The effect of Atractylodes lancea (Thunb.) DC. on the Notch signaling pathway
รหัสดีโอไอ
Creator Wanna Chaijaroenkul
Title The effect of Atractylodes lancea (Thunb.) DC. on the Notch signaling pathway
Contributor Ethan Vindvamara
Publisher The Pharmacological and Therapeutic Society of Thailand
Publication Year 2566
Journal Title Journal of Basic and Applied Pharmacology
Journal Vol. 3
Journal No. 1
Page no. O18-28
Keyword cholangiocarcinoma, Atractylodes lancea, Notch signaling, differential gene expression
URL Website https://li01.tci-thaijo.org/index.php/JBAP
Website title เว็บไซต์คลังข้อมูล
ISSN 2774-0854 (Online)
Abstract Cholangiocarcinoma (CCA) is a cancer of the bile ducts and liver with a low survival rate. Development and progression of the disease involve many changes to gene expression including to genes involved in Notch signaling. The Notch signaling pathway is a highly conserved pathway that regulates differentiation, proliferation, and apoptosis among other things, mediated through direct cell-to-cell contact, and is implicated in many kinds of cancer including CCA. Atractylodes lancea (Thunb.) DC. (AL) is a plant used in traditional Thai medicine that has been shown to have anti-CCA activity. In this study, Notch pathway gene expression was analyzed from venous blood samples taken from Thai patients with advanced-stage CCA participating in a phase II clinical trial. Patients were given either standard palliative treatment (control) or oral capsule pharmaceutical formulation of standardized crude ethanolic AL extract with a daily dose of 1,000-1,500 mg. In total, 15 patients were included in the study. Twenty-four genes were analyzed for differential gene expression using nCounter® Analysis System, NanoString Technology and data was analyzed by performing fold change analysis. Patients’ gene expression on day 28 of treatment was compared against day 1 of treatment (baseline) for each treatment group. Data analysis revealed 20 genes had a significant fold change in expression from day 1 to day 28. Of these 20 genes, 7 genes had a significant fold change in expression in two treatment groups (DLL4, DTX4, HES1, HES5, HDAC1, APH1B, and LFNG), and 2 genes had a significant fold change in all three treatment groups (JAG1 and CREBBP). In conclusion, oral administration of standardized crude ethanolic AL extract affects expression of Notch signaling pathway-related genes in CCA patients; most notably, JAG1 expression was down-regulated in response to AL treatment, in a dose-dependent manner.
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