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Table of Contents
Year : 2018  |  Volume : 11  |  Issue : 10  |  Page : 555-561

In vitro antiproliferative and apoptosis inducing effect of a methanolic extract of Azadirachta indica oil on selected cancerous and noncancerous cell lines

Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University, Cheongju, South Korea

Date of Submission18-Jul-2018
Date of Decision27-Sep-2018
Date of Acceptance10-Oct-2018
Date of Web Publication31-Oct-2018

Correspondence Address:
Gonhyung Kim
Professor, Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University, Cheongju
South Korea
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1995-7645.244515

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Objective: To find the cytotoxic and apoptotic effects of neem oil extract on the selected cancerous (A-549, PC-3 and DU-145) and noncancerous (NIH3T3 and CCD-18Co) cell lines. Methods: Viability and cytotoxic effect induced by the extract was measured by using MTT assay and apoptotic effect of the extract was evaluated by using Hoechst 33342 and propidium iodide dual staining through a fluorescent microscope and activity of caspases 3, 8 and 9 through colorimetric assay kits. Results: The results showed that neem oil extract significantly reduced the viability in all selected cancer cells treated with varying concentrations of extract as compared with untreated cells and had less effect on noncancerous cell lines. It significantly increased the percentage of necrotic and apoptotic cells, and caspases 3, 8 and 9 activities in all cancer cells treated with extract as compared with untreated cells whereas no effect on noncancerous cell lines. It suggested that neem oil extract exerted a higher cytotoxic effect on cancer cells than normal cells and lower concentration induced apoptosis only in cancer cells. One of the apoptosis-inducing mechanism was through the activation of caspases signaling pathways. Conclusion: Conclusively, it implies that neem oil extract may contain one or more potential agents that can be used as a safe and effective anticancer therapy.

Keywords: Neem oil extract, Cell lines, Cytotoxicity, Apoptosis, Caspase activity

How to cite this article:
Kashif M, Kim D, Kim G. In vitro antiproliferative and apoptosis inducing effect of a methanolic extract of Azadirachta indica oil on selected cancerous and noncancerous cell lines. Asian Pac J Trop Med 2018;11:555-61

How to cite this URL:
Kashif M, Kim D, Kim G. In vitro antiproliferative and apoptosis inducing effect of a methanolic extract of Azadirachta indica oil on selected cancerous and noncancerous cell lines. Asian Pac J Trop Med [serial online] 2018 [cited 2023 Mar 28];11:555-61. Available from:

Foundation project: This work was supported by the Global Research and Development Center (GRDC) Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (grant No. 2017K1A4A3014959)

  1. Introduction Top

Cancer is number one cause of death all over the world. According to survey, 1 735 350 new cancer cases and 609 640 cancer deaths are projected to occur in the United States in 2018[1]. Phytotherapy has been used to treat various diseases for thousands of years[2]. It is a fact that several pharmacological active ingredients are derivative of natural resources including herbs and medicinal plant[3]. Several previous studies have shown that medicinal plant like olive, black seed, curcumins, and dates are effective in cancer treatment and prevention[4],[5]. The present modes of treatment of cancer, based on synthetic drugs, surgery and radiotherapy are toxic, expensive and alter the functions of the normal cell while traditional herbal medicines are being cost effective, readily available and comparatively showing less side effects[6].

Azadirachta indica (locally called neem tree) (A. indica) is an evergreen, fast-growing and resistant to high temperature and drought, native to tropical and semi-tropical climates like in India, Pakistan and Bangladesh[7]. Each part of this tree including flower, seed, leaves, root, wood, oil and their purified products have been used as traditional medicine to cure multiple human and animal diseases. It possesses antibacterial, antiviral, anthelmintic, antifungal, antidiabetic, sedative and contraceptive effects[8]. Invasion and migration of cancer cells is an important step in cancer metastasis. Neem phytochemicals suppress growth and proliferation of cancer cells, induce apoptosis and cell cycle death, inhibit angiogenesis, decrease tumor cell invasion and migration and interfere with growth factor signaling due to the presence of numerous chemical constituents in various parts of plants[9]. In a xenograft mouse model of colon cancer, administration of neem compound nimbolide at doses of 5 and 20 mg/kg intraperitoneally inhibited the survival and growth of colorectal carcinoma xenografts through modulation of expression of NF-κB regulated gene products linked to survival, proliferation, invasion and angiogenesis[10].

Neem oil derived from its seeds exhibits many biological activities and has a complex composition which is different according to the climatic conditions and nature of soil. However, in any case, it contains limonoids, terpenoids, volatile compound, glycerides and sulphur modified fatty substance[11]. In the previous studies, it was also found that polysaccharides and limonoids present in the leaves, bark and seed oil of neem inhibited lymphocytic leukemia, tumors, and cancers[12],[13]. Neem oil is very effective in cancer chemotherapy and radiotherapy as an adjunct[14].

The toxicity of the compound to normal cells always becomes an issue in its therapeutic use. Therefore anticancer practitioners are always searching for drugs that selectively effects only on the cancer cell. In the previous study of our lab, we found that nimbolide derivatives of neem seed and leaves exerted cytotoxic effect and induced apoptosis selectively only in cancer cells without affecting normal cells[15]. This study aims to explore the antiproliferative effect and presence of apoptosis induced by neem oil extract on selected cancer and noncancerous cell lines.

  2. Materials and methods Top

2.1. Preparations of methanolic extract of neem oil

Pure (100%) neem oil was purchased from (Thewitch) South Korea. Methanolic extraction of neem oil was prepared by mixing 100 mL of neem oil into 1.2 liters of methanol. The mixture was dried under vacuum conditions at low temperatue and obtained a solid sediment. The stock solution (100 mg/mL) was made by dissolving the pellet in ethanol. The stock solution prior to use was put in the dry oven for 24 h at 90 °C to destroy thermally unstable compounds and azadirachtin according to procedure previously described[16]. The desired concentration of the stock solution was made after dissolving it in medium before use.

2.2. Chemicals

Trypan blue, propidium iodide stain, Hoechst 33342 stain were got from Sigma Chemicals Co. (St. Louis, Mo, USA). FLICE/ caspase 3, 8 and 9 colorimetric assay kits were obtained from Bio Vision (Milpitas, California, USA). Fetal bovine serum (FBS), penicillin-streptomycin, Dulbecco's phosphate buffered saline and trypsin-EDTA were purchased from Welgene Bioscience (Dalseogu, Daegu, South Korea), DMEM and RPMI-1640 medium from Capricorn Scientific (Sujeong-gu, Seongnam, South Korea), MTT dye (Thiazolyl Blue Tetrazolium Bromide) from Solon Ind. (Pkwy, Solon, Ohio), DMSO was obtained from Junsei Chemicals (Nihonbashi-honcho, Tokyo, Japan), FITC annexin-V kit was purchased from Invitrogen (Waltham, Massachusetts, USA).

2.3. Cell lines and cell culture

The selected cancer (PC-3, Du-145, A-549) and noncancerous (NIH3T3 and CCD-18Co) cell lines were obtained from the Korean Cell Line Bank, South Korea. PC-3 and Du-145 are human prostate cancer cell lines, A-549 is human lung cancer cell line, CCD-18Co is a human colon fibroblast cell line and NIH3T3 is mouse embryonic fibroblast cell line. The cancerous cells were cultured in RPMI 1640 media and noncancerous cells were grown in DMEM according to instructions of Korean Cell Line Bank. All the cell lines were maintained in medium provided with 10% FBS and 1% antibiotics in humidified 5% CO2 and 95% air incubator at 37 °C.

2.4. Cytotoxicity (MTT) assay

MTT assay is commonly used to measure the viability of cells throughout the world, described by Mosmann in 1983[17]. It caused reduction of a yellow tetrazolium salt [3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyltetrazolium bromide, or MTT] to measure cellular metabolic activity as a proxy for cell viability. Viable cells contain NADPH dependent oxidoreductase enzymes which reduce the MTT reagent to formazan, an insoluble crystalline product with a deep purple color. It is based on the principle that dead cells do not reduce the MTT dye, a tetrazolium compound while the live cells convert it into the purple colored product (formazan) by mitochondrial enzyme. Shortly, approximately 8 000 cells/well were grown in 96 wells tissue culture plate and treated with increasing concentrations of neem oil extract ranging 31 μg/mL to 250 μg/mL for 24, 48, 72 and 96 h (except the untreated control). After that medium was discarded and MTT solution (5 mg/mL) 100 μL was added to each well and place in 5% CO2 incubator for 2 h at 37 °C. After removal of MTT solution, the formazan crystals was dissolved in 50 μL of DMSO. The micro-ELISA plate reader was used to measure the intensity of developed color at 570 nm. Blank wells contained medium only. The percentage viability of treated cells was calculated with the help of the following formula, % viability of cells = (Average optical density of treated cells/Average optical density of control cells)×100%, while the cell viability in the control group was considered 100%.

2.5. Morphological changes in phase-contrast microscopy

To observe the morphological changes, each cancer and noncancerous cell line was grown using 6 well tissue culture plates and treated with different concentrations of neem oil extract (31, 62 and 125 μg/mL) for 48 h (except the untreated control) and observed under phase contrast microscope[18].

2.6. Hoechst-propidium iodide dual staining

The cancerous and noncancerous cell lines were treated with 31, 62, 125 μg/mL of neem oil extract (except the untreated control cells) and seeded in 6 well tissue culture plate (5×105 cells/well) for 24 h and 48 h. After trypsinization and washing with PBS, cells were stained in working solution of Hoechst 33342 (10 μg/mL) and put in CO2 incubator at 37 °C for 15 min. After that cells were mixed and counterstained by adding propidium iodide (50 μg/mL) solution and placed for 15 min in a CO2 incubator. The cells were centrifuged and suspended cells were placed on a clean glass slide and observed using a fluorescence microscope. The cells that had a normal nuclei, organized structure and blue chromatin were considered normal viable cells, the cells that had bright blue stained chromatin which was fragmented or condensed were considered as early apoptotic cells, the cells that had bright pink chromatin which was fragmented or condensed were considered as late apoptotic cells and the cells that had pink chromatin with organized structure were considered as necrotic cells. The percentage of apoptosis and necrosis were quantified using following formula[19],[20].

2.7. Measurement of caspases 3, 8 and 9 activities

The caspases 3, 8 and 9 activity were measured using caspases/ FLICE colorimetric assays kits according to manufacturer's instructions. Briefly, the cells treated with 125 μg/mL of neem oil extract for 24 h. After trypsinization (1 × 106) cells were pelleted in all groups. The cell pellets were resuspended in a chilled cell lysis buffer (50 μL) and kept on ice for 10 min. The centrifugation of lysed cells was done at 10 000 g for 1 min at 4 °C. Lysate proteins in equal amounts from each sample were added to 96 well tissue culture plate. Afterwards 50 μL of 2 reaction buffer and 5 μL pNA-conjugated substrates were added and placed at 37 °C for 2 h in CO2. The released amount of pNA was measured using an ELISA microplate reader.

2.8. Statistical analysis

All the data was presented as means ± standard deviation and all the experiments were performed in triplicates. Statistically significant difference between treated and untreated control cells was analyzed through one way ANOVA using IBM SPSS Statistics 24, followed by posthoc analysis. A value of P<0.05 considered statistically significant.

  3. Results Top

3.1. Effect of neem oil extract on the viability of selected cell lines

Neem oil extract caused a significant reduction in percentage viability as compared with control in all cancer cell lines. Whereas for noncancerous cell lines, no significant effect was found when comparing untreated cells with cell lines treated with low concentration. It exerted time and dose dependent cytotoxic effect [Figure 1]. The IC50 value in cancer and noncancerous cell lines were depicted in [Table 1]. It is suggested that neem oil extract is more toxic to cancer cells as compared with noncancerous cells.
Figure 1: Neem oil extract reduced the viability of cancerous cell with minimal toxicity to the noncancerous cells measured through MTT assay. Each bar represents the values of means ± standard deviation of four independent experiments. *indicates statistically significant difference between treated and untreated control cells (P<0.05).

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Table 1: IC50 values (μg/mL) were calculated through linear regression equation using Microsoft excel 2013 from the average percentage viability from four independent experiments treated with different concentration of neem oil extract for 24 h, 48 h, 72 h and 96 h.

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3.2. Effect of neem oil extract on morphological changes under phase contrast microscope

Exposure of neem oil extract to cancer cells led to typical apoptotic features such as decrease number of cells, condensed cells, lose contact with adjacent cells and detached from the surface of tissue culture plate whereas, in contrast, the untreated control cells maintained original morphology form and adherent to the tissue culture plates. Noncancerous cells treated with neem oil extract did not exhibit these typical features of apoptosis and appeared in a normal shape similar to untreated control cells as shown in [Figure 2].
Figure 2: Morphological changes observed in cancer (Du-145, PC-3 and A-549) and noncancerous (NIH3T3 and CCD-18Co) cell lines treated with concentrations (0, 31, 62 and 125 μg/mL) of neem oil extract for 48 h and observed under phase contrast microscope (magnification 100 ).

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3.3. Effect of neem oil extract on morphological changes under fluorescence microscope

Apoptotic and necrotic cells were detected and quantified using dual staining of propidium iodide and Hoechst 33342 and through a fluorescence microscope. Results showed that cancer cells treated with different concentration of neem oil extract displayed chromatin condensation, brightly stained and multiple fragmentations of nuclei (apoptotic) and emit pink fluorescence (late apoptosis and necrosis) whereas the control (untreated) cells appeared with oval shape, were less brightly stained and had an absence of red fluorescence. The noncancerous cells treated with the same dose of neem oil extract did not show significant morphological alteration as compared with untreated control under a fluorescence microscope as depicted in [Figure 3]. The percentages of necrotic and apoptotic cells treated with neem oil extract were significantly higher as compared with control group in cancer cell lines whereas no significant difference was observed between treated cells and untreated control cells in noncancerous cell lines as shown in [Figure 4] and [Figure 5] respectively.
Figure 3: Morphological changes detected in cancer and noncancerous cell lines with dual staining of Hoechst 33342 and propidium iodide under fluorescent microscope (magnification 400).
Arrows indicate (1) viable cells (2) early apoptotic cells (3) necrotic cells (4) late apoptotic cells.

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Figure 4: Percentage of apoptotic cells quantified by Hoechst 33342 and propidium iodide dual staining after treatment with different concentrations of neem oil extract for 24 and 48 h.
The values were represented as means ± standard deviation of three independent experiments.

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Figure 5: Percentage of necrotic cells quantified by Hoechst 33342 and propidium iodide dual staining after treatment with different concentrations of neem oil extract for 24 and 48 h.
The values were represented as means ± standard deviation of three independent experiments.

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3.4. Effect of neem oil extract on signaling pathways of caspases

To examine the mechanism of apoptosis, caspases activities were measured. The cells treated with neem oil extract significantly increased the caspase 3, 8 and 9 activity as compared with control in all cancer cells whereas in noncancerous cells no significant difference was observed between treated and untreated cells as shown in [Figure 6]. This suggests that neem oil extract induced apoptosis through the activation of caspase cascade signaling pathways.
Figure 6: Measurement of caspases 3, 8 and 9 activity of cancer and noncancerous cell lines treated with neem oil extract (125 μg/mL) for 24 h through colorimetric assay kits.
Each bar represents the means ± standard deviation of three independent experiments.

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  4. Discussion Top

Natural products and bioactive compounds are important sources for potential chemotherapeutic and antitumor agents. Neem oil used for centuries in herbal, ayurvedic and traditional medicines and have many potential biological activities. Some studies also explored the potential of neem oil and its purified compounds in the control of viruses and cell proliferation[21]. In the present study methanolic extract of neem oil exerted a higher cytotoxic effect on cancer cells than noncancerous cells. The IC50 values were much lower in cancer cells than the noncancerous cells at various time points. It suggested its selective toxicity towards cancer cells and provided a background for the development of neem/oil components as a biosafe chemotherapeutic agent. The previous studies also showed consistent results with our results that neem extracts and its components exerted antiproliferative effect on the growth of numerous cancer cells such as human choriocarcinoma cells, squamous cell carcinoma, melanoma cells, leukemia cells, prostate cells, murine Ehrlich's carcinoma, Hela cells, breast cancer and exhibited lower cytotoxic effect on noncancerous cells[22],[23],[24],[25].

Apoptosis is a biological phenomenon that plays important role in the tissue homeostasis and embryogenesis[26]. Therefore selective induction of apoptosis of cancer cells has been considered the best option for the treatment and prevention of cancer[27]. Apoptotic cells possesses a lot of typical features such as condensation, shrinkages of cells, condensed and cleaved chromatin. These typical, distinctive morphological features in apoptotic cells are frequently used for the identification and quantification of apoptosis[28],[29]. In the present study selected cancer treated with different concentrations of neem oil extract showed similar features under phase contrast microscope. This provides an evidence that neem oil extract induced apoptosis selectively in cancer cells.

Hoechst 33342 and propidium iodide double staining can be used to observe apoptotic features such as nuclear fragmentation and chromatin condensation using fluorescence microscopic analysis. It is possible to differentiate and quantify the live, apoptotic and necrotic cells populations by use of these dyes under fluorescence microscope[18],[29]. In the present study, we also assessed and quantified apoptosis and necrosis using dual staining of propidium iodide and Hoechst 33342 under a fluorescence microscope.

The presence of necrotic cells along with early apoptotic cells suggested that these cells resulted from an apoptotic process rather than necrotic process[30] or it may be due to the incomplete process of apoptosis[31]. The presence of increased necrotic cell in the present study may result after the apoptotic process or incomplete process of apoptosis due to increased or decreased concentrations of extract or it may be due to the complex action of neem oil extract. It suggested that neem oil extract exerts an antiproliferative effect through induction of apoptosis.

Apoptosis is an irreversible process which is mainly conducted by a cascade of caspase proteins through two pathways i.e. intrinsic and extrinsic pathways[32]. These pathways are triggered by activation of initiator caspases 8, 9, 10 which result in activation of executioner caspase 3. The activation of caspase 3 causes the proteolytic degradation of many proteins like β-catenin and PARP, that leads to apoptosis[33]. Caspases help in early detection of apoptosis through assaying for cleaved caspases[34]. In this study, we confirmed that treatment of cancer cells with neem oil extract significantly increase the activity of caspase 3, 8 and 9 as compared with untreated cells. So, it is suggested that neem oil extract triggers the apoptosis in cancer cells through the activation of both initiators and effector caspases.

NF-κB is one of the most studied transcription factors which regulates the transcription of the genes involved in cell proliferation, migration, invasion, survival, inflammation, angiogenesis, and every cellular process. In most type of cancer cells increased activity or activation of NF-κB signaling is observed. Therefore, inhibition of NF-κB activity is a common anticancer mechanism of many therapeutic agents and natural compounds[35]. The migration and invasion of tumor cells is also connected with MMP-2 and MMP-9 expression through the control of transcription factors NF-κB, AP-1 and Sp-1[36],[37]. The previous studies showed that neem components inhibits tumor cell migration, invasion, and angiogenesis by downregulating MMP-2 and MMP-9 expression via inhibiting ERK1/2 and reducing DNA binding activity of NF-κB in cancer cells[38],[39].

In conclusion, the results of this study suggested that neem oil extract has a strong cytotoxic activity on the cancer cells and lower toxicity toward noncancerous cells. It induced apoptosis only in cancer cells and one of the apoptosis inducing mechanisms is through activation of caspase signaling pathway. Neem oil and its components could be envisaged as an antiproliferative agent. This study offers an avenue to exploit it further in clinical trials and in vivo models.

Conflict of interest statement

We declare that we have no conflict of interest.

Foundation project

This work was supported by the Global Research and Development Center (GRDC) Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (2017K1A4A3014959).

  References Top

Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA-Cancer J Clin 2018; 68(1): 7-30.  Back to cited text no. 1
Tiwari R, Verma AK, Chakraborty S, Dhama K, Singh SV. Neem (Azadirachta indica) and its potential for safeguarding health of animals and humans: A review. J Biol Sci 2014; 14(2): 110-123.  Back to cited text no. 2
Zong A, Cao H, Wang F. Anticancer polysaccharides from natural resources: A review of recent research. Carbohydr Polym 2012; 90(4): 1395-1410.  Back to cited text no. 3
Rahmani AH, Albutti AS, Aly SM. Therapeutics role of olive fruits/oil in the prevention of diseases via modulation of anti-oxidant, anti-tumour and genetic activity. Int J Clin Exp Med 2014; 7(4): 799-808.  Back to cited text no. 4
Rahmani AH, Aly SM, Ali H, Babiker AY, Suikar S, Khan AA. Therapeutic effects of date fruits (Phoenix dactylifera) in the prevention of diseases via modulation of anti-inflammatory, anti-oxidant and anti-tumour activity. Int J Clin Exp Med 2014; 7(3): 483-491.  Back to cited text no. 5
Mahima, Verma AK, Tiwari R, Karthik K, Chakraborty S, Deb R, et al. Nutraceuticals from fruits and vegetables at a glance: A review. J Biol Sci 2013; 13(2): 38-47.  Back to cited text no. 6
Juss A, Emerenciano DP, Aparecida M, Maciel M, Humberto F, Xavier J, et al. Phytochemical and pharmacological aspects of meliaceae and Azadirachta indica. Int J Res Sci Technol 2015; 4(4): 128-135.  Back to cited text no. 7
Paul R, Prasad M, Sah NK. Anticancer biology of Azadirachta indica (neem): A mini review. Cancer Biol Ther 2011; 12(6): 467-476.  Back to cited text no. 8
Hao F, Kumar S, Yadav N, Chandra D. Neem components as potential agents for cancer prevention and treatment. Biochim Biophys Acta 2014; 1846(1): 247-257.  Back to cited text no. 9
Gupta SC, Prasad S, Sethumadhavan DR, Nair MS, Mo YY, Aggarwal BB. Nimbolide, a limonoid triterpene, inhibits growth of human colorectal cancer xenografts by suppressing the proinflammatory microenvironment. Clin Cancer Res 2013; 19(16): 4465-4476.  Back to cited text no. 10
Raj A. Toxicological effect of Azadirachta indica. Asian J Multidiscip Stud 2014; 2(9): 29-33.  Back to cited text no. 11
Subapriya R, Nagini S. Ethanolic neem leaf extract protects against N-methyl-N’-nitro-N-nitrosoguanidine-induced gastric carcinogenesis in wistar rats. Asian Pacific J Cancer Prev 2003; 4(3): 215-223.  Back to cited text no. 12
Arivazhagan S, Balasenthil S, Nagini S. Garlic and neem extracts enhance hepatic glutathione-dependent enzymes during N-methyl-N-nitro-N-nitrosoguanidine (MNNG)-induced gastric carcinogenesis in rats. Phyther Res 2002; 14: 291-293.  Back to cited text no. 13
Kumar A, Rao AR, Kimura H. Radiosensitizing effects of neem (Azdirachta indica) oil. Phyther Res 2002; 16(1): 74-77.  Back to cited text no. 14
Kashif M, Hwang Y, Hong G, Kim G. In vitro comparative cytotoxic effect of nimbolide; A limonoid from Azadirachta indica (neem tree) on cancer cell lines and normal cell lines through MTT assay. Pak J Pharm Sci 2017; 30(3): 967-973.  Back to cited text no. 15
Di Ilio V, Pasquariello N, Vander EAS, Cristofaro M, Scarsella G, Risuleo G. Cytotoxic and antiproliferative effects induced by a non terpenoid polar extract of A. indica seeds on 3T6 murine fibroblasts in culture. Mol Cell Biochem 2006; 287(2): 69-77.  Back to cited text no. 16
Mosmann T. Rapid colorimetric assay for cellular growth and survival: Application to proliferation and cytotoxicity assays. J Immunol Methods 1983; 65(2): 55-63.  Back to cited text no. 17
Moongkarndi P, Kosem N, Kaslungka S, Luanratana O, Pongpan N, Neungton N. Antiproliferation, antioxidation and induction of apoptosis by Garcinia mangostana (mangosteen) on SKBR3 human breast cancer cell line. J Ethnopharmacol 2004; 90(1): 161-166.  Back to cited text no. 18
Brown JM, Attardi LD. The role of apoptosis in cancer development and treatment response. Nat Rev Cancer 2005; 5(3): 231-237.  Back to cited text no. 19
Guan TJ, Qin FJ, Du JH, Geng L, Zhang YY, Li M. AICAR inhibits proliferation and induced S-phase arrest and promotes apoptosis in CaSki cells. Acta Pharmacol Sin 2007; 28(12): 1984-1990.  Back to cited text no. 20
Ricci F, Berardi V, Risuleo G. Differential cytotoxicity of MEX: A component of neem oil whose action is exerted at the cell membrane level. Molecules 2009; 14(1): 122-132.  Back to cited text no. 21
Kumar GH, Mohan KVPC, Rao AJ, Nagini S. Nimbolide a limonoid from Azadirachta indica inhibits proliferation and induces apoptosis of human choriocarcinoma (BeWo) cells. Invest New Drugs 2009; 27(3): 246-252.  Back to cited text no. 22
Bose A, Haque E, Baral R. Neem leaf preparation induces apoptosis of tumor cells by releasing cytotoxic cytokines from human peripheral blood mononuclear cells. Phytother Res 2007; 21(10): 914-920.  Back to cited text no. 23
Gunadharini DN, Elumalai P, Arunkumar R, Senthilkumar K, Arunakaran J. Induction of apoptosis and inhibition of PI3K/Akt pathway in PC-3 and LNCaP prostate cancer cells by ethanolic neem leaf extract. J Ethnopharmacol 2011; 134(3): 644-650.  Back to cited text no. 24
Patel SM, Venkata KCN, Bhattacharyya P, Sethi G, Bishayee A. Potential of neem (Azadirachta indica) for prevention and treatment of oncologic diseases. Semin Cancer Biol 2015; 40(5): 100-115.  Back to cited text no. 25
Goswami KK, Barik S, Sarkar M, Bhowmick A, Biswas J, Bose A, et al. Targeting STAT3 phosphorylation by neem leaf glycoprotein prevents immune evasion exerted by supraglottic laryngeal tumor induced M2 macrophages. Mol Immunol 2014; 59(2): 119-127.  Back to cited text no. 26
Liu TY, Tan ZJ, Jiang L, Gu JF, Wu XS, Cao Y, et al. Curcumin induces apoptosis in gallbladder carcinoma cell line GBC-SD cells. Cancer Cell Int 2013; 13(1): 64-72.  Back to cited text no. 27
Lin JC, Ho YS, Lee JJ, Liu CL, Yang TL, Wu CH. Induction of apoptosis and cell-cycle arrest in human colon cancer cells by meclizine. Food Chem Toxicol 2007; 45(6): 935-944.  Back to cited text no. 28
Doonan F, Cotter TG. Morphological assessment of apoptosis. Methods 2008; 44(3): 200-204.  Back to cited text no. 29
Paranjpe R, Gundala SR, Lakshminarayana N, Sagwal A, Asif G, Pandey A, et al. Piper betel leaf extract: Anticancer benefits and bio-guided fractionation to identify active principles for prostate cancer management. Carcinogenesis 2013; 34(7): 1558-1566.  Back to cited text no. 30
Leist M, Nicotera P. Apoptosis, excitotoxicity and neuropathology. Exp Cell Res 1998; 239(239): 183-201.  Back to cited text no. 31
Muhamad S, Hawariah A, Pihie L, Latif J, Rha C, Sambandan TG. Induction of apoptosis in MCF-7 via the caspase pathway by longilactone from Eurycoma longifolia jack. Pharm Biotechnol 2011; 3(1): 1-10.  Back to cited text no. 32
Huang Y, Dong F, Du Q, Zhang H, Luo X, Song X, et al. Swainsonine induces apoptosis through mitochondrial pathway and caspase activation in goat trophoblasts. Int J Biol Sci 2014; 10(7): 789-797.  Back to cited text no. 33
Parsaee H, Asili J, Mousavi SH, Soofi H, Emami SA, Najaran ZT. Apoptosis induction of Salvia chorassanica root extract on human cervical cancer cell line. Iran J Pharm Res 2013; 12(1): 75-83.  Back to cited text no. 34
Varilly P, Chandler D. NF-κB, an active player in human cancers. Cancer Immunol Res 2012; 2(9): 823-830.  Back to cited text no. 35
Lines CC. Correlated expression of matrix metalloproteinases and family transcription factors in invasive oral squamous cell carcinoma derived cell lines. Am J Patho 1996; 148(3): 693-700.  Back to cited text no. 36
Bond M, fabunmi RP, Baker AH, Newcombe J. Synergistic upregulation of metalloproteinases-9 by growth factors and inflammatory cytokines, an absolute requirement for transcription factor NF-kappa B. FEBS Lett 1998; 435: 29-34.  Back to cited text no. 37
Babykutty S, Priya PS, Nandini RJ, Kumar MAS, Nair MS, Srinivas P, et al. Nimbolide retards tumor cell migration, invasion, and angiogenesis by downregulating MMP-2/9 expression via inhibiting ERK1/2 and reducing DNA-binding activity of NF-κB in colon cancer cells. Mol Carcinog 2012; 51: 475-490.  Back to cited text no. 38
Elumalai P, Brindha MA, Arunkamar R, Sharmila G, Bhat FA, Balakrishnan S, et al. Nimbolide inhibits invasion and migration, and down-regulates uPAR chemokine gene expression, in two breast cancer cell lines. Cell Prolif 2014; 47: 540-552.  Back to cited text no. 39


  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5], [Figure 6]

  [Table 1]

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