This study aims at evaluating the anticancer effects of
berberine hydrochloride (
berberine) and
d-limonene, alone and in combination, on human gastric
carcinoma cell line MGC803 to determine whether
berberine and
d-limonene work synergistically and elucidate their mechanisms. MGC803 cells were treated with
berberine and
d-limonene, alone and in combination, for 24-48 h. The inhibitory effects of these drugs on growth were determined by MTT assay. The combination index and drug reduction index were calculated with the Chou-Talalay method based on the median-effect principle. Flow cytometry and
laser scanning confocal microscopy were employed to evaluate the effects of both drugs on cell-cycle perturbation and apoptosis, generation of
reactive oxygen species (ROS), mitochondrial membrane potential, and expression of Bcl-2 and
caspase-3 in MGC803 cells.
Berberine or
d-limonene alone can inhibit the growth of MGC803 cells in a dose- and time-dependent manner.
Berberine and
d-limonene at a combination ratio of 1:4 exhibited a synergistic effect on anti-MGC803 cells. The two drugs distinctly induced intracellular ROS generation, reduced the mitochondrial transmembrane potential (ΔΨm), enhanced the expression of
caspase-3, and decreased the expression of Bcl-2. The combination of
berberine and
d-limonene showed more remarkable effects compared with drugs used singly in MGC803 cells. The combination of
berberine and
d-limonene exerted synergistic anticancer effects on MGC803 cells by cell-cycle arrest, ROS production, and apoptosis induction through the mitochondria-mediated intrinsic pathway.