Basal cell carcinoma (BCC) is the most common
cancer worldwide, and its current treatment options are insufficient and toxic. Surprisingly, unlike several other
malignancies, chemopreventive efforts against BCC are almost lacking.
Silibinin, a natural agent from milk thistle seeds, has shown strong efficacy against several
cancers including ultraviolet radiation-induced skin (squamous)
cancer; however, its potential activity against BCC is not yet examined. Herein, for the first time, we report the efficacy of
silibinin and its oxidation product 2,3-dehydrosilibinin (DHS) against BCC both in vitro and in vivo using ASZ (p53 mutated) and BSZ (p53 deleted) cell lines derived from murine BCC
tumors. Both
silibinin and DHS significantly inhibited cell growth and clonogenicity while inducing apoptosis in a dose- and time-dependent manner, with DHS showing higher activity at lower concentrations. Both agents also inhibited the mitogenic signaling by reducing EGFR, ERK1/2, Akt, and STAT3 phosphorylation and suppressed the activation of
transcription factors NF-κB and
AP-1. More importantly, in an ectopic allograft model,
oral administration of
silibinin and DHS (200 mg/kg
body weight) strongly inhibited the ASZ
tumor growth by 44% and 71% (P < 0.05), respectively, and decreased the expression of proliferation
biomarkers (
PCNA and
cyclin D1) as well as NF-κB p50 and c-Fos in the
tumor tissues. Taken together, these results provide the first evidence for the efficacy and usefulness of
silibinin and its derivative DHS against BCC, and suggest the need for additional studies with these agents in pre-clinical and clinical BCC
chemoprevention and
therapy models.