Stevioside inhibits colorectal cancer progression by regulating macrophage polarization

Yang Bai1, Yuefei Wang1, Fang Zhang1

  • 1Department of Large Intestine, The First School of Clinical Medicine, Guizhou University of Traditional Chinese Medicine, Guiyang, China.

PubMed

Insights

Stevioside effectively inhibits colorectal cancer cell proliferation and migration while promoting apoptosis. This natural compound may also regulate macrophage polarization, offering a potential therapeutic avenue for colorectal cancer treatment.

Area of Science:

  • Oncology
  • Immunology
  • Pharmacology

Background:

  • Colorectal cancer (CRC) remains a leading cause of cancer-related mortality worldwide.
  • Identifying novel therapeutic agents with fewer side effects is crucial for CRC treatment.
  • Stevioside, a natural sweetener, has shown potential anti-cancer properties in preliminary studies.

Purpose of the Study:

  • To investigate the inhibitory effects of stevioside on colorectal cancer (CRC) progression.
  • To elucidate the underlying molecular mechanisms, including its impact on cell apoptosis and macrophage polarization.

Main Methods:

  • Functional assays including CCK-8 and EdU staining assessed cell viability and proliferation.
  • Flow cytometry and Western blot analyzed apoptosis and protein expression (cleaved-caspase-3, Bax, Bcl-2, E-cadherin, Vimentin).
  • Macrophage polarization was evaluated using flow cytometry, Western blot, immunofluorescence, and RT-qPCR (Arg-1, IL-10, IL-12, TNF-α). Tumor formation in nude mice was also assessed.

Main Results:

  • Stevioside demonstrated a concentration-dependent inhibition of CRC cell proliferation, migration, and invasion, alongside enhanced apoptosis in vitro.
  • In vivo studies showed reduced tumor volume and weight following stevioside treatment.
  • Stevioside treatment promoted M1 macrophage polarization, evidenced by increased CD86+ cells and decreased CD206+ cells, along with altered mRNA expression of key cytokines (IL-12, TNF-α increased; Arg-1, IL-10 decreased).

Conclusions:

  • Stevioside exhibits significant anti-cancer activity against colorectal cancer by inhibiting proliferation and inducing apoptosis.
  • The mechanism involves the modulation of macrophage M1 polarization, suggesting a potential immunotherapeutic role for stevioside in CRC treatment.

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