1. Proteomic Approaches to Understand the Function of Curcumin as Therapeutic Intervention
1.1. Proteomic Studies to Explore Its Potential against Microbial Diseases
Accumulating evidence has highlighted that curcumin (Cur) has a broad spectrum of anti-microbial effects including antibacterial, antifungal, and antiviral action
[1][2][3][4]; it has been envisaged to exhibit synergistic effects in combinatorial therapeutic regimes. In this regard, to explore the antibacterial activities of Cur against
Bacillus subtilis, Reddy et al. treated
B. subtilis AH75 strain with Cur (20 μM) at different time intervals, and performed a comprehensive proteomic analysis using 2D-DIGE and iTRAQ to analyze the differential expression profile. Interestingly, differential proteomics profiling revealed alterations in various proteins including putative septation protein SpoVG, UDP-N-acetylglucosamine 1-carboxy vinyl transferase 1, and the ATP-dependent Clp protease proteolytic subunit. Moreover, alteration in the universal chaperone system (GroEL), required for the tubulin homologue protein filamenting temperature-sensitive mutant Z (FtsZ) folding, as well as the major protease (Clp family) system that targets FtsZ for degradation was also observed. Further, bioinformatics analysis revealed that Cur treatment considerably altered various cellular processes including central metabolism, fatty acid metabolism, and cell wall synthesis pathways, all of which have an important role for bacterial viability. Collectively, the study provided a plausible understanding of the mechanism of action and the putative targets of Cur, suggesting that treatment of Cur majorly affects cell division, cell wall synthesis, chaperones, and central metabolism in
B.
subtilis AH75 strain
[2].
Reckoning with its antiviral action, it has been envisaged that although Cur has been widely studied in the background of the antiviral mechanism, the available literature does not clearly explain the effect of Cur in the early stages of viral infection. However, the underlying intricacies employed for interactions among viruses, cells, and antiviral compounds are incredibly diversified. Thus, it is important to comprehensively analyze the diverse protein–protein interactions in host cells during the viral entry phase. To this end, Jeong and colleagues investigated the underlying intricacies; for this, they pre-treated the head minnow cells with Cur (15–240 μM) followed by a viral hemorrhagic septicemia virus (VHSV) infection
[1]. Thereafter, they performed a comparative proteomic study on the animal models with VHSV-infected, and Cur-treated VHSV-infected animals. Proteomics analysis revealed alterations in protein expression of several proteins including heat shock cognate 71 (HSC71), elongation factor 1 (EEF1), alpha cardiac muscle (ACTC1) protein and actin protein. Further pathway analysis through ingenuity pathways analysis (IPA) provided clues that HSC71 could be the primary candidate interacting with actin proteins (ACTB, ACTG, and F-actin), fibronectin (FN)-1, and gelsolin (GSN) in both VHSV-infected and Cur-treated VHSV-infected organisms. All these data provided evidence that Cur downregulates the expression of HSC71, which consequently increased virally infected cell viability, and inhibited the VHSV replication. Furthermore, Cur induced an alteration in the ratio of F-actin/G-actin, this represents another interesting connecting link that indicates the plausible mechanism to inhibit viral entry
[1].
Collectively, all these studies provided a plausible understanding of the mechanism of action and the putative targets of Cur for their antimicrobial potential.
1.2. Proteomic Studies to Explore Its Potential against Cancer
Several promising studies have shown the protective potential of Cur against many disease conditions; nevertheless, their anticancer potential is the most researched topic. Cur has been shown to inhibit cancer cell growth, invasion, and the metastasis properties of various types of cancer
[5][6]. Further exploration of the underlying intricacies highlighted that the target proteins of Cur were found to be involved in many different processes including cell proliferation, apoptotic responses, nucleic acid processing, protein folding, protein translational machinery, proteolysis process, cytoskeleton organization, and signal transduction pathways
[5].
Cur is well known for its therapeutic activities; nevertheless, it has poor systemic bioavailability. Therefore, various chemical analogs and/or Cur formulations have been developed with the aim to improve their bioavailability issues and enhance its efficacy thereof
[7]. To this end, in order to increase the absorption of Cur, Natural borneol (NB), the bicyclic organic compound, has been formulated and tested against liver cancer. Interestingly, the treatment of Cur/NB in HepG2 cells resulted in differentially expressed proteins (17 proteins upregulated and 12 downregulated) that were functionally associated with the cell cycle and apoptosis, as well as the p53 pathway (hnRNPC1/C2, NPM, and PSMA5). To this end, decreased levels of hnRNPC1/C2 and NPM eventually leads to phosphorylation of the p53 protein; the activated p53, along with differentially expressed PSMA5, consequently increased the level of p21. Moreover, NB/Cur also enhances ROS synthesis, which is involved in the G2/M cell arrest mechanism. Collectively, it is reasonable that this proteomic study provided a strong evidence and better understanding regarding the anticancer property of Cur
[8].
Further, Cur derivatized inhibitory compound, LLL12, demonstrated intriguing potential against glioblastoma multiforme (GBM)
[9]. LLL12 is a known inhibitor of signal transducer and activator of transcription 3 (STAT3), which is constitutively active in various types of cancers. Basically, the global effects of targeting STAT3 using LLL12 were identified using 2D-DIGE and iTRAQ, suggesting intriguing anti-tumorigenic activity of LLL12. Interestingly, LLL12 treatment exhibited downregulation of phosphoglycerate mutase 1 (PGAM1), triosephosphate isomerase (TPI), adaptor molecule cysteine-rich receptor-like protein kinase 2 (CRK2), basic transcription factor 3 (BTF3), and protein DJ-1 (PARK7), which suggested that these targets may serve as prognostic or predictive markers in GBM
[9]. Concomitantly, this research revealed Cur involvement in various cellular responses such as apoptosis induction, cellular metabolism, and anti-angiogenic activities.
Further, to better understand the molecular target of Cur, an intriguing investigation was performed by Wang and group in 2015. In their study, they utilized a cell-permeable Cur probe (Cur-P) coupled with an alkyne moiety that can be tagged with biotin for further enrichment. The researchers performed a quantitative proteomics approach to identify specific binding targets. This study revealed 197 proteins that were seemingly identified as Cur-binding targets. Further investigation divulged the target distribution and enrichment in different organelles such as mitochondria, nucleus, and plasma membrane. IPA divulged the anticancer effects of Cur, which suggest the involvement of Cur in a myriad of biological functions including mTOR signaling, mitochondrial dysfunction pathways, as well as regulation of eIF4/p70S6K and EIF2 proteins. Later, functional validation established that Cur induces autophagy, suppresses cellular protein synthesis, and increases ROS production and lysosomal activation, which leads to cell death of cancerous cells and confirms its anticancer potential
[10].
Another investigation highlighting the antitumor activity of Cur D6 (hydroxylated biphenyl compound) on primary melanoma LB24Dagi cells, employed proteomics and mass spectrometry analysis. The altered proteins exhibited strong activation of a cellular stress response, with upregulation of several HSPs and triggered ubiquitin-proteasome pathways. The researchers concluded that Cur seemingly altered the majority of cellular functions and finally drives the cells to apoptotic pathways, without affecting normal healthy cells
[11].
Another interesting study utilizing a gel-based proteomic approach showed decreased spot intensity (up to 70–90%) of SIP (Siah-interacting protein) in the Cur-treated (Cur sensitive) compared to the Cur-resistant human acute lymphocytic leukemia (MOLT-4) cells that caught the attention of the researchers. The study indicated that seemingly SIP is an important player in Cur-induced apoptosis in Cur sensitive cells and plays a critical role in Cur resistance
[12].
Further, treatment of hypotriploid human epithelial lung carcinoma cells, viz., A549 cells with the Cur analog T63 (4-arylidene), revealed ~66 proteins with altered expression patterns. It seems that T63 contains a diverse range of molecular targets including HSP90 and 14-3-3 proteins as revealed by 2-DE and Ultraflex II MALDI-TOF/TOF MS analysis. Overall, the study proposed that T63-triggered cell cycle arrest and apoptotic responses involving mitochondrial dysfunction and ROS generation; and inhibition of the proteasomal machinery
[13].
Further, besides being employed in solitary treatment regimes, Cur has also been employed in combinatorial treatment regimes. To this end, a report investigated the combined action of Cur and irinotecan on colorectal cancer (CRC) cells (LOVO cell) using in-gel protein digestion and MALDI-TOF/TOF MS
[14]. Interestingly, it was found that out of a total of 54 protein spots differentially expressed, four exhibited protein–protein interactions. The cocktail could seemingly enhance the expression of protein disulphide isomerase (PDI) and peroxiredoxin-4 (PRDX4) which disarranged the formation and reduction of disulphides, which consequently leads to enhanced apoptotic responses in LOVO cells. The authors speculated that Cur may lead to the suppression of glutathione S-transferase Mu 5 (GSTM5) expression that helps in enhancing the lethal effect of irinotecan. Another study concluded that Cur enhanced the effect of irinotecan against CRC cells through ROS generation and activation of the Endoplasmic Reticulum (ER) stress pathway. Proteomic analysis through MALDI-TOF/TOF MS revealed 11 repeated protein nodes, which are involved in intracellular calcium pathways, intracellular redox reaction pathways, and intracellular endoplasmic reticulum (ER) stress
[15]. Furthermore, anti-metastasis activity of Cur, ginsenoside 20 (S)-Rg3, and oxaliplatin were comparatively evaluated using proteomic analysis in isogenic primary (SW480) and metastatic colon (SW620) cell lines. This combinational therapy demonstrated the suppressive effect of all three bioactive substances on fatty acid synthase and histone H4 expression. There was a significant reduction in migratory activity of SW620 cells, which suggests that theyteffectively retards cell migration in colon cancer
[16].
Cumulatively, it is reasonable to envisage that all these proteomic studies provides a better understanding of the underlying intricacies for the anticancer potential of Cur.
1.3. Proteomic Studies to Explore Its Potential against Various Other Disease Pathologies
Accumulating evidence has highlighted the intriguing role of Cur against atherosclerosis
[17][18]. In order to understand the molecular intricacies, the proteomic analysis ofmonocyte/macrophage-like cells (RAW264.7) cultured in the presence of Cur revealed considerable alteration in the proteome profile. This included increased expression of cytochrome b5 (cb5), ATP synthase, non-muscle myosin alkali light chain, and MHC class II protein moieties in RAW264.7 cells. On the other hand, decreased expression for various key players such as ran binding protein (RanBP)-1, phosphodiesterase 4D, eukaryotic initiation factor 3 (elF-3), nucleophosmin, vimentin, and heterogeneous nuclear ribonucleoprotein F (Hnrpf) protein were found as well. These data indicated the involvement of Cur in a myriad of functions including modulation of cell inflammation, reduction in the accumulation of intracellular cholesterol, antioxidant activity, and inhibition of cholesterol transport in RAW264.7 cells. Collectively, this research conclusively supports the anti-atherosclerosis mechanism of Cur seemingly through regulation of the accumulation of intracellular cholesterol levels and its transport
[17].
Furthermore, Cur effectiveness and beneficial properties have also been investigated in weight management employing proteomic approaches. As a matter of fact, browning of white adipose tissue is an intriguing approach to combat obesity by enhancing energy expenditure. To demonstrate the protein involved in the fat-browning effect, proteomic modifications were analyzed in cultured white adipocytes under Cur treatment. Analysis through 2-DE combined with MALDI-TOF-MS revealed differential expression of ~58 protein spots among the control and Cur-treated adipocytes; out of which, hormone-sensitive lipase (HSL), an interacting partner of another two browning markers, uncoupling protein 1 (UCP1) and Peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α) were found to be prominently associated with the browning phenotype. Overall, this research suggests that Cur induces the HSL level in white adipocytes, which in turn induces fat browning
[19].
Further, as a matter of fact, pulmonary fibrosis is an impaired fibrinolytic system that is associated with inflammation of the alveoli, which thereby leads to deposition of extracellular matrix (ECM) components and myofibroblasts. In order to investigate the therapeutic potential of Cur against pulmonary fibrosis disease progression, Gouda et al. employed high throughput Q-Orbitrap MS technology. In their study, basically C57BL/6 mice were injected with Bleomycin (BLM), followed by Cur treatment for 24 and 48 h time intervals
[20]. The results of proteomic analysis revealed fascinating outcomes; it was found that BLM-exposed mice showed gradual weight loss and altered lung morphology. On the other hand, these symptoms were considerably reversed following Cur treatment. The proteomic analysis suggested strong interaction of Cur with p53, PAI-I, and uPA proteins as an expression of IL-17A-mediated inflammation in the impairment of the p53-fibrinolytic system and alveolar epithelial cell (AEC) apoptosis, which is a critical pathophysiological hallmark of pulmonary fibrosis. The results suggested that Cur could act as a potential therapeutic candidate to target the fibrinolytic system during pulmonary fibrosis, alongside its protective role against the progression of pulmonary fibrosis
[20].
Further, accumulating evidence has highlighted the intriguing role of Cur as an effective therapeutic agent against various neurodegenerative diseases
[21][22][23][24]. To this end, Urbani and group highlighted an intriguing molecular investigation of the main proteome rearrangements involved in the cellular response to Cur in human neuroblastoma cells sensitive to cisplatin and its resistant counterpart through shotgun proteomics analysis. Interestingly, the comparative proteomics analysis revealed that 66 proteins were differentially expressed following Cur treatment in sensitive cells. On the other hand, 32 proteins were differentially expressed in resistant treated cells. Further, gene ontology studies revealed that proteins involved in cellular assembly and organization, biosynthesis, and glycolysis were downregulated following Cur treatment. Moreover, proteome changes were also associated with cell cycle arrest in the G2/M phase and accumulation of polyubiquitinated proteins. As a matter of fact, the polyubiquitination of proteins influences a wide range of cellular processes; thus, the inhibition of the ubiquitin–proteasome system might be the major way through which Cur performs its multifactorial effects
[21].
Further, studies have shown that Cur protects against Alzheimer’s disease plausibly via binding to sensile plaques and thereby inhibiting plaque pathology, Aβ plaque aggregation, and reduction in amyloid levels
[25][26][27]. Moreover, Cur has been demonstrated to attenuate parkinsonism as well, seemingly through modulation of human α7-nicotinic acetylcholine receptor (α7-nAChRs)
[28][29].
Further, Cur has been found to be an intriguing agent to be used following cataract surgery. Basically, a cataract is an opacification (cloudy appearance or opaqueness) of the eye lens that causes a decrease in vision. After cataract operation (i.e., lens replacement), some patients develop the symptom of faded vision. The condition occurs due to posterior capsular opacification (PCO) after cataracts removal. Unfortunately, it is a prevalent side effect following lens replacement. Therefore, attenuation of proliferation of lens epithelial cells (LECs) could plausibly prevent and/or repress PCO. To this end, Hu et al., used MS to investigate the inhibitory action of Cur against the proliferation of human lens epithelial B3 cells (HLE-B3). The proliferation of HLE-B3 cells was induced through administration of recombinant human basic fibroblast growth factor (rhbFGF), followed by treatment with Cur (20 mg/L). Interestingly, the results of this study showed that Cur acts as an effective inhibitor of the HLE-B3 cell proliferation induced by rhbFGF
[30]; this plausibly endorses its effectiveness in management of post-cataract complications.
As already mentioned, alternative and/or complementary medicine have shown intriguing potential against various disease pathologies including cancer. Albeit often perceived as innocuous, these phytochemicals can seemingly interact with various metabolic enzymes including cytochrome P450s (CYPs), UDP glucuronosyl-transferases (UGTs), and drug transporters (e.g., P-gp, MRP, OATP). These intricacies have highlighted the need to understand potential phytochemical–molecular interactions To this end, a critical study evaluated the effect of oral Cur on intestinal uridine diphosphate glucuronosyltransferase (UGTs) expression in healthy volunteers aged between 40–80 years through LC-MS/MS
[31]. In this study, all volunteers consumed daily curcuminoid extract (4 g) for 30 days. Interestingly but not surprisingly, proteomic data analysis did not reveal any significant differences in rectal mucosal UGT concentrations before and after Cur administration. Concomitantly, this study indicates that daily Cur use is unlikely to alter colonic UGT expression, especially in colon cancer
[31]. Nevertheless, whether this is true with other forms of cancer as well seemingly requires further investigations to truly understand the Cur–metabolic enzyme interactions.
2. Proteomic Approaches to Understand the Function of Genistein as Therapeutic Intervention
Genistein (gen) embodies broad range of vital properties, including antioxidant, anti-inflammatory, anti-microbial, anti-cancer, and so on
[32][33][34][35]. As a matter of fact, a type of breast cancer classified as triple-negative breast cancer (TNBC) is estrogen receptor-negative, progesterone receptor-negative, and Her2-negative. Overall the survival, whether in early-stage or advanced disease stage, is poor in TNBC patients. Unfortunately, there are shortage of targeted therapies for TNBC. Of note, Genistein (Gen) is known for its estrogenic potential and accumulating data has highlighted its anticancer potential in breast cancer. To explore more about the anticancer potential of Gen against TNBC; Fang et al. performed phosphoproteomics studies. Interestingly, they identified approximately 5445 phosphorylation sites on 2008 phosphoproteins following Gen treatment. Further, bioinformatics analysis indicated the presence of 332 Gen-regulated phosphorylation sites on 226 proteins. Thus, proteomic data revealed that Gen may be involved in the critical cell cycle processes, including DNA replication, cohesin complex cleavage, and kinetochore formation. Additionally, Gen potentiates the activation of DNA damage responses, such as activation of ataxia telangiectasia serine/threonine-protein kinase (ATR) and breast cancer susceptibility gene 1 (BRCA1) complex. Conclusively, this phosphoproteomics study revealed the complex role of Gen in the regulation of the cell cycle and DNA damage response
[36].
Another study explored concentration-dependent anticancer activity of Gen against SNU-449 cells
[37]. The study reported its apoptosis-associated signature characteristics including involvement in caspase-3 activation as well as DNA fragmentation. Proteomics analysis revealed the involvement of antioxidant protein, thioredoxin-1, in Gen-induced apoptosis. Of note, thioredoxin-1 levels were found to be downregulated following Gen treatment, resulting in increased accumulation of ROS intracellularly. Moreover, Gen potentiated activation of different signalling mediator proteins including c-Jun N-terminal kinases (JNK), apoptosis signal-regulating kinase 1, and p38. Interestingly, prior treatment of JNK and p38 inhibitors can considerably abolish Gen-induced apoptotic responses. Concomitantly, the study concluded that Gen induces apoptotic responses in SNU-449 cells were plausibly through reduction in the thioredoxin-1 concentration and activation of JNK, apoptosis signal-regulating kinase 1, and p38 kinase thereof
[37].
Another study explored the proteomics alterations in rat mammary glands following Gen treatment. Basically, the female rats were exposed to Gen by different routes through lactating dams and thereafter, the mammary glands were collected at day 21 and 50 post treatment and subjected to proteomic studies. The study revealed alteration in expression of ~23 proteins. Wherein, proteins such as Annexin A2, Gelsolin, Phosphoglycerate kinase-1 (P1), protein disulfide isomerase A3 (PDIA3), vascular endothelial growth factor receptor 2 (VEGF-R2), and epidermal growth factor receptor (EGF-R) were further validated through immunoblot assay. Of note, differential expressions of these proteins at different time points were found; for instance, expression of annexin A2 were found to be increased at the 21st day and reduced at the 50th day. On the other hand, PGK1 levels remained unchanged at the 21st day but decreased around the 50th day. Similarly, fetuin B expression was unaltered until the 21st day but increased on the 50th day, whereas the expression of VEGF-R2 and EGF-R were decreased at the 50th day in the mammary gland
[38].
One more study by Wang et al. focused on the protein biomarkers for both effectiveness and susceptibility to breast cancer in blood and urine of prepubertal girls exposed to selected environmental chemicals with high urine concentrations of Gen, BPA, mono-ethyl hexyl phthalate (MEHP), and mono-benzyl phthalate (MBzP). Proteomics data suggested that the differentially regulated cancer-related proteins in girls with high concentrations of BPA and Gen corelated well with previously reported functions of BPA in carcinogenesis and of Gen in mammary cancer prevention, respectively
[39].
Further, another proteomics study was performed to identify the prospective protein biomarkers and their association with carcinogenesis upon exposure to bisphenol A (BPA, a cancer-causing agent) and/or Gen to prepubertal rats. The results of the study suggested that Gen pre-exposed rats showed decreased expression of matrix metalloproteinase-3 (MMP3), rho associated coiled-coil containing protein kinase 2 (ROCK2), VGF nerve growth factor inducible, and Alpha-1 antitrypsin (SERPINA1), whose overexpression has previously been associated with carcinogenesis in various types of human cancers. Similarly, three tumor suppressor proteins (UCH1, SETD2, and PTPRK) were found to be upregulated in Gen-exposed rats. Thus, decreased expression of carcinogenesis inducing protein and increased expression of a tumor suppressor protein seems to be responsible for the chemoprotective action of Gen in animal model
[40].
Gen treatment has also been employed against various other human disease pathologies such as cardiovascular diseases, liver fibrosis, and so on. Due to its potential role in the cardiovascular system, Gen has been reported to be associated with a lower blood pressure condition either directly or indirectly. It has been shown that Gen considerably attenuates vascular contraction; thereby regulating vascular tone and blood pressure plausibly via regulation of myosin light chain (MLC) phosphorylation, mediated through myosin light chain kinase (MLCK) or the RhoA signaling cascade. Further, it has been highlighted that oral consumption of Gen altered the level of the various cytoskeletal and contractile proteins in ovariectomized female mice, and also increased the phosphorylation of MLC. This research, contrary to others, suggests that Gen does not inhibit the MLCK or RhoA pathway
[41]. Thus, it necessitates further investigation to fill in these gaps and plausibly resolve these discrepancies.
It is widely acknowledged that after menopause, estrogen elevates the risk of cardiovascular disease in women. Therefore, a novel strategy is to replace estrogens with alternative hormones like phytochemical Gen that acts as a natural estrogenic compound and reduces the effect. To this end, a 2-DE/ESI-LC-MS approach was used to investigate the effects of a dietary supplement with the phytoestrogen Gen on the cardiac proteome pattern for young, adult, and castrated male and female mice. Basically, the protein species diversification and their alteration were studied following Gen intake. The authors noticed substantial effect on the relative abundance of estrogen receptors, even through oral consumption. This investigation revealed expression of several fatty acid metabolism associated enzymes, and interestingly, their transcriptional regulators varied in male and female mice at both the transcriptional as well as at the protein level. Moreover, they also noticed that Gen increased the protein levels in male mice, which was found to be closely associated with oxidative phosphorylation and generation of ROS. On the other hand, in female mice, Gen elevates the level of two isoforms of LIM (LIN-11, Isl-1, and MEC-3) domain-binding protein and one isoform of desmin, which is associated with cardiac hypertrophy
[42]. Taken together, this research endeavor revealed a complex influence of Gen on the proteome of the murine heart and warrants further investigations for a better understanding of the influence of Gen in myocardial pathology. In analogy, another study further investigated the effects of fixed concentrations of Gen on HL-1 cardiomyocyte cells. They noticed that various proteins were differentially expressed upon treatment with 1 μM and 50 μM Gen, and that both concentrations of Gen impacted the regulation of ATPase activity and glucose catabolic processes. Nevertheless, at lower concentrations, Gen significantly influences the heat shock proteins and anti-apoptotic responses. Furthermore, a higher concentration reduces glycolytic proteins and antioxidant enzymes, which consequently leads to energy depletion and apoptotic responses, making the cardiomyocytes potentially more susceptible
[43].
It is widely envisaged that liver fibrotic conditions ensue when healthy tissue of the liver becomes scarred, which can turn into chronic liver diseases at later stages. Researchers have evaluated the anti-fibrotic activity of Gen on gastric cancer cell line AGS by proteomic analysis using combination therapy including Gen and other phytochemicals such as taurine, epigallocatechin, and gallate. A proteomics study revealed the involvement of these phytochemicals in the improvement of liver function. A total of 89 protein alterations were reported, out of which four differentially expressed proteins (Tpi1, Txn1, Fgb, and F7) were involved in the glycolysis pathway, coagulation cascade pathway, and antioxidant defense system. Further investigation revealed reduced expression of aspartate transaminase (AST), alanine aminotransferase (ALT), transforming growth factor-β1 (TGF-β1), and collagen I, and increased expression of superoxide dismutase (SOD), total antioxidative capacity (T-AOC), and glutathione peroxidase (GSH-Px). This study suggested the use of combination therapy as an alternative treatment against liver fibrosis
[44]. Furthermore, another study provided combinational therapy to rats followed by proteomic analysis of collected liver tissue. Intriguingly, proteomic alteration of 115 proteins was detected, in which 31 proteins were found to be downregulated, whereas 84 were differentially up-regulated. Out of these, three proteins including Txn1, Ctsd, and Cdk4 were selected for further investigation through real-time PCR and Western blotting. Conclusively, this study suggested the significant correlation of these proteins with liver fibrosis and also clarified the role of combination therapy as a potential intervention for the treatment of liver fibrosis
[45].
Besides these, Gen has been found to be a promising candidate against neurodegenerative diseases as well. Interestingly, it has displayed antioxidant potential via annihilation of free radicals
[46] and amelioration of antioxidant enzyme activity
[47], and thus plausibly leads to prevention and/or treatment of Alzheimer’s disease pathology
[48]. It has been shown to antagonize the toxicity of amyloid β-protein (Aβ), and thereby could be useful as an intriguing neuroprotective agent. It has been demonstrated that Gen considerably decreases Aβ production seemingly through inhibition of Beta-site (βsite) amyloid precursor protein (APP) cleaving enzyme 1 (BACE1)
[49][50]. It also counteracts the progression of Parkinson’s disease through several intricate mechanisms
[51].
Collectively, as more and more data are gleaned, proteomics studies will be highly instrumental in broadening our understanding regarding the molecular intricacies of Gen-based therapeutic interventions.
3. Proteomic Approaches to Understand the Function of Tanshinone-IIA as Therapeutic Intervention
Tanshinone-IIA (tan IIA) has been widely known for its therapeutic potential against myriads of disease pathologies
[52][53]. Interestingly, but not surprisingly, analysis of its therapeutic potential from a proteomic perspective would be highly instrumental for a comprehensive understanding of their mechanisms of action. Accordingly, several reports have highlighted the molecular intricacies underlying the therapeutic potential of Tan IIA against various disease pathologies employing proteomic studies. To this end, Pan et al. focused on the changes in the proteome of HeLa cancer cells treated with Tan IIA using MALDI-TOF analysis. Their proteomic data revealed the alteration of 12 differentially regulated proteins in the HeLa cancer cells following treatment with Tan IIA. The expression levels of proteins such as heat shock protein 27 (HSP27), vimentin, tubulin, and vinculin that play an important role in signal transduction pathways, energy metabolism, motility and microtubule assembly were found to be considerably modified. They proposed that these protein molecules could be related to HeLa cell growth inhibition
[54]. Interestingly, the authors envisaged that the plausible contributions of these proteins to the cytotoxicity of Tan IIA seemingly provides intriguing opportunities for the development of Tan IIA-based cancer therapeutics.
In another study, Long et al. performed label free nano-LC-MS/MS-based proteomic analysis to identify the proteome changes in hepatocellular cancer cells (MHCC97-H) in response to Tan IIA treatment. They identified ~41 significantly altered proteins; most of them were associated with various cellular functions such as microtubule movement, stress resistance, cytoskeletal organization, and translational and transcriptional regulation. Furthermore, they proposed that these proteins could play an important role in hepatocellular cancer tumorigenesis
[55]. Further, in a similar kind of study, Lin et al. performed iTRAQ-based proteomics studies along with RNA-seq transcriptomics studies and showed that the suppression of AGS gastric cancer cell growth was seemingly due to alteration of glucose metabolism. They further identified ~102 altered signature proteins. Gene enrichment analysis led to the discovery of the role of various dysregulated proteins in alteration of several key cellular functions such as apoptosis, cell cycle, DNA damage, carbohydrate metabolism, and cytoskeleton reorganization functions. In particular, they identified down-regulation of L-lactate dehydrogenase B chains and glucose-6-phosphate isomerase proteins. These results suggested that Tan IIA plays a key role in the blocking of glucose metabolism, thereby inhibiting cell proliferation
[56]. Similarly, 2-DE proteomic analysis of MG-63 osteosarcoma cancer cells with and without treatment with Tan IIA along with other two anticancer agents, i.e., Ginsenoside Rg1 and Cinnamic acid, identified prohibitin as a dramatically down-regulated protein in the nuclear matrix in the treated cells. Authors validated this protein using Western blot and immunogold electro-microscopy analysis. They also stated that prohibitin acts as a molecular chaperone and regulates several oncogenes as well as tumor suppressor genes, thereby playing an important role in cancer treatment
[57]. Further, Yin et al. performed phosphoproteomics analysis for the Tan IIA treated AGS gastric cell line through a label free proteomic approach using linear ion trap (LTQ)-Orbitrap. In this study, they identified HSP27 phosphorylation at serine 82 in response to Tan IIA treatment. Moreover, they reported that phosphorylation of HSP27 leads to the production of ROS in the gastric cancer cells, emphasizing its importance in cancer cell apoptosis
[58].
Further, other proteomic studies have highlighted the molecular intricacies of Tan IIA against various other human diseases such as liver fibrosis, cardiac failure, and nephropathy. To this end, Pan et al. used a 2-DE-based proteomic approach followed by MALDI-TOF analysis to identify the global proteome modifications of HSC-T6 cell line treated with Tan IIA. In this study, they found 13 proteins with altered expression patterns and among these proteins, prohibitin showed an upregulated pattern. They further validated this study using Western blotting analysis, while knockdown studies revealed its role in attenuation of apoptosis in liver fibrosis
[59]. In another study, Yan et al. studied the proteomic alterations in transverse aortic constriction (TAC)-mediated cardiac failure and the cardio protective function of Tan IIA using label free Liquid chromatography-matrix-assisted laser desorption/ionization mass spectrometry (LC-MALDI-MS) proteomic approach. They identified 44 differentially regulated proteins common in control vs. saline-TAC and Tan IIA-TAC vs. saline-TAC. Most of these proteins were associated with mitochondrial function of myocardial cells. Proteins such as carnitine palmitoyl transferase I (CPT-1) and glucose transporter type 4 (GLUT-4) were downregulated when the myocardial cells were treated with TAC, whereas their expression levels recovered to normal after treatment with Tan IIA. These proteins are involved in the metabolic activity of mitochondria by regulating free fatty acids and glucose transfers
[60]. In a similar study, Liu et al. performed the 2-DE-based proteomic approach followed by MALDI-TOF MS/MS analysis to identify the protein alterations in doxorubicin nephropathy vs. Tan IIA mediated kidney protection. They identified 17 altered proteins in the control male Kunming (KM)-mice as compared to doxorubicin-treated mice. Twelve of these proteins exhibited downregulation while five of them showed upregulation. Further analysis revealed that out of these twelve downregulated proteins, eight were significantly reversed when doxorubicin-treated male KM-mice were further treated with Tan IIA. Similarly, out of five upregulated proteins, expression of three proteins were reversed following treatment with Tan IIA. These proteins were found to be mainly involved in various cellular activities such as oxidative stress, protein synthesis, cytoskeleton synthesis, etc.
[61].
Furthermore, Tan IIA has shown intriguing neuroprotective potential against Alzheimer’s, Parkinson’s, and multiple sclerosis
[62][63]. Tan IIA has displayed inhibition of acetylcholinesterase and butyrylcholinestrase, which cause degradation of acetylcholine and thus disrupts cholinergic neurotransmission
[64][65]. Interestingly, it has shown promising activity as a learning and memory booster and neuroprotectant against the Aβ plaque- and APP-induced AD symptoms in rodents. Moreover, the neuroprotective effect of Tan IIA is exerted by its anti-inflammatory effect in the brain as indicated by attenuation of astrocytic and microglial activation, proinflammatory cytokines (TNF-α, IL-1β, and IL-6) production, and NF-κB signaling in the cortex and hippocampus in the brains of mice
[66]. Likewise, Tan IIA has been demonstrated to ameliorate 6-hydroxydopamine (6-OHDA)-induced dopaminergic neuronal loss seemingly through activation of the NF-E2-related factor 2 (Nrf2)–antioxidant response element (ARE) signal transduction pathways
[67].