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Table 1 Evidence-based anticancer effects of prodigiosin

From: Rise of the natural red pigment ‘prodigiosin’ as an immunomodulator in cancer

Cancer(s) type

Study model(s)

Anticancer effect(s)

Reference(s)

Ovarian

A2780RCIS (MRP1, 2 overexpressing cell line)

↓ Cell viability

Acts regardless of the BCRP, MDR1, or MRP transporter

[40]

Gastric

EPG85-257RNOV

EPG85-257RDB

HGT-1 cell line

↑ Apoptosis

↓ Cell viability

Cell shrinkage

Cell detachment from the culture substrate

[41]

Glioblastoma

U87MG cell line

GBM8401 cell line

Stimulates stress markers of ER (e.g., BiP/GRP78, CHOP, and sXBP1)

↑ Autophagic cell death

Activates the JNK pathway

↓ Decreasing the AKT/mTOR pathway

↑ Caspase 3 levels

↑ PARP cleavage

↑ LC3-II/LC3-I

↑ Bax/β-Actin ratio

↓ p62

[42]

Neuroblastoma

LAN-1

IMR-2

SK-N-AS

SH-SY5Y

Uncouples the protons of the ETC to mitochondrial ATP synthase

↓ ATP production

[43]

Colorectal cancer (CRC)

HT-29 cell line

↓ G2/M

↑ Blockage in the G1 phase

↓ Number of viable cells

↓ Survivin mRNA levels

↑ Caspase 3 levels

Bax mRNA levels

Bad mRNA levels

↑ P53 protein levels

Bcl-2 mRNA levels

[4446]

DLD-1 cells

SW-620 cells

↑ Apoptosis

↑ Caspases levels

Acts irrespective of p53 status (mutant or absent)

PARP cleavage

[47]

DLD-1 cells

↑ P53 protein levels

↑ Apoptosis

↑ Lysosomal pH

[46]

WiDr cells

↑ Anticancer activity

[48]

NRK normal cells

Swiss-3T3 normal cells

No significant decrease in viable cells

No apoptosis

No toxicity

[47]

HCT116 cells

SW480 cells

HT-29 cells

N87 cells

AGS cells

LoVo cells

Nude BALB/c male mice

Accumulation of LC3B-II and SQSTM

↓ Lysosomal activity by accumulating EGFP-LC3 puncta

Triggers autophagy

↑ LC3-II/LC3-I

↑ Caspase 3 levels

in-vitro sensitivity to 5-FU

in-vivo 5-FU efficacy

[49]

SW480 cells

HCT116 cells

DLD1 cells

Athymic nu/nu mice

Restores P53

Activates P73

Prevents formation of colonosphere irrespective of p53

↓ Viability of self-renewing 5-fluorouracil-resistant Aldefluor( +) CRCSCs

↓ Growth of xenograft tumours initiated with Aldefluor( +) cells without toxic effects and limits their tumourigenesis

Activates a p53-responsive luciferase reporter in colonospheres

↓ Levels of the oncogenic N-terminally truncated isoform ΔNp73 in Aldefluor( +) cells

↑ Levels of the transcription factor c-Jun

[50]

P53 mutant SW480 cells

Rescues a deficient P53 pathway

↑ Antitumour effects via disruption of the mutant P53/P73 complex and P73 upregulation

[51]

Breast

T47D cell line

No effect on cell cycle

↑ Signature ER stress markers (i.e., CHOP and GRP78)

↑ Caspase 3 levels

↑ Bax expression levels

↑ Bak expression levels

↓ Bcl-2 expression levels

↓ Survivin transcription levels

↑ Apoptosis

↓ RAD51 mRNA expression

↑ JNK signalling pathway

↑ P38 MAPK signalling pathway

[44, 5255]

MCF-7 cell line

↑ Signature ER stress markers (i.e., CHOP and GRP78)

↑ Apoptosis

↓ RAD51 mRNA expression

↑ JNK signalling pathway

↑ P38 MAPK signalling pathway

Activates the IRE1–JNK pathway

Activation of GSK3β

Accumulation of P53 protein

↑ Bak expression levels

↑ Caspase 3 levels

↑ Caspase 7 levels

↓ Bcl-2 expression levels

↓ Survivin transcription levels

↑ Bax expression levels

Activates NAG-1

Activates the PERK–eIF2α pathway

↑ P53 protein levels

↑ PUMA protein levels

Arrests cell cycle at G1 phase

[5258]

MDA-MB-231 cell line

Bcl-2 transcription and expression levels

↓ Cell viability

↓ Proliferation

↓ Phosphorylated LRP6

↓ Phosphorylated DVL2

↑ Apoptosis

↑ Caspase 3 levels

↑ Caspase 8 levels

↑ Caspase 9 levels

No effect on Raf-1

↑ Bak expression levels

↓ Survivin transcription and expression levels

HSP90ɑ mRNA and protein levels

Bax mRNA levels

↓ RAD51 mRNA expression

↑ JNK signalling pathway

↑ P38 MAPK signalling pathway

↓ mTOR expression levels

↓ EGFR expression levels

↓ VEGF expression levels

PARP cleavage

Blocked Wnt/β-Catenin signalling

↓ CDK1 levels

↓ phosphorylated GSK3β

↓ β-catenin gene expression

Supports normal breast cell proliferation or growth*

Prevents tumour locoregional recurrence in vivo*

Causes significant breast cancer cell death*

[53, 55, 56, 5963]

KPL-1 cell line

MKL-F cell line

↑ Apoptosis

↑ Bak expression levels

Activates caspase 3

↓ Bcl-2 expression levels

↑ Bax expression levels

[53]

MDA-MB-468 cell line

↓ Cell viability

↓ Proliferation

↑ Apoptosis

Blocked Wnt/β-Catenin ssignalling

↓ Phosphorylated LRP6

↓ Phosphorylated DVL2

↓ phosphorylated GSK3β

↓ β-catenin gene expression

[60]

MDA-MB-231 xenografts

MMTV-Wnt1 transgenic mice

↓ Tumour progression

↓ Ser9 phosphorylated GSK3β

↓ Wnt/β-Catenin ssignalling

↓ CDK levels

↓ Phosphorylated LRP6

↓ Phosphorylated and unphosphorylated DVL2

↓ Active β-catenin

Haematopoietic

Acute human T cell leukaemia cells (Jurkat clone E6-1)

NSO myeloma cells

HL-60 human promyelocytic leukaemia cells

Human Burkitt lymphoma cells (Ramos)

↓ Number of viable cells

↑ Apoptosis

Acts in absence of p53

↓ Vacuolar ATPase

No significant toxicity, apoptosis, or decrease in normal cells

[64]

Acute human T cell leukaemia cells (Jurkat clone E6-1)

↑ Phosphorylation of p38-MAPK

[65]

Wt-p53Molt-4 cells (T-ALL)

↓ Survivin protein levels

↑ Caspase 3 levels

↑ accumulation of P53

Less uniform cells without membrane integrity

↓ Number of viable cells

Diminishes metabolic activity

↓ Rate of proliferation

[66]

CCRF-CEM cells

↓ Proliferation rate

↓ Viable cell number

↓ Survivin mRNA and protein levels

↓ MMP-9 mRNA and protein levels

↑ Caspase 3

↑ Apoptosis

[67]

 

B and T cells

↑ Apoptosis

↑ Caspase 3 levels

↑ Caspase 9 levels

[68]

HCC

HepG2

WiDr cells

Changes cellular morphology to apoptotic types

Disrupts cell connections

↓ Cell proliferation

↓ Metabolic activity

Activates caspase 3

↓ survivin expression

↑ Apoptotic rate

↑ Anticancer activity

[48, 69]

Pancreatic

H8898 cell line

↓ Cell proliferation

↑ mitotic arrest

↑ ROS levels

Cell death

DNA fragmentation

↑ Apoptosis

[70]

Lung

Doxorubicin-sensitive A549 cell line

Doxorubicin-resistant anti-Dox-A549 cell line

↑ Cytotoxicity

↑ Anticancer activity

↑ PARP cleavage

↑ Apoptosis

Activates autophagy

↓ Autophagic inhibitor expression

Activates non-PI3K-Class III/Beclin-1 inducer expression

↓ PI3K-p85/AKT/mTOR signalling pathways

[48, 71, 72]

Doxorubicin-sensitive- and -resistant-bearing C57BL/6 mice

No acute toxicity

↓ Tumor cell accumulation around the trachea

A549 cell line

HSAEC cells (i.e., an immortalised healthy cell line)

No cytotoxic effect on healthy cells

↓ Cell viability

Changes morphology

↓ DNA replication

↑ Metabolic rewiring

[72]

A549 cells

CL1-5 cells

H23 cells

293 T cells

↑ p27KIP1 expression

Stabilises p27KIP1 through transcriptional repression of SKP2

↓ E2F1

↓ PKB levels

[73]

95-D cells

↓ RhoA gene expression and protein levels

↓ MMP-2

↓ Metastasis and invasion

↑ Cell aggregation

[74]

GLC cell line

↑ Mitochondrial apoptosis via caspase-dependent and independent manner

↑ Cytochrome c and AIF release into the cytoplasm

[75]

 

GLC4/ADR cell line

↑ Cytochrome c release

Activates caspase cascade

↑ PARP cleavage

[76]

Urothelial

CNE2 cells

↓ Cell proliferation

↓ Cell migration

↓ Cell invasion

Interrupts the cell cycle in G0/G1 phase

[77]

Nasopharyngeal

Cisplatin-sensitive or resistant cells

 J82

 253 J

 T24

 RT-112

Blocked autophagy

Resensitised cisplatin-resistant cells to apoptotic cell death

In combination with cisplatin, prodigiosin sensitised both cisplatin-sensitive and -resistant cell lines to cisplatin

↓ Activities of cathepsin B and L

Alters lysosomal function

[22]

Choriocarcinoma

JEG3 cell line

↓ IAP family, including XIAP, cIAP-1 and cIAP-2

↓ Cell growth

↑ Apoptosis

↑ Caspase 3 levels

↑ Caspase 9 levels

↑ PARP cleavage

↑ P53 expression level

↑ Bax/Bcl-2 expression level

[78, 79]

Prostate cancer

PC3 cell line

PC3 and JEG3 tumour-bearing nude mice

↓ Cell and tumour growth

↑ Bax/Bcl-2 expression level

↑ Apoptosis

↑ PARP cleavage

↑ Caspase 3 levels

↑ Caspase 9 levels

↑ P53 expression level

↓ IAP family, including XIAP, cIAP-1 and cIAP-2

[78]

Melanoma

The substrain B16BL6 of mouse melanoma B16 cells

↓ Metastasis and invasion

↑ Mouse survival rate

[74]

SK-MEL-5 cell line

Activates the mitochondrial apoptotic pathway

Disrupts MCL-1/BAK complexes

↓ mTORC1 protein levels

↓ mTORC2 protein levels

Loss of AKT phosphorylation

[80, 81]

SK-MEL-28 cell line

Cell cycle arrest at G0/G1 phase

↑ Apoptosis

↑ DNA damage

↓ Survivin protein levels

↓ Clonogenic capacity in survivin knockdown cells

↓ mTORC1 protein levels

↓ mTORC2 protein levels

Loss of AKT phosphorylation

[81, 82]

SK-Mel-19 cell line

Cell cycle arrest at G0/G1 phase

↑ Apoptosis

↑ DNA damage

↓ Survivin protein levels

↓ Clonogenic capacity in survivin knockdown cells

[82]

  1. denotes overexpression, upregulation, overactivation, or induction, whereas expresses reduced activity, suppression, or downregulation
  2. *According to the in-vitro and in-vivo results of an experimental study of prodigiosin-encapsulated scaffolds using blended FDA-approved polymers (polylactic-co-glycolic acid [PLGA], polyethylene glycol [PEG] and polycaprolactone [PCL])
  3. 5-FU, 5-fluorouracil; ADR, adriamycin-resistant; AIF, apoptosis-inducing factor; ALL, acute lymphocytic leukaemia; ATP, adenosine triphosphate; ATPase, adenosine triphosphatase; Bax, Bcl-2-associated X protein; Bad, Bcl-2-associated death promoter; Bcl-2, B-cell lymphoma-2; Bak, Bcl2 antagonist/killer; B-CLL, B-Cell chronic lymphocytic leukaemia; BCRP, breast cancer resistance protein; BiP/GRP78, binding immunoglobulin protein-glucose-regulated protein 78; CDK1, cyclin dependent kinase 1; CHOP, C/EBP homologous protein; cIAP-1, cellular inhibitor of apoptosis protein-1; cIAP-2, cellular inhibitor of apoptosis protein-2; CRC, colorectal cancer; CRCSCs, colorectal cancer stem cells; DVL2, dishevelled segment polarity protein 2; E2F1, E2F transcription factor 1; EGFP-LC3, enhanced green fluorescent protein-microtubule-associated protein 1A/1B-light chain 3; EGFR, epidermal growth factor receptor; ER, endoplasmic reticulum; ETC, electron transport chain; GRP78, glucose-regulated protein 78; GSK3β, glycogen synthase kinase 3 beta; HSAEC, human primary small airway epithelial cells; HSP90ɑ, heat shock protein 90 alpha; IAP, inhibitor of apoptosis protein; IRE1–JNK, inositol requiring enzyme 1-c-Jun NH2-terminal kinase; LRP6, low-density lipoprotein receptor-related protein 6; MAPK, mitogen-activated protein kinase; MCL-1/BAK, myeloid-cell leukaemia 1-Bcl2 antagonist/killer MDCK, madindarby canine kidney; MDR1, multidrug resistance 1; MKL, megakaryoblastic leukaemia 1; MMP-2, matrix metalloproteinase-2; MMP-9, matrix metalloproteinase-9; MRP, multidrug resistance-associated protein; MMTV-Wnt1, mice transgenic for mouse mammary tumour virus-Wnt1; mTOR, mammalian target of rapamycin; NAG-1, nonsteroidal anti-inflammatory drug-activated gene-1; PARP, poly (ADP-ribose) polymerase; PERK–eIF2α, protein kinase R (PKR)-like endoplasmic reticulum kinase-eukaryotic translation initiation factor 2A; PI3K, phosphoinositide 3-kinase; PKB, protein kinase B; PUMA, P53 upregulated modulator of apoptosis; ROS, reactive oxygen species; SCLC, small cell lung cancer; SKP2, S-phase kinase associated protein 2; SQSTM, sequestosome; sXBP1, spliced X-box binding protein 1; VEGF, vascular endothelial growth factor; XIAP, X-linked inhibitor of apoptosis