In the past decade, there has been a profound increase in the number of studies revealing that
cardenolide glycosides display inhibitory activity on the growth of human
cancer cells. The use of potential
cardenolide glycosides may be a worthwhile approach in anticancer research.
Reevesioside A, a
cardenolide glycoside isolated from the root of Reevesia formosana, displayed potent anti-proliferative activity against human
hormone-refractory
prostate cancers. A good correlation (r² = 0.98) between the expression of Na⁺/K⁺-
ATPase α₃ subunit and anti-proliferative activity suggested the critical role of the α₃ subunit.
Reevesioside A induced G1 arrest of the cell cycle and subsequent apoptosis in a
thymidine block-mediated synchronization model. The data were supported by the down-regulation of several related cell cycle regulators, including
cyclin D1,
cyclin E and CDC25A.
Reevesioside A also caused a profound decrease of RB phosphorylation, leading to an increased association between RB and E2F1 and the subsequent suppression of E2F1 activity. The
protein and
mRNA levels of c-myc, which can activate expression of many downstream cell cycle regulators, were dramatically inhibited by
reevesioside A. Transient transfection of c-myc inhibited the down-regulation of both
cyclin D1 and
cyclin E protein expression to
reevesioside A action, suggesting that c-myc functioned as an upstream regulator. Flow cytometric analysis of
JC-1 staining demonstrated that
reevesioside A also induced the significant loss of mitochondrial membrane potential. In summary, the data suggest that
reevesioside A inhibits c-myc expression and down-regulates the expression of CDC25A,
cyclin D1 and
cyclin E, leading to a profound decrease of RB phosphorylation. G1 arrest is, therefore, induced through E2F1 suppression. Consequently,
reevesioside A causes mitochondrial damage and an ultimate apoptosis in human
hormone-refractory
prostate cancer cells.