malignancies and its potential as a novel therapeutic target. Ann. Pharmacother. (1997) 31: 76-82.
(30) Huerta S, Goulet EJ and Huerta-Yepez S. Livingston EH. Screening and detection of apoptosis. J. Surg. Res. (2007) 139: 143-156.
(31) Ashe PC and Berry MD. Apoptotic signaling cascades. Prog. Neuropsychopharmacol. Biol. Psychiatry. (2003) 27: 199-214.