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Effect of hispidulin on TRAIL-induced apoptosis in cancer cells through
  CaMKKβ/AMPK/USP51 axis-mediated Bim stabilization
  Seon Min Woo, Kyoung-jin Min and Taeg Kyu Kwon*

  Department of Immunology, School of Medicine, Keimyung University, Daegu, Korea.
                   BACKGROUND                                                  AIM

    Hispidulin   (4’,5,7-trihydroxy-6-methoxyflavone)  is  To overcome TRAIL resistance, we need more efficient therapeutic strategy,
   natural  compound,    and  has   multiple  functions,  such as combination treatment. Combination treatment might reduce adverse
                                                          effects, and increase anti-cancer effects. Most of sensitizers of cancer cells to
   including anti-inflammation, anti-fungal, anti-epileptic,  anti-cancer drugs modulate apoptosis-related proteins or signaling pathways,
   anti-hypnotic, and anti-osteoclastogenesis. In addition,  which are involved in cell survival and proliferation. Here, we investigate
                                                          whether hispidulin sensitizes cancer cells to TRAIL, and we identify the
   hispidulin has the potential anti-cancer effects.      molecular mechanisms which involved in hispidulin plus TRAIL-induced
                                                          apoptosis.
                                                RESULTS
   Figure 1                           Figure 2                           Figure 3

















   Figure 4                           Figure 5                           Figure 6



























    Hispidulin has the potential anti-cancer effects. For examples, hispidulin induces apoptosis in leukemia and hepatoblastoma cells [6,7], and suppresses angiogenesis, leading to inhibition of tumor
   growth in xenograft mice models. However, the study of mechanisms and the synergistic effects by the combination treatment with sub-lethal concentrations of anti-cancer drugs and hispidulin are still
   an unclear. Here, we demonstrated that combined treatment with hispidulin and TRAIL has synergistic anti-cancer effects in cancer cells and in in vivo xenograft models. We found that stabilization of
   Bim by hispidulin is a critical factor for combined treatment-induced apoptosis, and AMPK activation is related with Bim stabilization. AMPK increased Bim protein stability via up-regulation of USP51
   expression in hispidulin-treated cells. Therefore, we suggested that hispidulin could enhance TRAIL-mediated apoptosis via CaMKKβ/AMPK/USP51axis-mediated Bim stabilization.
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