<?xml version="1.0" encoding="UTF-8" standalone="no"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Nutr.</journal-id>
<journal-title>Frontiers in Nutrition</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Nutr.</abbrev-journal-title>
<issn pub-type="epub">2296-861X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnut.2022.1078642</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Nutrition</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Targeting a transcription factor NF-&#x003BA;B by green tea catechins using <italic>in silico</italic> and <italic>in vitro</italic> studies in pancreatic cancer</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Suhail</surname> <given-names>Mohd</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/268744/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Rehan</surname> <given-names>Mohd</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/509730/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Tarique</surname> <given-names>Mohammad</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/403164/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Tabrez</surname> <given-names>Shams</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/2134308/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Husain</surname> <given-names>Amjad</given-names></name>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
</contrib>
<contrib contrib-type="author">
<name><surname>Zughaibi</surname> <given-names>Torki A.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>King Fahd Medical Research Center, King Abdulaziz University</institution>, <addr-line>Jeddah</addr-line>, <country>Saudi Arabia</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, King Abdulaziz University</institution>, <addr-line>Jeddah</addr-line>, <country>Saudi Arabia</country></aff>
<aff id="aff3"><sup>3</sup><institution>Department of Child Health, School of Medicine, University of Missouri</institution>, <addr-line>Columbia, MO</addr-line>, <country>United States</country></aff>
<aff id="aff4"><sup>4</sup><institution>Innovation and Incubation Centre for Entrepreneurship (IICE), IISER Bhopal</institution>, <addr-line>Bhopal</addr-line>, <country>India</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Kandhasamy Sowndhararajan, Kongunadu Arts and Science College, India</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Md. Meraj Ansari, National Institute of Pharmaceutical Education and Research, Mohali, India; Guan-Jun Yang, Ningbo University, China</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Mohd Suhail &#x02709; <email>suhaildbt&#x00040;gmail.com</email></corresp>
<fn fn-type="other" id="fn001"><p>This article was submitted to Nutrition and Metabolism, a section of the journal Frontiers in Nutrition</p></fn></author-notes>
<pub-date pub-type="epub">
<day>11</day>
<month>01</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>9</volume>
<elocation-id>1078642</elocation-id>
<history>
<date date-type="received">
<day>24</day>
<month>10</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>26</day>
<month>12</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2023 Suhail, Rehan, Tarique, Tabrez, Husain and Zughaibi.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Suhail, Rehan, Tarique, Tabrez, Husain and Zughaibi</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Pancreatic cancer remains a lethal disease and a major public health problem globally. Nuclear factor-kappa B (NF-&#x003BA;B) has been identified as a therapeutic target in several cancers and plays an important role in inflammatory responses. Many phytochemicals, including catechins, have been reported in the scientific literature with efficient anticancer potential and minimal side effects. This study aims to gain insights into the inhibitory mechanism of catechin derivatives epicatechin (EC), epigallocatechin (EGC), epicatechin gallate (ECG), and epigallocatechin gallate (EGCG) using <italic>in silico</italic> and <italic>in vitro</italic> studies especially considering NF-&#x003BA;B targeting. We explored the binding pose, interacting residues and molecular interactions for catechin derivatives with NF-&#x003BA;B. Docking analysis showed that the catechin derivatives acted as covalent inhibitors with the p65 subunit of NF-&#x003BA;B and interacted with other residues through non-bonding interactions and hydrogen bonds. Further, we validated the effect of EGCG on NF-&#x003BA;B activity in pancreatic cancer cell lines MIAPaCa-2 and SU 86.86. Our <italic>in vitro</italic> data showed EGCG effectively reduced cell growth and proliferation, induced apoptosis, and inhibited NF-&#x003BA;B activity in the studied cell lines. In addition, EGCG repressed the expression of NF-&#x003BA;B target genes including MMP9, MMP2, cMyc, and BCL-2. Thus, targeting NF-&#x003BA;B with EGCG could be a potential therapeutic alternative for pancreatic cancer treatment.</p></abstract>
<kwd-group>
<kwd>catechin derivatives</kwd>
<kwd>epicatechin (EC)</kwd>
<kwd>epicatechin-3-gallate (ECG)</kwd>
<kwd>epigallocatechin (EGC)</kwd>
<kwd>epigallocatechin-3-gallate (EGCG)</kwd>
<kwd>NF-&#x003BA;B</kwd>
<kwd>pancreatic cancer</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="2"/>
<equation-count count="0"/>
<ref-count count="45"/>
<page-count count="11"/>
<word-count count="6319"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1. Introduction</title>
<p>Cancer is still an enigma and a serious public health issue globally. Among the different types of cancer, pancreatic cancer has been one of the most lethal malignant neoplasms for a long time. It is the seventh major cause of cancer-related death worldwide and the 12th most prevalent cancer (<xref ref-type="bibr" rid="B1">1</xref>). GLOBOCAN 2020 estimates 496,000 new cancer cases and 466,000 deaths in 2020 (<xref ref-type="bibr" rid="B1">1</xref>). In the United States, pancreatic cancer is now the third most common cancer-related cause of death (<xref ref-type="bibr" rid="B2">2</xref>). It is reported that overall 5-year survival rate for pancreatic cancer still stands at 10% only, which is significantly very low (<xref ref-type="bibr" rid="B3">3</xref>). Its highly aggressive nature and poor survival rate make it a critical global burden (<xref ref-type="bibr" rid="B4">4</xref>). The available therapies for this type of cancer have many side effects that demand a novel approach to control its progression. Inflammation is one of the hallmarks of cancer, and nuclear factor-&#x003BA;B (NF-&#x003BA;B) plays a crucial role in inflammatory responses. NF-&#x003BA;B has been established as a therapeutic target in several cancers (<xref ref-type="bibr" rid="B5">5</xref>). A study has demonstrated the role of NF-&#x003BA;B as a master regulator of transcription and found its effect in the expression of around five hundred genes (<xref ref-type="bibr" rid="B6">6</xref>). NF-&#x003BA;B plays a vital role in regulating the expression of essential regulatory genes such as TNFA, IL6, BCLXL, BCL2, BCLXS, XIAP, VEGF, MMP9/2, Myc, and other target genes. In addition, NF-&#x003BA;B mediates immunity, inflammation, cell proliferation, survival, angiogenesis, and apoptosis (<xref ref-type="bibr" rid="B7">7</xref>). The initiation, development, metastasis, and resistance of human cancer are significantly influenced by NF-&#x003BA;B (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>). Scientific studies suggested constitutive activation of NF-&#x003BA;B in various cancers, such as breast cancer and prostate cancer, especially in 83% of pancreatic cancer cell lines (<xref ref-type="bibr" rid="B9">9</xref>&#x02013;<xref ref-type="bibr" rid="B11">11</xref>). In pancreatic cancer cells, constitutive and induced activation of NF-&#x003BA;B is closely associated with inflammation, cell proliferation, invasion, angiogenesis, anti-apoptosis, and chemotherapeutic resistance (<xref ref-type="bibr" rid="B12">12</xref>). The transcription factor NF-&#x003BA;B can be found as a homo or heterodimeric complex (<xref ref-type="bibr" rid="B13">13</xref>). Rel-like domain-containing proteins RelA (p65), RelB, p105 (NFB1), (p50) NFB1, Rel, and p52 (NFB2) make up these complexes. Due to the importance of NF-&#x003BA;B, it has been difficult to target this transcription factor in cancer cells (<xref ref-type="bibr" rid="B14">14</xref>). However, some previous studies have suggested that there are agents for activation of NF-&#x003BA;B, including carcinogen, tumor promoters, chemotherapeutic agents, and inflammatory cytokines (<xref ref-type="bibr" rid="B15">15</xref>). In addition, the NF-&#x003BA;B signaling pathway also is a crucial player in cancer progression and development (<xref ref-type="bibr" rid="B16">16</xref>). There are two important pathways; canonical and non-canonical, which regulate heterotrimeric complex of NF-&#x003BA;B (<xref ref-type="bibr" rid="B17">17</xref>) comprised of subunits p50, p65, and I&#x003BA;B&#x003B1; in the cytoplasm, where NF-&#x003BA;B resides in the inactive form. With the degradation of I&#x003BA;B&#x003B1; subunit, p50&#x02013;p65 heterodimer moves to the nucleus, binds the DNA, and activates the target gene. The I&#x003BA;B kinase (IKK)/NF&#x003BA;B) signaling is often altered in human cancers and is considered an important signaling pathway for cancer progression. Different mouse models of cancer wherein IKK/NF&#x003BA;B activation has been obstructed genetically have shown that NF-&#x003BA;B is a key promoter of inflammation-associated cancers (<xref ref-type="bibr" rid="B18">18</xref>&#x02013;<xref ref-type="bibr" rid="B20">20</xref>). Some studies suggested that the chemical inhibitors of human NF-&#x003BA;B could successfully minimize the onset and progression of multiple cancers.</p>
<p>Several phytochemicals have been reported with efficient anticancer potential and minimal or no side effects. The natural compounds catechin derivatives, generally obtained from green tea, are well-known for their anticancer activities (<xref ref-type="bibr" rid="B21">21</xref>). Green tea (GT) is a popular refreshing drink consumed by people across the world. The plant <italic>Camellia sinensis</italic>, which is majorly found in Asian countries, is the main GT source (<xref ref-type="bibr" rid="B22">22</xref>). Several shreds of evidence have shown that green tea has antimicrobial, anti-carcinogenic, antioxidant, and anti-inflammatory properties and its potential benefits in neurologic disorders, diabetes, oral health, obesity, and cardiovascular disease are well-known (<xref ref-type="bibr" rid="B23">23</xref>). The anti-carcinogenic properties of green tea include controlling cell proliferation, cell death in tumor cells, and vascular angiogenesis in solid tumors. Recent studies have shown that catechins found as a natural compound in green teas have an inhibitory effect against NF-&#x003BA;B. The principal four vital components in GT as catechins are 1) EC, (-)-epicatechin 2) EGC, (-)-epigallocatechin 3) ECG, (-)-epicatechin-3-gallate and 4) EGCG, (-)-epigallocatechin-3-gallate (<xref ref-type="fig" rid="F1">Figure 1</xref>). Among these catechins, EGCG is the richest compound in green tea (<xref ref-type="bibr" rid="B24">24</xref>). Various computational methods have increasingly been used for exploring binding pose, interacting residues, and novel drug designing (<xref ref-type="bibr" rid="B24">24</xref>&#x02013;<xref ref-type="bibr" rid="B30">30</xref>). In the current study, we analyzed the detailed analysis of binding pose and molecular interactions of catechin derivatives to NF-&#x003BA;B using computational methods. Further, EGCG was tested and validated in an experimental laboratory.</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p><bold>(A&#x02013;D)</bold> Two-dimensional sketch of EC, EGC, ECG, and EGCG.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-1078642-g0001.tif"/>
</fig>
</sec>
<sec id="s2">
<title>2. Materials and methods</title>
<sec>
<title>2.1. Data retrieval</title>
<p>The 3-D coordinates of NF-&#x003BA;B p65 subunit were retrieved from PDB with PDB Id, 1NFI, and the 3-D coordinates of catechin derivatives EC, ECG, EGC, and EGCG were retrieved from PubChem with CIDs 72276, 107905, 72277, and 65064, respectively.</p>
</sec>
<sec>
<title>2.2. Covalent docking</title>
<p>For covalent docking, the covalent bonds were formed between the S-atom of Cys-38 and the reported atom of EGCG and other catechins (<xref ref-type="bibr" rid="B31">31</xref>). The conformation of the Cys-catechin adduct was relaxed by making it flexible for rotation through various bonds while docking a small molecule, water. The relaxed conformation of Cys-catechin adduct so obtained was reported as the final covalent docking result. Flexible docking was done with Autodock Vina (<xref ref-type="bibr" rid="B32">32</xref>), and protein, ligand, and grid boxes were prepared by Autodock Tools (<xref ref-type="bibr" rid="B33">33</xref>). Pymol (<xref ref-type="bibr" rid="B34">34</xref>) and Ligplot&#x0002B; (<xref ref-type="bibr" rid="B35">35</xref>) were used for protein-ligand complex analyses and generating final illustrations.</p>
</sec>
<sec>
<title>2.3. Chemical and reagents</title>
<p>EGCG (&#x02265;95%) of culture grade was purchased from Sigma-Aldrich (St. Louis, MO, USA). The following items were purchased from Mediatech, Inc. (Herndon, VA, USA), including trypsin, fetal bovine serum (FBS), McCoy&#x00027;s 5A, and Leibovitz&#x00027;s L-15 media, phosphate-buffered saline (PBS), penicillin/streptomycin solution, propidium iodide (PI), and RNase. NF-&#x003BA;B p65 transcription factor assay kit (ab133112) was procured from Abcam, USA. A cellTiter 96 aqueous one solution kit was purchased from Promega (Madison, WI, USA) for cell proliferation assay and 3-[4,5-dimethylthiazole-2-yl]-2,5-diphenyltetrazolium bromide (MTT) was purchased from Thermofisher, USA.</p>
</sec>
<sec>
<title>2.4. Cell culture</title>
<p>Human pancreatic cell lines, MIAPaCa-2 (ATCC<sup>&#x000AE;</sup>CRM-CRL-1420) and SU.86.86 (ATCC<sup>&#x000AE;</sup> CRL-1837), were obtained from ATCC and were cultured according to the recommended conditions. The cells were grown at 37&#x000B0;C in a humidified environment with 5% CO2 in DMEM medium supplemented with 5% FBS and 50 IU penicillin/streptomycin. When the cells were confluent, healthy, and free of contamination, cell culture media was removed, and cells were washed with PBS to remove any remaining serum that would have rendered the trypsin inactive. One ml trypsin was added to a 25 mL flask to break the cell-cell and cell-substrate links. To inactivate the trypsin, 5 ml fresh culture medium with serum was added to the cell suspension, and a single cell suspension was prepared after pipetting this suspension. The cell density accuracy was confirmed by counting the cell suspension. In the end, an aliquot of cell culture medium was prepared into a 25 mL new flask, and the medium was changed further as per the requirement to get subsequent culture.</p>
</sec>
<sec>
<title>2.5. Cell proliferation analysis</title>
<p>Human pancreatic cancer cell lines MIAPaCa-2 and SU.86.86 were plated in 24 well-culture plates for the cell proliferation analysis. The complete DMEM medium supplemented with 100 U/mL penicillin and 100 U/mL streptomycin was used to grow the cells at 37&#x000B0;C in a humid chamber containing 5% CO2. The final 1% EGCG was prepared in DMSO and stored at &#x02212;20&#x000B0;C before use. Control cells were treated with only 1% DMSO without EGCG. Both cell lines were separately seeded in a 96-well microtiter plate (&#x0007E;10,000 cells/well). To determine the cytotoxic effect of EGCG, an MTT assay was performed by treating cells with different concentrations (10&#x02013;100 &#x003BC;M) of EGCG for 24 h. After 24 h of incubation, 20 uL of MTT stock solution was added in each well, and further incubation was done for 3 h. To solubilize the formazan violet crystals, medium was decanted, 500 &#x003BC;l DMSO was added in each cell, and absorbance was measured by ELISA reader at 540 nm (Molecular Devices, Sunnyvale, CA). The percentage cell viability was determined at different concentrations of EGCG (0, 10, 20, 40, 60, 80, and 100 &#x003BC;M) by scheming the graph of cell viability and concentration of the EGCG in both MIAPaCa-2 and SU.86.86 cells. Since 1% DMSO did not affect the proliferation of the two cell lines, results were expressed as a percent of control.</p>
</sec>
<sec>
<title>2.6. NF-&#x003BA;B activity assay</title>
<p>ELISA-based transcription factor assay kit (ab133112, Abcam) was used to determine the EGCG effect on p65-NF-&#x003BA;B activity in human pancreatic cell lines (MIAPaCa-2 and SU.86.86). The nuclear extract was extracted by lysing the treated cells with EGCG (10&#x02013;100&#x003BC;M for 24 h) using hypotonic HEPES lysis buffer (pH 7.4) provided with a nuclear extraction kit (ab113474, Abcam). As recommended by the manufacturer, the supernatant was taken and utilized to measure intracellular p65-NF-&#x003BA;B by ELISA. In brief, the p65-NF-&#x003BA;B response element with a specific double-stranded DNA (dsDNA) sequence was immobilized onto the bottom of wells in a 96-well plate. The p65-NF-&#x003BA;B contained in a nuclear extract bind specifically to the p65-NF-&#x003BA;B response elements. The p65-NF-&#x003BA;B was detected by adding a specific primary antibody directed against p65-NF-&#x003BA;B. A secondary antibody that was HRP-conjugated was added, and a spectrophotometer was used to measure the absorbance at 492 nm.</p>
</sec>
<sec>
<title>2.7. RNA extraction and real time PCR</title>
<p>Total RNA was extracted from pancreatic cancer cells after treatment with various concentrations (0, 20, 60, 100 &#x003BC;M) of EGCG for 24 h, using TRIzol reagent (Invitrogen, Carlsbad, CA, USA), according to the manufacturer&#x00027;s instruction. A UV spectrophotometer was used to measure the quantity and quality of the RNA. All the primes were designed through ww.ncbi.nlm.nih.gov/gene. The cDNA was synthesized using the 1 &#x003BC;g total RNA through cDNA Synthesis Kits (Thermo Scientific, USA) following the manufacturer&#x00027;s instructions. The synthesized cDNA was stored at &#x02212;20&#x000B0;C for further use. Triplicate samples of cDNA from co-cultured from each group was amplified in 384 well-plates containing primers for the genes of interest, MMP2, MMP9, Myc, BCL-2, and housekeeping gene GAPDH in Roche, LightCycler<sup>&#x000AE;</sup> 480 System. Data were analyzed as threshold cycle values were normalized and expressed as DCt: mean Ct of the gene of interest &#x02013; mean Ct.</p>
</sec>
<sec>
<title>2.8. Apoptosis analysis</title>
<p>MIAPaCa-2 and SU.86.86 cell lines were treated with various doses (0, 20, 60, and 100 &#x003BC;M) of EGCG for 24 h at 37&#x000B0;C to perform cell apoptosis and cell cycle analysis using Annexin V-FITC Propidium Iodide (PI) staining kit (ab14085, Abcam). The control cells were treated with media only. After harvesting the culture, 1 &#x000D7; 105 cells were washed with 5 ml of PBS and trypsinized by adding 3 ml of trypsin at 37&#x000B0;C for 5&#x02013;10 min. Subsequently, harvested cells were double stained with an Annexin V-FITC/PI. The flow cytometry BD FACS Canto analyzed 10,000 events for each sample, and data were analyzed using FCS express 7 software.</p>
</sec>
<sec>
<title>2.9. Statistical analysis</title>
<p>Data obtained from various culture experiments were analyzed by one-way ANOVA test for group analysis using Graph Pad Prism version 5 (Graph Pad software, Inc., San Diego, CA). Results are expressed as mean &#x000B1; SD with at least two independent experiments performed in triplicate. <italic>P</italic> &#x0003C; 0.05 was considered as statistically significant.</p>
</sec>
</sec>
<sec id="s3">
<title>3. Result and discussion</title>
<sec>
<title>3.1. Covalent docking of catechin derivatives to NF-&#x003BA;B p65 subunit</title>
<p>It is reported that EGCG forms a covalent bond with Cys38 residue of NF-&#x003BA;B p65 subunit and acts as a covalent inhibitor of this protein (<xref ref-type="bibr" rid="B31">31</xref>). However, the structural details of binding conformation, interacting residues and molecular interactions have not been explored yet. We attempted to provide the structural insights into covalent binding of catechin derivatives to NF-&#x003BA;B p65 subunit. Notably, there is no cavity containing residue Cys-38, where catechins can go and bind normally involving non-bonded and hydrogen bonding interactions. Therefore, we proceeded for the only option of covalent docking of catechins to NF-&#x003BA;B p65 subunit following the earlier reported study (<xref ref-type="bibr" rid="B31">31</xref>). All the four catechins formed an adduct with Cys-38 residue, which hangs on the surface of the protein.</p>
<p>The Epicatechin (EC) formed a covalent bond with sulfhydryl S-atom of Cys-38 and the final conformation of Cys-EC adduct is shown in <xref ref-type="fig" rid="F2">Figure 2A1</xref>. In addition, the Cys-38 also formed a hydrogen bond and 12 non-bonded contacts (<xref ref-type="fig" rid="F2">Figure 2A2</xref>, <xref ref-type="table" rid="T1">Table 1</xref>). Other residues in the neighborhood of Cys-38 also interacted with EC. Four interacting residues, Lys-37, Cys-38, Gly-40, and Arg-41, contributed to one covalent bond, one hydrogen bond and 21 non-bonded contacts.</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Covalent docking of EC <bold>(A)</bold> and ECG <bold>(B)</bold> to NF-&#x003BA;B p65. <bold>(A1, B1)</bold> The protein is shown in ribbon representation colored orange with Cys adducts. In inset, the Cys adduct is zoomed and shown in sticks representation with Cys-38 backbone colored orange, S-atom colored yellow and EC and ECG backbones in cyan. The O-atoms and N-atoms are colored in red and blue colors, respectively. <bold>(A2, B2)</bold> Ligand-protein interaction plots. The EC and ECG with Cys-38 are shown with backbone color cyan and orange, respectively with balls as atoms. The color of the balls decides atom types as the black color for C-atoms, the blue for N-atoms, red for O-atoms and yellow for S-atoms, respectively. The covalent bond with S-atom of Cys-38 is shown as purple line and the hydrogen bond as green line with bond length in &#x000C5;. The residues forming non-bonded contacts are shown as red comb like structure. The residues found common to the interacting residues of EC and ECG are encircled.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-1078642-g0002.tif"/>
</fig>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Interacting residues of NF-&#x003BA;B p65 for EC and ECG.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919497; color:#ffffff;">
<th valign="top" align="left"><bold>Catechins</bold></th>
<th valign="top" align="left"><bold>Interacting residues</bold></th>
<th valign="top" align="center"><bold>Covalent bonds</bold></th>
<th valign="top" align="center"><bold>Hydrogen bonds</bold></th>
<th valign="top" align="center"><bold>Non-bonded contacts</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">EC</td>
<td valign="top" align="left">Lys-37</td>
<td/>
<td/>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Cys-38</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">12</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Gly-40</td>
<td/>
<td/>
<td valign="top" align="center">7</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Arg-41</td>
<td/>
<td/>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td valign="top" align="left">ECG</td>
<td valign="top" align="left">Lys-37</td>
<td/>
<td/>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Cys-38</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">13</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Gly-40</td>
<td/>
<td/>
<td valign="top" align="center">8</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Arg-41</td>
<td/>
<td/>
<td valign="top" align="center">1</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>The number of molecular interactions including covalent bonds, hydrogen bonds, and non-bonded contacts are provided for each interacting residue.</p>
</table-wrap-foot>
</table-wrap>
<p>Another catechin ECG, galloyl derivative of EC, was also subjected to covalent docking. The final conformation of the Cys-ECG adducts was similar to that of EC with same set of interacting residues as shown in zoomed insets of <xref ref-type="fig" rid="F2">Figures 2A1</xref>, <xref ref-type="fig" rid="F1">B1</xref>, respectively. The Cys-38 forms a covalent bond, a hydrogen bond and 13 non-bonded contacts with ECG. The four interacting residues Lys-37, Cys-38, Gly-40, and Arg-41 (similar to that of EC) contributing together to one covalent bond, one hydrogen bond and 23 non-bonded contacts (<xref ref-type="fig" rid="F2">Figure 2B2</xref>, <xref ref-type="table" rid="T1">Table 1</xref>).</p>
<p>On the other hand, in covalent docking of catechin EGC, the Cys-38 formed a covalent bond and 11 non-bonded contacts. Another residue Lys-37, the previous residue to Cys-38 in protein chain, also interacted through two non-bonded contacts (<xref ref-type="fig" rid="F3">Figure 3A1</xref>, <xref ref-type="table" rid="T2">Table 2</xref>).</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>Covalent docking of EGC <bold>(A)</bold> and EGCG <bold>(B)</bold> to NF-&#x003BA;B p65. <bold>(A1, B1)</bold> The protein is shown in ribbon representation colored orange with Cys adducts. In inset, the Cys adduct is zoomed and shown in sticks representation with Cys-38 backbone colored orange, S-atom colored yellow and EGC and EGCG backbones in cyan. The O-atoms and N-atoms are colored in red and blue, respectively. <bold>(A2, B2)</bold> Ligand-protein interaction plots. The EGC and EGCG with Cys-38 are shown with backbone color cyan and orange, respectively with balls as atoms. The color of the balls decides atom types as the black color for C-atoms, the blue for N-atoms, red for O-atoms and yellow for S-atoms, respectively. The covalent bond with S-atom of Cys-38 is shown as purple line and the hydrogen bond as green line with bond length in &#x000C5;. The residues forming non-bonded contacts are shown as red comb like structure. The common interacting residue, Cys-38 is encircled.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-1078642-g0003.tif"/>
</fig>
<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption><p>Interacting residues of NF-&#x003BA;B p65 for EGC and EGCG.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919497; color:#ffffff;">
<th valign="top" align="left"><bold>Catechins</bold></th>
<th valign="top" align="left"><bold>Interacting residues</bold></th>
<th valign="top" align="center"><bold>Covalent bonds</bold></th>
<th valign="top" align="center"><bold>Hydrogen bonds</bold></th>
<th valign="top" align="center"><bold>Non-bonded contacts</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">EGC</td>
<td valign="top" align="left">Lys-37</td>
<td/>
<td/>
<td valign="top" align="left">2</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Cys-38</td>
<td valign="top" align="left">1</td>
<td/>
<td valign="top" align="center">11</td>
</tr>
<tr>
<td valign="top" align="left">EGCG</td>
<td valign="top" align="left">Cys-38</td>
<td valign="top" align="center">1</td>
<td/>
<td valign="top" align="center">16</td>
</tr>
<tr>
<td/>
<td valign="top" align="left">Glu-39</td>
<td/>
<td valign="top" align="center">1</td>
<td valign="top" align="center">4</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>The number of molecular interactions including covalent bonds, hydrogen bonds, and non-bonded contacts are provided for each interacting residue.</p>
</table-wrap-foot>
</table-wrap>
<p>Finally, the covalent docking of EGCG showed that Cys-38 formed a covalent bond and 16 non-bonded contacts (<xref ref-type="table" rid="T2">Table 2</xref>). Another interacting residue Glu-39, the next sequential residue of Cys-38, contributed to one hydrogen bond and four non-bonded contacts. The comparable binding conformation of Cys adduct of EGC and EGCG are shown in zoomed insets of <xref ref-type="fig" rid="F3">Figures 3A1</xref>, <xref ref-type="fig" rid="F1">B1</xref>, respectively. Thus, all the catechin derivatives reacted with Cys-38 of NF-&#x003BA;B p65 subunit and act as covalent inhibitors of this protein.</p>
<p>Although, our <italic>in-silico</italic> study showed covalent bonding with Cys-38 of NF-&#x003BA;B p65 by all four catechin derivatives but keeping in mind the abundance (&#x0007E;50&#x02013;80%) of EGCG in green tea [15], and presence of highest number of hydroxyl groups resulting high antioxidant activity, we stick with EGCG in our future <italic>in-vitro</italic> experiments.</p>
</sec>
<sec>
<title>3.2. <italic>In vitro</italic> analysis of EGCG on pancreatic cancer cell lines</title>
<p>Due to the high prevalence of pancreatic cancer globally and its link with NF-&#x003BA;B hyperactivity (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B36">36</xref>), we have used pancreatic cancer cell lines to evaluate EGCG for anticancer activity.</p>
</sec>
<sec>
<title>3.3. EGCG reduces pancreatic cancer cell growth and proliferation</title>
<p>We evaluated the effect of EGCG on proliferation and cell growth in human pancreatic cancer cell lines (MIAPaCa-2 and SU.86.86). For this purpose, we treated MIAPaCa-2 and SU.86.86 with increasing concentrations of EGCG (10&#x02013;100 &#x003BC;M) for 24 hrs. A significant reduction in the viability and proliferation of MIAPaCa-2 and SU.86.86 cells was observed with increased EGCG concentration (<xref ref-type="fig" rid="F4">Figure 4</xref>). The IC50 values of EGCG against the used cell lines were calculated from the plot of percentage cell viability vs. EGCG concentration. The IC50 of EGCG for MIAPaCa-2 and SU.86.86 were found to be 73 and 59 &#x003BC;M, respectively.</p>
<fig id="F4" position="float">
<label>Figure 4</label>
<caption><p>Epigallocatechin gallate (EGCG) inhibits pancreatic cancer cell growth <italic>in vitro</italic>. Human pancreatic cancer cell lines were treated with various concentrations of EGCG (0&#x02013;100 &#x003BC;M), and cell growth was determined in MIA PaCa-2 <bold>(A)</bold>, and SU- 86.86 <bold>(B)</bold> cells after treatment with increasing EGCG concentrations for 24 h. Cell growth was found to be inhibited in a concentration dependent manner. Results are expressed as a percentage of control and mean &#x000B1; SD (<italic>n</italic> = 4). &#x0002A;<italic>p</italic> &#x0003C; 0.05, &#x0002A;&#x0002A;<italic>p</italic> &#x0003C; 0.01, &#x0002A;&#x0002A;&#x0002A;<italic>p</italic> &#x0003C; 0.01 vs. control.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-1078642-g0004.tif"/>
</fig>
<p>EGCG inhibited the growth of human pancreatic cancer MIAPaCa-2 and SU.86.86 cells in culture in a concentration-dependent manner. These results collectively indicate that EGCG may possess the antiproliferative activity and inhibit the MIAPaCa-2 and SU.86.86 cell proliferation.</p>
</sec>
<sec>
<title>3.4. EGCG inhibited NF-&#x003BA;B activity in pancreatic cancer cell</title>
<p>Next, we examined the effect of EGCG on NF-&#x003BA;B activity in the studied cell lines. After activation NF-&#x003BA;B pathway, its p65 (Rel A) is translocated into the nucleus, so we looked presence of p65 (Rel A) subunit for NF-&#x003BA;B activity after treating the pancreatic cancer cell lines with EGCG in various concentrations (0, 20, 60, 100 &#x003BC;M). NF-&#x003BA;B is a multidimensional transcription factor, and it regulates the activities of multiple genes that play an essential role in innate immunity and inflammation (<xref ref-type="bibr" rid="B37">37</xref>). Therefore, we wanted to examine the impact of EGCG in the modulation of phosphorylated (p65)-nuclear factor-&#x003BA;B (p65-NF-&#x003BA;B) expression in human pancreatic cancer cells.</p>
<p>As shown in <xref ref-type="fig" rid="F5">Figure 5</xref>, the up-regulation of p65-NF-&#x003BA;B in the untreated human pancreatic cancer cell lines and EGCG treatment significantly reduces the p65-NF-&#x003BA;B activity in both the cancer cell lines as compared to the untreated cells. The activation of downstream signaling leads to the proliferation and progression of the cancer cells, indicating the role of p65-NF-&#x003BA;B expressed in the nucleus. These results showed that p65-NF-&#x003BA;B levels were significantly repressed when MIAPaCa-2 and SU.86.86 cells were treated with EGCG specifically at 60 and 100 &#x003BC;M. Thus, in EGCG treated MIAPaCa-2 and SU.86.86 cells, the expression of p65-NF-&#x003BA;B was attenuated and the levels almost toward baseline level, suggesting that EGCG reduces the MIAPaCa-2 and SU.86.86 cells proliferation by inhibiting p65-NF-&#x003BA;B activity in MIAPaCa-2 and SU.86.86 cells.</p>
<fig id="F5" position="float">
<label>Figure 5</label>
<caption><p>NF-&#x003BA;B activity in untreated (0 &#x003BC;M) and treated <bold>(A)</bold> MIAPaCa-2 <bold>(B)</bold> SU 86.86 with various concentrations of EGCG (20, 60, and 100 &#x003BC;M) cells. MIAPaCa-2 and SU 86.86 cells were seeded at a density of 10<sup>5</sup>/well in 24-well plates and induced with EGCG (20, 60, and 100 &#x003BC;M) for 24 h. Levels of p65-NF-&#x003BA;B activity were up-regulated in untreated human pancreatic cancer cells, and EGCG treatment reduced the p65-NF-&#x003BA;B activity in both pancreatic cell lines at 60 and 100 &#x003BC;M. Results are expressed as a percentage of control and mean &#x000B1; SD (<italic>n</italic> = 4). <sup>&#x0002A;</sup> <italic>p</italic> &#x0003C; 0.05, <sup>&#x0002A;&#x0002A;</sup> <italic>p</italic> &#x0003C; 0.01, vs. untreated cells.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-1078642-g0005.tif"/>
</fig>
</sec>
<sec>
<title>3.5. EGCG induced apoptosis in pancreatic cancer cell</title>
<p>To check the anti-cancerous activity of EGCG, human pancreatic cancer cells (MIAPaCa-2 and SU 86.86) were treated with increasing concentrations of EGCG (0&#x02013;100 &#x003BC;M). The extent of apoptotic cells with the increasing concentration of EGCG is shown in <xref ref-type="fig" rid="F6">Figure 6</xref>.</p>
<fig id="F6" position="float">
<label>Figure 6</label>
<caption><p>Flow cytometry analysis of annexin V-FITC/PI staining <bold>(A)</bold> MIAPaCa-2 <bold>(B)</bold> SU 86.86 cell lines were cultured with increasing concentration (0&#x02013;100 &#x003BC;M) of EGCG for 24 h. Annexin V-FITC/PI staining showed an increasing percentage of apoptotic cells with an increasing concentration of EGCG due to cell cycle inhibition. Bar graphs indicating the percentage of apoptotic cells as the concentration of EGCG increases (0&#x02013;100 &#x003BC;M). The data represent the mean &#x000B1; SD (<italic>n</italic> = 4) values of triplicate determinations. &#x0002A;<italic>p</italic> &#x0003C; 0.05; &#x0002A;&#x0002A;<italic>p</italic> &#x0003C; 0.01; &#x0002A;&#x0002A;&#x0002A;<italic>p</italic> &#x0003C; 0.001 compared with the control. Data were analyzed using Flowjo software. ANOVA test was applied in the statistical analysis for group analysis.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-1078642-g0006.tif"/>
</fig>
<p>It is well-known that cancerous cells have the ability to evade apoptosis (<xref ref-type="bibr" rid="B38">38</xref>). Therefore, to see whether the suppression of NF-&#x003BA;B by EGCG has any effect on apoptosis, human pancreatic cancer cell lines (MIAPaCa-2 and SU 86.86) were incubated with the increasing concentration of EGCG for 24 h (<xref ref-type="fig" rid="F6">Figure 6A</xref>). In the case of MIAPaCa-2 cell line, upon increasing the concentration of EGCG (20, 60, and 100 &#x003BC;M), a significant increase in the percentage of apoptotic cells (3.13, 9.07, and 34.85%, respectively) was observed.</p>
<p>However, in SU 86.86 cells, a slightly more increase in the number of apoptotic cells (4.92, 15.17, and 49.05%), was observed at 20, 60, and 100 &#x003BC;M concentrations of EGCG (<xref ref-type="fig" rid="F6">Figure 6B</xref>). It suggests that EGCG induces more apoptosis in SU 86.86 cells than MIAPaCa-2 cells. These results suggest that EGCG has anti-cancerous activity on human pancreatic cells and induces significant apoptosis in these cancerous cell lines.</p>
</sec>
<sec>
<title>3.6. EGCG inhibits NF-&#x003BA;B downstream signaling molecules in pancreatic cancer cell</title>
<p>To further confirm the effects of EGCG on NF-kB inhibition, the mRNA level of NF-&#x003BA;B essential targets genes MMP9, MMP2, cMyc, and BCL-2, was determined using quantitative PCR (qPCR). The pancreatic cancer cell line was treated with 0&#x02013;100 &#x003BC;M of EGCG for 48 h, and mRNA levels of MMP9, MMP2, cMyc, and BCL-2 were determined by RT-PCR. We observed a decrease in the mRNA level of NF-&#x003BA;B target genes after treatment with EGCG, which indicated that EGCG inhibits the NF-&#x003BA;B activity; thus, downstream target gene inhibition was observed. Furthermore, the qPCR results correlated well with the results obtained from the NF-&#x003BA;B activity assay and apoptosis assay, suggesting that EGCG inhibits NF-&#x003BA;B activity. Again, NF-&#x003BA;B inhibition by EGCG treatment represses the expression of MMP9/2 and other NF-&#x003BA;B target genes (<xref ref-type="fig" rid="F7">Figure 7</xref>).</p>
<fig id="F7" position="float">
<label>Figure 7</label>
<caption><p>In pancreatic cancer cells, EGCG reduces the RNA expression of NF-&#x003BA;B downstream signaling genes. Real-time PCR (qPCR) results revealed that EGCG administration reduces the expression of NF-&#x003BA;B target genes (e.g., MMP9, cMyc, MMP2, and BCL-2) in pancreatic cancer cells treated with various doses (0&#x02013;100 &#x003BC;M) for 48 hrs and cells were harvested, and RT-PCR was done for NF-&#x003BA;B target genes <bold>(A&#x02013;D)</bold> (<italic>n</italic> = 3; <sup>&#x0002A;</sup> <italic>p</italic> &#x02264; 0.05, <sup>&#x0002A;&#x0002A;</sup> <italic>p</italic> &#x02264; 0.01). Statistical analysis was done using the ANOVA test for group analysis.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fnut-09-1078642-g0007.tif"/>
</fig>
<p>Natural products have been widely used to lessen the side effects of chemotherapy and cancer drugs in cancer treatment (<xref ref-type="bibr" rid="B39">39</xref>, <xref ref-type="bibr" rid="B40">40</xref>). Since time, attention has been given to the dysregulation of NF-&#x003BA;B in various cancers (<xref ref-type="bibr" rid="B10">10</xref>). Dysregulation of NF-&#x003BA;B affects the regulation activity of several oncogenes, thus leading to tumor progression, inhibition of apoptosis, and cell proliferation (<xref ref-type="bibr" rid="B10">10</xref>). An abysmal prognosis and metastatic disease are common pancreatic cancer diagnoses. Since chemotherapeutics currently available offer little help for pancreatic cancer patients, new therapeutic strategies are needed, including a combination of drugs and natural compounds like EGCG with minimal side effects.</p>
<p>Our study evaluated the effect of EGCG on the NF-&#x003BA;B activity in human pancreatic cancer cells. The findings revealed that the NF-&#x003BA;B activity in both human pancreatic cancer cells significantly decreased as EGCG concentration was increased. These results agree with our docking studies. To further evaluate the possibility of EGCG as a treatment to prevent pancreatic cancer, the effect of EGCG on cell cytotoxicity, cell proliferation, cell cycle, and apoptosis was tested in relevant cancer cell lines. It is widely known that NF-&#x003BA;B contributes to the development of several cancers (<xref ref-type="bibr" rid="B41">41</xref>&#x02013;<xref ref-type="bibr" rid="B44">44</xref>). However, it was shown that EGCG is particularly more effective against the SU 86.86 cancer cell line. It is well-established that cancerous cells can evade apoptosis, which is a characteristic of cancer (<xref ref-type="bibr" rid="B45">45</xref>). Our results confirmed that EGCG has anti-tumor potential, inhibits human pancreatic cells&#x00027; growth, and ultimately induces apoptosis. The cell lines MIAPaCa-2 and SU 86.86 were treated with increasing concentrations of EGCG to determine whether the inhibition of NF-&#x003BA;B by EGCG affects cell apoptosis. The results showed a significant increase in the percentage of apoptotic cells with increasing concentrations of EGCG.</p>
<p>The NF-&#x003BA;B is constitutively overexpressed in various cancer, including breast, lung, liver, pancreatic, prostate, and many types of lymphoma (<xref ref-type="bibr" rid="B10">10</xref>). Our covalent docking studies showed EGCG as a covalent inhibitor bound to NF-&#x003BA;B stably and thus, act as a strong inhibitor of NF-&#x003BA;B. The docking studies were further complemented by <italic>in vitro</italic> experiments which showed that EGCG binds to the p65 subunit of NF-&#x003BA;B and triggers apoptosis in pancreatic cell lines. These findings imply that EGCG binds effectively to the NF-&#x003BA;B that may serve as its potential inhibitor and can be further explored.</p>
</sec>
</sec>
<sec id="s4">
<title>4. Conclusion</title>
<p>The results from covalent docking suggest that the catechin derivatives, EC, ECG, EGC, and EGCG react with sulfhydryl S-atom of Cys-38 of NF-&#x003BA;B p65 subunit and form Cys adducts that hang on the surface of the protein and thus, act as covalent inhibitors of NF-&#x003BA;B. The study proposes the catechin derivatives as potential covalent inhibitors of NF-&#x003BA;B and delineates the detailed binding conformation and molecular interactions. Interestingly, the EC and its galloyl derivative, ECG, had similar binding conformations and the same set of interacting residues. Similarly, the EGC and its galloyl derivative, EGCG were found to have comparable binding conformations. Our experimental results suggest that EGCG reduced cell growth, proliferation, and induced apoptosis in pancreatic cancer cell lines and inhibited NF-&#x003BA;B activity. Furthermore, it repressed the expression of various target genes of NF-&#x003BA;B, such as MMP9, MMP2, cMyc, and BCL-2. Thus, our experimental findings further reinforce the possible usage of EGCG against pancreatic cancer associated with the abnormal activity of the NF-&#x003BA;B.</p>
</sec>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec sec-type="author-contributions" id="s6">
<title>Author contributions</title>
<p>Conceptualization, investigation, writing&#x02014;original draft preparation, supervision, project administration, and funding acquisition: MS. Methodology: MT. Software and docking and visualization: MR. Validation: MS and MR. Formal analysis: ST and AH. Resources: TZ. Data curation: AH and ST. Writing&#x02014;review and editing: MT, MR, AH, ST, and TZ. All authors contributed to the article and approved the submitted version.</p>
</sec>
</body>
<back>
<ack><p>The authors extend their appreciation to the Deputyship for Research &#x00026; Innovation, Ministry of Education in Saudi Arabia for funding this research work through the project number IFPRC-097-141-2020 and King Abdulaziz University, DSR, Jeddah, Saudi Arabia.</p>
</ack>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s7">
<title>Publisher&#x00027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<label>1.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Sung</surname> <given-names>H</given-names></name> <name><surname>Ferlay</surname> <given-names>J</given-names></name> <name><surname>Siegel</surname> <given-names>RL</given-names></name> <name><surname>Laversanne</surname> <given-names>M</given-names></name> <name><surname>Soerjomataram</surname> <given-names>I</given-names></name> <name><surname>Jemal</surname> <given-names>A</given-names></name> <etal/></person-group>. <article-title>Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries</article-title>. <source>CA Cancer J Clin.</source> (<year>2021</year>) <volume>71</volume>:<fpage>209</fpage>&#x02013;<lpage>49</lpage>. <pub-id pub-id-type="doi">10.3322/caac.21660</pub-id><pub-id pub-id-type="pmid">33538338</pub-id></citation></ref>
<ref id="B2">
<label>2.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Siegel</surname> <given-names>RL</given-names></name> <name><surname>Miller</surname> <given-names>KD</given-names></name> <name><surname>Fuchs</surname> <given-names>HE</given-names></name> <name><surname>Jemal</surname> <given-names>A</given-names></name></person-group>. <article-title>Cancer statistics, 2021</article-title>. <source>CA Cancer J Clin.</source> (<year>2021</year>) <volume>71</volume>:<fpage>7</fpage>&#x02013;<lpage>33</lpage>. <pub-id pub-id-type="doi">10.3322/caac.21654</pub-id><pub-id pub-id-type="pmid">33433946</pub-id></citation></ref>
<ref id="B3">
<label>3.</label>
<citation citation-type="web"><person-group person-group-type="author"><collab>ACS</collab></person-group>. <article-title>American Cancer Society</article-title>. Survival Rates for Pancreatic Cancer. (<year>2021</year>). Available online at: <ext-link ext-link-type="uri" xlink:href="https://www.cancer.org/cancer/pancreatic-cancer/detection-diagnosis-staging/survival-rates.html">https://www.cancer.org/cancer/pancreatic-cancer/detection-diagnosis-staging/survival-rates.html</ext-link> (accessed August 30, 2021).</citation>
</ref>
<ref id="B4">
<label>4.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Huang</surname> <given-names>J</given-names></name> <name><surname>Lok</surname> <given-names>V</given-names></name> <name><surname>Ngai</surname> <given-names>CH</given-names></name> <name><surname>Zhang</surname> <given-names>L</given-names></name> <name><surname>Yuan</surname> <given-names>J</given-names></name> <name><surname>Lao</surname> <given-names>XQ</given-names></name> <etal/></person-group>. <article-title>Worldwide burden of, risk factors for, and trends in pancreatic cancer</article-title>. <source>Gastroenterology.</source> (<year>2021</year>) <volume>160</volume>:<fpage>744</fpage>&#x02013;<lpage>54</lpage>. <pub-id pub-id-type="doi">10.1053/j.gastro.2020.10.007</pub-id><pub-id pub-id-type="pmid">33058868</pub-id></citation></ref>
<ref id="B5">
<label>5.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Park</surname> <given-names>MH</given-names></name> <name><surname>Hong</surname> <given-names>JT</given-names></name></person-group>. <article-title>Roles of NF-&#x003BA;B in cancer and inflammatory diseases and their therapeutic approaches</article-title>. <source>Cells.</source> (<year>2016</year>) <volume>5</volume>:<fpage>E15</fpage>. <pub-id pub-id-type="doi">10.3390/cells5020015</pub-id><pub-id pub-id-type="pmid">27043634</pub-id></citation></ref>
<ref id="B6">
<label>6.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Gupta</surname> <given-names>SC</given-names></name> <name><surname>Sundaram</surname> <given-names>C</given-names></name> <name><surname>Reuter</surname> <given-names>S</given-names></name> <name><surname>Aggarwal</surname> <given-names>BB</given-names></name></person-group>. <article-title>Inhibiting NF-&#x003BA;B activation by small molecules as a therapeutic strategy</article-title>. <source>Biochim Biophys Acta.</source> (<year>2010</year>) <volume>1799</volume>:<fpage>775</fpage>&#x02013;<lpage>87</lpage>. <pub-id pub-id-type="doi">10.1016/j.bbagrm.2010.05.004</pub-id><pub-id pub-id-type="pmid">20493977</pub-id></citation></ref>
<ref id="B7">
<label>7.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xia</surname> <given-names>L</given-names></name> <name><surname>Tan</surname> <given-names>S</given-names></name> <name><surname>Zhou</surname> <given-names>Y</given-names></name> <name><surname>Lin</surname> <given-names>J</given-names></name> <name><surname>Wang</surname> <given-names>H</given-names></name> <name><surname>Oyang</surname> <given-names>L</given-names></name> <etal/></person-group>. <article-title>Role of the NF&#x003BA;B-signaling pathway in cancer</article-title>. <source>Onco Targets Ther.</source> (<year>2018</year>) <volume>11</volume>:<fpage>2063</fpage>&#x02013;<lpage>73</lpage>. <pub-id pub-id-type="doi">10.2147/OTT.S161109</pub-id><pub-id pub-id-type="pmid">29695914</pub-id></citation></ref>
<ref id="B8">
<label>8.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wu</surname> <given-names>KJ</given-names></name> <name><surname>Zhong</surname> <given-names>HJ</given-names></name> <name><surname>Yang</surname> <given-names>G</given-names></name> <name><surname>Wu</surname> <given-names>C</given-names></name> <name><surname>Huang</surname> <given-names>JM</given-names></name> <name><surname>Li</surname> <given-names>G</given-names></name> <etal/></person-group>. <article-title>Small molecule Pin1 inhibitor blocking NF-&#x003BA;B signaling in prostate cancer cells</article-title>. <source>Chem Asian J</source>. (<year>2018</year>) <volume>13</volume>:<fpage>275</fpage>&#x02013;<lpage>9</lpage>. <pub-id pub-id-type="doi">10.1002/asia.201701216</pub-id><pub-id pub-id-type="pmid">29288531</pub-id></citation></ref>
<ref id="B9">
<label>9.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Yang</surname> <given-names>GJ</given-names></name> <name><surname>Song</surname> <given-names>YQ</given-names></name> <name><surname>Wang</surname> <given-names>W</given-names></name> <name><surname>Han</surname> <given-names>QB</given-names></name> <name><surname>Ma</surname> <given-names>DL</given-names></name> <name><surname>Leung</surname> <given-names>CH</given-names></name> <etal/></person-group>. <article-title>An optimized BRD4 inhibitor effectively eliminates NF-&#x003BA;B-driven triple-negative breast cancer cells</article-title>. <source>Bioorg Chem</source>. (<year>2021</year>) 114, 105158. <pub-id pub-id-type="doi">10.1016/j.bioorg.2021.105158</pub-id><pub-id pub-id-type="pmid">34378541</pub-id></citation></ref>
<ref id="B10">
<label>10.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Xia</surname> <given-names>Y</given-names></name> <name><surname>Shen</surname> <given-names>S</given-names></name> <name><surname>Verma</surname> <given-names>IM</given-names></name></person-group>. <article-title>NF-&#x003BA;B, an active player in human cancers</article-title>. <source>Cancer Immunol Res.</source> (<year>2014</year>) <volume>2</volume>:<fpage>823</fpage>&#x02013;<lpage>30</lpage>. <pub-id pub-id-type="doi">10.1158/2326-6066.CIR-14-0112</pub-id><pub-id pub-id-type="pmid">25187272</pub-id></citation></ref>
<ref id="B11">
<label>11.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Silke</surname> <given-names>J</given-names></name> <name><surname>O&#x00027;reilly</surname> <given-names>LA</given-names></name></person-group>. <article-title>NF-&#x003BA;B and pancreatic cancer; chapter, and verse</article-title>. <source>Cancers</source>. (<year>2021</year>) 13, 4510. <pub-id pub-id-type="doi">10.3390/cancers13184510</pub-id><pub-id pub-id-type="pmid">34572737</pub-id></citation></ref>
<ref id="B12">
<label>12.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>Q</given-names></name> <name><surname>Yang</surname> <given-names>G</given-names></name> <name><surname>Feng</surname> <given-names>M</given-names></name> <name><surname>Zheng</surname> <given-names>S</given-names></name> <name><surname>Cao</surname> <given-names>Z</given-names></name> <name><surname>Qiu</surname> <given-names>J</given-names></name> <etal/></person-group>. <article-title>NF-&#x003BA;B in pancreatic cancer: its key role in chemoresistance</article-title>. <source>Cancer Lett.</source> (<year>2018</year>) <volume>421</volume>:<fpage>127</fpage>&#x02013;<lpage>34</lpage>. <pub-id pub-id-type="doi">10.1016/j.canlet.2018.02.011</pub-id><pub-id pub-id-type="pmid">29432846</pub-id></citation></ref>
<ref id="B13">
<label>13.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Giuliani</surname> <given-names>C</given-names></name> <name><surname>Bucci</surname> <given-names>I</given-names></name> <name><surname>Napolitano</surname> <given-names>G</given-names></name></person-group>. <article-title>The role of the transcription factor nuclear factor-kappa B in thyroid autoimmunity and cancer</article-title>. <source>Front Endocrinol.</source> (<year>2018</year>) <volume>9</volume>:<fpage>471</fpage>. <pub-id pub-id-type="doi">10.3389/fendo.2018.00471</pub-id><pub-id pub-id-type="pmid">30186235</pub-id></citation></ref>
<ref id="B14">
<label>14.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Karin</surname> <given-names>M</given-names></name> <name><surname>Cao</surname> <given-names>Y</given-names></name> <name><surname>Greten</surname> <given-names>FR</given-names></name> <name><surname>Li</surname> <given-names>ZW</given-names></name></person-group>. <article-title>NF-kappaB in cancer: from innocent bystander to major culprit. Nature reviews</article-title>. <source>Cancer</source>. (<year>2002</year>) <volume>2</volume>:<fpage>301</fpage>&#x02013;<lpage>10</lpage>. <pub-id pub-id-type="doi">10.1038/nrc780</pub-id><pub-id pub-id-type="pmid">12001991</pub-id></citation></ref>
<ref id="B15">
<label>15.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Bharti</surname> <given-names>AC</given-names></name> <name><surname>Aggarwal</surname> <given-names>BB</given-names></name></person-group>. <article-title>Nuclear factor-kappa B and cancer: its role in prevention and therapy</article-title>. <source>Biochem Pharmacol.</source> (<year>2002</year>) <volume>64</volume>:<fpage>883</fpage>&#x02013;<lpage>8</lpage>. <pub-id pub-id-type="doi">10.1016/S0006-2952(02)01154-1</pub-id><pub-id pub-id-type="pmid">12213582</pub-id></citation></ref>
<ref id="B16">
<label>16.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Suhail</surname> <given-names>M</given-names></name> <name><surname>Mohammad</surname> <given-names>T</given-names></name> <name><surname>Naoshad</surname> <given-names>M</given-names></name> <name><surname>Huma</surname> <given-names>N</given-names></name> <name><surname>Abdul</surname> <given-names>H</given-names></name> <name><surname>Torki</surname> <given-names>AZ</given-names></name> <etal/></person-group>. <article-title>A critical transcription factor NF-&#x003BA;B as a cancer therapeutic target and its inhibitors as cancer treatment options</article-title>. <source>Curr Med Chem.</source> (<year>2021</year>) <volume>28</volume>:<fpage>4117</fpage>&#x02013;<lpage>32</lpage>. <pub-id pub-id-type="doi">10.2174/0929867327666201111142307</pub-id><pub-id pub-id-type="pmid">33176636</pub-id></citation></ref>
<ref id="B17">
<label>17.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hayden</surname> <given-names>MS</given-names></name> <name><surname>Ghosh</surname> <given-names>S</given-names></name></person-group>. <article-title>Shared principles in NF-kappaB signaling</article-title>. <source>Cell.</source> (<year>2008</year>) <volume>132</volume>:<fpage>344</fpage>&#x02013;<lpage>62</lpage>. <pub-id pub-id-type="doi">10.1016/j.cell.2008.01.020</pub-id><pub-id pub-id-type="pmid">18267068</pub-id></citation></ref>
<ref id="B18">
<label>18.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Pikarsky</surname> <given-names>E</given-names></name> <name><surname>Porat</surname> <given-names>RM</given-names></name> <name><surname>Stein</surname> <given-names>I</given-names></name> <name><surname>Abramovitch</surname> <given-names>R</given-names></name> <name><surname>Amit</surname> <given-names>S</given-names></name> <name><surname>Kasem</surname> <given-names>S</given-names></name> <etal/></person-group>. <article-title>NF-kappaB functions as a tumour promoter in inflammation-associated cancer</article-title>. <source>Nature.</source> (<year>2004</year>) <volume>431</volume>:<fpage>461</fpage>&#x02013;<lpage>6</lpage>. <pub-id pub-id-type="doi">10.1038/nature02924</pub-id><pub-id pub-id-type="pmid">15329734</pub-id></citation></ref>
<ref id="B19">
<label>19.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lawrence</surname> <given-names>T</given-names></name> <name><surname>Bebien</surname> <given-names>M</given-names></name> <name><surname>Liu</surname> <given-names>GY</given-names></name> <name><surname>Nizet</surname> <given-names>V</given-names></name> <name><surname>Karin</surname> <given-names>M</given-names></name></person-group>. <article-title>IKKalpha limits macrophage NF-kappaB activation and contributes to the resolution of inflammation</article-title>. <source>Nature.</source> (<year>2005</year>) <volume>434</volume>:<fpage>1138</fpage>&#x02013;<lpage>43</lpage>. <pub-id pub-id-type="doi">10.1038/nature03491</pub-id><pub-id pub-id-type="pmid">15858576</pub-id></citation></ref>
<ref id="B20">
<label>20.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Karin</surname> <given-names>M</given-names></name></person-group>. <article-title>Nuclear factor-kappaB in cancer development and progression</article-title>. <source>Nature.</source> (<year>2006</year>) <volume>441</volume>:<fpage>431</fpage>&#x02013;<lpage>6</lpage>. <pub-id pub-id-type="doi">10.1038/nature04870</pub-id><pub-id pub-id-type="pmid">16724054</pub-id></citation></ref>
<ref id="B21">
<label>21.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jiang</surname> <given-names>Y</given-names></name> <name><surname>Jiang</surname> <given-names>Z</given-names></name> <name><surname>Ma</surname> <given-names>L</given-names></name> <name><surname>Huang</surname> <given-names>Q</given-names></name></person-group>. <article-title>Advances in nanodelivery of green tea catechins to enhance the anticancer activity</article-title>. <source>Molecules.</source> (<year>2021</year>) <volume>26</volume>:<fpage>3301</fpage>. <pub-id pub-id-type="doi">10.3390/molecules26113301</pub-id><pub-id pub-id-type="pmid">34072700</pub-id></citation></ref>
<ref id="B22">
<label>22.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Musial</surname> <given-names>C</given-names></name> <name><surname>Kuban-Jankowska</surname> <given-names>A</given-names></name> <name><surname>Gorska-Ponikowska</surname> <given-names>M</given-names></name></person-group>. <article-title>Beneficial properties of green tea catechins</article-title>. <source>Int J Mol Sci.</source> (<year>2020</year>) <volume>21</volume>:<fpage>E1744</fpage>. <pub-id pub-id-type="doi">10.3390/ijms21051744</pub-id><pub-id pub-id-type="pmid">32143309</pub-id></citation></ref>
<ref id="B23">
<label>23.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Cardoso</surname> <given-names>RR</given-names></name> <name><surname>Neto</surname> <given-names>RO</given-names></name> <name><surname>dos Santos D&#x00027;Almeida</surname> <given-names>CT</given-names></name> <name><surname>do Nascimento</surname> <given-names>TP</given-names></name> <name><surname>Pressete</surname> <given-names>CG</given-names></name> <etal/></person-group>. <article-title>Kombuchas from green and black teas have different phenolic profile, which impacts their antioxidant capacities, antibacterial and antiproliferative activities</article-title>. <source>Food Res Int</source>. (<year>2020</year>) <volume>128</volume>:<fpage>108782</fpage>. <pub-id pub-id-type="doi">10.1016/j.foodres.2019.108782</pub-id><pub-id pub-id-type="pmid">31955755</pub-id></citation></ref>
<ref id="B24">
<label>24.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Suhail</surname> <given-names>M</given-names></name> <name><surname>Parveen</surname> <given-names>A</given-names></name> <name><surname>Husain</surname> <given-names>A</given-names></name> <name><surname>Rehan</surname> <given-names>M</given-names></name></person-group>. <article-title>Exploring inhibitory mechanisms of green tea catechins as inhibitors of a cancer therapeutic target, nuclear factor-&#x003BA;B (NF-&#x003BA;B)</article-title>. <source>Biosci Biotechnol Res Asia.</source> (<year>2019</year>) <volume>16</volume>:<fpage>715</fpage>&#x02013;<lpage>23</lpage>. <pub-id pub-id-type="doi">10.13005/bbra/2787</pub-id></citation>
</ref>
<ref id="B25">
<label>25.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Jamal</surname> <given-names>MS</given-names></name> <name><surname>Parveen</surname> <given-names>S</given-names></name> <name><surname>Beg</surname> <given-names>MA</given-names></name> <name><surname>Suhail</surname> <given-names>M</given-names></name> <name><surname>Chaudhary</surname> <given-names>AGA</given-names></name> <name><surname>Damanhouri</surname> <given-names>GA</given-names></name> <etal/></person-group>. <article-title>Anticancer compound plumbagin and its molecular targets: a structural insight into the inhibitory mechanisms using computational approaches</article-title>. <source>PLoS ONE.</source> (<year>2014</year>) <volume>9</volume>:<fpage>e87309</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0087309</pub-id><pub-id pub-id-type="pmid">24586269</pub-id></citation></ref>
<ref id="B26">
<label>26.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ferreira</surname> <given-names>LG</given-names></name> <name><surname>Dos Santos</surname> <given-names>RN</given-names></name> <name><surname>Oliva</surname> <given-names>G</given-names></name> <name><surname>Andricopulo</surname> <given-names>AD</given-names></name></person-group>. <article-title>Molecular docking and structure-based drug design strategies</article-title>. <source>Molecules.</source> (<year>2015</year>) <volume>20</volume>:<fpage>13384</fpage>&#x02013;<lpage>421</lpage>. <pub-id pub-id-type="doi">10.3390/molecules200713384</pub-id><pub-id pub-id-type="pmid">26205061</pub-id></citation></ref>
<ref id="B27">
<label>27.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rehan</surname> <given-names>M</given-names></name></person-group>. <article-title>Anticancer compound XL765 as PI3K/mTOR dual inhibitor: A structural insight into the inhibitory mechanism using computational approaches</article-title>. <source>PLoS ONE.</source> (<year>2019</year>) <volume>14</volume>:<fpage>e0219180</fpage>. <pub-id pub-id-type="doi">10.1371/journal.pone.0219180</pub-id><pub-id pub-id-type="pmid">31247018</pub-id></citation></ref>
<ref id="B28">
<label>28.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rehan</surname> <given-names>M</given-names></name> <name><surname>Bajouh</surname> <given-names>OS</given-names></name></person-group>. <article-title>Virtual screening of naphthoquinone analogs for potent inhibitors against the cancer-signaling PI3K/AKT/mTOR pathway</article-title>. <source>J Cell Biochem.</source> (<year>2019</year>) <volume>120</volume>:<fpage>1328</fpage>&#x02013;<lpage>39</lpage>. <pub-id pub-id-type="doi">10.1002/jcb.27100</pub-id><pub-id pub-id-type="pmid">30298630</pub-id></citation></ref>
<ref id="B29">
<label>29.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rehan</surname> <given-names>M</given-names></name> <name><surname>Mostafa</surname> <given-names>M</given-names></name></person-group>. <article-title>Virtual screening of 1,4-naphthoquinone derivatives for inhibition of a key cancer signaling protein, AKT1 kinase</article-title>. <source>Anticancer Res.</source> (<year>2019</year>) <volume>39</volume>:<fpage>3823</fpage>&#x02013;<lpage>33</lpage>. <pub-id pub-id-type="doi">10.21873/anticanres.13532</pub-id><pub-id pub-id-type="pmid">31262910</pub-id></citation></ref>
<ref id="B30">
<label>30.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Rehan</surname> <given-names>M</given-names></name> <name><surname>Mahmoud</surname> <given-names>MM</given-names></name> <name><surname>Tabrez</surname> <given-names>S</given-names></name> <name><surname>Hassan</surname> <given-names>HMA</given-names></name> <name><surname>Ashraf</surname> <given-names>GM</given-names></name></person-group>. <article-title>Exploring flavonoids for potential inhibitors of a cancer signaling protein PI3K&#x003B3; kinase using computational methods</article-title>. <source>Anticancer Res.</source> (<year>2020</year>) <volume>40</volume>:<fpage>4547</fpage>&#x02013;<lpage>56</lpage>. <pub-id pub-id-type="doi">10.21873/anticanres.14460</pub-id><pub-id pub-id-type="pmid">32727785</pub-id></citation></ref>
<ref id="B31">
<label>31.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Lakshmi</surname> <given-names>SP</given-names></name> <name><surname>Reddy</surname> <given-names>AT</given-names></name> <name><surname>Kodidhela</surname> <given-names>LD</given-names></name> <name><surname>Varadacharyulu</surname> <given-names>NC</given-names></name></person-group>. <article-title>The tea catechin epigallocatechin gallate inhibits NF-&#x003BA;B-mediated transcriptional activation by covalent modification</article-title>. <source>Arch Biochem Biophys.</source> (<year>2020</year>) <volume>695</volume>:<fpage>108620</fpage>. <pub-id pub-id-type="doi">10.1016/j.abb.2020.108620</pub-id><pub-id pub-id-type="pmid">33038311</pub-id></citation></ref>
<ref id="B32">
<label>32.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Trott</surname> <given-names>O</given-names></name> <name><surname>Olson</surname> <given-names>AJ</given-names></name></person-group>. <article-title>AutoDock Vina: improving the speed and accuracy of docking with a new scoring function, efficient optimization, and multithreading</article-title>. <source>J Comput Chem.</source> (<year>2010</year>) <volume>31</volume>:<fpage>455</fpage>&#x02013;<lpage>61</lpage>. <pub-id pub-id-type="doi">10.1002/jcc.21334</pub-id><pub-id pub-id-type="pmid">19499576</pub-id></citation></ref>
<ref id="B33">
<label>33.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Morris</surname> <given-names>GM</given-names></name> <name><surname>Huey</surname> <given-names>R</given-names></name> <name><surname>Lindstrom</surname> <given-names>W</given-names></name> <name><surname>Sanner</surname> <given-names>MF</given-names></name> <name><surname>Belew</surname> <given-names>RK</given-names></name> <name><surname>Goodsell</surname> <given-names>DS</given-names></name> <etal/></person-group>. <article-title>AutoDock4 and autodocktools4: automated docking with selective receptor flexibility</article-title>. <source>J Comput Chem.</source> (<year>2009</year>) <volume>30</volume>:<fpage>2785</fpage>&#x02013;<lpage>91</lpage>. <pub-id pub-id-type="doi">10.1002/jcc.21256</pub-id><pub-id pub-id-type="pmid">19399780</pub-id></citation></ref>
<ref id="B34">
<label>34.</label>
<citation citation-type="journal"><person-group person-group-type="author"><collab>Pymol</collab></person-group>. <source>The PyMOL Molecular Graphics System, Version 2, 4.0</source>. Schr&#x000F6;dinger: LL. (<year>2021</year>).</citation>
</ref>
<ref id="B35">
<label>35.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Laskowski</surname> <given-names>RA</given-names></name> <name><surname>Swindells</surname> <given-names>MB</given-names></name></person-group>. <article-title>LigPlot&#x0002B;: multiple ligand-protein interaction diagrams for drug discovery</article-title>. <source>J Chem Inf Model.</source> (<year>2011</year>) <volume>51</volume>:<fpage>2778</fpage>&#x02013;<lpage>86</lpage>. <pub-id pub-id-type="doi">10.1021/ci200227u</pub-id><pub-id pub-id-type="pmid">21919503</pub-id></citation></ref>
<ref id="B36">
<label>36.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Prabhu</surname> <given-names>L</given-names></name> <name><surname>Mundade</surname> <given-names>R</given-names></name> <name><surname>Korc</surname> <given-names>M</given-names></name> <name><surname>Loehrer</surname> <given-names>PJ</given-names></name> <name><surname>Lu</surname> <given-names>T</given-names></name></person-group>. <article-title>Critical role of NF-&#x003BA;B in pancreatic cancer</article-title>. <source>Oncotarget.</source> (<year>2014</year>) <volume>5</volume>:<fpage>10969</fpage>&#x02013;<lpage>75</lpage>. <pub-id pub-id-type="doi">10.18632/oncotarget.2624</pub-id><pub-id pub-id-type="pmid">25473891</pub-id></citation></ref>
<ref id="B37">
<label>37.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Tilborghs</surname> <given-names>S</given-names></name> <name><surname>Corthouts</surname> <given-names>J</given-names></name> <name><surname>Verhoeven</surname> <given-names>Y</given-names></name> <name><surname>Arias</surname> <given-names>D</given-names></name> <name><surname>Rolfo</surname> <given-names>C</given-names></name> <name><surname>Trinh</surname> <given-names>XB</given-names></name> <etal/></person-group>. <article-title>The role of nuclear factor-kappa B signaling in human cervical cancer</article-title>. <source>Crit Rev Oncol Hematol.</source> (<year>2017</year>) <volume>120</volume>:<fpage>141</fpage>&#x02013;<lpage>50</lpage>. <pub-id pub-id-type="doi">10.1016/j.critrevonc.2017.11.001</pub-id><pub-id pub-id-type="pmid">29198328</pub-id></citation></ref>
<ref id="B38">
<label>38.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Wong</surname> <given-names>RSY</given-names></name></person-group>. <article-title>Apoptosis in cancer: from pathogenesis to treatment</article-title>. <source>J Exp Clin Cancer Res.</source> (<year>2011</year>) <volume>30</volume>:<fpage>87</fpage>. <pub-id pub-id-type="doi">10.1186/1756-9966-30-87</pub-id><pub-id pub-id-type="pmid">21943236</pub-id></citation></ref>
<ref id="B39">
<label>39.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Zhang</surname> <given-names>QY</given-names></name> <name><surname>Wang</surname> <given-names>FX</given-names></name> <name><surname>Jia</surname> <given-names>KK</given-names></name> <name><surname>Kong</surname> <given-names>LD</given-names></name></person-group>. <article-title>Natural product interventions for chemotherapy and radiotherapy-induced side effects</article-title>. <source>Front Pharmacol</source>. (<year>2018</year>) <volume>9</volume>:<fpage>1253</fpage>. <pub-id pub-id-type="doi">10.3389/fphar.2018.01253</pub-id><pub-id pub-id-type="pmid">30459615</pub-id></citation></ref>
<ref id="B40">
<label>40.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Islam</surname> <given-names>B</given-names></name> <name><surname>Suhail</surname> <given-names>M</given-names></name> <name><surname>Khan</surname> <given-names>M</given-names></name> <name><surname>Ahmad</surname> <given-names>A</given-names></name> <name><surname>Zughaibi</surname> <given-names>T</given-names></name> <name><surname>Husain</surname> <given-names>F</given-names></name> <etal/></person-group>. <article-title>Flavonoids and PI3K/Akt/mTOR signaling cascade: a potential crosstalk in anticancer treatment</article-title>. <source>Curr Med Chem.</source> (<year>2021</year>) <volume>3</volume>:<fpage>1548</fpage>. <pub-id pub-id-type="doi">10.2174/0929867328666210804091548</pub-id><pub-id pub-id-type="pmid">34348607</pub-id></citation></ref>
<ref id="B41">
<label>41.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Ghosh</surname> <given-names>S</given-names></name> <name><surname>Karin</surname> <given-names>M</given-names></name></person-group>. <article-title>Missing pieces in the NF-kappaB puzzle</article-title>. <source>Cell 109 Suppl.</source> (<year>2002</year>) <volume>26</volume>:<fpage>S81</fpage>&#x02013;<lpage>96</lpage>. <pub-id pub-id-type="doi">10.1016/S0092-8674(02)00703-1</pub-id><pub-id pub-id-type="pmid">11983155</pub-id></citation></ref>
<ref id="B42">
<label>42.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Kumar</surname> <given-names>A</given-names></name> <name><surname>Takada</surname> <given-names>Y</given-names></name> <name><surname>Boriek</surname> <given-names>AM</given-names></name> <name><surname>Aggarwal</surname> <given-names>BB</given-names></name></person-group>. <article-title>Nuclear factor-kappaB: its role in health and disease</article-title>. <source>J Mol Med.</source> (<year>2004</year>) <volume>82</volume>:<fpage>434</fpage>&#x02013;<lpage>48</lpage>. <pub-id pub-id-type="doi">10.1007/s00109-004-0555-y</pub-id><pub-id pub-id-type="pmid">20350292</pub-id></citation></ref>
<ref id="B43">
<label>43.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Karin</surname> <given-names>M</given-names></name> <name><surname>Greten</surname> <given-names>FR</given-names></name></person-group>. <article-title>NF-kappaB: linking inflammation and immunity to cancer development and progression</article-title>. <source>Nat Rev Immunol.</source> (<year>2005</year>) <volume>5</volume>:<fpage>749</fpage>&#x02013;<lpage>59</lpage>. <pub-id pub-id-type="doi">10.1038/nri1703</pub-id><pub-id pub-id-type="pmid">16175180</pub-id></citation></ref>
<ref id="B44">
<label>44.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Verzella</surname> <given-names>D</given-names></name> <name><surname>Pescatore</surname> <given-names>A</given-names></name> <name><surname>Capece</surname> <given-names>D</given-names></name> <name><surname>Vecchiotti</surname> <given-names>D</given-names></name> <name><surname>Ursini</surname> <given-names>MV</given-names></name> <name><surname>Franzoso</surname> <given-names>G</given-names></name> <etal/></person-group>. <article-title>Life, death, and autophagy in cancer: NF-&#x003BA;B turns up everywhere</article-title>. <source>Cell Death and Disease.</source> (<year>2020</year>) <volume>11</volume>:<fpage>210</fpage>. <pub-id pub-id-type="doi">10.1038/s41419-020-2399-y</pub-id><pub-id pub-id-type="pmid">32231206</pub-id></citation></ref>
<ref id="B45">
<label>45.</label>
<citation citation-type="journal"><person-group person-group-type="author"><name><surname>Hanahan</surname> <given-names>D</given-names></name> <name><surname>Weinberg</surname> <given-names>RA</given-names></name></person-group>. <article-title>Hallmarks of cancer: the next generation</article-title>. <source>Cell.</source> (<year>2011</year>) <volume>144</volume>:<fpage>646</fpage>&#x02013;<lpage>74</lpage>. <pub-id pub-id-type="doi">10.1016/j.cell.2011.02.013</pub-id><pub-id pub-id-type="pmid">21376230</pub-id></citation></ref>
</ref-list> 
</back>
</article>