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The effects of thymoquinone on pancreatic cancer and immune cells

SUMMARY

OBJECTIVES:

Black cumin is widely used as a spice and as a traditional treatment. The active ingredient in black cumin seeds is thymoquinone. Thymoquinone has shown anticancer effects in some cancers. We planned to investigate its anticancer effect on pancreatic cancer cell lines.

METHODS:

Thymoquinone chemical component in various doses was prepared and inoculated on pancreatic cancer cell culture, healthy mesenchymal stem cells, and peripheral blood mononuclear cell culture. IC50 values were calculated by absorbance data and measuring cell viability by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide staining of cells incubated with thymoquinone at 24, 48, and 72 h.

RESULTS:

There was dose-related cytotoxicity. Maximal cytotoxicity was observed at 24 h and 100 μM thymoquinone concentrations in pancreatic cancer cell culture and mesenchymal stem cells. Any concentration of thymoquinone was not cytotoxic to peripheral blood mononuclear cell. Thymoquinone even caused proliferation at a concentration of 6.25 μM.

CONCLUSIONS:

Since the cytotoxic concentration of thymoquinone on pancreatic cancer cell culture and mesenchymal stem cells is the same, it is not appropriate to use thymoquinone to achieve cytotoxicity in pancreatic cancer. However, since thymoquinone provides proliferation in peripheral blood mononuclear cell at a noncytotoxic dose, it may have an immune activator effect. Therefore, in vivo studies are needed to investigate the effect of thymoquinone on the immune system.

KEYWORDS:
Cell survival; Mesenchymal stem cell; Pancreatic cancer; Peripheral Blood Mononuclear Cells; Thymoquinone

INTRODUCTION

Black cumin (Nigella sativa L.) is a type of flower, which is common worldwide and in our country. Its seed is widely used as a spice and as a traditional treatment because it is believed to be beneficial for some diseases. The active ingredient in black cumin seeds is thymoquinone (TQ). A limited number of in vitro and in vivo studies suggest that TQ has many beneficial effects, such as anti-inflammatory, antimicrobial, and anticancer properties11 Güzelsoy P, Aydın S, Basaran N. Potential Effects of Thymoquinone, the Active Constituent of Black Seed (Nigelle Sativa L.), on Human Health. Turkiye Klinikleri J Health Sci. 2018;7(2):118-35. https://doi.org/10.5336/pharmsci.2018-59816
https://doi.org/10.5336/pharmsci.2018-59...
.

TQ is a natural phytochemical compound, and it has bioactivity in cancer cells22 Murphy EM, Centner CS, Bates PJ, Malik MT, Kopechek JA. Delivery of thymoquinone to cancer cells with as1411-conjugated nanodroplets. PLoS One. 2020;15(5):e0233466. https://doi.org/10.1371/journal.pone.0233466
https://doi.org/10.1371/journal.pone.023...
. TQ affects different molecular targets in various cancer cells, and many mechanisms have been proposed for its anticancer activity. Oxidative stress and inflammation are important mechanisms in cancer development. TQ reduces the oxidative stress with both antioxidant and anti-inflammatory effects and increases the expression and activity of antioxidant enzymes. It also prevents cancer formation by inducing apoptosis33 Woo CC, Kumar AP, Sethi G, Tan KH. Thymoquinone: potential cure for inflammatory disorders and cancer. Biochem Pharmacol. 2012;83(4):443-51. https://doi.org/10.1016/j.bcp.2011.09.029
https://doi.org/10.1016/j.bcp.2011.09.02...
. TQ can reduce the risk of cancer by preventing oxidative DNA damage induced by reactive oxygen radicals44 Zubair H, Khan HY, Sohail A, Azim S, Ullah MF, Ahmad A, et al. Redox cycling of endogenous copper by thymoquinone leads to ROS-mediated DNA breakage and consequent cell death: putative anticancer mechanism of antioxidants. Cell Death Dis. 2013;4(6):e660. https://doi.org/10.1038/cddis.2013.172
https://doi.org/10.1038/cddis.2013.172...
. It also induces apoptosis by lowering the phosphorylation of NF-κB and IKKα/β. TQ inhibits metastasis by increasing Janus kinase and p38 activity55 Imran M, Rauf A, Khan IA, Shahbaz M, Qaisrani TB, Fatmawati S, Abu-Izneid T, Imran A, Rahman KU, Gondal TA. Thymoquinone: A novel strategy to combat cancer: A review. Biomed Pharmacother. 2018;106:390-402. https://doi.org/10.1016/j.biopha.2018.06.159
https://doi.org/10.1016/j.biopha.2018.06...
. In a study, TQ showed anticancer activity in combination with gemcitabine on pancreatic cancer cell lines by suppression of Notch1, upregulation of PTEN, and inactivation of Akt/mTOR/S6 signaling pathways66 Mu GG, Zhang LL, Li HY, Liao Y, Yu HG. Thymoquinone Pretreatment Overcomes the Insensitivity and Potentiates the Antitumor Effect of Gemcitabine Through Abrogation of Notch1, PI3K/Akt/mTOR Regulated Signaling Pathways in Pancreatic Cancer. Dig Dis Sci. 2015;60(4):1067-80. https://doi.org/10.1007/s10620-014-3394-x
https://doi.org/10.1007/s10620-014-3394-...
. TQ noncytotoxic dose was found to boost the antiproliferative and apoptotic effects of some chemotherapeutics77 Fatfat Z, Fatfat M, Gali-Muhtasib H. Therapeutic potential of thymoquinone in combination therapy against cancer and cancer stem cells. World J Clin Oncol. 2021;12(7):522-43. https://doi.org/10.5306/wjco.v12.i7.522
https://doi.org/10.5306/wjco.v12.i7.522...
. TQ has been shown to have immune-modulatory effects in some studies. In particular, it increases the number and activity of immune cells88 Salem ML. Immunomodulatory and therapeutic properties of the Nigella sativa L. seed. Int Immunopharmacol. 2005;5(13-14):1749-70. https://doi.org/10.1016/j.intimp.2005.06.008
https://doi.org/10.1016/j.intimp.2005.06...
.

Black cumin is a well-known spice in our country and cancer patients often use it even without a doctor's recommendation. We observed that patients with end-stage metastatic pancreatic cancer used black cumin even though it was not recommended by us and benefited clinically. The cytotoxic effect of TQ on cancer cell lines has been demonstrated in previous studies. However, cytotoxicity on healthy cell lines has mostly not been studied in most of them99 Rooney S, Ryan MF. Effects of alpha-hederin and thymoquinone, constituents of Nigella sativa, on human cancer cell lines. Anticancer Res. 2005;25(3B):2199-204. PMID: 16158964. Therefore, we planned to show the effects of TQ in pancreatic cancer cell culture (PANC-1), healthy mesenchymal stem cells (MSCs), and peripheral blood mononuclear cell (PBMC) culture. In this way, besides the effect of TQ on pancreatic cancer cells, its cytotoxic effect on healthy cells will be demonstrated. In addition, its effect on the immune cells will be investigated. We planned to determine the toxic effect and dose of different concentrations of TQ chemical components on PANC-1, MSC, and PBMC cells.

METHODS

In this study, after the TQ chemical component was dissolved with 100% DMSO, the concentrations forming the experimental groups were prepared with the complete medium.

Experimental groups

  • Only cells (PANC-1, MSC, and PBMC);

  • Only cell (medium containing ≤0.1% DMSO);

  • 100, 50, 25, 12.5, 6.25, 3.125, 1, 0.1 μM TQ (separately) + cell.

IC50 values were calculated by measuring cell viability by MTT staining of cells incubated with TQ at 24, 48, and 72 h (the concentration-dependent curve was obtained by normalizing only the viability in the cell groups).

MTT-based cell viability analysis

TQ chemical component prepared at 100, 50, 25, 12.5, 6.25, 3.125, 1, and 0.1 μM doses was inoculated into 96-well plates at 10000 cells/well. Toxic effects of TQ at 24, 48, and 72 h were tested with MTT-based absorbance readings. Experimental groups were studied in five repetitions and their averages were taken.

Calculation of IC50 values

The IC50 values of TQ concentrations on PANC-1, MSC, and PBMC cells and the dose-response curve were calculated by entering logarithm values into the “non-linear regression” analysis data of the GraphPad Prism 8 program.

RESULTS

MTT-based cell viability analysis of 100, 50, 25, 12.5, 6.25, 3.125, 1, and 0.1 μM concentrations of TQ chemical components on PANC-1, MSC, and PBMC cells at 24, 48, and 72 h are given in Table 1. Effects of TQ chemical component on PANC-1, MSC, and PBMC cells at 24 and 72 h are given as dose-response curve in Figures 1 and 2. In PANC-1 and MSC, most cytotoxic doses of TQ were 100 μM; the cytotoxic effect decreased through lower doses. In both cell cultures, the maximal cytotoxicity was observed at 24 h, and it was decreased through 48 and 72 h. In PBMC culture, cytotoxicity was not observed. Even cell proliferation was observed at 6.25 μM TQ dose.

Figure 1
Dose-response curves at 24 h.
Figure 2
Dose-response curves at 72 h.
Table 1
3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide-based cell viability analysis of mean values.

DISCUSSION

TQ has toxic effects on PANC-1. But cytotoxic doses are also found to be toxic to MSC. The nontoxic TQ dose to MSC had no cytotoxic effect on PANC-1. We concluded that it is not possible to provide a sufficient TQ cytotoxic dose in pancreatic cancer without damaging healthy cells. Mu et al.66 Mu GG, Zhang LL, Li HY, Liao Y, Yu HG. Thymoquinone Pretreatment Overcomes the Insensitivity and Potentiates the Antitumor Effect of Gemcitabine Through Abrogation of Notch1, PI3K/Akt/mTOR Regulated Signaling Pathways in Pancreatic Cancer. Dig Dis Sci. 2015;60(4):1067-80. https://doi.org/10.1007/s10620-014-3394-x
https://doi.org/10.1007/s10620-014-3394-...
showed that TQ has cytotoxicity on the PANC-1 cell line at 50 and 25 μmol/L doses. But they did not study the effect of TQ on healthy cells. Tan et al.1010 Tan M, Norwood A, May M, Tucci M, Benghuzzi H. Effects of (-)epigallocatechin gallate and thymoquinone on proliferation of a PANC-1 cell line in culture. Biomed Sci Instrum. 2006;42:363-71. PMID: 16817635 reported that TQ has a cytotoxic effect on the PANC-1 cell line in various doses but they also did not study on healthy cells. There are very few studies in the literature on TQ that has immunomodulatory and immunotherapeutic potential. Therefore, to investigate the cytotoxic effect of TQ on PANC-1 cells via immune cells, an experimental plan was established for PBMC cells. As a result of this experiment, it was found that no dose of TQ was cytotoxic to PBMC cells. It has even been found to proliferate PBMC cells. As a result of the analyses, we think if TQ has anticancer activity, this effect may not be occurred by direct cytotoxicity but by immune system activation. There are some studies about the immune activator effects of N. sativa protein or oil, but there is no any study with TQ. In a study, it was reported that N. sativa proteins can increase the production of TNF-alpha either by nonactivated or by mitogen-activated PBMC1111 Haq A, Abdullatif M, Lobo PI, Khabar KS, Sheth KV, al-Sedairy ST. Nigella sativa: effect on human lymphocytes and polymorphonuclear leukocyte phagocytic activity. Immunopharmacology. 1995;30(2):147-55. https://doi.org/10.1016/0162-3109(95)00016-m
https://doi.org/10.1016/0162-3109(95)000...
. In another study, N. sativa proteins achieved the secretion of IL1-beta and IL-3 from PBMC1212 Haq A, Lobo PI, Al-Tufail M, Rama NR, Al-Sedairy ST. Immunomodulatory effect of Nigella sativa proteins fractionated by ion exchange chromatography. Int J Immunopharmacol. 1999;21(4):283-95. https://doi.org/10.1016/s0192-0561(99)00010-7
https://doi.org/10.1016/s0192-0561(99)00...
. At present, there is no any in vivo study to show the immune-activator effect of the TQ or N. sativa. Anticancer activity of N. sativa has been shown in some in vivo studies and this effect has been attributed to the anti-inflammatory and antioxidant properties of TQ88 Salem ML. Immunomodulatory and therapeutic properties of the Nigella sativa L. seed. Int Immunopharmacol. 2005;5(13-14):1749-70. https://doi.org/10.1016/j.intimp.2005.06.008
https://doi.org/10.1016/j.intimp.2005.06...
.

To understand this immune activator mechanism of action, in vivo studies supported by different doses of TQ and control groups are needed. For this reason, we think in vivo animal studies are necessary to elucidate the anticancer mechanism of TQ.

CONCLUSIONS

Although black cumin is a plant that is frequently used by cancer patients without the knowledge of the doctor, its effect on cancer is not known exactly. In our study, there are some clues that it may have its main anticancer effects through the activation of the immune system rather than its direct cytotoxic effects. These results encouraged us to investigate the relationship between TQ and the immune system. More in vitro and animal experiments are needed to investigate the anticancer effects of TQ via immune cells.

  • Funding: none.

REFERENCES

  • 1
    Güzelsoy P, Aydın S, Basaran N. Potential Effects of Thymoquinone, the Active Constituent of Black Seed (Nigelle Sativa L.), on Human Health. Turkiye Klinikleri J Health Sci. 2018;7(2):118-35. https://doi.org/10.5336/pharmsci.2018-59816
    » https://doi.org/10.5336/pharmsci.2018-59816
  • 2
    Murphy EM, Centner CS, Bates PJ, Malik MT, Kopechek JA. Delivery of thymoquinone to cancer cells with as1411-conjugated nanodroplets. PLoS One. 2020;15(5):e0233466. https://doi.org/10.1371/journal.pone.0233466
    » https://doi.org/10.1371/journal.pone.0233466
  • 3
    Woo CC, Kumar AP, Sethi G, Tan KH. Thymoquinone: potential cure for inflammatory disorders and cancer. Biochem Pharmacol. 2012;83(4):443-51. https://doi.org/10.1016/j.bcp.2011.09.029
    » https://doi.org/10.1016/j.bcp.2011.09.029
  • 4
    Zubair H, Khan HY, Sohail A, Azim S, Ullah MF, Ahmad A, et al. Redox cycling of endogenous copper by thymoquinone leads to ROS-mediated DNA breakage and consequent cell death: putative anticancer mechanism of antioxidants. Cell Death Dis. 2013;4(6):e660. https://doi.org/10.1038/cddis.2013.172
    » https://doi.org/10.1038/cddis.2013.172
  • 5
    Imran M, Rauf A, Khan IA, Shahbaz M, Qaisrani TB, Fatmawati S, Abu-Izneid T, Imran A, Rahman KU, Gondal TA. Thymoquinone: A novel strategy to combat cancer: A review. Biomed Pharmacother. 2018;106:390-402. https://doi.org/10.1016/j.biopha.2018.06.159
    » https://doi.org/10.1016/j.biopha.2018.06.159
  • 6
    Mu GG, Zhang LL, Li HY, Liao Y, Yu HG. Thymoquinone Pretreatment Overcomes the Insensitivity and Potentiates the Antitumor Effect of Gemcitabine Through Abrogation of Notch1, PI3K/Akt/mTOR Regulated Signaling Pathways in Pancreatic Cancer. Dig Dis Sci. 2015;60(4):1067-80. https://doi.org/10.1007/s10620-014-3394-x
    » https://doi.org/10.1007/s10620-014-3394-x
  • 7
    Fatfat Z, Fatfat M, Gali-Muhtasib H. Therapeutic potential of thymoquinone in combination therapy against cancer and cancer stem cells. World J Clin Oncol. 2021;12(7):522-43. https://doi.org/10.5306/wjco.v12.i7.522
    » https://doi.org/10.5306/wjco.v12.i7.522
  • 8
    Salem ML. Immunomodulatory and therapeutic properties of the Nigella sativa L. seed. Int Immunopharmacol. 2005;5(13-14):1749-70. https://doi.org/10.1016/j.intimp.2005.06.008
    » https://doi.org/10.1016/j.intimp.2005.06.008
  • 9
    Rooney S, Ryan MF. Effects of alpha-hederin and thymoquinone, constituents of Nigella sativa, on human cancer cell lines. Anticancer Res. 2005;25(3B):2199-204. PMID: 16158964
  • 10
    Tan M, Norwood A, May M, Tucci M, Benghuzzi H. Effects of (-)epigallocatechin gallate and thymoquinone on proliferation of a PANC-1 cell line in culture. Biomed Sci Instrum. 2006;42:363-71. PMID: 16817635
  • 11
    Haq A, Abdullatif M, Lobo PI, Khabar KS, Sheth KV, al-Sedairy ST. Nigella sativa: effect on human lymphocytes and polymorphonuclear leukocyte phagocytic activity. Immunopharmacology. 1995;30(2):147-55. https://doi.org/10.1016/0162-3109(95)00016-m
    » https://doi.org/10.1016/0162-3109(95)00016-m
  • 12
    Haq A, Lobo PI, Al-Tufail M, Rama NR, Al-Sedairy ST. Immunomodulatory effect of Nigella sativa proteins fractionated by ion exchange chromatography. Int J Immunopharmacol. 1999;21(4):283-95. https://doi.org/10.1016/s0192-0561(99)00010-7
    » https://doi.org/10.1016/s0192-0561(99)00010-7

Publication Dates

  • Publication in this collection
    19 Sept 2022
  • Date of issue
    Aug 2022

History

  • Received
    13 Apr 2022
  • Accepted
    06 May 2022
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