The Antioxidative Fraction of White Mulberry Induces Apoptosis through Regulation of p53 and NFκB in EAC Cells

In this study, the antioxidative fraction of white mulberry (Morus alba) was found to have an apotogenic effect on Ehrlich’s ascites carcinoma cell-induced mice (EAC mice) that correlate with upregulated p53 and downregulated NFκB signaling. The antioxidant activities and polyphenolic contents of various mulberry fractions were evaluated by spectrophotometry and the ethyl acetate fraction (EAF) was selected for further analysis. Strikingly, the EAF caused 70.20% tumor growth inhibition with S-phase cell cycle arrest, normalized blood parameters including red/white blood cell counts and suppressed the tumor weight of EAC mice compared with untreated controls. Fluorescence microscopy analysis of EAF-treated EAC cells revealed DNA fragmentation, cell shrinkage, and plasma membrane blebbing. These characteristic morphological features of apoptosis influenced us to further investigate pro- and anti-apoptotic signals in EAF-treated EAC mice. Interestingly, apoptosis correlated with the upregulation of p53 and its target genes PARP-1 and Bax, and also with the down-regulation of NFκB and its target genes Bcl-2 and Bcl-xL. Our results suggest that the tumor- suppressive effect of the antioxidative fraction of white mulberry is likely due to apoptosis mediated by p53 and NFκB signaling.

Estimation of total phenolics. Total phenolic contents were determined by the modified Folin-Ciocalteu method as described previously [21]. An aliquot of the extracts/a standard was mixed with 2 mL Folin-Ciocalteu reagent (previously diluted with water 1:10 v/v) and 2 mL (75 g/L) of sodium carbonate. The tubes were vortexed for 15 sec and allowed to stand for 20 min at 25˚C for color development. Absorbance was then measured at 760 nm UV-spectrophotometer (Shimadzu, USA). Samples of extracts and standard were evaluated at a final concentration of 0.1 mg/mL. Total phenolic contents were expressed in terms of galic acid equivalent, GAE (standard curve equation: y = 0.096x+0.046, R 2 = 0.999), mg of GA/g of dry extract.
Estimation of total flavonoids. Total flavonoids were estimated using the method as described previously [22]. To 0.5 ml of sample, 1.5 ml of methanol, 100 μl of 10% aluminum chloride, 100 μl of 1 M potassium acetate solution and 2.8 ml of distilled water was added. After 1.5 hours of incubation at RT, the absorbance was measured at 420 nm. Extract samples were evaluated at a final concentration of 0.1 mg/mL. Total flavonoids content was expressed in terms of catechin equivalent, CAE (standard curve equation: y = 0.0135x + 0.0085, R2 = 0.9984), mg of CA/g of dry extract.
Estimation of total flavonols. Total flavonol content in the plant extracts were estimated using the method as described previously [23]. To 2.0 mL of sample (standard), 2.0 mL of 2% AlCl3 in ethanol and 3.0 ml sodium acetate (50 g/L) solutions were added. The absorption at 440 nm was read after 2.5 hours at 20˚C. Extract samples were evaluated at a final concentration of 0.1 mg/mL. Total flavonol content was expressed in terms of quercetin equivalent, QUE (standard curve equation: y = 0.0255x + 0.0069, R 2 = 0.9995), mg of QU/g of dry extract.
Estimation of total proanthocyanidins. Determination of proanthocyanidins was based on a prior protocol [24]. A volume of 0.5 mL of 0.1 mg/mL extract solution was mixed with 3 mL of 4% vanillin-methanol solution and 1.5 ml hydrochloric acid. The mixture was allowed to stand for 15 minutes before absorbance was measured at 500 nm. Extract samples were evaluated at a final concentration of 0.1 mg/mL. Total content of proanthocyanidin was expressed in terms of catechin equivalent, CAE (standard curve equation: y = 0.567x − 0.024, R2 = 0.9801), mg of CA/g of dry extract.
Determination of total antioxidant capacity. Total antioxidant capacity (TAC) of samples/a standard was determined by a prior method [25]. 0.5 mL of samples/standard at different concentrations was mixed with 3 ml of reaction mixture containing 0.6 M sulphuric acid, 28 mM sodium phosphate and 1% ammonium molybdate and then incubated at 95˚C for 10 min to complete the reaction. The absorbance was measured at 695 nm using a spectrophotometer against blank after cooling at RT. CA was used as standard. A typical blank solution contained 3 ml of reaction mixture and the appropriate volume of the same solvent used for the samples/standard were incubated at 95˚C for 10 min and the absorbance was measured at 695 nm.
Determination of ferrous reducing antioxidant capacity. The ferrous reducing antioxidant capacity of samples/a standard was evaluated by a prior method [26]. A volume of 0.25 mL samples/standard of solution at different concentrations, 0.625 mL of potassium buffer (0.2 mol/L) and 0.625 mL of 1% potassium ferricyanide, K3[Fe(CN)6] solution were added into the test tubes. The reaction mixtures were incubated for 20 min at 50˚C to complete the reaction. Then 0.625 mL of 10% TCA solution was added into the test tubes. The total mixture was centrifuged at 3000 r/min for 10 min. After which, 1.8 mL supernatant was withdrawn from the test tubes and was mixed with 1.8 mL of distilled water and 0.36 mL of 0.1% FeCl3 solution. The absorbance of the solution was measured at 700 nm using a spectrophotometer against blank. A typical blank solution contained the same solution mixture without plant extracts/standard was incubated under the same conditions and the absorbance of the blank solution was measured at 700 nm. Increased absorbance of the reaction mixture indicates increased reducing capacity.
Determination of DPPH radical scavenging assay. Free radical scavenging activity was determined by DPPH radical scavenging assay as described previously [27]. 2.4 mL of 0.1 mM DPPH in methanol was mixed with 1.6 ml of extracts at different concentrations. The reaction mixture was vortexed thoroughly and left in the dark at RT for 30 min. The absorbance of the mixture was measured by spectrophotometer at 517 nm. BHT was used as the reference standard. Percentage DPPH radical scavenging activity was calculated by the following equation: where A 0 is the absorbance of the control, and A 1 is the absorbance of the extractives/standard. Percent of inhibition was plotted against concentration, and from the graph IC 50 was calculated.
Determination of hydroxyl radical scavenging activity assay. Hydroxyl radical scavenging activity of the extracts/ a standard was measured according to prior protocol [28] with minor modification(s). The reaction mixtures contained 0.8 mL of phosphate buffer solution (50 mmol/L, pH 7.4), 0.2 mL of extracts/standard at different concentrations, 0.2 mL of ethylene diamine tetraacetic acid (1.04 mmol/L), 0.2 mL of FeCl3 (1 mmol/L) and 0.2 mL of 2-Deoxy-D-ribose (28 mmol/L) were taken in the test tubes. The mixtures were kept in a water bath at 37˚C and the reaction was started by adding 0.2 mL of AA (2 mmol/L) and 0.2 mL of H 2 O 2 (10 mmol/L). After incubation at 37˚C for 1h, 1.5 mL of cold TBA (10 g/L) was added to the reaction mixture followed by 1.5 mL of HCl (25%). The mixture was heated at 100˚C for 15 min and then cooled down with water. The absorbance of the solution was measured at 532 nm with a spectrophotometer. The hydroxyl radical scavenging activity was evaluated with the inhibition of percentage of 2-Deoxy-Dribose oxidation on hydroxyl radicals. The percentage of hydroxyl radical scavenging activity was calculated according to the following formula: %Hydroxyl radical scavenging activity ¼ fA 0 À ðA 1 À A 2 g Â 100=A 0 where, A 0 is the absorbance of the control without a sample, A 1 is the absorbance after adding the sample and 2-Deoxy-D-ribose, A 2 is the absorbance of the sample without 2-Deoxy-Dribose. Then percentage of inhibition was plotted against concentration, and from the graph IC 50 was calculated Determination of Lipid peroxidation inhibition activity assay. The lipid peroxidation inhibition assay was determined according to prior method [29] with a slight modification. Excised rat liver was homogenized in buffer and then centrifuged to obtain liposome. 0.5 mL of supernatant, 100 μL 10 mM FeSO 4 , 100 μL 0.1 mM AA and 0.3 mL of extractives/standard at different concentrations were mixed to make the final volume 1 ml. The reaction mixture was incubated at 37˚C for 20 min. One ml of (28%) TCA and 1.5 ml of (1%) TBA was added immediately after heating. Finally, the reaction mixture was again heated at 100˚C for 15 min and cooled at RT. After cooling, the absorbance was taken at 532 nm. Percentage inhibition of lipid peroxidation was calculated by the following equation: where A 0 is the absorbance of the control, and A 1 is the absorbance of the extractives/standard. Percent of inhibition was plotted against concentration, and IC 50 was calculated from the graph.
Experimental animals. Swiss albino male mice, aged 4 weeks and weighing between 25-30 grams, were purchased from ICDDRB (International Centre for Diarrheal Disease Research in Bangladesh), Dhaka, Bangladesh. The animals were housed in propylene cages in a controlled environment (temperature 25±2˚C and 12 h dark and light cycle) and received feed formulated by ICDDRB and water ad libitum. The animals were acclimatized to laboratory conditions for 10 days prior to initiation of experiments. To keep the hydration rate constant, food and water supply were stopped 12 hours before the experiments.
Ethical clearance. Protocol used in this study for the use of mice as an animal model for Experimental design. Mice (12 mice per group) were randomly divided into four different groups: Group I, the normal group (non-tumor bearing) which received vehicle only; Group II, the EAC tumor-bearing untreated control group (which were intraperitoneally injected with 1×10 5 exponentially grown EAC cells; Group III, the EAF-treated EAC tumorbearing group; Group IV, the bleomycine-treated EAC tumor-bearing group. Collection and administration of EAC cells. EAC cells were collected as described previously [4]. In brief, EAC cells were propagated intraperitoneally (biweekly) and the cells were collected from a donor Swiss albino mouse bearing 6-7 days old ascites tumors. The cells were adjusted to 1×10 5 cells/mL via dilution with normal saline (0.9%) and counted by haemocytometer. The viability of tumor cells was observed by trypan blue (0.4%) exclusion assay.
Cell growth inhibition. In vivo tumor cell growth inhibition was carried out as described previously [30]. For this study, treatment was started after 24 hours of tumor inoculation and continued for 5 days. Group II mice were intraperitoneally injected with 1×10 5 exponentially grown EAC cells. Group III received the test sample at 100 mg/kg per day, whereas Group IV received standard bleomycin at 0.3 mg/kg per day. In each case, the volume of the test solution injected (i.p.) was 0.1 mL/day per mouse. Out of 12 mice, four were sacrificed on the 6 th day after transplantation and tumor cells were collected by repeated i.p wash with 0.9% saline. The total number of tumor cells in the peritoneal cavity was counted by the trypan blue exclusion method using the Cedex cell counter (Roche). Viable tumor cells per mouse of the treated group were compared with those of the control (Group II). Cell growth inhibition was calculated by the following formula:

Where, T w = mean number of tumor cells of Group III or IV and C w = mean number of tumor cells of Group II.
Haematological studies and tumor weight. The haematological parameters (WBC, RBC and Hb content) were determined by standard methods as described previously [31]. Blood was drawn from the tail of each group on the 12 th day of EAC-cell inoculation. Total WBC and RBC were counted by microscope with a haemocytometer, and the percentage of hemoglobin (Hb) was measured by hematometer. Tumor growth was monitored daily by measuring weight changes upto 20 days of treatment.
Observation of morphological change and nuclear damage. Cell apoptosis (nuclear condensation and fragmentation) was morphologically observed under a fluorescence microscope (OlympusiX71, Korea) using a prior method [4]. Hoechst 33342 staining was used to observe apoptotic morphology. In brief, EAC cells were collected from Group II and III and washed thrice with phosphate buffer saline (PBS). Cells were then stained with 0.1 gm/mL of Hoechst 33342 at 37˚C for 20 min in a dark room, and were then washed again with PBS.
Detection of apoptosis by TUNNEL assay. The fragmented DNA of apoptotic cells was labeled by catalytically incorporating fluorescein-12-dUTP at the 3 / -hydroxyl ends of the fragmented DNA using the enzyme terminal deoxynucleotidyl transferase (TdT) using Apo-direct kit. The cells were then analyzed on FACS (equipped with 488 nm Argon laser light source; 515 nm band pass filter, FL1-H, and 623 nm band pass filter, FL2-H) using CellQuest software (Becton Dickinson, San Jose, CA). Electronic compensation of the instrument was done to exclude overlapping of the emission spectra. A total of 10,000 events were acquired and dual parameter dot plot of FL2-H (xaxis; PI-fluorescence, linear scale) vs. FL1-H (y-axis; FITC-fluorescence, logarithmic scale) has been shown.
Cell cycle analysis. EAF treated (Group III) (100 mg/kg/day) and untreated (Group II) EAC cells were collected from mice after treatment of five days and washed thrice with cold PBS [32]. After fixation with 70% ethanol for 24 h at 4˚C, the cells were washed thrice with cold PBS. Finally, the cells in 1 ml PBS were treated with 50 μl of RNase A (1 mg/ml) for 30 min at 37˚C followed by staining with 5 μl of propidium iodide (1 mg/ml) in dark at 4˚C for 5 min before analyzing using flowcytometry. The fractions of cells in G0/G1, S, and G2/M phase were analyzed by a FACS Flow cytometer (Partec CyFlow SL,Germany). Cell cycle phase distribution of nuclear DNA was determined on FACS, fluorescence detector equipped with 488 nm argon laser light source and 623 nm band pass filter (linear scale) using CellQuest software (Becton Dickinson). A total of 10000 events were acquired and analysis of data was performed using ModFit software. A histogram of DNA content (x-axis, PIfluorescence) versus counts (yaxis) has been displayed.
Total RNA isolation and cDNA preparation. Total RNA was extracted as described previously [33]. In brief, EAC cells (1 ×10 5 cells/mL) were treated with 0.5 ml TRIzole reagent, vortexed gently for a few seconds and 0.2 ml CHCl 3 was added followed by vigorous shaking. The reaction mixture was then incubated at RT for 2-3 min and the mixture was centrifuged at 12,000 rpm for 15 min at 4˚C. The supernatant was transferred into a fresh eppendorf tube and then 500 μL of isopropranol was added and mixed properly. The reaction mixture was incubated at RT for 10 min and again centrifuged at 12,000 rpm for 10 min at 4˚C. The supernatant was removed and an RNA pellet was observed at the bottom of the eppendorf tube. To obtain purified RNA, it was washed with 75% ethanol and centrifuged at 7,500 rpm at 4˚C for 5 min. After removing the supernatant, the RNA pellet was dried at RT and dissolved with DEPC treated RNase free water. The concentration of RNA was measured with nanodrop (Thermo scientific nanodrop 8000).
For cDNA synthesis, 1 μg of purified total RNA was used in a total volume of 20 μL in the presence of 0.5 μg of oligo (dT) 15 primer (Promega), 0.5 mM dNTPs, 1× first-strand buffer, 5 mM DTT (dithiothreitol), 2 units of RNase OUT (40 unit/μL) and 10 units of SuperScript III reverse transcriptase (200 unit/μL) (Invitrogen). The reaction was incubated for 1 hour at 50˚C and then stopped by heating at 70˚C for 15 min.

Reverse transcriptase polymerase chain reaction (RT-PCR).
To determine the expression levels of p53, Bax, PARP, Bcl-2 and NFκB, RT-PCR was performed as described previously [33]. In brief, the first-strand cDNA was amplified by PCR with specific primers. 25 μL reaction volumes were prepared containing 1X Taq polymerase buffer, 25 pmol each of forwarded and reverse primers, 2.5 mM of each dNTPs and 0.25 U of platinum Taq polymerase (Tiangen, China). The following specific oligonucleotides (IDT, Singapore) were used: Bcl

Statistical analysis
All analyses were carried out in triplicates. Data are presented as mean ± SD. The student's unpaired t-test was used to evaluate significance between the test sample and control. One way analysis of variance (ANOVA) followed by a Dunnett Post hoc test was performed to evaluate significance differences among different groups. P value <0.05 was shown to be statistically significant. Free R-software version 2.15.1 (http://www.r-project.org/) and Microsoft Excel 2007 (Roselle, IL, USA) were used for the statistical and graphical evaluations.

Determination of polyphenol contents
Polyphenols are the most abundant class of compounds in the plant kingdom and are important due to their antioxidant nature and various diseases curing abilities [34]. The white mulberry plant contains significant polyphenols. Table 1 shows the total polyphenol contents in the CME and its four fractions PEF, CHF, EAF and AQF. Of the fractions, EAF possessed the highest polyphenol content.
Determination of TAC. The total antioxidant potentials of white mulberry stem bark extracts were estimated from their ability to reduce the reduction of Mo (VI) to Mo (V) and the subsequent formation of a green phosphate/Mo (V) complex at an acidic pH. The TAC capacity of CME and its four fractions is shown in Fig 1A. The absorbance of CME, PEF, CHF, EAF, AQF and standard CA at 150 μg/mL were 0.434±0.008, 0.412±0.010, 0.585±0.009, 0.370 ±0.06, 0.216±0.007 and 0.249±0.004, respectively (Fig 1A). Significant (p < 0.01) antioxidant activity of EAF was detected compared to the other extractives and the CA control. EAF increased the total antioxidant activity with increasing concentration.

Determination of ferrous reducing antioxidant capacity.
Reducing power is widely used to evaluate antioxidant activity of plant polyphenols. Reducing power is generally associated with the presence of reductones, which exert antioxidant action by breaking the free radical chains by donating a hydrogen atom. In this assay, the presence of reductants in the antioxidant sample causes the reduction of the Fe3+/ferricyanide complex to the Fe2+/ferrous form, and reducing power is monitored by measuring the formation of Perl's Prussian blue at 700 nm [35]. In ferrous reducing antioxidant capability, the absorbance of CME, PEF, CHF, EAF, AQF and standard AA at 150 μg/ml were 2.79±0.007, 0.62±0.010, 2.23±0.010, 2.94±0.32, 2.79±0.12 and 2.99±0.107, respectively (Fig 1B). The reducing capacity of EAF is similar to that of standard AA and highest among all the tested extractives. The reducing activity increased with the increasing concentration of the extractives. We speculate that the reducing power of EAF is likely due to the presence of phenolic compounds, which could act as electron donors.
Determination of DPPH radical scavenging activity. The effect of antioxidants on DPPH radicals is thought to be due to their hydrogen donating ability [36]. Radical scavenging activities are critical for preventing deleterious free radicals in different diseases, including cancers. DPPH free radical scavenging is an accepted mechanism by which antioxidants act to inhibit lipid peroxidation. This method has been used extensively to predict antioxidant activities because of the relatively short time required for analysis. The DPPH antioxidant capacity of CME, PEF, CHF, EAF, AQF and standard BHT was shown in Fig 2A. At 150 μg/mL, the DPPH free radical scavenging activity of CME, PEF, CHF, EAF, AQF and  (Fig 2A). Thus, EAF exhibited significant (p < 0.01) free radical scavenging activity when compared to control BHT and had a higher scavenging activity than all other extractives. It has been found that phenolics, flavonoids and tocopherols reduce the DPPH radicals by their hydrogen donating ability [37,38]. The results obtained in this investigation reveal that EAF and all other fractions from white mulberry are free radical scavengers and able to react with DPPH radical. Determination of hydroxyl radical scavenging activity. The mutagenic capacity of free radicals is due to the direct interactions of hydroxyl radicals with DNA [39]. Hydroxyl radicals can be generated by the biochemical conversion of the superoxide radical to superoxide dismutase by hydrogen peroxide, which subsequently produces extremely reactive hydroxyl radicals in the presence of divalent metal ions, such as iron and copper. The hydroxyl radicals scavenging activity of CME, PEF, CHF, EAF, AQF and standard AA at 150 μg /mL were 58.51±1.99, 37.21±1.6, 35.05±1.54, 89.40±2.63, 86.27±2.85 and 84.74±2.22%, respectively (Fig 2B). Our results reveal that EAF had a higher scavenging activity than that of the other extractives and even than that of the standard, AA. The ability of the extracts to quench hydroxyl radicals might directly be related to the prevention of lipid peroxidation.
Determination of lipid peroxidation inhibition activity assay. ROS induce membrane damage by peroxidising lipid moieties, especially the polyunsaturated fatty acids, in a chain reaction known as lipid peroxidation [40]. The initial reaction generates a second radical, which in turn can react with a second macromolecule to continue the chain reaction leads to cellular abnormalities. Lipid peroxidation is elevated in certain cancers [41]. The lipid peroxides scavenging activity of CME and its fractions was investigated and compared with the standard CA. At a concentration of 150 μg/mL, the scavenging activity of CME, PEF, CHF, EAF, AQF and standard were 54.36±1. 23 Fig 2C). The EAF exhibited higher activity than other extractives and showed similar activity to the standard CA. This result reveals that EAF differentially inhibits lipid peroxidation, likely by virtue of its free radical quenching potential. Thus, white mulberry is a good source for antioxidant and could be used as anticancer agent.
Effect of EAF on tumor cell growth. Antioxidants neutralize free radicals, which are a natural by-product of normal cell processes. In humans, the most common form of free radicals is oxygen. When an oxygen molecule (O2) becomes electrically charged or radicalized, it attempts to steal electrons from other molecules, causing damage to these molecules and DNA. Over time, such damage may become irreversible and lead to cancers. In this study, we evaluated the effect of EAF on EAC cell-induced tumorigenesis in mice and found significant (p < 0.01) inhibition of cell growth (70.20%) when compared to standard bleomycin (87.52%) ( Table 2). The significant anti-tumor activity of EAF persuaded us to test whether its activity was due to the induction of apoptosis.
Effect of EAF on apoptosis. Phenotypically, apoptosis is characterized by DNA fragmentation, cell shrinkage, chromatin compaction, plasma membrane blebbing, and collapse of the cell into small, intact fragments (apoptotic bodies). From our experiment, we observed that EAF treatment caused all of these phenotypes in EAC cells but not in untreated control cells (Fig 3A versus 3B), suggesting that EAF induces apoptosis in EAC cells. To confirm the nature of cell death, we further performed TUNNEL assay in which FITC-conjugated dUTP was incorporated into the DNA strand and breaks it due to apoptosis by terminal deoxynucleotidyl transferase. The flowcytometric analysis of the untreated EAC cells caused 96.40% viable cells with only 0.6% apoptotic cells. Interestingly, in comparison to untreated cells, EAF treated  (150 μg/mL) showed significant increase in number of apoptotic cells (Fig 3C) in the range of 0.5-33.4%) in a time dependent manner indicating that EAF-induced tumor killing is likely due to apoptosis. Effect of EAF on cell cycle arrest. To further explore EAF's tumor-killing mechanism, we exploited FACS and analyzed tumor cell cycle distributions (Fig 4A and 4B). The percentages of G0/G1, S, and G2/M phases in the untreated EAC cells was 68%, 16% and 18%, respectively ( Fig 4C). After treatment with EAF, the S phase population increased to 58% and G0/G1 and G2/M phases decreased to 36% and 5%, respectively. These results suggest that the EAF significantly (p < 0.05) inhibits the cellular proliferation of EAC cells via S-phase arrest.
Effect of EAF on the expression of pro-and anti-apoptotic genes. As it is well recognized that various genes play crucial roles in programmed cell death, we examined whether or not EAF affected the expression of pro-apoptotic genes like p53, PARP-1, and Bax and/or the expression of anti-apoptotic genes like NFκB, Bcl-2, and Bcl-xL. Using RT-PCR, we observed that in EAC cells, the mRNA levels of p53, PARP-1, and Bax increased (Fig 5A and 5B) while the mRNA levels of NFκB and its downstream target genes Bcl-2 and Bcl-xL decreased significantly (p <0.05) (Fig 5A and 5B). Thus, EAF treatment drives a decrease in the Bcl-2/Bax ratio. We also observed that p53 mRNA is 46-fold higher in EAF-treated mice when compared with controls, whereas NFκB mRNA is 5-fold lower in EAF-treated mice as compared to controls ( Fig 5C). This analysis supports the model that EAF treatment shifts the balance of proand anti-apoptotic genes towards cell death.
Effect of EAF on haematological parameters and tumor weight. The effects of EAF on haematological parameters are shown in Fig 6A-6C. In EAC mice, WBC, RBC, and hemoglobin were significantly disrupted as compared to controls. Notably, these parameters reverted to normal when treated with EAF at a dose of 100 mg/kg (i.p.) (Fig 6A-6C). Moreover, the tumor burden was also reduced when treated with EAF and standard bleomycin (Fig 6D). Tumor weight was increase by 85.5% for Group II mice (EAC tumor-bearing untreated control mice). Interestingly, treatment of EAF and bleomycin significantly (p <0.05) reduced tumor weight of 21% for Group III mice (EAF-treated EAC tumor-bearing mice) and 27% for Group IV mice (bleomycin-treated EAC tumor-bearing mice), respectively after 20 days of treatment.

Discussion
Numerous scientific reviews and experimental studies have described a relationship between increased cellular ROS and the pathogenesis of chronic diseases, including cancers [42,43]. Hence, prevention of oxidative damage caused by ROS is an important strategy for the prevention and treatment of cancer. Plants rich in antioxidative polyphenols have been linked to a decreased risk for developing cancer through various mechanisms, including apoptosis [44,45]. Thus, intensive efforts have been undertaken to search for plant-derived antioxidants and anti-cancer agents that are both effective and safe [45,46].
Antioxidants can prevent and stabilize the cellular damage caused by cancer. Recent biological studies suggest that antioxidant rich plants induce apoptosis in many types of cancers (eg. colon, breast, liver) [13,14]. In our previous work [20], we showed that the highest antioxidant Apoptosis through Regulation of p53 and NFκB property of white mulberry is found in the stem bark. The present study is a continuation of our previous finding to determine whether or not this antioxidative fraction possesses anticancer properties through the regulation of genes involved in apoptosis.
For assessment of antioxidant and free radical scavenging potential of white mulberry stem bark, several in vitro assay techniques were used, including total polyphenolic content, free radical scavenging, and antioxidant activity assays. From these data, we found that the ethyl acetate fraction (EAF) of white mulberry stem bark possesses the highest antioxidant activity among all other fractions. Thus, following the previous anti-proliferative activity reports of mulberry [15,47], we set out to determine the apoptogenic effect of EAF on tumorigenesis in EAC mice.
Our evidences from chemical, cell culture, and animal studies indicates that antioxidants may slow or possibly prevent the development of cancer [48]. In this study, we demonstrated that treatment of EAC mice with white mulberry EAF significantly suppresses tumor cell growth in vivo ( Table 2). The anti-tumor activity of white mulberry was similar to other natural products like black tea, honey and jacalin, against EAC tumorigenesis [49,50,51]. We also demonstrated that EAF treatment triggered morphological changes of EAC cells, including DNA fragmentation, cell shrinkage, and DNA condensation (Fig 3), which are characteristic features of apoptosis [5]. These morphological changes were observed clearly when compared with untreated EAC cells (Fig 3A and 3B) and are consistent with recent reports [4,5].
% of Hemoglobin (Hb). Significant differences of Group II and Group III was compared with Group I marked as asterisk and phi represents significant differences between Group III and Group II (*/ φ p < 0.05, **/ φ φ p < 0.01, and ***/ φφφ p < 0.001). Tumor weight differences (D) was measured and % of tumor weight was calculated compared to Group II, Group III, and Group IV (bleomycin-treated tumor-bearing mice) daily per mouse upto 20 days of treatment. Data are representative of three independent experiments (4 mice per group). Significant differences of Group III and Group IV was compared with Group II marked as asterisk (*p < 0.05, **p < 0.01, and ***p < 0.001). Moreover, we also investigated DNA fragmentation by TUNNEL assay to confirm the nature of apoptosis and observed that EAF treatment significantly increases the percentage of apoptotic cell when compared with control ( Fig 3C). Additionally, EAF treatment normalized the blood parameters of EAC mice when compared to untreated mice (Fig 6), suggesting that EAF could be considered for cancer-associated blood disorders. Together, these results reveal that white mulberry is important for inhibiting tumor cell growth and for inducing apoptosis.
Many anti-tumor and DNA-damaging agents induce apoptosis by arresting the cell cycle at the G1, S, or G2/M phases [52]. For example, treatment with quercetin, one of the most abundant flavonoids found in fruits and vegetables, lead to various cell cycle arrests in leukemia, colorectal carcinoma, breast carcinoma, and oesophageal adenocarcinoma cell lines [53]. We therefore checked whether EAF-induced apoptosis altered the tumor cell cycle and found that EAF-induced cell cycle arrest in S-phase (Fig 4). This suggests that the apoptogenic effect of EAF is mediated by S-phase arrest [54].
Cancers have various strategies to escape death, including altered expression of genes and proteins involved in cell survival [55]. One common survival strategy is to escape from apoptosis by deregulation of pro-apoptotic genes [56] or hyper-activation of anti-apoptotic genes [57]. Therefore, cancer specific induction of apoptosis is thought to be a good strategy for cancer treatment.
It is well recognized that whether a cell becomes committed to apoptosis partly depends upon the balance between proteins that mediate cell cycle arrest and cell death (e.g. p53, PARP-1, Bax) and proteins that promote cell viability (e.g. Bcl-2 and Bcl-xL) [58,59]. p53 is the a key modulator of apoptosis following DNA damage and cell cycle arrest [60] and binds Bcl-2 family members, thus freeing Bax to transmit an apoptotic signal to the mitochondria that ultimately leads to cell death [61]. The upregulation of p53 is also responsible for the upregulation of the pro-apoptotic PARP-1 gene [62]. In this study, our findings ( Fig 5) suggested that upregulation of p53 led to subsequent binding and downregulation of Bcl-2 and Bcl-xL expression. Downregulation of Bcl-2 and Bcl-xL increases PARP-1 and Bax, thereby decreasing the Bcl-2/Bax ratio and promoting apoptosis and death. Accordingly, we observed a decrease in NFκB signaling, which inhibits apoptosis by Bcl-2 and Bcl-xL [63]. Thus, the antitumor effect of EAF is linked with the inhibition of NFκB and an increase in p53 signaling, consistent with prior findings [63]. Taken together, these data support the idea that treatment of antioxidant-rich white mulberry stem bark induces apoptosis and inhibits tumor cell growth by promoting S-phase cell cycle arrest and shifting the balance between pro-and antiapoptotic signaling pathways.

Conclusion
In this study, we found that the antioxidant rich fraction of white mulberry stem bark inhibits the growth of Ehrlich ascites carcinoma cells more effectively. We uncovered that these apoptogenic effects appear to be mediated by multiple mechanisms, including inhibition of ROS, deregulation of cell cycle and S-phase arrest, and the induction of apoptosis through the regulation of target genes, p53 and NFκB. Further study is required to clarify the relationship and exact molecular mechanisms linking antioxidants with cancer.