Medicinal plants have demonstrated usefulness in managing several diseases, including cancer. Several studies have shown that active compounds obtained from medicinal plants offer good therapeutic efficacy and lower side effects compared to synthetic products (
18). In the present study, we aimed to evaluate the cytotoxic effects of different extracts and fractions obtained from the aerial parts of
S. lavandulifolia on breast (MCF-7), lung (H1299), and ovarian (A2780) cancer cell lines. Identifying potent cytotoxic fractions is a crucial step toward discovering the active compounds of this plant.
According to our findings, chloroform and ethyl acetate extracts exhibited the most potent cytotoxic effects on the three human carcinoma cell lines. The IC50 values for chloroform and ethyl acetate extracts were 25 and 11 μg/mL in A2780, 28 and 14 μg/mL in MCF-7, and 29 and 31 μg/mL in H1299, respectively. In contrast, the water extract showed the lowest anticancer activity, with an IC50 value of > 300 μg/mL in all studied cell lines.
When examining the cytotoxic effects of fractions obtained from potent extracts, the A2780 human ovary carcinoma cell line was found to be more sensitive to increasing concentrations of fractions B-E from the chloroform extract and F-I from the ethyl acetate extract. Fraction D inhibited the growth of 50% of A2780 cells at a concentration of 11 μg/mL.
As chemotherapy drugs need to be selected for their potent cytotoxic effects on cancer cells, the cytotoxicity of the standard chemotherapeutic drug doxorubicin was evaluated in A2780 cells, identified as the most sensitive cell line. Doxorubicin demonstrated a significant cytotoxic effect with an IC50 value of 2.85 μg/mL. However, fractions C, D, F, and I were more potent than doxorubicin in the human ovarian carcinoma cell line.
Since targeting apoptotic pathways and inducing apoptosis in cancer cells is a critical approach in designing chemotherapeutic drugs, we further investigated the mode of cell death induced by potent fractions in the most sensitive cell line. Our mechanistic evaluation showed that fractions C, E, I, and F increased the activity of caspase-3, a key mediator of apoptosis whose activation is essential for initiating apoptosis in A2780 cells (
19). Mitochondria play a principal role in initiating apoptosis through the intrinsic pathway. During apoptosis, a decrease in MMP leads to matrix condensation and cytochrome c release from the mitochondrial intermembrane space into the cytosol, causing activation of caspase-9. This caspase can activate executioner caspases, including caspase-3 (
20).
The obtained results showed that fraction C decreased MMP in A2780 cells and subsequently increased caspase-9 activity, indicating the involvement of the intrinsic pathway of apoptosis by this fraction. Although fraction F decreased MMP in A2780 cells, caspase-9 activity did not change after exposure to this fraction, suggesting that this pathway is likely not involved in the observed cytotoxic effects of this fraction, and other mechanisms might account for its cytotoxic effect on A2780 cells.
Reactive oxygen species can induce different cell death mechanisms, such as apoptosis and necrosis (
21). Regarding the apoptotic mechanism of cell death, ROS not only induce apoptosis through the intrinsic pathway but also have been shown to activate the extrinsic pathway of apoptosis (
22). An increasing body of evidence shows that cancer cells possess higher ROS contents compared to normal non-cancerous cells and are thus prone to apoptotic death by drugs or therapies that induce oxidative stress, such as chemotherapy and radiotherapy (
23). In our study, it was shown that fractions B, C, and I increased intracellular levels of ROS in A2780 cells. Since fractions C and I significantly increased the activation of caspase-3, this can be considered an apoptosis-inducing mechanism of these fractions.
Recent studies within the last five years have further elucidated the cytotoxic potential of the
Stachys genus. For instance, Shakeri et al. identified diterpenoid quinones, such as 1-hydroxy-tanshinone IIA, from
S. parviflora, demonstrating significant cytotoxicity against MCF-7, MDA-MB-231, and PC3 cell lines via apoptosis induction (
24). Similarly,
S. viticina essential oil, rich in endo-borneol and eucalyptol, exhibited strong antiproliferative effects against HeLa and Colo-205 cells (
25). Phenolic compounds, including rosmarinic and chlorogenic acids, alongside flavonoids, were linked to cytotoxicity in
S. palustris (
26) and
S. byzantina (
27), while
S. pilifer extracts showed anticancer activity (
28). These findings underscore the presence of diverse cytotoxic phytochemicals across
Stachys species, supporting their pharmacological relevance.
Despite extensive studies on the anticancer effects of other
Stachys species, there are very few studies supporting the anticancer effect of
S. lavandulifolia in human cancer cells. In a previous study, the cytotoxic effects of nine species of dichloromethane, methanol, and 80% methanol extracts of woundwort (
Stachys) plants, including
S. lavandulifolia, were evaluated on three human cancer cell lines (HL-60, MCF-7, and K-562) (
29). The dichloromethane extract of
S. lavandulifolia inhibited the growth of MCF-7 and HL-60 cells with IC
50 values of 81.2 and 141 μg/mL, respectively. The 80% methanol extract of
S. lavandulifolia was also active on MCF-7 and HL-60; however, its IC
50 values were greater than 100 μg/mL in both. Interestingly, the methanol extract of
S. lavandulifolia was not effective on the selected cancer cell lines.
In another study, the cytotoxic effects of CHCl
3, EtOAc, and MeOH fractions of total extracts of species
S. laxa,
S. trinervis,
S. subaphylla, and
S. turcomanica were evaluated against colon carcinoma (HT-29), colorectal adenocarcinoma (CaCO-2), breast carcinoma (T47D), and fibroblast cells (NIH3T3). IC
50 values showed that the growth and proliferation of HT-29 and T47D cells were most affected by chloroform and ethyl acetate fractions of
S. laxa and
S. turcomanica (
30).
From a mechanistic point of view regarding responsible compounds, the cytotoxic/apoptotic activities of the related extracts and fractions could be due to the presence of various classes of phytochemicals. Research on the phytochemicals of the aerial parts of this plant found that its main components include D-germacrane (96.15%), thymol (14.44%), γ-Kadin (13.33%), α-pinene (7.80%), and trans-caryophyllene (6.91%). Moreover, this plant is an important source of monoterpenes and sesquiterpenes (
31), and these compounds may be responsible for the cytotoxic activity of various
Stachys species (
17). Other studies suggested that aucubin and harpagide (iridoid glycosides) are probably responsible for the cytotoxic effects observed in these plants (
32). The main compounds of essential oils are α-thujone (0.3 - 3.3%), α-pinene (37.3%), mirene (5.9% - 15.9%), β-phellandrene (11.9% - 37.9%), D-germacrane (4% - 11.3%), Δ-cadinen (11.6%), and 1,4-methano-1-H-indene (10.1%).
In a study conducted by the genetics and molecular biology department of Bingol in Ankara, Turkey, it was shown that oleic acid is one of the most abundant fatty acids in the genus
Stachys. Other abundant fatty acids in this plant were linoleic acid and palmitic acid (
33). In another study, the antiproliferative activity of extracts, flavonoids, and fatty acids isolated from the aerial parts of
S. byzantina against Vero cells (the kidney of African immature monkeys), HeLa (human uterine carcinoma), and C6 (brain tumor in rats). The results demonstrated the presence of sixteen fatty acids in fractions. Moreover, hexane and ethyl acetate showed antiproliferative effects against all three cell lines (
34).
Ma et al. separated an acidic polysaccharide fraction from the rhizomes of
S. floridana Schuttl. ex Benth (SFPSA). This polysaccharide fraction was mainly composed of rhamnose, glucuronic acid, galacturonic acid, glucose, galactose, and arabinose. It has been shown that SFPSA had a potent cytotoxic effect on HT-29 colon carcinoma and was able to induce apoptosis through the activation of caspase-3 in HT-29 cells (
34).
5.1. Conclusions
Based on the obtained results, fraction C is identified as the most effective fraction against the ovarian cancer cell line A2780. It can be proposed that, following the separation and identification of its active compounds, and subsequent in vivo studies on the A2780 cell line, this fraction may demonstrate significant anticancer effects. Additionally, there is potential for S. lavandulifolia to be utilized as a herbal drug with fewer side effects, either in combination with existing anticancer drugs or as a standalone treatment.