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柯帕裂橄提取物对乳腺癌细胞株的细胞毒性和迁移抑制作用Bursera copallifera Extracts Have Cytotoxic and Migration-Inhibitory Effects in Breast Cancer Cell Lines 使用格哈特公司索克森SOXTHERM全自动快速索氏提取仪,以甲醇做为溶剂,提取10克柯帕裂橄叶粉1.3小时 B. copallifera powdered dried leaves (10 g) were extracted with methanol using a soxtherm apparatus (Soxtherm automatic, Gerhardt, Germany) for 1.3hours

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柯帕裂橄提取物对乳腺癌细胞株的细胞毒性和迁移抑制作用Bursera copallifera Extracts Have Cytotoxic and Migration-Inhibitory Effects in Breast Cancer Cell Lines使用格哈特公司索克森SOXTHERM全自动快速索氏提取仪,以甲醇做为溶剂,提取10克柯帕裂橄叶粉1.3小时B. copallifera powdered dried leaves (10 g) were extracted with methanol using a soxtherm apparatus (Soxtherm automatic, Gerhardt, Germany) for 1.3hours柯帕裂橄提取物对乳腺癌细胞株的细胞毒性和迁移抑制作用Research Article 655Domínguez et al Bursera copallifera Extracts Have Cytotoxic and Migration-Inhibitory Effects in Breast Cancer Cell Lines Integrative Cancer Therapies 2018, Vol. 17(3) 654 –664© The Author(s) 2018Article reuse guidelines:sagepub.com/journals-permissions hDttOpsI::/ /1d0o.i.1o1rg7/71/01.1513747/7135534417385746168471666416journals.sagepub.com/home/ict QSAGE Adilene Acosta-Casique, BSc1, Sofía Rodríguez-Rodríguez, MSc1, Diego A. Moreno, PhD2, Federico Ferreres, PhD2, Juan Carlos Flores-Alonso, MSc1, María Guadalupe Delgado-López, BSc1, Martín Pérez-Santos, PhD3, and Maricruz Anaya-Ruiz, PhD1 Abstract Plants from the Bursera genus are widely distributed in the tropical dry forests of Mexico. In traditional medicine, extracts from different species of Bursera have been used for a wide range of biological activities, including the treatment of cancer-related symptoms. Compounds present in the Bursera genus include lignans, flavonoids, steroids, short-chain aliphatic alkanes, acetates, alcohols, ketones, and terpenoids. In some instances, secondary metabolites of these classes of compounds may induce cytotoxicity, and therefore we sought to investigate the effects of B. copallifera leaf extracts in breast cancer cell lines to evaluate their potential therapeutic value for the treatment of breast cancer, one of the most prevalent types of cancer in women worldwide. Two B. copallifera leaf extracts exerted cytotoxic effects on both the MCF7 and MDA-MB-231 breast cancer cell line models. The cytotoxic effect was more evident in the MDA-MB-231 triple negative cell line inhibiting also the migration of these cells. We identified hydroxycinnamic acid and flavonol derivatives as major phenolic components of the extracts. Our results strongly suggest a potential use of the Bursera leaf extracts rich in phenolic compounds, their individual phenolic compounds, or their combinations for the treatment of breast cancer. Keywords Bursera copallifera, breast cancer, cytotoxicity, migration Submitted November 8, 2017; revised January 9, 2018; accepted February 12, 2018 Introduction The plant family Burseraceae consists of approximately 20genera and 600 species that are widely distributed at low elevations in subtropical regions.1 The most representative genus is Bursera, with over a hundred species present from the south of the United States to Peru.2 In Mexico, Bursera is one of the most important physiognomic components of the tropical dry forests and is locally known as cuajiote or copal. In many places, the genus becomes the dominant or codomi-nant woody taxon, surpassing the legumes in diversity and abundance3,4 and is notable for its terpenoid secretions and exudates,5-7 which are known to provide chemical defense against specialized herbivores.8,9 The genus Bursera is the past and current source of copal and incense of Aztec and Maya Indians.10 The word copal comes from the Nahuatl word copalli, name given to the different aromatic resins used as incense, independent of the plant from which they are extracted.11,12 Since pre-Hispanic times, the use of these res-ins has had a great social, economic, religious-ceremonial relevance, as well as in daily life. In this regard, there are current references by the populace on the consumption(dis-solved or swallowed) of the fruits of copal(B. copallifera)“to get rid of abscesses or lumps in the breast.”13-15 Bursera extracts and compounds have been investigated for a wide range of biological activities, for example, antioxidant, 1Instituto Mexicano del Seguro Social, Atlixco, Puebla, Mexico2Campus Universitario Espinardo-25, Murcia, Espinardo, Spain 西班牙穆尔西亚大学 3Benemérita Universidad Autónoma de Puebla, Atlixco, Puebla, Mexico 墨西哥社会保障研究所 *These authors contributed equally to this work. 墨西哥普埃布拉自治大学 Corresponding Author: Maricruz Anaya-Ruiz, Centro de Investigación Biomédica de Oriente, Instituto Mexicano del Seguro Social. Km 4.5 Carretera Atlixco-Metepec, HGZ5, Atlixco, Puebla 74360, Mexico. Email: manaya19@yahoo.com.mx Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution- BY NC (https://us.sagepub.com/en-us/nam/open-access-at-sage). cytotoxic, antihelmintic, bactericidal, antiparasitic, acaricidal, anti-inflammatory, and antiviral activities.16-26 Phytochemical studies of the genus Bursera have reported the presence of lig-nans,bilignans,flavonoids,flavonoidglycosides,steroids, short-chain aliphatic alkanes, acetates, alcohols, ketones, and terpenoids, the latter mostly monoterpenes while diterpenes and triterpenes occur at lesser extent.5,6,18,27-33 Secondary metabo-litesbelongingtothesegroupsofcompoundshavebeen reported to have cytotoxic properties,34-36 further suggesting a potential use of Bursera extracts in the treatment of cancer. Accordingly, extracts of B. ariensi, B. bicolor, B. linanoe, B. galeottiana, B. fagaroides, B. graveolens, B. microphylla, and B. schlechtendalli have been found to induce growth inhibitory effects in different cancer cell lines, and extracts from B. faga-roides, B. permollis, B. morelensis, B. microphylla, B. klugii, and B. schlechtendalii have also been shown to exert antitumor activity in mice.17,18,37,38 Recently, the cytotoxic activity of B. copallifera extracts from stem and leaves on different types of cancer cell lines has been also demonstrated.39 Since there are references by the populace on the con-sumption of B. copallifera to get rid of abscesses or lumps in the breast,13-15 we evaluated the effects of this particular spe-cies on breast cancer cell lines. Also, presence of resins and essential oils is characteristic of the genus and many studies have focused on the chemical characterization of bark or volatiles; however, little is known about the compounds present in leaves and their biological activity.18,19,40,41 Materials and Methods Sample Extraction Samples of B. copallifera collected in Iguala, Guerrero, Mexico(CFA) and Taxco de Alarcón Guerrero(TA) in October–November were identified and preserved at the IMSS(Instituto Mexicano del Seguro Social) herbarium in Mexico City for future reference, with the voucher number 24578. B. copallifera powdered dried leaves(10 g) were extracted with methanol using a soxtherm apparatus (Soxtherm automatic, Gerhardt, Germany) for 1.30 hours at 60°C, with reduction intervals of 2 minutes 30 seconds and reduction pulse of 2 seconds. The extract was filtered and concentrated under reduced pressure to dryness and the residue was dissolved in DMSO and protected from light until use on cell cultures. Identification of Phenolic Compounds by HPLC-DAD-ESI/MSn by RP-HPLC-DAD For the chemical analysis, each sample was mixed with 1.5mL of methanol:water:formic acid(25:24:1, v:v:v), then it was vortexed and sonicated in an ultrasonic bath for 60minutes. The samples were kept at 4°C overnight and soni-cated again for 60 minutes. A centrifugation was performed for 10 minutes at 10 000 rpm to separate the supernatant from the solid residue. The supernatant was filtered through a 22 um PVDF(polyvinylidene fluoride) filter before anal-ysis. The chromatographic analyses for identification were carried out on a Luna C18 column(250 × 4.6 mm, 5 um particle size; Phenomenex, Macclesfield, UK). Water:formic acid(99:1, v/v) and acetonitrile were used as the mobile phases A and B, respectively, with a flow rate of 1 mL/min. The linear gradient started with 8% solvent B, reaching 15% solvent B at 25 minutes, 22% at 55 minutes, and 40%at 60 minutes, which was maintained to 70 minutes. The injection volume was 20 uL. The HPLC-DAD-ESI/MSn analyses were carried out using an Agilent HPLC 1100series model equipped with a photodiode array detector and a mass detector in series(Agilent Technologies, Waldbronn, Germany).Theequipmentconsistedofabinarypump (modelG1312A),anautosampler(modelG1313A),a degasser(model G1322A), and a photodiode array detector (model G1315B). The HPLC system was controlled by ChemStation software(Agilent, version 08.03). The mass detector was an ion trap spectrometer(model G2445A) equipped with an electrospray ionization interface, and was controlled by LCMSD software(Agilent, version 4.1). The ionization conditions were 350°C and 4 kV, for capillary temperature and voltage, respectively. The nebulizer pres-sure and nitrogen flow rate were 65.0 psi and 11 L/min, respectively. The full-scan mass covered the range of m/z from 100 to 1200. Collision-induced fragmentation experi-ments were performed in the ion trap using helium as the collision gas, with voltage ramping cycles from 0.3 to 2 V. The mass spectrometry data were acquired in the positive ionization mode for anthocyanins and in the negative ion-ization mode for other flavonoids. The MSn was carried out in the automatic mode on the more-abundant fragment ion in MS(n − 1). For the quantification, all samples were also centrifuged for 5 minutes at 9500 × g. Each supernatant was filtered through a 0.22 um PVDF filter(Millex HV13, Millipore, Bedford, MA, USA) before injection into the HPLC-DAD system. Chromatograms were recorded at 280, 320, and 360 nm. Flavonols were determined as quercetin 3-O-glucosides at 360nm, and phenolic acids and derivatives as 5-O-caffeoylquinic acid at 320 nm. Cell Culture The MCF7 and the MDA-MB-231 cell lines were cultured in RPMI and DMEM high glucose medium, respectively, both containing 10% fetal calf serum(FCS, full medium). Cells were kept in a humidified incubator containing 5%CO2. For each experiment, cells were trypsinized, plated atthe indicated densities, and treated after 24 hours. For B. copallifera extract treatment, the methanolic extract with a concentration of 172 mg/mL was diluted as a 1:1000 work solution in serum free media. Before treatment, full medium was replaced with serum-free media and the extract was used at concentrations between 2.5 to 200 ug/mL for 24hours as described in each experiment. Hematoxylin-Eosin and Giemsa Staining MCF7 and MDA-MB-231 cells were plated on coverslips in 6-well plates at a density of 5 × 105 cells/ well. The cells were treated with the indicated concentrations of the B. cop-allifera extract and after 24 hours, they were fixed in metha-nolfor3minutesandwashedwithsterilephosphate buffered saline(PBS) 3 times. Cells were incubated with Harris hematoxylin(Omnichem, Lima, Peru) for 5 minutes and washed with distilled water. Cells were stained with eosin for 1 minute, washed twice with PBS and mounted with sterile water. For Giemsa staining, the cells were fixed in methanol for 5 minutes, washed with PBS, and stained for 5 minutes with a working solution of Giemsa stain pre-pared from a commercially available stock solution(Golden Bell, Jalisco, Mexico) according to the manufacturer’s rec-ommendations. The coverslips were then washed with dis-tilled water to remove the excess dye and lastly, air dried. Viability Tests For MTT experiments, cells were plated in 96-well plates, at a density of 5000 cells/well. They were treated with different concentrationsoftheB.copalliferaextractandafter24hours, they were washed with PBS and incubated with MTT working solution containing 0.5 mg/mL MTT(thiazolyl blue tetrazolium bromide, Sigma, St Louis, MO, USA), 7% FCS and penicillin/streptomycin in PBS for 4 hours. After incuba-tion, the dye was solubilized with DMSO and the plate was read in a LP400 microplate reader (Anthos Labtec Instruments, Wals, Austria) at 550 nm with a 620 nm refer-ence. Calcein AM(Molecular Probes, Eugene, OR, USA) and propidium iodide(PI) staining were used to determine cytotoxicity. Cells were plated on coverslips at a density of 75 000 cells per dish(35 mm), treated with different concen-trations of the B. copallifera extract and after 24 hours, they wereincubatedwith0.5nMcalcein AMinserum-free medium for 15 minutes and then incubated with 1 uM PI for 5 minutes, both at 37°C. Cells were mounted with medium and observed in a Zeiss Observer.Z1 microscope equipped with an Axiocam MRm camera with green filter set 44(1114-459, excitation BP 475/40 and emission BP 530/50) or red filter set 45(1114-462, excitation BP 460/40 and emission BP 630/75). Clonogenic assays were used to determine long-term survival of the cells after treatment with the extract. Briefly, cells were plated on 24-well plates at a density of 3000 cells for MCF7 and 1500 for cells/well for MDA-MB-231 and treated for 24 hours with different con-centrations of the B. copallifera extract. After treatment, cells were washed with PBS and medium was replaced with full media. The cells were left in culture for 5 more days, they were fixed(10% acetic acid, 10% methanol, 80% water) and stained with crystal violet solution(0.4% crystal violet, 20%ethanol in water). Stain was solubilized with 30% acetic acid and absorbance was measured at 540 nm in a Synergy 4(BioTek, Winooski, VT, USA) microplate reader. Controls were treated with the amount of methanol present in the high-est concentration of the extract(0.2 uL/mL) since we previ-ously found no differences in cell viability in cells treated with different amounts of vehicle(data not shown). Migration Assay Cells were plated in a 24-well plate at a density of 50 000cells/well. After 24 hours in culture, 3 wounds per well were made with the laser beam of a PALM Microbeam Zeiss Observer.Z1 Microscope. The wound was 328 um wide and 750 um long. After the wound was made, the medium was changed to serum free medium and cells were treated with the B. copallifera extract. After 24 hours, cells were stained with calcein AM as previously described and imaged in a Zeiss Observer.Z1 fluorescence microscope with green filter set 44. Green fluorescence intensity was calculated as intensity mean value using Zen 2 software (Carl Zeiss Microscopy, GmbH, 2011). Statistical Analysis Data are presented as mean ± standard error of the mean (SEM). Statistical differences were determined using GraphPad Prism 6.04 software. P values ≤.05 were consid-ered as statistically significant. IC50(inhibitory concentra-tion 50) values were determined using GraphPad Prism 6.04 software with a logarithmic versus response nonlinear fit adjustment. Results We investigated the effects of 2 B. copallifera extracts on 2 breast cancer cell lines that belong to different subtypes of breast cancer. The MCF7 cell line is an ER(estrogen receptor)– and PR(progesterone receptor)–positive cell line and the MDA-MB-231 is a triple negative breast cancer cell line(ER, PR, and human epidermal growth factor receptor 2[HER2] negative).43 Hematoxylin-eosin and Giemsa staining of cells treated with B. copallifera showeddramaticmorphologicalchangesinbothcell lines characterized by cell swelling, cytoplasmic vacuol-izationandnuclearcondensationwhenevaluatedin hematoxylin-eosin(Figure 1A) or Giemsa-stained slides (Figure 1B). Interestingly, the TA extract–induced mor-phological changes at lower concentrations than the CFA extract(data not shown). Figure 1. Bursera copallifera extract–induced morphological changes in breast cancer cell lines. Hematoxylin-eosin(A) or Giemsa(B) staining of MCF7 and MDA-MB-231 cells treated with a B. copallifera extract at 40 and 100 pg/mL(B40 and B100). Cells were treated for 24 hours with the extract and then stained as indicated in the Materials and Methods section. Tetrazolium salt reduction by NADH-dependent dehydro-genases in the cell has been extensively used as an indicator of cell viability.44 Thus, we tested a tetrazolium salt, MTT, transformation efficiency in both cell lines using both B. cop-allifera extracts. Both the TA and CFA extracts decreased MTT transformation in a dose-dependent manner and the TA extract had a more pronounced effect than the CFA extract in both cell lines(Figure 2). In the MCF7 cells, TA extract was more effective at reducing MTT transformation at 25 and 50ug/mL when compared to the CFA extract. In MDA-MB-231cells, the same difference was observed at 12.5 and 50 ug/mL. The MDA-MB-231 cell line showed the highest sensi-tivity to B. copallifera treatment when compared with MCF7cells(Figure 3A). According to the National Cancer Institute (NCI), plant extracts with cytotoxic ED50(effective dose 50) values ≤30 ug/mL are considered active.37 The calculated IC50 doses were 34.88 and 12.43 ug/mL for MCF7 and MDA-MB-231 cell lines respectively, suggesting that the B. copallifera extract might have a therapeutic potential particu-larly for breast cancers like the MDA-MB-231 triple negative cell line. The TA and CFA samples were analyzed for the presence of(poly) phenolic compounds and the results displayed mainlyhydroxycinnamicacidandflavonolderivatives, which were determined by HPLC-DAD-ESI-MSn analysis. Based on retention times, ultraviolet spectra, mass fragmen-tation and comparison with available data in the literature, a total of 16 compounds were clearly identified in B. copal-lifera. Data on retention time, fragmentation pattern, and presence in the samples are presented in Table 1. Most of Figure 2. Bursera copallifera extracts induced a decrease in cell number in breast cancer cell lines. MTT transformation was used to determine the effect of both the TA and CFA extracts on cell viability of MCF7 and MDA-MB-231 cell lines. Graphs show the mean+ SE of 4 independent experiments performed in triplicate.*Different from the other extract at the same concentration, p<.05. the 16 identified compounds were present and common to both samples analyzed. Only a few compounds were differ-ent according to the sample used, such as Myricetin-3-glc and Myricetin-3-rha present only in TA samples and Q-3-rut(Rutin) which was found to be present only in the CFA extract. In this regard, the presence of the two compounds in the TA but not the CFA extract(myricetin-3-glc and myricetin-3-rha), suggests that the increased efficiency of the TA extract at reducing cell viability could be due to the presence of these glycosilated flavonols, to their interaction with other phenolic compounds or to a higher concentration of the other phenolic compounds with known cytotoxic activities present in the extracts. A decrease in cell number or in MTT transformation effi-ciency could be due to decreased proliferation or to increased cell death. To determine if the B. copallifera extract had a cytotoxic effect, we performed death assays and long-term clonogenic assays in both cell lines using the TA extract. Nonfluorescent calcein AM is converted to green fluores-cent calcein by intracellular esterase activity. Calcein is well retained within live cells, producing an intense green fluo-rescence in them. Also, propidium iodide(PI) staining enters the cells with damaged membranes and binds nucleic acids, thereby producing a red nuclear fluorescence in dead cells. In agreement with the MTT results, B. copallifera treatment induced a dose-dependent decrease in cell viability(green staining) and an increase in cell death(red staining) in both cell lines(Figure 3B and C). However, there was a decrease in cell viability in the MDA-MB-231 cell line starting at 2.5ug/mL after 24 hours of treatment and this decrease was evi-dent in the MCF7 cell line until 10 ug/mL. The different sensitivity of the cell lines to the extract was more evident at 20 ug/mL where MCF7 cells showed a 49.89% in cell viabil-ity(50.88% cell death) and the MDA-MB-231 showed a 17.85% of cell viability(82.14% cell death). Long-term colony formation experiments have been used to determine cell death after treatment with radiation or che-motherapy.45Sinceviabilityexperimentswereperformed after 24 hours of treatment, our MTT and calcein/PI staining results suggest that the B. copallifera extract is cytotoxic after a short-term treatment. However, these results did not rule out the possibility that the extract was causing cell damage that would eventually result in cell death at lower concentrations as radiation or chemotherapy do. We treated both cell lines with different concentrations of the extract for 24 hours, removed the treatment, and allowed the cells to recover and proliferate in full medium for 5 days(Figure 4). A decrease in cell number was observed even at 2.5 ug/mL particularly in the MDA-MB-231 cell line. Our data show that despite being nontoxic at low concentrations at 24 hours, the B. copallifera extract induced cell damage that ultimately resulted in cell death at later time points. There was a decrease in viability starting at 2.5 ug/mL in both cell lines and the MDA-MB-231cell line was more sensitive than the MCF7 cells starting at the lowest concentration tested. Concentrations of 5 and 20 ug/mL were the lowest that completely killed the MDA-MB-231and MCF7 cells, respectively(Figure 4A and B). We used concentrations of the extract where cell toxicity induced by the B. copallifera extract was minimal in both cell lines at 24 hours(Figure 3) to assess migration inhibi-tion in a wound assay for both cell lines. In the MCF7 cell line, we did not observe a dramatic increase in green fluo-rescence as measured by calcein green fluorescence inten-sity in the wound area in the control cells. There was an increase in fluorescence intensity at the concentration of 2.5ug/mL and no difference at 5 ug/mL. On the other hand, in the MDA-MB-231,a highly metastatic cell line, we observed a dramatic wound recovery and the wound area was almost completely recovered after 24 hours. Treatment with the extract dramatically reduced cell number in the wound area in this cell line(Figure 5A and B). Figure 3. The Bursera copallifera extract was cytotoxic to breast cancer cell lines. In(A), we used MTT transformation to compare the sensitivity to the extract between the MCF7 and MDA-MB-231 cell lines. The graph shows mean+ SE of 4 independent experiments performed in triplicate.*Different from the other cell line, p<.05. In(B) and(C), Calcein/propidium iodide staining were used to test cytotoxic effects of the extract. In(B), graphs show the mean+ SE of 3 independent experiments.*Different from vehicle-treated cells, P<.05. A representative image is shown in(C) for the different concentrations of the extract tested(pg/mL). Discussion Breast cancer is the leading cause of cancer death in women worldwide. Although breast cancer has a higher incidence in developed countries, an estimated 60% of deaths provoked by this disease occur in the developing world.42 Although some developed countries have achieved a decrease in mor-tality rate in women with breast cancer,43 other countries still show increasing incidence and mortality rates.42 Breast cancer is a highly heterogeneous disease. In the clinic, it has been classified by the presence of biological mark-ers including the presence or absence of estrogen receptors Table 1. Compounds Identified in the Samples of Bursera copallifera by HPLC-DAD-ESI-MSn. Phenolic Compounds Rt(Minutes) [M]− m/z MSn m/z TA CFA 5-CQA(chlorogenic acid) 18.7 353a 191 + + Quercetin-3-rha-X-glcb 25.9 609 447, 301 + + 5 p-coumaroyl quinic acid 27.2 337 191, 163 + + Cafferoyl shikimic acid 28.9 335 179, 135 + + Feruloyl quinic acid 31.2 367 191 + + Myricetin-3-gal 35.0 479 316, 179 + + Myricetin-3-glc 35.9 479 316, 179 + − Quercetin-3-glc-gallic 40.5 615 463, 301 + + Myricetin-3-rha 42.3 463 316, 179 + − Q-3-rut(rutin) 43.1 609 301 − + Q-3-gal 44.2 463 301 + + Q-3-glc 45.6 463 301 + + Q-3-xyl 48.8 433 301 + + Q-3-arabp 50.5 433 301 + + Q-3-arabf 52.5 433 301 + + Q-3-rha 54.0 447 301 + + Abbreviations: HPLC-DAD-ESI-MSn, high-performance liquid chromatography–photodiode array detection–electrospray ionization–mass spectrometry; rut, rutinoside; gal, galactoside; glc, glucoside; rha, rhamnoside, xyl, xyloside; arabp, arabinopyranoside; arabf, arabinofuronoside. aDimeric adduct[M]−= 707 m/z. bQuercetin 3-rhamnoside-X-glucoside or Quercetin 3-glucoside-X-rhamnoside. (ER),progesteronereceptors(PR),andhumanepidermal growth factor receptor 2(HER2). Hormone receptor–positive breast cancers(ER+ and/or PR+) are associated with the most favorable short-term prognosis since the expression of hor-monereceptorsallowstreatmentwithhormonaltherapy. HER2-enriched breast cancers are more aggressive but the use of targeted therapies against HER2 signaling has reversed much of the adverse prognosis of these types of cancers. Finally, triple negative breast cancers do not express any of the receptors. Women diagnosed with this type of breast cancer have the worst short-term prognosis since there are no targeted therapies for these tumors.44 The heterogeneity of breast can-cer, the high toxicity and adverse effects of chemotherapy as well as the lack of targeted treatments for the triple negative disease make it imperative to find alternative treatments that could lead to an increase in life expectancy of breast cancer patients. Plants from the Bursera genus are known to contain cyto-toxic/antitumoral lignans35 and scientific evidence supports their use as cytotoxic agents. Extracts from stems and fruits of B. copallifera have been found to have cytotoxic effects on some cancer cell lines, including the MCF7 breast cancer celllinedespitetheabsenceofpodophyllotoxinand/or related lignans, which are compounds with known cytotoxic activities.35 In agreement with these results, we did not find podophyllotoxin or any related lignan in the HPLC-DAD-ESI-MSn analysis of the B. copallifera extracts that we used. Our results suggest that the cytotoxic activity in the B. cop-allifera extracts was due to the hydroxycinnamic acid and flavonol derivatives present in the extracts, since some of these compounds are known to possess anticancer activities. For instance, chlorogenic acid, quercetin derivatives, and myricetin, have been proposed to have anticancer activities inbreast45-47andothertypesofcancer.46-48Importantly, myricetin-3-glc and myricetin-3-rha, 2 glycosilated flavo-noids were present only in the extract with the highest cyto-toxic activity. So, the higher cytotoxic activity found in this extract could be due to the presence of these compounds or to their interaction with the other phenolic compounds pres-ent in the extract. The available literature on flavonoids from Bursera spp. is very limited, and only a few communications on the prenylflavonoids of B leptophloeos were available.49The characterization of flavonols in B. copallifera was not previously documented to the best of our knowledge,50and for the purpose of this work, the glycosylated flavo-noids in the samples are potential candidates for exerting the observed cytotoxic effects, based on their potential for bioactivity.51 Recently,thehexanefractionofamethanolicresin extract of B microphylla was shown to have antiprolifera-tive and proapoptotic effects in different types of cancer cell lines, including the MCF7 breast cancer cell line.38,52The mechanism by which this extract induced cytotoxicity involved a p53-independent increase in p21 together with a decrease in cyclin E, reduced Rb phosphorylation, and cas-pase-3 activation. It will be important to test if B. copal-lifera extracts, any of its components or the combination of constituents in the extract exert cytotoxicity by a similar mechanism. [Bursera copallifera],ug/mL B Figure 4. The Bursera copallifera extract was cytotoxic to breast cancer cell lines and decreased long-term survival at low concentrations. We used clonogenic survival experiments to determine the long-term effects of the extract in both breast cancer cell lines. The graph in(A) shows the mean+ SE of 3 independent experiments.*Different from the other cell line, p<.05. In(B), a representative image is shown from stained wells containing cells treated with the different concentrations of the extract(pg/mL). Metastasis formation is the main cause of cancer-related death and it is the main characteristic of advanced-stage can-cers.53 During metastasis, cancer cells migrate through the basement membrane and vasculature to get to target organs. Therefore, a cancer therapy that inhibits cell migration is highly desirable. The scratch wound assay has been used to evaluate cell migration, a critical process in the establish-ment of metastatic foci.54 Our results show that the B. copal-lifera extract inhibited cell migration in a wound assay in the highly metastatic MDA-MB-231 cell line but not in the MCF7 cell line(Figure 5), which is poorly metastatic in vivo.55 Decreased migration in the MDA-MB-231 cell line couldbeexplainedasdecreasedmetastaticabilitiesor decreased proliferation ability which would later result in cell death. Conclusions In Mexico, more than 90% of the population use medicinal plants in common practice for the empirical treatment of several diseases including cancer.34 Cancer patients per-ceive medicinal plants as efficient and safe because of their Figure 5. The Bursera copallifera extract decreased migration of the highly metastatic MDA-MB-231 cell line. We used the scratch-wound assay to evaluate changes in migration ability in both cell lines treated with the B. copallifera extract. Cells were treated for 24hours with nontoxic concentrations of the extract at this time point. In(A), a representative image is shown of both cell lines with vehicle treatment(0) or 2.5 and 5 pg/mL B. copallifera extract. The wound is shown in the brightfield image. Cells were stained with calcein after 24 hours of treatment and the green fluorescent intensity inside the wound area was quantified. In(B), the graph shows the mean+ SE of a representative experiment performed in triplicate.*Different from vehicle-treated cells, p<.05. natural origin, even though there are few toxicological and pharmacological studies supporting their use. Importantly, approximately 60% of drugs currently used for cancer treat-ment have been isolated from natural products,34 underscor-ing the therapeutic potential of plant extracts in cancer treatment. Our results show that the B. copallifera leaf extract had a cytotoxic effect on the breast cancer cell lines MCF7 and MDA-MB-231.TheMDA-MB-231triplenegativecell line was more sensitive to the extract, showed migration inhibition in a wound assay and had an IC50 of 12.43 ug/mL, suggestive of a therapeutic potential of the extract in this type of breast cancer. Our data suggests that the cyto-toxic activity in the B. copallifera was mainly due to the hydroxycinnamic acid and flavonol derivatives present in the extracts, since some of these compounds are known to possess anticancer activities. The results shown here sup-port the therapeutic potential of B. copallifera extracts and the need to generate knowledge on the influence of B. cop-allifera bioactive compounds(either individually or syner-gistically) for the treatment of breast cancer, particularly of the triple negative subtype, which currently does not have a targeted therapy. Authors’ Note Fabiola Domínguez is also affiliated to Centro de Investigación Biomédica de Oriente(CIBIOR). Paola Maycotte is now affiliated to CONACYT-CIBIOR, Instituto Mexicano del Seguro Social, Mexico. Diego A. Moreno and Federico Ferreres are now affili-ated to Campus Universitario Espinardo-25, Murcia, Spain. Martín Pérez-Santos is now affiliated to Benemérita Universidad Autónoma de Puebla, Mexico. Acknowledgments We would like to acknowledge Dr Julio Morán Andrade, M.C. Guadalupe Domínguez Macouzet(Instituto de Fisiología Celular, UNAM) for kindly providing reagents used in this study. Declaration of Conflicting Interests Theauthor(s)declarednopotentialconflictsofinterestwith respecttotheresearch,authorship,and/orpublicationofthis article. Funding The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported with the following projects from the Instituto Mexicano del Seguro Social: FIS/IMSS/PROT/G11/974 and CTFIS/1ORD/012/2011. Adilene Acosta-Casique had a CONCYTEP(ConsejodeCienciayTecnologíadelEstadode Puebla) scholarship. Part of this work was carried out in interna-tional collaboration within the CYTED Programme (Ref.112RT0460) CORNUCOPIA Thematic Network(URL: redcornu-copia.org). ORCID iD Paola MaycotteiDhttps://orcid.org/0000-0003-4059-0554 References 1.Weeks A, Daly DC, Simpson BB. The phylogenetic his-tory and biogeography of the frankincense and myrrh fam-ily(Burseraceae) based on nuclear and chloroplast sequence data. Mol Phylogenet Evol. 2005;35:85-101. 2.DalyDC.NotesonBurserainSouthAmerica,includ-ing a new species. Studies in neotropical Burseraceae VII. 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