Evidence map›Paper›PMID 34343190›Full record

ArticlePloS one2021

Calotropis gigantea stem bark extract induced apoptosis related to ROS and ATP production in colon cancer cells.

Thanwarat Winitchaikul, Suphunwadee Sawong, Damratsamon Surangkul, Metawee Srikummool, Julintorn Somran, Dumrongsak Pekthong, Kittiya Kamonlakorn, Pranee Nangngam, Supawadee Parhira, Piyarat Srisawang

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 33 citations in OpenAlex.

  1. From traditional uses to biochemical evidence: phytochemical diversity and bioactivities of Calotropis gigantea-a comprehensive update since 2013.Medicinal chemistry research : an international journal for rapid communications on design and mechanisms of action of biologically active agents · 2026
    Review
  2. Article
  3. Chinese herbal medicines · 2025
    Article
  4. Article
  5. Curcumin Inhibits Oxidative Stress and Apoptosis Induced by HAnimals : an open access journal from MDPI · 2024
    Article
  6. Article
  7. Red Kale (Molecules (Basel, Switzerland) · 2023
    Article
  8. Article
  9. Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
    Article
  10. Review
  11. Heliyon · 2023
    Article
  12. Review
  13. Article
  14. Reactive Oxygen Species: Not Omnipresent but Important in Many Locations.Frontiers in cell and developmental biology · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Thanwarat WinitchaikulFaculty of Medical Science, Department of Physiology, Naresuan University, Phitsanulok, Thailand.
Suphunwadee SawongFaculty of Medical Science, Department of Physiology, Naresuan University, Phitsanulok, Thailand.
Damratsamon SurangkulFaculty of Medical Science, Department of Biochemistry, Naresuan University, Phitsanulok, Thailand.
Metawee SrikummoolFaculty of Medical Science, Department of Biochemistry, Naresuan University, Phitsanulok, Thailand.
Julintorn SomranFaculty of Medicine, Department of Pathology, Naresuan University, Phitsanulok, Thailand.ORCID 0000-0001-7158-0928
Dumrongsak PekthongFaculty of Pharmaceutical Sciences, Department of Pharmacy Practice, Naresuan University, Phitsanulok, Thailand.
Kittiya KamonlakornFaculty of Pharmaceutical Sciences, Department of Pharmaceutical Chemistry and Pharmacognosy, Naresuan University, Phitsanulok, Thailand.
Pranee NangngamFaculty of Science, Department of Biology, Naresuan University, Phitsanulok, Thailand.
Supawadee ParhiraFaculty of Pharmaceutical Sciences, Department of Pharmaceutical Technology, Naresuan University, Phitsanulok, Thailand.
Piyarat SrisawangFaculty of Medical Science, Department of Physiology, Naresuan University, Phitsanulok, Thailand.ORCID 0000-0002-0948-8239
Naresuan University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conventional chemotherapeutic agents for colorectal cancer (CRC) cause systemic side effects and eventually become less efficacious owing to the development of drug resistance in cancer cells. Therefore, new therapeutic regimens have focused on the use of natural products. The anticancer activity of several parts of Calotropis gigantea has been reported; however, the effects of its stem bark extract on inhibition of cancer cell proliferation have not yet been examined. In this study, the anticancer activity of C. gigantea stem bark extract, both alone and in combination with 5-fluorouracil (5-FU), was evaluated. A crude ethanolic extract was prepared from dry, powdered C. gigantea barks using 95% ethanol. This was then partitioned to obtain dichloromethane (CGDCM), ethyl acetate, and water fractions. Quantitative analysis of the constituent secondary metabolites and calotropin was performed. These fractions exhibited cytotoxicity in HCT116 and HT-29 cells, with CGDCM showing the highest potency in both the cell lines. A combination of CGDCM and 5-FU significantly enhanced the cytotoxic effect. Moreover, the resistance of normal fibroblast, HFF-1, cells to this combination demonstrated its safety in normal cells. The combination significantly enhanced apoptosis through the mitochondria-dependent pathway. Additionally, the combination reduced adenosine triphosphate production and increased the production of reactive oxygen species, demonstrating the mechanisms involved in the induction of apoptosis. Our results suggest that CGDCM is a promising anti-cancer agent and may enhance apoptosis induction by 5-FU in the treatment of CRC, while minimizing toxicity toward healthy cells.

Indexed as

Adenosine TriphosphateApoptosisCalotropisColonic NeoplasmsHCT116 CellsHT29 CellsHumansPlant BarkPlant ExtractsPlant StemsReactive Oxygen SpeciesAdenosine TriphosphatePlant ExtractsReactive Oxygen Species

Identifiers

PMID34343190
PMCPMC8330925
OpenAlexW3187305319

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.