Modulation of Apoptosis and ER Stress Markers in Hepatocellular Carcinoma Cells by Irinotecan, Hesperidin, and Piperine

Aim: Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related mortality, and there is a pressing need to explore novel therapeutic strategies that enhance the efficacy of existing treatments. This study aims to investigate the effects of irinotecan (IRT), hesperidin (HSP), and piperi...

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Main Authors: Serkan Sen, Kardelen Kocaman Kalkan, Canan Yilmaz, Sefa Celik
Format: Article
Language:English
Published: Galenos Yayinevi 2024-11-01
Series:Haseki Tıp Bülteni
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Online Access:https://www.hasekidergisi.com/articles/modulation-of-apoptosis-and-er-stress-markers-in-hepatocellular-carcinoma-cells-by-irinotecan-hesperidin-and-piperine/doi/haseki.galenos.2025.9962
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author Serkan Sen
Kardelen Kocaman Kalkan
Canan Yilmaz
Sefa Celik
author_facet Serkan Sen
Kardelen Kocaman Kalkan
Canan Yilmaz
Sefa Celik
author_sort Serkan Sen
collection DOAJ
description Aim: Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related mortality, and there is a pressing need to explore novel therapeutic strategies that enhance the efficacy of existing treatments. This study aims to investigate the effects of irinotecan (IRT), hesperidin (HSP), and piperine (PIP) on HCC (HepG2), focusing on their modulation of apoptosis-related genes and endoplasmic reticulum (ER) stress markers. Methods: This study is an in vitro experimental study. IC50 values for IRT, HSP, and PIP were determined using MTT cell viability assays. Researchers performed total RNA extraction and quantitative PCR to assess mRNA levels of Bad, Bax, and p53 (apoptosis-related genes) and ATF4, CHOP, and GRP78 (ER stress markers). Results: Irinotecan significantly upregulated the expression of Bad, Bax, and p53 genes, as well as ER stress markers such as ATF4, CHOP, and GRP78. Hesperidin-enhanced apoptotic gene expression and exacerbated ER stress. Piperine attenuated IRT-induced apoptosis and suppressed ER stress markers. Conclusion: Combining IRT with HSP enhanced apoptosis and ER stress in HepG2 cells, suggesting synergistic potential against HCC. Conversely, IRT combined with PIP reduced apoptotic response and ER stress markers, possibly compromising IRT's efficacy. These findings highlight complex interactions between chemotherapeutic agents and natural compounds, warranting further exploration in combination therapies.
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institution Kabale University
issn 1302-0072
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publishDate 2024-11-01
publisher Galenos Yayinevi
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spelling doaj-art-44cf7c15119249278fed18e335dd94212025-01-28T07:13:53ZengGalenos YayineviHaseki Tıp Bülteni1302-00722147-26882024-11-0162526527110.4274/haseki.galenos.2025.9962Modulation of Apoptosis and ER Stress Markers in Hepatocellular Carcinoma Cells by Irinotecan, Hesperidin, and PiperineSerkan Sen0https://orcid.org/0000-0002-2884-4753Kardelen Kocaman Kalkan1https://orcid.org/0000-0002-5749-5687Canan Yilmaz2https://orcid.org/0000-0002-6799-6522Sefa Celik3https://orcid.org/0000-0002-5187-378XAfyonkarahisar Health Sciences University, Ataturk Vocational School of Health Services, Deparment of Medical Laboratory Techniques, Afyonkarahisar, TurkeyGazi University Faculty of Medicine, Department of Medical Biochemistry, Ankara, TurkeyGazi University Faculty of Medicine, Department of Medical Biochemistry, Ankara, TurkeyAfyonkarahisar Health Sciences University Faculty of Medicine, Department of Medical Biochemistry, Afyonkarahisar, TurkeyAim: Hepatocellular carcinoma (HCC) remains a leading cause of cancer-related mortality, and there is a pressing need to explore novel therapeutic strategies that enhance the efficacy of existing treatments. This study aims to investigate the effects of irinotecan (IRT), hesperidin (HSP), and piperine (PIP) on HCC (HepG2), focusing on their modulation of apoptosis-related genes and endoplasmic reticulum (ER) stress markers. Methods: This study is an in vitro experimental study. IC50 values for IRT, HSP, and PIP were determined using MTT cell viability assays. Researchers performed total RNA extraction and quantitative PCR to assess mRNA levels of Bad, Bax, and p53 (apoptosis-related genes) and ATF4, CHOP, and GRP78 (ER stress markers). Results: Irinotecan significantly upregulated the expression of Bad, Bax, and p53 genes, as well as ER stress markers such as ATF4, CHOP, and GRP78. Hesperidin-enhanced apoptotic gene expression and exacerbated ER stress. Piperine attenuated IRT-induced apoptosis and suppressed ER stress markers. Conclusion: Combining IRT with HSP enhanced apoptosis and ER stress in HepG2 cells, suggesting synergistic potential against HCC. Conversely, IRT combined with PIP reduced apoptotic response and ER stress markers, possibly compromising IRT's efficacy. These findings highlight complex interactions between chemotherapeutic agents and natural compounds, warranting further exploration in combination therapies.https://www.hasekidergisi.com/articles/modulation-of-apoptosis-and-er-stress-markers-in-hepatocellular-carcinoma-cells-by-irinotecan-hesperidin-and-piperine/doi/haseki.galenos.2025.9962irinotecanhesperidinpiperinecarcinomahepatocellularapoptosisendoplasmic reticulum
spellingShingle Serkan Sen
Kardelen Kocaman Kalkan
Canan Yilmaz
Sefa Celik
Modulation of Apoptosis and ER Stress Markers in Hepatocellular Carcinoma Cells by Irinotecan, Hesperidin, and Piperine
Haseki Tıp Bülteni
irinotecan
hesperidin
piperine
carcinoma
hepatocellular
apoptosis
endoplasmic reticulum
title Modulation of Apoptosis and ER Stress Markers in Hepatocellular Carcinoma Cells by Irinotecan, Hesperidin, and Piperine
title_full Modulation of Apoptosis and ER Stress Markers in Hepatocellular Carcinoma Cells by Irinotecan, Hesperidin, and Piperine
title_fullStr Modulation of Apoptosis and ER Stress Markers in Hepatocellular Carcinoma Cells by Irinotecan, Hesperidin, and Piperine
title_full_unstemmed Modulation of Apoptosis and ER Stress Markers in Hepatocellular Carcinoma Cells by Irinotecan, Hesperidin, and Piperine
title_short Modulation of Apoptosis and ER Stress Markers in Hepatocellular Carcinoma Cells by Irinotecan, Hesperidin, and Piperine
title_sort modulation of apoptosis and er stress markers in hepatocellular carcinoma cells by irinotecan hesperidin and piperine
topic irinotecan
hesperidin
piperine
carcinoma
hepatocellular
apoptosis
endoplasmic reticulum
url https://www.hasekidergisi.com/articles/modulation-of-apoptosis-and-er-stress-markers-in-hepatocellular-carcinoma-cells-by-irinotecan-hesperidin-and-piperine/doi/haseki.galenos.2025.9962
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AT kardelenkocamankalkan modulationofapoptosisanderstressmarkersinhepatocellularcarcinomacellsbyirinotecanhesperidinandpiperine
AT cananyilmaz modulationofapoptosisanderstressmarkersinhepatocellularcarcinomacellsbyirinotecanhesperidinandpiperine
AT sefacelik modulationofapoptosisanderstressmarkersinhepatocellularcarcinomacellsbyirinotecanhesperidinandpiperine