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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="doi">10.3389/fphar.2020.00322</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>Antiproliferative Effects of <italic>Roylea cinerea</italic> (D. Don) Baillon Leaves in Immortalized L6 Rat Skeletal Muscle Cell Line: Role of Reactive Oxygen Species Mediated Pathway</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Bhatia</surname>
<given-names>Astha</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/797382"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Singh Buttar</surname>
<given-names>Harpal</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Arora</surname>
<given-names>Rohit</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Singh</surname>
<given-names>Balbir</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Singh</surname>
<given-names>Amritpal</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/799002"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kaur</surname>
<given-names>Sarabjit</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Arora</surname>
<given-names>Saroj</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/869354"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Botanical and Environmental Sciences, Guru Nanak Dev University</institution>, <addr-line>Amritsar, Punjab</addr-line>, <country>India</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of Ottawa</institution>, <addr-line>Ottawa, ON</addr-line>, <country>Canada</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Department of Biochemistry, Sri Guru Ram Das University of Health Sciences</institution>, <addr-line>Amritsar, Punjab</addr-line>, <country>India</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Pharmaceutical Sciences, Guru Nanak Dev University</institution>, <addr-line>Amritsar, Punjab</addr-line>, <country>India</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Hardeep Singh Tuli, Maharishi Markandeshwar University, Mullana, India</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Pradeep Kumar Singh Visen, Independent Researcher, Scarborough, ON, Canada; Munish Garg, Maharshi Dayanand University, India; Harpreet Walia, DAV University, India</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Saroj Arora, <email xlink:href="mailto:sarojarora.gndu@gmail.com">sarojarora.gndu@gmail.com</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Pharmacology of Anti-Cancer Drugs, a section of the journal Frontiers in Pharmacology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>13</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="collection">
<year>2020</year>
</pub-date>
<volume>11</volume>
<elocation-id>322</elocation-id>
<history>
<date date-type="received">
<day>28</day>
<month>12</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>05</day>
<month>03</month>
<year>2020</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2020 Bhatia, Singh Buttar, Arora, Singh, Singh, Kaur and Arora</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>Bhatia, Singh Buttar, Arora, Singh, Singh, Kaur and Arora</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>Roylea cinerea</italic> (D. Don) Baill. (Lamiaceae) is an indigenous plant of Western Himalayas, and has been used by the native population for the treatment of various diseases such as fever, malaria, diabetes, jaundice, and skin ailments. However, limited proportion of pharmacological and toxicological information is available on the bioactive properties of this plant. Therefore, the present study was designed to explore the anti-oxidant and anti-proliferative activities of <italic>Roylea cinerea</italic>. Methanolic extracts of leaves and stem of <italic>Roylea cinerea</italic> were prepared through maceration procedure and evaluated for the antioxidant activity using hydrogen/electron donating and hydroxyl radical scavenging assay. Significant antioxidant activity was observed for the methanolic extract of leaves in DPPH (EC<sub>50</sub> 239 &#xb5;g/ml), molybdate ion reduction assay (29.73 &#xb5;g ascorbic acid equivalent/mg dry weight of extract) as well as in plasmid nicking assay. Anti-proliferative and apoptotic activity in L6 rat skeletal muscle cell line was done using <italic>in vitro</italic> assays, i.e., MTT, Lactate dehydrogenase, mitochondrial membrane potential assay along with phase contrast, confocal, and scanning electron microscopy. The methanol extract of leaves and stem inhibited the growth of L6 cells with IC<sub>50</sub> value of 69.41&#xb5;g/ml and 124.93 &#xb5;g/ml, respectively, and the lactate dehydrogenase activity was 20.29% and 0.3%, respectively. Cell cycle analysis by flow cytometry exhibited the arrest of cells in G1 and sub-G1 phase by methanolic leaves extract. Furthermore, the results of microscopic and docking analysis strengthened the observation made in the present study regarding the apoptotic mode of cell death in the L6 cell line. The <italic>in vitro</italic> findings of our studies revealed that the bioactive ingredients present in the methanolic extract of leaves and stem of <italic>Roylea cinerea</italic> have the anticancer potential. Further <italic>in vivo</italic> studies are needed to verify the <italic>in vitro</italic> results.</p>
</abstract>
<kwd-group>
<kwd>
<italic>Roylea cinerea</italic> (D. Don) Baill.</kwd>
<kwd>antioxidant</kwd>
<kwd>L6</kwd>
<kwd>confocal</kwd>
<kwd>cell cycle</kwd>
<kwd>apoptosis</kwd>
</kwd-group>
<contract-sponsor id="cn001">University Grants Commission<named-content content-type="fundref-id">10.13039/501100001501</named-content>
</contract-sponsor>
<counts>
<fig-count count="7"/>
<table-count count="1"/>
<equation-count count="3"/>
<ref-count count="53"/>
<page-count count="13"/>
<word-count count="6446"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Reactive oxygen species (ROS) are normally produced in the body from the mitochondria and are often termed as &#x2018;redox messengers'. The ROS form an integral part of various intracellular signaling pathways. However, enhanced exposure to xenobiotics and oxidative stress generate prodigious levels of ROS, which in the absence of antioxidant defense pathways can attack cell membrane and alter the structure of cellular macromolecules, protein functioning and may also cause mutations in cellular DNA. Several studies have confirmed the relationship between elevated levels of ROS and carcinogenesis (<xref ref-type="bibr" rid="B46">Weinberg, 1989</xref>). The multistep process of carcinogenesis commences through disturbed homeostasis between deviant proto-oncogenes activation and suppression of tumor suppressor genes with critical pathways and biomarkers (<xref ref-type="bibr" rid="B35">Rashid, 2017</xref>). Cancer chemoprevention edges on unraveling the potent cost-effective anticancer agents that can specifically influence cellular transformations in the early stages. Despite numerous beneficial effects of synthetic drugs, naturally occurring phytochemicals are preferred as potential anticancer therapies considering the lesser toxicity and fewer side effects.</p>
<p>Naturally occurring phytochemicals have been used in the management of numerous chronic and non-communicable diseases, including cancer and cardiometabolic disorders, and have currently become an important area of research and drug discovery programmes. Basic studies have shown that initiation of cancer is a multistep process that involves tumor initiation, and promotion followed by its progression (<xref ref-type="bibr" rid="B4">Basu, 2018</xref>). Extensive efforts are required to unravel the complete mechanism of anti-cancer agents which involves several underlying intracellular signaling cascades. In this context, tailored supplementation of phytochemicals can target these unregulated pathways to inhibit such cellular complications or induce programmed cell death or apoptosis including cyclin dependent kinases and many growth factors. Phytochemicals based anticancer therapies can act as an effective alternative to healthcare costs and side effects in the treatment of cancer with synthetic drugs with an advantage of being inexpensive and accessible. For example, phytochemicals may prevent the carcinogenic effect by capturing the free radicals, and by detoxifying the carcinogen and preventing them to reach the target sites. These natural products may also influence tumor suppressor genes and stimulate the innate immune system, including apoptosis, thereby inhibiting the cellular proliferation pathways and activating various targets such as mitogen-activated protein kinases (MAPKs) and ICE/Ced-3 family proteases (caspases, <xref ref-type="bibr" rid="B43">Singh et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B10">Chikara et&#xa0;al., 2018</xref>).</p>
<p>
<italic>Roylea cinerea</italic> (D. Don) Baillon belongs to the family Lamiaceae. It is an indigenous herb, native to India and grows at an altitude of 1200-3700 m in the Western Himalayas and at the foothills of Nepal. This phytomedicinal plant has been used as a febrifuge, tonic for contusions as well as for treating diabetes mellitus, malaria, and skin diseases (<xref ref-type="bibr" rid="B13">Dobhal and Joshi, 1979</xref>; <xref ref-type="bibr" rid="B21">Khare, 2007</xref>; <xref ref-type="bibr" rid="B37">Rawat and Vashistha, 2013</xref>). The petroleum ether and the chloroform extracts from leaves of <italic>Roylea cinerea</italic> (D. Don) Baillon have been reported with antiplasmodial activity (<xref ref-type="bibr" rid="B14">Dua et&#xa0;al., 2011</xref>). The branches of the plant are found to be useful in the treatment of jaundice in infants. Its flowers are used in winters for snuffing to cure coughs (<xref ref-type="bibr" rid="B30">Parkash and Aggarwal, 2010</xref>). Several phytochemical compounds have been isolated from the aerial parts of the plant such as labdane-diterpenoids: calyenone, epicalyone, calyone, and precalyone, cinereanoid A, cinereanoid B (<xref ref-type="bibr" rid="B31">Prakash et&#xa0;al., 1979</xref>; <xref ref-type="bibr" rid="B41">Sharma et&#xa0;al., 2015</xref>); moronic acid (<xref ref-type="bibr" rid="B27">Majumder et&#xa0;al., 1979</xref>); cinereanoid C, cinereanoid D, &#x3b2;-lactam, flavonoid glycosides: rutin, isoquercetin, nicotiflorin, martynoside, undatuside A and 50-&#x3b2;-D-glucopyranosyloxyjasmonic acid (<xref ref-type="bibr" rid="B42">Sharma et&#xa0;al., 2017</xref>); from chloroform fraction: pilloin, 1-methylindole-3-carboxaldehyde, &#x3b2;-sitosterol, and stigmasterol (<xref ref-type="bibr" rid="B41">Sharma et&#xa0;al., 2015</xref>). The compound precalyone (a diterpene) isolated from <italic>Roylea calycina</italic> syn <italic>cinerea</italic> (aerial plant parts) showed anticancer activity up to 143% at concentration of 50 mg/kg in P-388 lymphocytic leukemia in mice in a study conducted (<xref ref-type="bibr" rid="B36">Rastogi and Dhawan, 1990</xref>; <xref ref-type="bibr" rid="B33">Pundir and Mahindroo, 2019</xref>). Moreover, in another study reported, a target oriented binding analysis to active binding site of Hsp90 and Hsp70 protein which showed potential dual binding affinity of cinereanoid D at 0.1 mg/ml and 1 mg/ml concentration respectively to both the proteins (<xref ref-type="bibr" rid="B42">Sharma et&#xa0;al., 2017</xref>).</p>
<p>To the best of our knowledge, no detailed study is available regarding aerial parts of <italic>Roylea cinerea</italic> (D. Don) Baillon with anticancer and antiproliferative potential Thus, keeping in view the scanty literature and some preliminary studies available regarding anticancer potential of <italic>Roylea cinerea</italic> (D. Don) Baillon, the present study was conducted with an objective of unraveling the anticancer potential of methanolic extracts of <italic>Roylea cinerea</italic> (leaves and stem). Further, the mechanistic study was carried out to confirm antiproliferative and apoptotic activity of the methanolic leaves extract of <italic>R. cinerea</italic> in immortalized L6 rat skeletal muscle cell line <italic>via in vitro</italic> assays and microscopic analysis combined with docking analysis of phytoconstituents present in it with PI3K and antiapoptotic proteins (Bcl-2, Bcl-X<sub>L</sub>).</p>
</sec>
<sec id="s2">
<title>Methodology</title>
<sec id="s2_1">
<title>Plant Collection and Extraction</title>
<p>The plant material (leaves and stem) was collected from District Palampur, Himachal Pradesh, India during the month of May, 2016. The collected plant material was identified and submitted as a voucher specimen for authenticity in the Herbarium, Department of Botanical and Environmental Sciences, Amritsar, India (Accession no. 7376). The plant material (leaves and stem) was completely air dried, coarsely powdered and subjected to maceration procedure in methanol for 2&#x2013;3 days with agitation at intervals. Literature studies support the use of alcoholic extracts for the extraction of secondary metabolites mainly for polyphenols from plant material as compared to water extracts due to higher extractive potential (<xref ref-type="bibr" rid="B44">Singh et&#xa0;al., 2019</xref>). After maceration, the methanolic extracts were concentrated using rotary evaporator (IKA<sup>&#xae;</sup> RV 10) followed by air-drying and stored at &#x2212;20&#xb0;C until use.</p>
</sec>
<sec id="s2_2">
<title>Estimation of Total Phenolic Content</title>
<p>Total Phenolic Content was determined using Folin Ciocalteu method given by <xref ref-type="bibr" rid="B50">Yu et&#xa0;al. (2002)</xref> with slight modifications. The standard curve for gallic acid (12.5&#x2013;1,600 &#xb5;g/ml) was used to calculate the content and expressed as &#xb5;g gallic acid equivalent/mg dry weight of the extract.</p>
</sec>
<sec id="s2_3">
<title>Estimation of Total Flavonoid Content</title>
<p>Total Flavonoid Content was determined using the method given by <xref ref-type="bibr" rid="B22">Kim et&#xa0;al. (2003)</xref> with slight modifications. The standard curve for rutin (12.5&#x2013;1,600 &#xb5;g/ml) was used to calculate the content and expressed as &#xb5;g rutin equivalent/mg dry weight of the extract.</p>
</sec>
<sec id="s2_4">
<title>Antioxidant Activity</title>
<sec id="s2_4_1">
<title>Hydrogen Donating Activity</title>
<p>Hydrogen donating activity was assessed <italic>via</italic> DPPH (2,2-diphenyl-1-picrylhydrazyl) free radical scavenging assay. The assay was performed as per the method given by <xref ref-type="bibr" rid="B6">Blois (1958)</xref> with minor modifications. The plant extracts (30 &#xb5;l) with varying concentrations (25&#x2013;1,000 &#xb5;g/ml) was incubated with 200 &#xb5;l of DPPH dissolved in methanol for 30 min at 37&#x2da;C. Following the incubation, the final absorbance was measured using Biotek multi-well plate reader at 517 nm against a blank solution. The % radical scavenging activity was calculated as:</p>
<disp-formula>
<mml:math display="block" id="M1">
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>O</mml:mi>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>L</mml:mi>
<mml:mi>A</mml:mi>
<mml:mi>N</mml:mi>
<mml:mi>K</mml:mi>
<mml:mo>&#x2212;</mml:mo>
</mml:mrow>
</mml:msub>
<mml:mi>O</mml:mi>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mrow>
<mml:mi>S</mml:mi>
<mml:mi>A</mml:mi>
<mml:mi>M</mml:mi>
<mml:mi>P</mml:mi>
<mml:mi>L</mml:mi>
<mml:mi>E</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo stretchy="false">/</mml:mo>
<mml:mi>O</mml:mi>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>L</mml:mi>
<mml:mi>A</mml:mi>
<mml:mi>N</mml:mi>
<mml:mi>K</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:mrow>
</mml:math>
</disp-formula>
<p>Gallic acid was used as standard and evaluated at a varying concentration (5&#x2013;100 &#xb5;g/ml)</p>
</sec>
<sec id="s2_4_2">
<title>Electron Donating Activity</title>
<p>Electron donating activity was assessed <italic>via</italic> molybdate ion reduction assay. Plant extracts were evaluated for their ability to reduce molybdate ion as per the method given by <xref ref-type="bibr" rid="B32">Prieto et&#xa0;al. (1999)</xref> with slight modifications. The extract (25 &#xb5;l) was mixed with 250 &#xb5;l reagent (0.6 M H<sub>2</sub>SO<sub>4</sub>, 28 mM sodium phosphate, and 4 mM ammonium molybdate). The final reaction mixture (300 &#xb5;l) was heated at 95&#x2da;C for 1.5 h. The absorbance was read at 695 nm using Biotek multi-well plate reader. The antioxidant activity was calculated using a standard curve for ascorbic acid (20&#x2013;200 &#xb5;g/ml) and expressed in terms of ascorbic acid equivalents (<xref ref-type="supplementary-material" rid="SF6">
<bold>Supplementary Figure 6</bold>
</xref>).</p>
</sec>
<sec id="s2_4_3">
<title>Hydroxyl Scavenging Activity</title>
<p>The DNA nicking assay was performed according to <xref ref-type="bibr" rid="B24">Lee et&#xa0;al. (2002)</xref> with minor modifications. Fenton reagent (30 mM H<sub>2</sub>O<sub>2</sub>, 80 mM FeCl<sub>3</sub>, 50 mM ascorbic acid) was used as a negative control. The plant extracts concentrations (12.5&#x2013;400 &#xb5;g/ml) were mixed with freshly prepared negative control and pBR 322 plasmid DNA. The final reaction mixture was made up to 20 &#xb5;l using sterile distilled water. Electrophoresis was performed after loading different reaction mixtures into 1% agarose gel at 60 V for 1.5 h. Bands were visualized using the Gel Doc XR system (Bio-Rad, USA) and quantified using Gel Quant and Labimage Platform software (free version) software.</p>
</sec>
</sec>
<sec id="s2_5">
<title>Antiproliferative Activity</title>
<sec id="s2_5_1">
<title>MTT Assay</title>
<p>The plant extracts (leaves and stem) from <italic>Roylea cinerea</italic> (D. Don) Baill. were evaluated for their anti-proliferative activity in L6 skeletal muscle cell line using the method given by <xref ref-type="bibr" rid="B25">Liu et&#xa0;al. (2006)</xref> with minor modifications. The L6 cells were seeded in 96 well plate with a density of 10x10<sup>3</sup> cells/well and incubated for 24 h. After incubation, cells were treated with varying concentration of plant extracts (25&#x2013;1,600 &#xb5;g/ml) for 24 h at 37&#xb0;C and 5% CO<sub>2</sub>. Following incubation, MTT (100 &#xb5;l) was added to each well after carefully removing the media and further incubated for 4 h. Post-treatment, the solution was aspirated from each well and insoluble formazan was dissolved in DMSO (100 &#xb5;l). The absorbance was recorded at 540 nm using Biotek Synergy HT multi-well plate reader against blank. The percentage inhibition was calculated as:</p>
<disp-formula>
<mml:math display="block" id="M2">
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>O</mml:mi>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>L</mml:mi>
<mml:mi>A</mml:mi>
<mml:mi>N</mml:mi>
<mml:mi>K</mml:mi>
<mml:mo>&#x2212;</mml:mo>
</mml:mrow>
</mml:msub>
<mml:mi>O</mml:mi>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mrow>
<mml:mi>S</mml:mi>
<mml:mi>A</mml:mi>
<mml:mi>M</mml:mi>
<mml:mi>P</mml:mi>
<mml:mi>L</mml:mi>
<mml:mi>E</mml:mi>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo stretchy="false">/</mml:mo>
<mml:mi>O</mml:mi>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>L</mml:mi>
<mml:mi>A</mml:mi>
<mml:mi>N</mml:mi>
<mml:mi>K</mml:mi>
</mml:mrow>
</mml:msub>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100</mml:mn>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</disp-formula>
<p>Growth inhibitory concentration (the concentration of the sample with 50% death of the cells, i.e., G1<sub>50</sub>)</p>
</sec>
<sec id="s2_5_2">
<title>Lactate Dehydrogenase Assay</title>
<p>The cellular damage was assessed <italic>via</italic> the enzyme lactate dehydrogenase which is present in all cells and released rapidly during cell damage. The assay was performed according to the method given by <xref ref-type="bibr" rid="B1">Abe and Matsuki (2000)</xref> to evaluate cellular damage or cell death <italic>via</italic> necrosis. The cells were seeded with density 3x10<sup>5</sup> in 24 well plate at 37&#x2da;C and 5% CO<sub>2</sub> for 24 h. After incubation, the cells were treated with GI<sub>50</sub> and GI<sub>70</sub> of plant extracts calculated from MTT assay for 24 h. Post-treatment, the supernatant (100 &#xb5;l) was collected and transferred to 96 well plate followed by the addition of 100 &#xb5;l LDH buffer (2.5 mg Lithium lactate, 2.5 mg NAD<sup>+</sup>, Tris-HCl (pH 8.2) dissolved in 0.1% Triton-X; 100 &#xb5;l MTT and 1 &#xb5;l methoxyphenazine methosulfate). The reaction mixture was incubated for 30 min in dark followed by the addition of stop solution (100 &#xb5;l) 1M acetic acid. Absorbance was read at 570 nm using Biotek Synergy HT multi-well plate reader against blank and % enzyme activity was calculated as:</p>
<disp-formula>
<mml:math display="block" id="M3">
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mi>O</mml:mi>
<mml:msub>
<mml:mi>D</mml:mi>
<mml:mrow>
<mml:mi>B</mml:mi>
<mml:mi>L</mml:mi>
<mml:mi>A</mml:mi>
<mml:mi>N</mml:mi>
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</mml:mrow>
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</mml:math>
</disp-formula>
</sec>
<sec id="s2_5_3">
<title>Assesment of Cell Morphology Through Microscopic Studies</title>
<p>The morphological features of normal and apoptotic cells were examined through phase-contrast microscope as per the method given by <xref ref-type="bibr" rid="B34">Ramasamy et&#xa0;al. (2013)</xref>. Nuclear morphology was analyzed by confocal microscopy using DAPI and Ethidium Bromide-acridine orange (EB/AO) to detect apoptotic cells (<xref ref-type="bibr" rid="B19">Kasibhatla et&#xa0;al., 2006</xref>). The cells were analyzed using the Nikon A1R Laser Scanning Confocal Microscope (Nikon Corporation, Japan) with NIS-Elements AR analysis software (version 4.11.00). Scanning electron microscopy was performed as per the method given by <xref ref-type="bibr" rid="B49">Ye et&#xa0;al. (2012)</xref> to study the surface morphology of normal and apoptotic cells using scanning electron microscope (Carl Zeiss SUPRA55).</p>
</sec>
<sec id="s2_5_4">
<title>Intracellular Reactive Oxygen Species Content</title>
<p>ROS levels were determined in L6 rat skeletal muscle cells using DCFH-DA probe (Dichloro-dihydro-fluorescein diacetate) as per the method given by <xref ref-type="bibr" rid="B11">Deng et&#xa0;al., 2013</xref> with slight modifications. Cells were cultured in a 6-well plate with density 5x10<sup>5</sup> cells/well (2 ml) and incubated for 24 h. The cells were treated with IC<sub>30</sub>, IC<sub>50</sub>, and IC<sub>70</sub> of <italic>Roylea cinerea</italic> (D. Don) Baill. methanolic leaves and stem extract for another 24 h. After treatment, cells were incubated for 30 min with the DCFH-DA probe (10 &#xb5;g/ml) at 37&#xb0;C in the CO<sub>2</sub> incubator. Following incubation, the cells were harvested and washed twice with 1x PBS (1 ml) and immediately observed for oxidative burst with Biotek multi-well plate reader for fluorescent intensity (485 nm excitation and 528 nm emission) as well as BD Accuri TM C6 Flow Cytometer (excitation 488 nm, emission 535 nm, FL-1 channel, events recorded 10,000 per sample), and the results obtained were expressed in terms of % intracellular ROS in cells.</p>
</sec>
<sec id="s2_5_5">
<title>Measurement of Mitochondrial Membrane Potential</title>
<p>MMP was determined in L6 rat skeletal muscle cells using Rhodamine-123 as per the method given by <xref ref-type="bibr" rid="B11">Deng et&#xa0;al. (2013)</xref> with slight modifications. Cells were cultured in a 6-well plate with density 5x10<sup>5</sup>cells/well (2 ml) and incubated for 24 h. The cells were treated for 24 h with IC<sub>30</sub>, IC<sub>50</sub>and IC<sub>70</sub> of <italic>Roylea cinerea</italic> (D. Don) Baill. methanolic leaves and stem extract and incubated for 30 min with the Rhodamine-123 (10 &#xb5;g/ml) at 37&#xb0;C in the CO<sub>2</sub> incubator. Following incubation, cells were harvested and washed twice with 1x PBS (1 ml) and immediately observed with Biotek multi-well plate reader for fluorescent intensity (485 nm excitation and 528 nm emission) as well as BD AccuriTM C6 Flow Cytometer (excitation 511 nm, emission 535 nm, FL-1 channel, events recorded 10,000 per sample).</p>
</sec>
<sec id="s2_5_6">
<title>Cell Cycle Analysis</title>
<p>Cell cycle analysis was performed to analyze DNA content in different phases of cell cycle as per the method given by <xref ref-type="bibr" rid="B18">Jordan et&#xa0;al. (1996)</xref> with slight modifications. L6 cells plated in six well plate (5x10<sup>5</sup>) were treated with various concentrations of <italic>R. cinerea</italic> leaves extract for 24 h. After treatment, cells were centrifuged to obtain a pellet and washed with chilled 500 &#xb5;l of PBS. Further, the cells were fixed with 70% ethanol at 15&#xb0;C for 30 min. After fixation, the cells were again centrifuged to obtain a pellet and washing step was repeated followed by incubation of cells with RNAase (10 &#xb5;g/ml) and propidium iodide stain (10 &#xb5;g/ml) for another 30 min. After incubation, cells were analyzed immediately for DNA content using BD AccuriTM C6 Cytometer (excitation 488 nm, emission 600 nm, FL2 channel, events recorded 10,000 per sample). The histogram obtained from cell cycle distribution was analyzed by BD AccuriTM C6 software and expressed in terms of % cells in each phase of cell cycle.</p>
</sec>
</sec>
<sec id="s2_6">
<title>Molecular Docking Studies</title>
<p>The methanolic extract of leaves of <italic>R. cinerea</italic> exhibited substantial anti-proliferative activity, therefore the docking studies were carried out for the chemical constituents already reported in this plant (<xref ref-type="bibr" rid="B41">Sharma et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B42">Sharma et&#xa0;al., 2017</xref>). The chemical structure and molecules for which docking was carried out are provided in <xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Figure 1</bold>
</xref>. Ligand structures were obtained from PubChem (<uri xlink:href="https://pubchem.ncbi.nlm.nih.gov/search/search.cgi">https://pubchem.ncbi.nlm.nih.gov/search/search.cgi</uri>) and prepared using chemsketch tool. In this study, the protein structure of the target proteins PI3K (PDB ID: 1E8Z), Bcl2 (PDB ID: 4IEH), Bclxl (PDB ID: 4QNQ) and a binding pockets was obtained from the protein data bank (<uri xlink:href="https://www.rcsb.org">www.rcsb.org</uri>) (<xref ref-type="supplementary-material" rid="SF2">
<bold>Supplementary Figure 2</bold>
</xref>). The preparation of the target proteins was done using Swiss PDB viewer v4.1.0 involved energy minimization. Further, polar hydrogen atoms were added to target protein and for the computation of partial atomic charge using AutoDock4. Hetero-atoms present in the protein structures 1E8Z, 4IEH, and 4QNQ were removed prior to autodock analysis. The automated docking of specified ligands into protein binding pocket was done considering Gasteiger charges for each atom present in the target. Three-dimensional affinity grid size for 1E8Z was 51.201, 12.569, 28.184 (x, y, and z), for 4IEH was 14.216, 21.636, 11.709, and for 4QNQ was 52.232, 7.115, -11.211 used on the geometric center of the target protein. Docking algorithm was run using Cygwin software to obtain the binding energy data for each run. Visualization and analysis of the results were done using UCSF chimera 1.11rc.</p>
</sec>
<sec id="s2_7">
<title>Statistical Analysis</title>
<p>The data were analyzed using regression analysis and implemented by best-fit-model. The regression equation obtained was used for the calculation of TPC, TFC, EC<sub>50</sub>, and GI<sub>50</sub> values. In addition, one-way analysis of variances (ANOVA) and Tukey's test was employed for comparing means of different concentrations of the same extract assuming variances are equal using IBM SPSS version 16.0 software. The difference in % ROS and % depolarized cells between the control cells and treated cells was analyzed by Student's Independent t-test. The results were expressed as mean &#xb1; SE.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results and Discussion</title>
<p>Previous reports have confirmed the relation between the intake of natural phytochemicals and the low incidence of various diseases such as heart diseases, diabetes, cancer and the process of aging. Furthermore, medicinal plants demonstrating higher antioxidant activity have been reported to contain a high amount of phenolic compounds. Thus, such plants can act as a potential source of antioxidants to combat various diseases including cancer. A perusal of literature showed various medicinal plants with high phenolic content associated with their chemopreventive as well as anticancer activity. Such reports include Lichochalcone A (LCA) from licorice, Cinnamtannin B1 from litchi, green tea (<italic>Camellia sinensis</italic>), ethanolic extract of <italic>Tragopogon porrifolius</italic>, blackberry, apples, <italic>Prunus avium</italic> (cherries), <italic>Fagopyrum tataricum</italic>, <italic>Emblica officinalis,</italic> etc (<xref ref-type="bibr" rid="B45">Wang et&#xa0;al., 2008</xref>; <xref ref-type="bibr" rid="B40">Serra et&#xa0;al., 2010</xref>; <xref ref-type="bibr" rid="B26">Lou et&#xa0;al., 2011</xref>; <xref ref-type="bibr" rid="B52">Zheng et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B47">Wen et&#xa0;al., 2015</xref>; <xref ref-type="bibr" rid="B2">Al-Rimawi et&#xa0;al., 2016</xref>; <xref ref-type="bibr" rid="B9">Chen et&#xa0;al., 2017</xref>). In the present study, total phenolic content (TPC) for methanolic extracts of leaves and stem of <italic>R. cinerea</italic> was obtained as 13.86 and 31.65 &#xb5;g GAE/mg dry weight of the extract. The total flavonoid content (TFC) values for both the extracts was obtained as 111.87 and 37.91 &#xb5;g RE/mg dry weight of the extract respectively (<xref ref-type="fig" rid="f1">
<bold>Figure 1A</bold>
</xref>). Further, methanolic extracts of leaves and stem of <italic>Roylea cinerea</italic> (D. Don) Baill. were evaluated for their antioxidant potential in terms of their hydrogen donating capacity. Among leaves and stem extract, the former exhibited higher DPPH radical scavenging activity with IC<sub>50</sub> of 239 &#xb5;g/ml as compared to the latter exhibiting IC<sub>50</sub> of 1,076.42 &#xb5;g/ml (<xref ref-type="fig" rid="f1">
<bold>Figure 1B</bold>
</xref>). Gallic acid was used as standard and it showed the IC<sub>50</sub> of 8.56 &#xb5;g/ml. The extracts were also evaluated for their electron-donating ability <italic>via</italic> molybdate ion reduction assay. The <italic>R. cinerea</italic> leaves extract exhibited 49.84 &#xb5;g ascorbic acid equivalents/1.6 mg dry weight of extract and stem extract showed comparatively lower activity of 28.44 &#xb5;g ascorbic acid equivalents/1.6 mg dry weight of extract (Y=0.0074x-0.1115, R<sup>2</sup> = 0.993)(<xref ref-type="fig" rid="f1">
<bold>Figure 1A</bold>
</xref>).</p>
<fig id="f1" position="float">
<label>Figure 1</label>
<caption>
<p><bold>(A)</bold> Molybdate ion reduction potential, total phenolic content (TPC) and total flavonoid content (TFC) values of leaves and stem extract of <italic>R. cinerea</italic>), <bold>(B)</bold> DPPH radical scavenging potential of leaves and stem extract of <italic>R. cinerea.</italic> (Values are mean &#xb1; S.E. of three parallel measurements. Different letters indicate significant differences between different concentrations of <italic>R. cinerea</italic> (leaves and stem) methanolic extracts (p &lt; 0.05, Tukeys HSD test, (F-ratio- 381.283 (<italic>R. cinerea</italic> (stem)), 833.829 (<italic>R. cinerea</italic> (leaves))).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fphar-11-00322-g001.tif"/>
</fig>
<p>The TPC and TFC values clearly indicated that the leaves extracts were rich in flavonoid content and the stem extract showed higher content of phenolic compounds. In the previous study, stem and leaves extract of <italic>R. cinerea</italic> were investigated for the presence of seven polyphenols including gallic acid, rutin, catechin, quercetin, umbelliferone, epicatechin, and kaempferol. The extracts showed the presence of high content of rutin leaves as compared to the stem (<xref ref-type="bibr" rid="B5">Bhatia et&#xa0;al., 2019</xref>). Rutin and its metabolites contain vicinyl dihydroxy groups which are mainly responsible for its free radical scavenging properties (<xref ref-type="bibr" rid="B48">Yang et&#xa0;al., 2008</xref>). The potential of polyphenols is affected by the position as well as the number of hydroxyl groups attached to the aromatic ring combined with their glycosylation or the presence of other hydrogen donating groups such as &#x2013;SH, -NH (<xref ref-type="bibr" rid="B8">Cai et&#xa0;al., 2004</xref>). These functional groups have also been implicated in inhibiting oxidation progression <italic>via</italic> radical chain-breaking properties (<xref ref-type="bibr" rid="B16">Ghasemzadeh and Ghasemzadeh, 2011</xref>). The DNA protective ability against the OH radical was assessed through plasmid nicking assay with slight modifications. The leaves extract of <italic>R. cinerea</italic> were able to protect the native DNA (more or less), i.e., supercoiled DNA (form I) in a dose-dependent manner upto 72.6% (<xref ref-type="fig" rid="f2">
<bold>Figure 2A</bold>
</xref>) as compared to the stem extract with 6.5% of Form I and 92.6% of Form II DNA (linear DNA) (<xref ref-type="fig" rid="f2">
<bold>Figure 2B</bold>
</xref>). The antioxidant results in the case of leaves extract showed higher TFC content, DPPH radical scavenging activity and molybdate ion reduction ability which can be corroborated with the presence of rutin in high amount in leaves. These findings have been confirmed with the literature survey (<xref ref-type="bibr" rid="B5">Bhatia et&#xa0;al., 2019</xref>; <xref ref-type="bibr" rid="B33">Pundir and Mahindroo, 2019</xref>). The stem extract showed less antioxidant activity, as well as low TFC value but TPC value was higher as compared to leaf extract.</p>
<fig id="f2" position="float">
<label>Figure 2</label>
<caption>
<p>
<bold>(A)</bold> Protective effects of leaf extract obtained from <italic>R. cinerea</italic> against Fenton's reagent (FR) induced DNA damage (nicking) in pBR322. Lane I: native DNA, Lane II: DNA+FR, Lane III-VIII: DNA+FR+leaf extract (12.5&#x2013;400 &#xb5;g/ml). <bold>Form I</bold>: Supercoiled DNA, <bold>Form II</bold>: Linear (nicked) DNA and <bold>Form III</bold>: Relaxed circular DNA. <bold>(B)</bold> Protective effects of stem extract obtained from <italic>R. cinerea</italic> against Fenton's reagent (FR) induced DNA damage (nicking) in pBR322. Lane I: native DNA, Lane II: DNA+FR, Lane III-VIII: DNA+FR+stem extract (12.5&#x2013;400 &#xb5;g/ml). <bold>Form I</bold>: Supercoiled DNA, <bold>Form II</bold>: Linear (nicked) DNA and <bold>Form III</bold>: Relaxed circular DNA.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fphar-11-00322-g002.tif"/>
</fig>
<p>The extracts obtained from <italic>R. cinerea</italic> leaves and stem were also evaluated for anti-proliferative activity in the immortalized L6 skeletal muscle cell line by MTT assay. Both the extracts showed varying degrees of inhibitory potential against cell growth in dose-dependent manner (<xref ref-type="fig" rid="f3">
<bold>Figure 3</bold>
</xref>). The leaves and stem extract explicited a considerable level of inhibitory potential with 83.06% and 81.14% inhibition at 400 &#xb5;g/ml with GI<sub>50</sub> of 69.41 &#xb5;g/ml and 124.93 &#xb5;g/ml respectively (<xref ref-type="fig" rid="f3">
<bold>Figure 3</bold>
</xref>). The antiproliferative potential of both the extracts was substantially corroborated with the antioxidant potential. The majority of the reported anticancer herbal medicines have been proved to be efficient in several clinical reports and experimental research for the prevention as well as treatment of cancer to a better extent (<xref ref-type="bibr" rid="B23">Konkimalla and Efferth, 2008</xref>; <xref ref-type="bibr" rid="B38">Reuben et&#xa0;al., 2012</xref>). In a previous study, <italic>Roylea cinerea</italic> (D.Don) Baill. showed anticancer activity against SK-Mel 41, U-87 MG, Hela, MDA-MBA-231 cell line with GI<sub>50</sub> 131.8 &#xb5;g/ml, 275.4 &#xb5;g/ml, and 302.0 &#xb5;g/ml, respectively (<xref ref-type="bibr" rid="B3">Bahuguna et&#xa0;al., 2015</xref>). The mode of death (apoptosis) was confirmed by comparing the LDH activity of the treated L6 cells (GI<sub>50</sub>, GI<sub>70</sub>) which showed decreased LDH activity. Cancer cells have been reported with a high glycolysis rate for survival. Instead of entering further into citric acid cycle, pyruvate is converted into lactate <italic>via</italic> lactate dehydrogenase enzyme. This step consumes NADH and produces NAD<sup>+</sup>, consequently inducing a decrease in mitochondrial membrane potential which ultimately causes apoptosis (<xref ref-type="bibr" rid="B15">Franco-Molina et&#xa0;al., 2010</xref>). The leaves and stem extract-treated cells caused 20.09% (GI<sub>50</sub>), 39.32% (GI<sub>70</sub>), and 0.3% (GI<sub>50</sub>), 14.49% (GI<sub>70</sub>) LDH activity respectively which confirmed the apoptotic mode of cell death.</p>
<fig id="f3" position="float">
<label>Figure 3</label>
<caption>
<p>Cytotoxic potential of leaves and stem extract of <italic>R. cinerea</italic> evaluated by MTT assay. (Values are mean &#xb1; S.E. of three parallel measurements. Different letters indicate significant differences between different concentrations of <italic>R. cinerea</italic> (leaves and stem) methanolic extracts (p &lt; 0.05, Tukeys HSD test, (F-ratio- 277.429 (<italic>R. cinerea</italic> (stem)), 663.915 (<italic>R. cinerea</italic> (leaves)).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fphar-11-00322-g003.tif"/>
</fig>
<p>Furthermore, the L6 cells were treated with the GI<sub>50</sub> of leaves extract of <italic>R. cinerea</italic> for 24 h revealed significantly enhanced levels of intracellular ROS (<xref ref-type="fig" rid="f4">
<bold>Figures 4B, D</bold>
</xref>). The elevated levels of intracellular ROS in L6 cells demonstrated the apoptogenic efficiencies of both the extracts. ROS is generated continuously in the body as a consequence of mitochondrial bioenergetics mainly oxidative metabolism. But these radicals (O<sub>2</sub>
<sup>.-</sup> superoxide anion, OH<sup>.</sup> hydroxyl radical, OOH<sup>.</sup> peroxide radical and H<sub>2</sub>O<sub>2,</sub> etc.) are balanced <italic>via</italic> an indigenous cellular system. These radicals form an integral part of a network of cellular signaling pathways including cell proliferation and programmed cell death (<xref ref-type="bibr" rid="B17">Hansen et&#xa0;al., 2006</xref>; <xref ref-type="bibr" rid="B29">Menon and Goswami, 2007</xref>). However, imbalanced intracellular redox can target various biomarkers involved in cancer pathophysiology which includes CDK's (cyclin-dependent kinases), various transcriptional factors (Nrf2, FOXO3) and pro-apoptotic markers including MAPK's (<xref ref-type="bibr" rid="B28">Mates et&#xa0;al., 2012</xref>; <xref ref-type="bibr" rid="B39">Roleira et&#xa0;al., 2015</xref>). Phenolic compounds are known to show pleiotropic effects by acting as pro-oxidants in order to preserve normal cell cycle regulation <italic>via</italic> CDK's functions, suppress inflammation, tumor invasion combined with induction of apoptosis (<xref ref-type="bibr" rid="B53">Ziech et&#xa0;al., 2012</xref>). The active constituents present in <italic>R. cinerea</italic>, in spite of showing considerable <italic>in vitro</italic> antioxidant potential, might be stimulated to act as pro-oxidant in the state of imbalanced redox environment in L6 cells. Elevated levels of ROS also affects cell membrane, mitochondria, DNA, lipids, and proteins. Mitochondria play a crucial role in the process of induction of apoptosis as it contains various pro-apoptotic markers such as apoptotic proteases and cytochrome c. ROS can cause the opening of mitochondrial permeability transition pores and disruption of the electron transport chain which ultimately leads to apoptosis or cell death. The methanolic leaves extract (GI<sub>50</sub>) also substantially altered the mitochondrial membrane potential which ultimately leads to the opening of mitochondrial pores followed by the release of pro-apoptotic markers that lead to cell death (<xref ref-type="bibr" rid="B7">Bortner and Cidlowski, 1999</xref>) (<xref ref-type="fig" rid="f4">
<bold>Figures 4A, C</bold>
</xref>).</p>
<fig id="f4" position="float">
<label>Figure 4</label>
<caption>
<p>
<bold>(A)</bold> MMP status assessed by Rhodamine-123 staining for leaves extract of <italic>R. cinerea</italic> in L6 cell line analyzed with Biotek multi-well plate reader for fluorescent intensity (485 nm excitation and 528 nm emission). <bold>(B)</bold> Reactive oxygen species (ROS) status assessed by DCFH-DA staining for leaf extract of <italic>R. cinerea</italic> analyzed with Biotek multi-well plate reader for fluorescent intensity (485 nm excitation and 528 nm emission). <bold>(C)</bold> MMP status assessed by Rhodamine-123 staining for leaves extract of <italic>R. cinerea</italic> in L6 cell line analyzed with BD Accuri TM C6 Flow Cytometer (excitation 488 nm, emission 535 nm, FL-1 channel, events recorded 10,000 per sample). *Difference between % depolarized cells in control cells and treated cells (IC<sub>50</sub> <italic>R. cinerea</italic> (leaves) extract) statistically significant (Independent Student's t-test, p &#x2264; 0.5) <bold>(D)</bold> ROS status assessed by DCFH-DA staining for leaf extract of <italic>R. cinerea</italic> analyzed with BD AccuriTM C6 Flow Cytometer (excitation 511 nm, emission 535 nm, FL-1 channel, events recorded 10,000 per sample), *Difference between % ROS in control cells and treated cells (IC<sub>50</sub> <italic>R. cinerea</italic> (leaves) extract) statistically significant (Independent Student's t-test, p &#x2264; 0.5) <bold>(E)</bold> Effect of methanolic leaves extract of <italic>R. cinerea</italic> on cell cycle analysis compared with non-treated cells (control).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fphar-11-00322-g004.tif"/>
</fig>
<p>Mostly the anticancer drugs induce apoptosis through nuclease mediated destruction of DNA content in cells which leads to induction of cell cycle arrest. Thus, to elucidate the effects of methanolic leaves extract of <italic>R. cinerea</italic> on DNA content in L6 cells, cell cycle assay was performed using propidium iodide fluorescent dye. The membrane permeable PI dye intercalates with bases of DNA and represents the DNA content present in cells. In our experiment, the methanolic leaves extract of <italic>R. cinerea</italic> at GI<sub>50</sub> concentration, showed the enhanced percentage of Sub-G1 phase from 0.9% to 1.8% which represents the apoptotic population when compared to control non treated cells. Further, cell population in G0/G1 phase was increased in treated cells from 65.5% to 66.1% with a decrease in S phase (23.4% to 21.5%) and G1/M phase (7.6% to 7.3%). The results indicated the increase in apoptotic cells and cell cycle arrest at G0/G1 phase in treated cells as compared to the non-treated cells which may be attributed to DNA damage mediated p53 activation to check further cell proliferation (<xref ref-type="fig" rid="f4">
<bold>Figure 4E</bold>
</xref>) (<xref ref-type="bibr" rid="B20">Khan et&#xa0;al., 2019</xref>). The anticancer drugs specifically act by initiating various signaling pathways and ultimately inducing apoptosis. The mode of death induced by methanolic extract of leaves and stem of <italic>R. cinerea</italic> was confirmed through various <italic>in vitro</italic> experiments. Phase-contrast microscopy clearly depicted the presence of membrane blebbing, cell shrinkage, and apoptotic bodies in treated cells as compared to normal healthy cells in control. Confocal microscopy revealed various apoptotic features such as condensed nuclear material, flattened cytoplasmic borders, degradation of DNA into scattered masses in treated cells as compared to control L6 cells (<xref ref-type="fig" rid="f5">
<bold>Figure 5</bold>
</xref>). AO/EB staining confirmed the presence of apoptotic cells (dark orange) in treated groups and live cells in control (green) (<xref ref-type="fig" rid="f5">
<bold>Figure 5</bold>
</xref>). Furthermore, scanning electron microscopy studies clearly showed cell size reduction, blebbing of the membrane, rounding of cells, and apoptotic bodies. Thus, the results of the present study clearly corroborated with the association of phytochemicals (phenolics) in combating cancer <italic>via.</italic> pleiotropic effects and altering signaling pathways at the mitochondrial level.</p>
<fig id="f5" position="float">
<label>Figure 5</label>
<caption>
<p>L6 cells imaged by phase contrast for morphological changes (40x); Scanning electron microscopy for surface variations (7.50 KX); Confocal microscopy for nuclear with DAPI and AO/EB (40x).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fphar-11-00322-g005.tif"/>
</fig>
<p>The experimental results obtained paved the way to clarify the mechanism involved by which the leaves extract was able to activate caspase-3 activity in L6 cells. To obtain further information, docking studies were performed. Previously reported phyto-constituent present in <italic>R. cinerea viz.,</italic> 1-methyl-1-H-indole-3-carbaldehyde, &#x3b2;-lactam, &#x3b2;-sitosterol, calyone, cinereanoid A, cinereanoid B, cinereanoid C, cinereanoid D, pilloin, rutin, and stigmasterol were made to dock to the protein structure of PI3K (PDB ID: 1E8Z), Bcl2 (PDB ID: 4IEH), and Bclxl (PDB ID: 4QNQ). The docking pose with minimum binding energy was considered for further analysis through chimera software to get a clear picture of the ligand regarding its orientation, H-bonding, identification of residues and mode of interactions. It revealed that phytoconstituents present in the methanolic extract of leaves possessed a good binding affinity toward the protein targets (PI3K, Bcl2, and Bclxl). Docking confirmations were analyzed for each ligand which explicated interactions of different amino residues of protein targets with user-defined ligands through H-bond formation. Among various ligands, cinereanoid D showed minimum binding energy, i.e., -11.56 Kcal/mol and fits well in the binding cavity of PI3K protein target (1E8Z) (<xref ref-type="fig" rid="f6">
<bold>Figures 6A1&#x2013;A3</bold>
</xref>). However, for protein target 1E8Z, stigmasterol also showed H-bonding with minimum binding energy of -10.85 Kcal/mol (ASP 884 with bond length 3.016 &#xc5;) followed by calyone with binding energy -10.65 Kcal/mol (GLU 880 with bond length 2.730 &#xc5;), rutin with binding energy -10.10 Kcal/mol (GLU 814 and ALA 885 with bond length 2.881 &#xc5; and 2.835 &#xc5;), Cinereanoid C, Cinereanoid A (GLU 880 and ALA 885 with bond length 2.621 and 2.653 &#xc5;), &#x3b2;-sitosterol, Cinereanoid B (VAL 882 and LYS 883 with bond length 3.009 and 2.870 &#xc5;), pilloin (ALA 885 with bond length 2.899 &#xc5;) showed binding energy -10.00, -9.37, -9.16, -9.03, and -8.31 Kcal/mol, respectively (<xref ref-type="supplementary-material" rid="SF3">
<bold>Supplementary Figure 3</bold>
</xref>, <xref ref-type="table" rid="T1">
<bold>Table 1</bold>
</xref>). The PI3K pathway is one of the major pathway for cell growth and survival. Over-activation <italic>via</italic> PDGFR and EGFR families (oncogenic targets) of this preordained PI3K pathway can lead to frequent incidences of cancer. This assumption makes it an obvious target for cancer treatment <italic>via</italic> developing some promising isoform specific PI3K inhibitors such as class Ia PI3-kinases. Class Ia PI3 kinases have been well documented for transmitting signals for survival responses through PKB/AKT activation. ATP binding sites/pocket as a catalytic domain present on PI3Kinases can occur as a probable target of PI3K inhibitors to bind. Labdane diterpenoids are commonly found in family Lamiaceae. In cinereanoid D, butenolide side chain (furan) is present with a hydroxyl group at 16-C. Literature studies showed scarce scientific evidence regarding the structure activity relationship of novel labdane diterpenoids cinereanoid A-D. Labdane diterpenoids are reported to affect DNA synthesis facilitated by the presence of a double bond at its C7-C8 position (<xref ref-type="bibr" rid="B12">Dimas et&#xa0;al., 1998</xref>). However, stigmasterol have been well reported for its efficacy to inhibit cancer development and progression in both <italic>in vitro</italic> and <italic>in vivo</italic> system (<xref ref-type="bibr" rid="B51">Zhang et al., 2016</xref>). PI3 Kinases through AKT activates Bcl2 family proteins. Protein targets Bcl2 and Bclxl are basically anti-apoptotic/pro-survival proteins with four conserved domains BH1, BH2, BH3, and BH4. In response to death signals, the BH3 domain is neutralized by pro-apoptotic proteins, i.e., Bad, Bmf which leads to the release of cytochrome c for apoptosis through disturbing the integrity of the mitochondrial membrane. Overexpression of Bcl2 family proteins may be responsible for the progression of cancer. For the protein target Bcl2 (4IEH), among selected ligands, stigmasterol showed minimum binding energy of -9.81 Kcal/mol (ARG 105 with bond length 3.079 &#xc5;) to binding cavity (<xref ref-type="fig" rid="f6">
<bold>Figures 6B1&#x2013;B3</bold>
</xref>) followed by cinereanoid A, rutin, calyone, &#x3b2;-sitosterol, cinereanoid D, cinereanoid C, cinereanoid B, pilloin with minimum binding energy -9.48, -9.09 (GLY 104 with bond length 2.772 &#xc5;), -8.77 (ARG 105 and TYR 67 with bond length 3.023 and 2.998 &#xc5;), -8.61 (TYR 161 with bond length 2.859 &#xc5;), -8.09, -8.05, -7.50, and -7.08 Kcal/mol (ARG 66 with bond length 3.097 &#xc5;), respectively.1-methyl-1-H-indole-3-carbaldehyde and &#x3b2;-lactam showed minimum binding energy -4.74 and -4.15 Kcal/mol (<xref ref-type="supplementary-material" rid="SF4">
<bold>Supplementary Figure 4</bold>
</xref>, <xref ref-type="table" rid="T1">
<bold>Table 1</bold>
</xref>). Furthermore, for the protein target Bclxl (4QNQ), maximum affinity to the binding cavity was shown by rutin -9.31 Kcal/mol with H-bond formation with amino acid residues GLN 183 (3.013 &#xc5;), TRP 188 (3.001 &#xc5;), SER 4 (3.005 &#xc5;) (<xref ref-type="fig" rid="f6">
<bold>Figures 6C1&#x2013;6C3</bold>
</xref>) followed by cinereanoid D, cinereanoid A, cinereanoid B, calyone, &#x3b2;-sitosterol, cinereanoid C, stigmasterol, pilloin, 1-methyl-1-H-indole-3-carbaldehyde and &#x3b2;-lactam with minimum binding energy -8.38, -8.36 (ALA 93 with bond length 2.660 &#xc5;), -8.14 (ALA 93 with bond length 2.512 &#xc5;), -8.08, -8.01, -7.78, -7.43, -7.28, -4.71, and -4.39, respectively. The ligands which did not show any H-bonding were still well fit into the binding cavity of the protein which may be attributed to electrostatic, Van der waal forces and hydrophobic interactions (<xref ref-type="supplementary-material" rid="SF5">
<bold>Supplementary Figure 5</bold>
</xref>, <xref ref-type="table" rid="T1">
<bold>Table 1</bold>
</xref>). Thus, the experimental findings confirming loss of mitochondrial membrane potential, generation of ROS and cell cycle arrest at G0/G1 phase by the methanolic extract of leaves of <italic>R</italic>.<italic>cinerea</italic> corroborated with the docking studies showing the synergistic potential of its phytoconstituents in the induction of apoptosis in immortalized L6 skeletal muscle cell line (<xref ref-type="fig" rid="f7">
<bold>Figure 7</bold>
</xref>).</p>
<fig id="f6" position="float">
<label>Figure 6</label>
<caption>
<p>Docking conformations (Chimaera software) showing interaction of compounds with minimum binding energy <bold>(A1</bold>&#x2013;<bold>A3)</bold>. Cinereanoid D with PI3K (PDB ID: 1E8Z) <bold>(B1&#x2013;B3)</bold> Stigmasterol with Bcl2 (PDB ID: 4IEH) <bold>(C1</bold>&#x2013;<bold>C3)</bold> Rutin with Bclxl (PDB ID: 4QNQ).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fphar-11-00322-g006.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>Table 1</label>
<caption>
<p>Predicted binding energies for constituents present in <italic>Roylea cinerea</italic> (D.Don) Baill. docked with PI3K (PDB ID: 1E8Z), Bcl2 (PDB ID: 41EH), Bclxl (PDB ID: 4QNQ) obtained from <uri xlink:href="https://www.rcsb.org">www.rcsb.org</uri>.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="top" rowspan="2" align="left">S.No.</th>
<th valign="top" rowspan="2" align="center">Molecules</th>
<th valign="top" colspan="2" align="center">PI3K (PDB:1E8Z)</th>
<th valign="top" colspan="2" align="center">Bcl2 (PDB:4IEH)</th>
<th valign="top" colspan="2" align="center">Bclxl (PDB ID: 4QNQ)</th>
</tr>
<tr>
<th valign="top" align="center">Minimum binding energy (Kcal/mol)</th>
<th valign="top" align="center">No. of H-bonds</th>
<th valign="top" align="center">Minimum binding energy (Kcal/mol)</th>
<th valign="top" align="center">No. of H-bonds</th>
<th valign="top" align="center">Minimum binding energy (Kcal/mol)</th>
<th valign="top" align="center">No. of H-bonds</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">
<bold>1.</bold>
</td>
<td valign="top" align="left">1-methyl-1-H-indole-3-carbaldehyde</td>
<td valign="top" align="center">-5.38</td>
<td valign="top" align="center"/>
<td valign="top" align="center">-4.74</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">-4.71</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>2.</bold>
</td>
<td valign="top" align="left">&#x3b2;-lactam</td>
<td valign="top" align="center">-5.47</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">-4.15</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">-4.39</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>3.</bold>
</td>
<td valign="top" align="left">&#x3b2;-sitosterol</td>
<td valign="top" align="center">-9.16</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">-8.61</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">-8.01</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>4.</bold>
</td>
<td valign="top" align="left">Calyone</td>
<td valign="top" align="center">-10.65</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">-8.77</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">-8.08</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>5.</bold>
</td>
<td valign="top" align="left">Cinereanoid A</td>
<td valign="top" align="center">-9.37</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">-9.48</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">-8.36</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>6.</bold>
</td>
<td valign="top" align="left">Cinereanoid B</td>
<td valign="top" align="center">-9.03</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">-7.50</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">-8.14</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>7.</bold>
</td>
<td valign="top" align="left">Cinereanoid C</td>
<td valign="top" align="center">-10.00</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">-8.05</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">-7.78</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>8.</bold>
</td>
<td valign="top" align="left">Cinereanoid D</td>
<td valign="top" align="center">
<bold>-11.56</bold>
</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">-8.09</td>
<td valign="top" align="center">0</td>
<td valign="top" align="center">-8.38</td>
<td valign="top" align="center">1</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>9.</bold>
</td>
<td valign="top" align="left">Pilloin</td>
<td valign="top" align="center">-8.31</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">-7.08</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">-7.28</td>
<td valign="top" align="center">0</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>10.</bold>
</td>
<td valign="top" align="left">Rutin</td>
<td valign="top" align="center">-10.10</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">-9.09</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">
<bold>-9.31</bold>
</td>
<td valign="top" align="center">3</td>
</tr>
<tr>
<td valign="top" align="left">
<bold>11.</bold>
</td>
<td valign="top" align="left">Stigmasterol</td>
<td valign="top" align="center">-10.85</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">
<bold>-9.81</bold>
</td>
<td valign="top" align="center">1</td>
<td valign="top" align="center">-7.43</td>
<td valign="top" align="center">0</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>The bold values represent compounds with minimum binding energy.</p>
</table-wrap-foot>
</table-wrap>
<fig id="f7" position="float">
<label>Figure 7</label>
<caption>
<p>Detailed proposed mechanism involved in the induction of apoptosis in L6 cells by <italic>R.cinerea</italic> leaves extract.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fphar-11-00322-g007.tif"/>
</fig>
</sec>
<sec id="s4">
<title>Conclusion</title>
<p>The present study revealed the antioxidant potential and DNA protective abilities of methanolic extracts of leaves and stem of <italic>R. cinerea</italic> along with antiproliferative and apoptosis induction potential against immortalized L6 cell line. However, the methanolic leaves extract of <italic>R. cinerea</italic> showed better activity as compared to stem extract. Furthermore, mechanistic analysis revealed that methanolic extracts of leaves of <italic>R. cinerea</italic> induced apoptosis basically through increasing intracellular ROS generation, decreasing mitochondrial membrane potential and ultimately lead to cell death <italic>via</italic> apoptosis. Further, the experimental findings were strengthened by docking with already reported phytoconstituents of <italic>Roylea cinerea</italic> in literature with PI3 kinase and anti-apoptotic/pro-survival proteins. The study provided partial evidence for a pharmacological basis regarding clinical applications of <italic>Roylea cinerea</italic> in the treatment of cancer and will add significant information to establish a strong base to conduct further research on this plant and its unexplored health benefits. However, further <italic>in vivo</italic> experiments are required to confirm the efficacy and mechanism of action regarding this plant.</p>
</sec>
<sec id="s5">
<title>Data Availability Statement</title>
<p>All datasets generated for this study are included in the article/<xref ref-type="supplementary-material" rid="SF1">
<bold>Supplementary Material</bold>
</xref>.</p>
</sec>
<sec id="s6">
<title>Author Contributions</title>
<p>AB: formal analysis, investigation, methodology, data curation, and writing&#x2014;original draft. HS and RA: writing, reviewing, and editing. AS and SK: intellectual contribution and reviewing manuscript. SA: conceptualization, supervision and project administration, reviewing and editing, and resources. BS: conceptualization, methodology, reviewing and editing, and supervision. All authors read and approved the final manuscript.</p>
</sec>
<sec id="s7" sec-type="funding-information">
<title>Funding</title>
<p>The present study was supported by the University Grants Commission (UGC), New Delhi under the Rajiv Gandhi National Fellowship scheme to AB (vide grant no. 201415-RGNF-2014-15-SC-PUN-68052).</p>
</sec>
<sec id="s8">
<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>
<p>The handling editor declared a past co-authorship with one of the authors HS.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>The authors are grateful to the UGC (University Grants Commission) for financial assistance under Rajiv Gandhi National Fellowship scheme. The authors are thankful to Centre for Emerging Life Sciences (Instrumentation facility) and Head, Department of Botanical and Environmental Sciences, Guru Nanak Dev University, Amritsar, India for providing necessary facilities.</p>
</ack>
<sec sec-type="supplementary-material" id="s9">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2020.00322/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2020.00322/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Image_1.tif" id="SF1" mimetype="image/tiff">
<label>Supplementary Figure 1</label>
<caption>
<p>
<bold>
</bold> Structure of phyto-constituents (Ligands) present in <italic>R. cinerea</italic> prepared using Chemsketch software for docking analysis.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_2.tif" id="SF2" mimetype="image/tiff">
<label>Supplementary Figure 2</label>
<caption>
<p>
<bold>
</bold> Structure of protein PI3K (1E8Z), Bcl2 (4IEH), Bclxl (4QNQ) and their binding sites obtained from <uri xlink:href="https://www.rcsb.org">www.rcsb.org</uri>.</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_3.tif" id="SF3" mimetype="image/tiff">
<label>Supplementary Figure 3</label>
<caption>
<p>Docking conformations of the phytoconstituents present in <italic>R. cinerea viz</italic>., a) 1-methyl-1-H-indole-3-carbaldehyde b) &#x3b2;-lactam c) &#x3b2;-sitosterol d) calyone e) cinereanoid A f) cinereanoid B g) cinereanoid C h) cinereanoid D i) pilloin j) rutin, and k) stigmasterol with PI3K (1E8Z).</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_4.tif" id="SF4" mimetype="image/tiff">
<label>Supplementary Figure 4</label>
<caption>
<p>Docking conformations of the phytoconstituents present in <italic>R. cinerea viz</italic>., a) 1-methyl-1-H-indole-3-carbaldehyde b) &#x3b2;-lactam c) &#x3b2;-sitosterol d) calyone e) cinereanoid A f) cinereanoid B g) cinereanoid C h) cinereanoid D i) pilloin j) rutin, and k) stigmasterol with Bcl2 (4IEH).</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_5.tif" id="SF5" mimetype="image/tiff">
<label>Supplementary Figure 5</label>
<caption>
<p>Docking conformations of the phytoconstituents present in <italic>R. cinerea viz</italic>., a) 1-methyl-1-H-indole-3-carbaldehyde b) &#x3b2;-lactam c) &#x3b2;-sitosterol d) calyone e) cinereanoid A f) cinereanoid B g) cinereanoid C h) cinereanoid D i) pilloin j) rutin, and k) stigmasterol with Bclxl (4QNQ).</p>
</caption>
</supplementary-material>
<supplementary-material xlink:href="Image_6.tif" id="SF6" mimetype="image/tiff">
<label>Supplementary Figure 6</label>
<caption>
<p>Standard curve for ascorbic acid (20&#x2013;200 &#xb5;g/ml) for the calculation of electron donating capacity (molybdate ion reduction assay).</p>
</caption>
</supplementary-material>
</sec>
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