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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1192225</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2023.1192225</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>
<italic>Physalis pubescens</italic> L. branch and leaf extracts inhibit lymphoma proliferation by inducing apoptosis and cell cycle arrest</article-title>
<alt-title alt-title-type="left-running-head">Yuan-Ce et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphar.2023.1192225">10.3389/fphar.2023.1192225</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Yuan-Ce</surname>
<given-names>Li</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yu-Yan</surname>
<given-names>Pang</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Qi</surname>
<given-names>Zhang</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hong-Yang</surname>
<given-names>Zhang</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yan-Wen</surname>
<given-names>Wang</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yu-Mei</surname>
<given-names>Sun</given-names>
</name>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Guang-Zhi</surname>
<given-names>Zeng</given-names>
</name>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Jun-Lin</surname>
<given-names>Yin</given-names>
</name>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1851282/overview"/>
</contrib>
</contrib-group>
<aff>
<institution>Key Laboratory of Chemistry in Ethnic Medicinal Resources</institution>, <institution>State Ethnic Affairs Commission and Ministry of Education</institution>, <institution>School of Ethnic Medicine</institution>, <institution>Yunnan Minzu University</institution>, <addr-line>Kunming</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/294513/overview">Muhammad Ayaz</ext-link>, University of Malakand, Pakistan</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1423518/overview">Zhenxing Zou</ext-link>, Central South University, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/31224/overview">Gavin P. McStay</ext-link>, Liverpool John Moores University, United Kingdom</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/525730/overview">Sagheer Ahmed</ext-link>, Shifa Tameer-e-Millat University, Pakistan</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Yin Jun-Lin, <email>yinjunlin1979@sina.com</email>; Zeng Guang-Zhi, <email>g.zh_zeng@ymu.edu.cn</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>24</day>
<month>07</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1192225</elocation-id>
<history>
<date date-type="received">
<day>23</day>
<month>03</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>04</day>
<month>07</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Yuan-Ce, Yu-Yan, Qi, Hong-Yang, Yan-Wen, Yu-Mei, Guang-Zhi and Jun-Lin.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Yuan-Ce, Yu-Yan, Qi, Hong-Yang, Yan-Wen, Yu-Mei, Guang-Zhi and Jun-Lin</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>
<italic>Physalis pubescens</italic> L. is an annual or perennial plant in the family Solanaceae It is used in traditional medicine for treating sore throats, coughs, urinary discomfort, and astringent pain, and externally for pemphigus and eczema in northern China. The proliferation inhibitory activity and mechanisms of the ethyl acetate extract (PHY-EA) from the leaves of <italic>Physalis pubescens</italic> were investigated. High performance liquid chromatography was used to identify the chemical composition of PHY-EA; sulforhodamine B was used to detect the proliferation inhibitory effect of PHY-EA on MCF-7, CA-46, Hela, HepG2, B16, and other tumor cells; flow cytometry was used to detect the effect of PHY-EA on the lymphoma cell cycle and apoptosis; Western blot was used to detect the expression of the cycle- and apoptosis-related proteins. The expression of Ki-67 and cleaved caspase 3 was detected by immunohistochemistry. The results showed that PHY-EA contained physalin B, physalin O, and physalin L. PHY-EA blocked the cell cycle of G2/M&#x2192;G0/G1 in lymphoma cells and induced apoptosis in tumor cells. Mouse transplantation tumor experiments showed that PHY-EA had a significant inhibitory effect on mouse transplantation tumors, and the tumor volume and weight were significantly reduced. In conclusion, PHY-EA has a good antiproliferative effect on Burkkit lymphoma, indicating its potential medicinal value.</p>
</abstract>
<kwd-group>
<kwd>
<italic>Physalis pubescens</italic> L.</kwd>
<kwd>lymphoma</kwd>
<kwd>physalin</kwd>
<kwd>cell cycle</kwd>
<kwd>apoptosis</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Ethnopharmacology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Malignant lymphoma is a common malignant neoplasm originating in the lymphohematopoietic system (<xref ref-type="bibr" rid="B16">Munakata et al., 2019</xref>). Burkkit lymphoma is a highly aggressive form of non-Hodgkin&#x2019;s B-cell lymphoma (<xref ref-type="bibr" rid="B6">Dolma et al., 2003</xref>). Currently, the standard first-line regimen of rituximab plus CHOP (cyclophosphamide, doxorubicin, adriamycin, vincristine, oncovin, and prednisone) is associated with an overall survival of 60%&#x2013;70% at 4&#xa0;years. However, 30% of patients still develop drug resistance or relapse and experience metastases, so there is an urgent need to identify new therapeutic agents to improve the survival rate of relapsed patients (<xref ref-type="bibr" rid="B12">Godfrey et al., 2018</xref>).</p>
<p>
<italic>Physalis pubescens</italic> L. is an annual herb in the family Solanaceae, and its ripe fruits are golden yellow (<xref ref-type="bibr" rid="B25">Wen et al., 2020</xref>). This species is unique to northern China. <italic>Physalis pubescens</italic> has many ethnopharmacological applications, and its fruit, calyx, branches, and leaves possess various medicinal activities. It is widely used in the treatment of diabetes and various skin diseases In addition, <italic>Physalis pubescens</italic> has been found to exhibit good anti-tumor activity (<xref ref-type="bibr" rid="B11">Fouche et al., 2008</xref>). It has a high edible and medicinal value and contains 18 essential amino acids, 21 trace elements, and large amounts of minerals, vitamins, and unsaturated fatty acids (<xref ref-type="bibr" rid="B22">Wang et al., 2020</xref>). It contains steroids, flavonoids, and other chemical components, among which the compound physalin is unique in the genus <italic>Physalis</italic>, with anti-inflammatory (<xref ref-type="bibr" rid="B22">Wang et al., 2020</xref>) and anti-tumor (<xref ref-type="bibr" rid="B9">Fan et al., 2018</xref>) activities. Physalin exhibits good anti-tumor activity and inhibits the growth of many tumor cells, including Malhavu cells from liver cancer (<xref ref-type="bibr" rid="B23">Wang et al., 2016</xref>), HeLa cells from cervical cancer (<xref ref-type="bibr" rid="B29">Zeng et al., 2017</xref>), and prostate cancer (<xref ref-type="bibr" rid="B5">Ding et al., 2015</xref>). Reports on the anti-tumor mechanism of <italic>P. pubescens</italic> have focused on the active compound physalin B, which is the most reported physalin-like compound from <italic>P. pubescens</italic> and can elevate reactive oxygen species, inhibit tumor necrosis factor alpha and nuclear factor kappa beta, and activate Noxa-related apoptotic pathways, thereby inducing apoptosis (<xref ref-type="bibr" rid="B2">Chen et al., 2016</xref>; <xref ref-type="bibr" rid="B27">Xu et al., 2017</xref>; <xref ref-type="bibr" rid="B32">Zhao et al., 2017</xref>). It also inhibits cell proliferation by blocking the tumor cell cycle in the G2/M phase (<xref ref-type="bibr" rid="B14">Ma et al., 2015</xref>; <xref ref-type="bibr" rid="B1">Cao et al., 2019</xref>; <xref ref-type="bibr" rid="B18">Qiu et al., 2021</xref>; <xref ref-type="bibr" rid="B30">Zhang et al., 2021</xref>; <xref ref-type="bibr" rid="B31">Zhang et al., 2021</xref>). Physalin O and L have structures highly similar to physalin B and are abundant in <italic>P. pubescens</italic>. In addition, <italic>P. pubescens</italic> exhibits various pharmacological activities, including antibacterial (<xref ref-type="bibr" rid="B10">Fernandes et al., 2019</xref>), antioxidant (<xref ref-type="bibr" rid="B10">Fernandes et al., 2019</xref>), and antidiabetic (<xref ref-type="bibr" rid="B3">Chen et al., 2019</xref>) activity.</p>
<p>There have been many reports on the activity of physalins; however, the physalin content in <italic>P. pubescens</italic> has not been determined. We examined the physalin B, physalin O, and physalin L contents in the branch and leaf extracts of <italic>P. pubescens</italic> and found that all three compounds were present, with physalin B being the most abundant. However, studies on the pharmacological effects and active ingredients of <italic>P. pubescens</italic> have mainly focused on the fruit part of the calyx, and there are no studies on the pharmacological activity of the branches and leaves of <italic>P. pubescens</italic>. We screened the anti-tumor activity of the PHY-EA (PHY-EA) of the branches and leaves and found that PHY-EA had some anti-tumor activity against a variety of tumor cells, with the best anti-tumor activity against diffuse large B lymphoma [median inhibitory concentration (IC<sub>50</sub>) for the SU-DHL-4, Daudi, and CA-46 cell lines were 9.49 &#xb1; 0.12&#xa0;&#x3bc;g/mL, 2.49 &#xb1; 0.05&#xa0;&#x3bc;g/mL, and 4.79 &#xb1; 0.60&#xa0;&#x3bc;g/mL, respectively).</p>
<p>Overall, we have identified for the first time the physalin contents in the leaves and branches of <italic>P. pubescens</italic>, elucidated the anti-tumor activity of <italic>P. pubescens</italic> branch extracts against diffuse large B lymphoma, and increased the understanding of the medicinal value of <italic>P. pubescens</italic>.</p>
</sec>
<sec id="s2">
<title>Experimental materials and experimental animals</title>
<sec id="s2-1">
<title>Experimental animals</title>
<p>Four-to six-week-old male BALB/c nude mice were used (Hunan Slaughter Jingda Laboratory Animal Co., Ltd., China). All procedures involving animal experiments were performed in accordance with the Administration of Laboratory Animal Affairs and Ethical Guidelines for Animal Experimental Institutions of Yunnan Minzu University (2021-050).</p>
</sec>
<sec id="s2-2">
<title>Experimental reagents</title>
<p>The cell cycle assay kits were purchased from Shanghai Yisheng Biological Co, China. Tumor cells (H2122, HUH-7, MDA-MB-231, PC3, SPC-A1, HeLa, HepG2, B16, SU-DHL-4, CA-46, and Daudi) were purchased from Kunming Cell Bank, Chinese Academy of Sciences. An apoptosis assay kit was purchased from Shanghai Yisheng Biotechnology Co, China. <italic>Physalis pubescens</italic> samples were collected from Yanbian City, Jilin Province, China (sample no. 20170825) and stored at the Laboratory of Targeted Drug Development and Application, Yunnan Minzu University. Physalin O, physalin L, and physalin B were purchased from Wuhan ChemFace Co, China. Primary antibodies (caspase 3, caspase 9, Cyclin-dependent kinase 2 (Cdk2), Cyclin-dependent kinase 4 (Cdk4), cleaved caspase 3, Cyclin A2,&#x3b2;-actin, and GADPH) and secondary antibodies against rabbits were purchased from Shanghai Protintech Co, China. SpectraMax i3x enzyme marker (Molecular Devices), A DMIL LED trinocular inverted microscope (Leica, Germany), and a flow cytometer (BECKMAN COULTER, United States) were used.</p>
</sec>
<sec id="s2-3">
<title>Experimental methods</title>
<sec id="s2-3-1">
<title>Preparation of PHY-EA</title>
<p>
<italic>Physalis pubescens</italic> branches and leaves (10&#xa0;kg) underwent extraction three times with 100% methanol and 800&#xa0;g of extracts were obtained. The extracts were prepared using petroleum ether, ethyl acetate, and n-butanol. The petroleum ether (83&#xa0;g), ethyl acetate (PHY-EA; 64&#xa0;g), and n-butanol (103&#xa0;g) extracts were then analyzed.</p>
</sec>
<sec id="s2-3-2">
<title>Component identification</title>
<p>A solution of 10&#xa0;mg/mL was prepared by dissolving 100&#xa0;mg of PHY-EA in 10&#xa0;mL of methanol, sonicating the solution for 30&#xa0;min (80&#xa0;w, 100&#xa0;Hz), and filtering it through a 0.45&#xa0;&#x3bc;m microporous membrane. Physalin B, physalin O, and physalin L were prepared in 5&#xa0;mg/mL solutions. The following parameters were the used: water (A)&#x2013;methanol (B) gradient elution: 80%&#x2013;0% A (0&#x2013;80&#xa0;min); isocratic elution: 100% B (80&#x2013;100&#xa0;min); flow rate: 1&#xa0;mL/min; injection volume: 20&#xa0;&#x3bc;L; column temperature 30&#xb0;C; detection wavelength: 230&#xa0;nm. A HPLC (Agilent 1260) C18 chromatographic column (ZORBAX SB-C18) was used. The compounds were analyzed using the standard curve method based on the absorbance obtained.</p>
</sec>
<sec id="s2-3-3">
<title>Cell recovery and passaging</title>
<p>The cells were quickly thawed in a water bath at 37&#xb0;C. They were then resuspended by the addition of 2&#xa0;mL of complete medium and centrifuged at 4&#xb0;C for 4&#xa0;min at 800&#xa0;rpm to remove the supernatant. The cells were resuspended and cultured in 10&#xa0;mL of complete medium. The suspended cells were ready for passaging when they had above 80% growth, and were centrifuged to remove the supernatant, washed three times with PBS, and resuspended in 2&#xa0;mL of complete medium. Then, 200&#xa0;&#x3bc;L of the cell suspension was added to 10&#xa0;mL of complete medium and culturing was continued. For adherent cells, the old medium was aspirated and the cells were washed three times with PBS. Trypsin digestion of the cells was terminated by adding 2&#xa0;mL of complete medium; then, the cells were resuspended and 200&#xa0;&#x3bc;L of these cells were added to 10&#xa0;mL of complete medium for further incubation.</p>
</sec>
<sec id="s2-3-4">
<title>Sulforhodamine B assay for cell proliferation</title>
<p>Cells were collected during the exponential growth phase, mixed into a 3 &#xd7; 10<sup>5</sup>&#xa0;cells/mL cell suspension, and 100&#xa0;&#x3bc;L of the cell suspension was added to each well of a 96-well plate and incubated for 24&#xa0;h in medium containing various concentrations of <italic>P. pubescens</italic> extract and 0.1% DMSO. Then, 25&#xa0;&#x3bc;L of 80% trichloroacetic acid was added to each well and fixed for 2&#xa0;h. The plates were then washed five times with distilled water. After this, 100&#xa0;&#x3bc;L of 4% sulforhodamine B (SRB) solution was added to the wells and the cells were stained for half an hour at room temperature. The plates were then washed five times in 1% ice acetic acid, followed by the addition of 100&#xa0;&#x3bc;L of Tris lysate per well and then the plates were shaken for 15&#xa0;min.</p>
</sec>
<sec id="s2-3-5">
<title>Apoptosis assay</title>
<p>Cells were collected in 1.5&#xa0;mL&#xa0;EP tubes, centrifuged at 4&#xb0;C and 300&#xa0;g for 5&#xa0;min, and washed twice with PBS. Then, 100&#xa0;&#xb5;L of 1 &#xd7; Binding Buffer was added to resuspend the cells. After this, 5&#xa0;&#xb5;L of Annexin V-FITC and 10&#xa0;&#xb5;L of propidium iodide (PI) staining solutions were added for 15&#xa0;min at room temperature and protected from the light, followed by the addition of 400&#xa0;&#xb5;L of 1&#xd7;Binding Buffer. The cells were then assayed by flow cytometry for Annexin V-FITC and PI dye absorbance.</p>
</sec>
</sec>
<sec id="s2-4">
<title>Cell cycle assay</title>
<p>Cells were centrifuged at 1,000&#xa0;g for 5&#xa0;min, then the supernatant was removed, samples were washed once with PBS, and the cells were collected. The cells were mixed with 1&#xa0;mL of pre-cooled 70% ethanol overnight at 4&#xb0;C, centrifuged at 1,000&#xa0;g for 5&#xa0;min, and then the precipitate was collected and washed with PBS. To this, 10&#xa0;&#xb5;L of PI stock solution and 10&#xa0;&#xb5;L of RNase A solution were added to 0.5&#xa0;mL of the staining buffer, mixed well, and set aside. Propidium iodide staining solution (0.5&#xa0;mL) was added to each cell sample, mixed gently, and resuspended. The cells were incubated for 30&#xa0;min at 37&#xb0;C in the dark, and were then detected by flow cytometry at an excitation wavelength of 488&#xa0;nm.</p>
</sec>
<sec id="s2-5">
<title>Western blot to detect signaling pathways</title>
<p>Cells were collected in 1.5&#xa0;mL&#xa0;EP tubes, centrifuged at 1,000&#xa0;rpm for 5&#xa0;min at 4&#xb0;C to remove the supernatant, washed twice with PBS, lysed for 10&#xa0;min at 4&#xb0;C with cell lysis solution, and quantified by the BCA kit. After ultrasonic breakage, the cells were heated at 98&#xb0;C for 10&#xa0;min to denature the proteins. These were then centrifuged at 14,000&#xa0;rpm for 10&#xa0;min at 4&#xb0;C, and the supernatant was removed and split. Extracted protein samples were subjected to gel electrophoresis and wet transfer. Five percent skimmed milk powder was added and samples were closed for 2&#xa0;h. The primary antibody was incubated overnight at 4&#xb0;C (concentration of cleaved caspase 3 antibody 1:1,000; concentrations of caspase 3, caspase 9, CDK2, CDK4, CyclinA2, and GADPH, &#x3b2;-actin antibodies 1:3,000) and washed five times with TBST for 5&#xa0;min. The secondary antibody was incubated for 2&#xa0;h (secondary antibody concentration 1:7,000) and washed five times with TBST for 5&#xa0;min.</p>
</sec>
<sec id="s2-6">
<title>Mouse transplantation tumor experiment</title>
<p>Each mouse was implanted with 10<sup>7</sup> Daudi cells under the skin in the axilla. Drug administration was initiated 4&#xa0;days after cell implantation by peritumoral injection. Mice were divided into three groups: control, 8&#xa0;mg/kg PHY-EA, and 4&#xa0;mg/kg PHY-EA, which were administered for 21&#xa0;days. During the treatment process, changes in body weight and tumor size were recorded, and photographic evidence was obtained at the end of the treatment.</p>
<sec id="s2-6-1">
<title>Immunohistochemical assay</title>
<p>The tumor tissue was soaked in formalin for 24&#xa0;h, rinsed for 1&#xa0;h, dehydrated in ethanol, and soaked twice in xylene for 1&#xa0;h. Finally, the tissue was soaked in paraffin wax three times (40&#xa0;min each time) for a total of 2&#xa0;h. After dehydration, the tissue was embedded in an embedding machine. The wax was placed on a microtome and cut into 4&#xa0;&#xb5;m thick sections and dried at 60&#xb0;C for 2&#xa0;h. The sections were then hydrated and the finished sections were subjected to antigen repair by placing them in an autoclave containing EDTA, steamed for 10&#xa0;min, and cooled naturally. The sections were incubated with a blocking agent for 10&#xa0;min at room temperature, washed three times with PBS, blocked with 10% goat serum for 1&#xa0;h, washed three times with PBS, incubated with primary antibody (AKT 1:100, ERK 1:50) overnight, washed three times with PBS, incubated with secondary antibody for 20&#xa0;min at room temperature, and again washed three times with PBS. Color was developed by adding DAB color developing solution for 5&#x2013;10&#xa0;min, then sections were stained with hematoxylin for 2&#xa0;min, rinsed twice in distilled water, and dehydrated in alcohol for 10&#xa0;min. The sections were sealed with gum.</p>
</sec>
</sec>
<sec id="s2-7">
<title>Statistical analysis</title>
<p>Experimental data were expressed as means &#xb1; standard errors (SE) and the data analysis was performed using SPSS 26.0 Student&#x27;s t-tests were used to test the significance of differences between each dosing group and the control group, with significance indicated as &#x2a; for <italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a; for <italic>p</italic> &#x3c; 0.01, and &#x2a;&#x2a;&#x2a; for <italic>p</italic> &#x3c; 0.001.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>PHY-EA contains physalin B, physalin O, and physalin L</title>
<p>The active ingredients of PHY-EA were identified using HPLC. The retention times and peak shapes of the physalin B, physalin O, and physalin L standards were compared with those of PHY-EA to identify the components of PHY-EA. The retention times of physalin B, O, and L were 68, 55, and 56&#xa0;min, respectively. The contents were 1.8% &#xb1; 0.12%, 0.3% &#xb1; 0.04%, and 0.6% &#xb1; 0.17% for physalin B, O, and L, respectively (<xref ref-type="fig" rid="F1">Figure 1A</xref>; <xref ref-type="table" rid="T1">Table 1</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Identification of <italic>Physalis pubescens</italic> ethyl acetate extract (PHY-EA) components and detection of anti-tumor activity. <bold>(A)</bold> HPLC component analysis (<italic>n</italic> &#x3d; 5). <bold>(B)</bold> Anti-proliferative activity of PHY-EA and cisplatin (DDP) against various lymphomas (<italic>n</italic> &#x3d; 3). <bold>(C)</bold> Anti-proliferative activity of PHY-EA against various normal cells (<italic>n</italic> &#x3d; 3). <bold>(D)</bold> Anti-proliferative activity of physalin B, O, and L against various cancer cells (<italic>n</italic> &#x3d; 3). Data are expressed as mean &#xb1; standard error (SE), and each treatment group was compared with the control group using a Student&#x2019;s <italic>t</italic>-test, where &#x2a;<italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a;<italic>p</italic> &#x3c; 0.01, and&#x2a;&#x2a;&#x2a;<italic>p</italic> &#x3c; 0.001.</p>
</caption>
<graphic xlink:href="fphar-14-1192225-g001.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>High performance liquid chromatography (HPLC) determination of physalin B, L, and O contents in <italic>Physalis pubescens</italic> ethyl acetate extracts (PHY-EA).</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center">Compounds</th>
<th align="center">Concentrations (&#x3bc;g/&#x3bc;L)</th>
<th align="center">Peak area</th>
<th align="center">Calibration curves</th>
<th align="center">ADM of the precision (%)</th>
<th align="center">Mean recovery (%)</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center">Physalin B (1.8% &#xb1; 0.12%)</td>
<td align="center">3.00000</td>
<td align="center">16,244.4</td>
<td align="center">
<italic>y</italic> &#x3d; 0.0002x &#x2b; 0.0132 <italic>R</italic>
<sup>2</sup> &#x3d; 0.9997</td>
<td align="center">0.496</td>
<td align="center">108</td>
</tr>
<tr>
<td align="left"/>
<td align="center">1.50000</td>
<td align="center">8,303.3</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left"/>
<td align="center">0.75000</td>
<td align="center">4,020.5</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left"/>
<td align="center">0.37500</td>
<td align="center">1,883.5</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left"/>
<td align="center">0.18750</td>
<td align="center">927.8</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left"/>
<td align="center">0.09375</td>
<td align="center">464.9</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="center">Physalin L (0.6% &#xb1; 0.17%)</td>
<td align="center">1.50000</td>
<td align="center">16,043.20</td>
<td align="center">
<italic>y</italic> &#x3d; 0.00009 x&#x2014;0.0210 <italic>R</italic>
<sup>2</sup> &#x3d; 0.99948</td>
<td align="center">0.213</td>
<td align="center">95</td>
</tr>
<tr>
<td align="left"/>
<td align="center">0.75000</td>
<td align="center">8,397.90</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left"/>
<td align="center">0.37500</td>
<td align="center">4,272.40</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left"/>
<td align="center">0.18750</td>
<td align="center">2,175.00</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left"/>
<td align="center">0.09375</td>
<td align="center">1,097.40</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="center">Physalin O (0.3% &#xb1; 0.04%)</td>
<td align="center">0.75000</td>
<td align="center">3,507</td>
<td align="center">
<italic>y</italic> &#x3d; 0.0002x &#x2b; 0.0149 <italic>R</italic>
<sup>2</sup> &#x3d; 0.9997</td>
<td align="center">0.601</td>
<td align="center">95</td>
</tr>
<tr>
<td align="left"/>
<td align="center">0.37500</td>
<td align="center">1,730.6</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left"/>
<td align="center">0.18750</td>
<td align="center">788.4</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left"/>
<td align="center">0.09375</td>
<td align="center">361.6</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left"/>
<td align="center">0.04688</td>
<td align="center">153</td>
<td align="left"/>
<td align="left"/>
<td align="left"/>
</tr>
<tr>
<td align="left"/>
<td align="center">0.02344</td>
<td align="center">73.8</td>
<td align="left"/>
<td align="left"/>
<td align="center">
</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Note: the above data are from five independent experiments.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3-2">
<title>PHY-EA has a proliferation inhibitory effect on tumor cells and normal cells</title>
<p>To investigate the anti-tumor activity of PHY-EA, we examined its inhibitory effects on the proliferation of 11 types of tumor cells using an SRB assay. The cell lines with an IC<sub>50</sub> &#x3c; 10&#xa0;&#x3bc;g/mL were SU-DHL-4, Daudi, and CA-46 (<xref ref-type="table" rid="T2">Table 2</xref>), indicating that PHY-EA had relatively good anti-tumor activity against lymphoma cell lines. On this basis, we compared the anti-tumor activity of PHY-EA against lymphoma with that of the commonly used clinical anti-tumor drug cisplatin, and found that the IC<sub>50</sub> of cisplatin against SU-DHL-4, Daudi, and CA-46 was 10.6 &#xb1; 2.864&#xa0;&#x3bc;g/mL, 1.1 &#xb1; 0.043&#xa0;&#x3bc;g/mL, and 8.3 &#xb1; 0.485&#xa0;&#x3bc;g/mL, respectively, while the IC<sub>50</sub> of PHY-EA against SU-DHL-4, Daudi, and CA-46 was 9.49 &#xb1; 0.12&#xa0;&#x3bc;g/mL, 2.49 &#xb1; 0.05&#xa0;&#x3bc;g/mL, and 4.79 &#xb1; 0.60&#xa0;&#x3bc;g/mL, respectively. Compared with cisplatin, the IC<sub>50</sub> of PHY-EA for SU-DHL-4 decreased by 12.7%, the IC<sub>50</sub> for Daudi increased by 54.6%, and the IC<sub>50</sub> for CA-46 decreased by 73.9%. (<xref ref-type="fig" rid="F1">Figure 1B</xref>). This demonstrated that PHY-EA has a strong inhibitory effect on the proliferation of lymphoma cells <italic>in vitro</italic>.</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>The median inhibitory concentration (IC<sub>50</sub>) of <italic>Physalis pubescens</italic> ethyl acetate extracts (PHY-EA) on tumor cells.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="center">Cell line</th>
<th align="center">IC<sub>50</sub> &#xb5;g/mL</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center">H2122</td>
<td align="center">508.22 &#xb1; 152.72</td>
</tr>
<tr>
<td align="center">HUH-7</td>
<td align="center">120.11 &#xb1; 22.20</td>
</tr>
<tr>
<td align="center">MDA-MB-231</td>
<td align="center">113.88 &#xb1; 38.45</td>
</tr>
<tr>
<td align="center">PC3</td>
<td align="center">152.72 &#xb1; 15.66</td>
</tr>
<tr>
<td align="center">SPC-A1</td>
<td align="center">30.30 &#xb1; 3.03</td>
</tr>
<tr>
<td align="center">HeLa</td>
<td align="center">584.51 &#xb1; 16.49</td>
</tr>
<tr>
<td align="center">HepG2</td>
<td align="center">44.12 &#xb1; 17.07</td>
</tr>
<tr>
<td align="center">B16</td>
<td align="center">16.82 &#xb1; 5.62</td>
</tr>
<tr>
<td align="center">SU-DHL-4</td>
<td align="center">9.49 &#xb1; 0.12</td>
</tr>
<tr>
<td align="center">CA-46</td>
<td align="center">2.49 &#xb1; 0.05</td>
</tr>
<tr>
<td align="center">Daudi</td>
<td align="center">4.79 &#xb1; 0.60</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Note: the above data were obtained from three independent experiments and are expressed as means &#xb1; standard errors (SE).</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>In contrast, the proliferation inhibitory effect of PHY-EA on the three types of normal cells (HSF, HaCat, and Raw264.7) was less than the effect against these lymphoma cells, with IC<sub>50</sub> values higher 10&#xa0;&#x3bc;g/mL (<xref ref-type="fig" rid="F1">Figure 1C</xref>).</p>
</sec>
<sec id="s3-3">
<title>Anti-tumor effect of physalin B, O, and L</title>
<p>We used SRB to screen for the anti-tumor activity of physalin B, physalin O, and physalin L. The screening results showed that physalin B had the best anti-tumor effect of the three compounds, with a proliferation inhibitory effect on a variety of tumor cells and the best effect on lymphoma cells CA-46 (IC<sub>50</sub> &#x3d; 4.78 &#xb1; 0.61&#xa0;&#x3bc;g/mL). Based on the results of the HPLC assay, we hypothesized that the main active component of PHY-EA was physalin B (<xref ref-type="fig" rid="F1">Figure 1D</xref>).</p>
</sec>
<sec id="s3-4">
<title>PHY-EA induces apoptosis in lymphoma cells</title>
<p>Flow cytometry and Western blotting were performed to investigate the mechanism underlying the proliferation-inhibiting effect of PHY-EA on lymphoma cells. The apoptosis rate of Daudi and SU-DHL-4 cells induced by 20&#xa0;&#x3bc;g/mL of PHY-EA increased by 79.79% and 51.49%, respectively, compared with that of the control group (<xref ref-type="fig" rid="F2">Figures 2A,B</xref>). Western blot assay results showed that in the Daudi cells, the expression levels of caspase 3, cleaved caspase 3, and caspase 9 were 46.5% &#xb1; 2.6%, 4,568.1 &#xb1; 2,428.9%, and 48.3% &#xb1; 5.6%, respectively, compared with the control group. In addition, in the SU-DHL-4 cells, the expression levels of caspase 3, cleaved caspase 3, and caspase 9 were 10.6% &#xb1; 2.4%, 2,426.1 &#xb1; 1,489.3%, and 573% &#xb1; 45%, respectively, compared with the control group (<xref ref-type="fig" rid="F2">Figures 2C,D</xref>). These results demonstrate that PHY-EA has a strong apoptosis-inducing effect on lymphoma cells.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>
<italic>Physalis pubescens</italic> ethyl acetate extract (PHY-EA) induced apoptosis and blocked the cell cycle in lymphoma cells. <bold>(A)</bold> PHY-EA induced apoptosis in lymphoma cells. <bold>(B)</bold> Changes in the apoptosis rate of lymphoma cells induced by PHY-EA. <bold>(C)</bold> Western blot detection of caspase 9, caspase 3, and cleaved caspase 3 changes in lymphoma. <bold>(D)</bold> Normalized grayscale analysis of apoptosis-associated protein images. <bold>(E)</bold> Effect of PHY-EA on the cell cycle of lymphoma cells. <bold>(F)</bold> PHY-EA induced cell cycle changes in lymphoma cells. <bold>(G)</bold> Changes in cell cycle-related proteins. <bold>(H)</bold> Normalized grayscale analysis of cycle-related protein images. Data are expressed as means &#xb1; standard errors (SE), and each experimental group was compared with the control group using a Student&#x2019;s <italic>t</italic>-test, with significance denoted by &#x2a; for <italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a; for <italic>p</italic> &#x3c; 0.01, and &#x2a;&#x2a;&#x2a; for <italic>p</italic> &#x3c; 0.001.</p>
</caption>
<graphic xlink:href="fphar-14-1192225-g002.tif"/>
</fig>
<p>Blocking effect of PHY-EA on the G2/M phase&#x2192;G0/G1 phase of lymphoma cells.</p>
<p>The cyclic effect of PHY-EA on lymphoma cells was investigated using flow cytometry, and cycle-related proteins were examined using Western blot assays. Compared with the control group, 20&#xa0;&#x3bc;g/mL of PHY-EA resulted in a 20.52% and 32.05% increase in the G2/M phase of Daudi and CA-46 cells, respectively (<xref ref-type="fig" rid="F2">Figure 2F</xref>). The results of the Western blotting experiments in 20&#xa0;&#x3bc;g/mL of PHY-EA showed that the expression levels of CDK2, cyclinA2, and CDK4 in the CA-46 cells were 14.0% &#xb1; 3.2%, 11.3% &#xb1; 0.1%, and 6% &#xb1; 3.5%, respectively, compared with the control group. Similarly, in the Daudi cells, the expression levels of CDK2, cyclinA2, and CDK4 were 8.7% &#xb1; 2.4%, 3.3% &#xb1; 0.3%, and 11.7% &#xb1; 0.3%, respectively (<xref ref-type="fig" rid="F2">Figures 2G,H</xref>). This demonstrated that PHY-EA has a blocking effect on lymphoma cells in the G2/M&#x2192;G0/G1 phase.</p>
</sec>
<sec id="s3-5">
<title>PHY-EA inhibits lymphatic transplantation tumors in mice</title>
<p>A transplanted tumor assay was performed to study the anti-tumor activity of PHY-EA against lymphoma in vivo. Tumor cells were injected into the subcutaneous axilla of the mice and then treated with PHY-EA (<xref ref-type="fig" rid="F3">Figures 3A,B</xref>). At the end of the experiment, the tumor weight was 0.24 &#x00B1; 0.07 g in the control group, 0.07 &#x00B1; 0.02 g in the PHY-EA 8 mg/kg group, and 0.11 &#x00B1; 0.03 g in the PHY-EA 4 mg/kg group. The tumor volume in the control group was 165.4 &#x00B1; 32.5 mm<sup>3</sup>, 27.6 &#x00B1; 6.7 mm<sup>3</sup> in the PHY-EA 8 mg/kg group, and 38.6 &#x00B1; 6.7 mm<sup>3</sup> in the PHY-EA 4 mg/kg group was. Compared with the control group, the tumor volume decreased by 83.2% and 72% in the PHY-EA 8 mg/kg group PHY-EA 4 mg/kg group, respectively (<xref ref-type="fig" rid="F3">Figure 3C</xref> and <xref ref-type="fig" rid="F4">Figure 4B</xref>). The body weights of mice in each group did not significantly differ during the experiment (<xref ref-type="fig" rid="F4">Figure 4A</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Mice with transplanted tumors. <bold>(A)</bold> Schematic diagram of the animal experimental method. Mice were divided into three groups: control group, <italic>Physalis pubescens</italic> ethyl acetate extract (PHY-EA) 8&#xa0;mg/kg group, and PHY-EA 4&#xa0;mg/kg group, with treatments administered for 21 days. <bold>(B)</bold> Pictures of transplanted tumor mice. <bold>(C)</bold> Pictures of transplanted tumors.</p>
</caption>
<graphic xlink:href="fphar-14-1192225-g003.tif"/>
</fig>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Tumor parameters and immunohistochemistry. <bold>(A)</bold> Body weight of mice. <bold>(B)</bold> Tumor volume. <bold>(C)</bold> Tumor weight. <bold>(D)</bold> Immunohistochemistry of Ki-67 and cleaved caspase 3 in tumor tissues. <bold>(E)</bold> Immunohistochemistry grayscale analysis. Data are expressed as means &#xb1; standard errors (SE), and each treatment group was compared with the control group using student&#x27;s t tests, with significance denoted by &#x2a; for <italic>p</italic> &#x3c; 0.05, &#x2a;&#x2a; for <italic>p</italic> &#x3c; 0.01, and &#x2a;&#x2a;&#x2a; for <italic>p</italic> &#x3c; 0.001. PHY-EA, <italic>Physalis pubescens</italic> ethyl acetate extract.</p>
</caption>
<graphic xlink:href="fphar-14-1192225-g004.tif"/>
</fig>
<p>Immunohistochemical assays were used to detect changes in the expression of proliferation-related proteins in the tumor tissues. The results showed that the relative expression of the Ki-67 protein was 0.066 &#xb1; 0.002 in the PHY-EA 8&#xa0;mg/kg group and 0.088 &#xb1; 0.004 in the PHY-EA 4&#xa0;mg/kg group, which were 93.4% and 91.2% lower than the control group, respectively. The relative expression of cleaved caspase 3 protein in the PHY-EA 8&#xa0;mg/kg and PHY-EA 4&#xa0;mg/kg groups was 2.16 &#xb1; 0.17 and 1.90 &#xb1; 0.04, respectively, an increase of 116% and 90% compared with the control group (<xref ref-type="fig" rid="F4">Figures 4D,E</xref>). These results indicated that PHY-EA significantly inhibited the proliferation of mouse transplantation tumors by inducing apoptosis and cycle arrest in the tumor cells.</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>Physalin analogs are a group of highly oxidized 13,14-cleaved-ring-16,24-cycloergostane compounds found in <italic>Physalis</italic> species. More than 30 physalins have been isolated from the genus <italic>Physalis</italic> (<xref ref-type="bibr" rid="B15">Meira et al., 2022</xref>; <xref ref-type="bibr" rid="B19">Qu et al., 2022</xref>). We identified the components of PHY-EA as physalin B, physalin O, and physalin L&#x2014;three physalin-like compounds, of which the Physalin B content was the highest at 1.8% &#xb1; 0.12%. The pharmacological activity of physalin B has been extensively reported, whereas the activities of physalin O and L have received little attention. We screened the <italic>in vitro</italic> anti-tumor activity of the three compounds and found that physalin B had higher anti-tumor activity, whereas physalin O and physalin L had poor proliferation inhibition. This result suggests that physalin B may be the main active component in PHY-EA and that structural differences between physalin B and physalin L may be a key factor affecting physalin activity. Meanwhile, the inhibition of cell proliferation by PHY-EA was lower in normal cells than some tumor cell lines and showed specific toxicity against lymphoma.</p>
<p>Using flow cytometry, PHY-EA was found to exert apoptosis-inducing and cycle-stopping effects on lymphoma. Apoptosis is a self-regulated form of cell death (<xref ref-type="bibr" rid="B28">Xu et al., 2019</xref>), and caspase family proteins play an important role in regulating apoptosis, including caspase 9, which can be signaled to self-activate and activate caspase 3, which activates CAD to degrade DNA and causes a series of apoptotic responses (<xref ref-type="bibr" rid="B7">Elmore, 2007</xref>). Our experiments demonstrated that PHY-EA can activate caspase 9 and thus caspase 3 to induce apoptosis in lymphoma cells.</p>
<p>The cell cycle is the process of cell proliferation and is divided into the G1, S, G2, and M phases depending on the DNA state (<xref ref-type="bibr" rid="B20">Schafer, 1998</xref>). Various cell cycle processes are regulated by different CDK and cyclin proteins (<xref ref-type="bibr" rid="B4">Coffman, 2004</xref>) (<xref ref-type="bibr" rid="B8">Engeland, 2018</xref>; <xref ref-type="bibr" rid="B24">Wang, 2022</xref>). Cyclin A activates CDK1 and CDK2 to promote transformation in the G2/M phase, and the CDK4/6-Cyclin D1 complex plays a key role in the G1 phase (<xref ref-type="bibr" rid="B21">Strzyz, 2016</xref>; <xref ref-type="bibr" rid="B17">Pai et al., 2021</xref>). The experimental results showed that PHY-EA regulates the cell cycle mainly by inhibiting Cyclin A and CDK2, thus inhibiting the G2/M phase transition process.</p>
<p>Despite these promising results, there is still a limitation in the current study, namely, the reasons for the specific activity of PHY-EA against lymphoma have not been fully explored. According to related studies (<xref ref-type="bibr" rid="B13">Ji et al., 2013</xref>; <xref ref-type="bibr" rid="B26">Xia et al., 2016</xref>), PHY-EA may contain a large number of physalin-like compounds, which are also responsible for the good anti-tumor activity of PHY-EA; however, we did not conduct a comprehensive isolation, identification, and activity study of other compounds in PHY-EA, which needs to be explored in our future research.</p>
</sec>
<sec sec-type="conclusion" id="s5">
<title>Conclusion</title>
<p>PHY-EA, an extract of the leaves and twigs of <italic>P. pubescens</italic>, showed good anti-tumor activity against Burkitt&#x2019;s lymphoma, demonstrating that in addition to the calyx and fruit, the twigs and leaves of <italic>P. pubescens</italic> also have medicinal value. Compared with the fruit, the leaves and branches of <italic>P. pubescens</italic> are less expensive, so their application will help reduce the costs associated with producing drugs from <italic>P. pubescens</italic>.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s6">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary materials, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s7">
<title>Ethics statement</title>
<p>The animal study was reviewed and approved by Animal Ethics Review Committee of Yunnan Minzu University.</p>
</sec>
<sec id="s8">
<title>Author contributions</title>
<p>CRediT authorship contribution statement LY-C: writing&#x2014;original Draft, visualization. PY-Y: writing&#x2014;reviewing and editing. ZQ: software. ZH-Y: validation. WY-W: resources. SY-M: methodology. YJ-L: funding acquisition, project administration, conceptualization. All authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s9">
<title>Funding</title>
<p>This work was supported by the National Natural Science Foundation of China (21768005) and Major Science and Technology Projects in Yunnan Province (2017ZF011).</p>
</sec>
<sec sec-type="COI-statement" id="s10">
<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="s11">
<title>Publisher&#x2019;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>
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