PMID- 30381665 OWN - NLM STAT- MEDLINE DCOM- 20190214 LR - 20190215 IS - 1347-5215 (Electronic) IS - 0918-6158 (Linking) VI - 41 IP - 11 DP - 2018 TI - Shikonin Suppresses Lymphangiogenesis via NF-kappaB/HIF-1alpha Axis Inhibition. PG - 1659-1666 LID - 10.1248/bpb.b18-00329 [doi] AB - Lymphangiogenesis, the formation of lymphatic vessels from preexisting ones, promotes cancer growth and metastasis. Finding natural compounds with anti-lymphangiogenic activity will be useful for preventive treatment of lymphatic metastasis. Shikonin, an ingredient of a traditional Japanese and Chinese medicinal herb Lithospermum erythrorhizon, has been widely used in several pharmaceutical and cosmetic preparations, as well as in food colorants. Shikonin has been reported to inhibit lymphangiogenesis in vitro, but the mechanism of inhibition has not been determined. The aim of this study is to investigate the mechanism of anti-lymphangiogenesis of shikonin in primary human lymphatic endothelial cells (HMVEC-dLy). Shikonin, at non-toxic concentrations, significantly inhibited cord formation ability of lymphatic endothelial cells in a dose- and time-dependent manner. Western blotting analysis showed that shikonin decreased nuclear factor-kappaB (NF-kappaB) activation, as indicated by phosphorylation and nuclear translocation of NF-kappaB p65, and also reduced both mRNA and protein levels of hypoxia-inducible factor-1 (HIF-1)alpha. Use of an NF-kappaB inhibitor (BAY 11-7085) and HIF-1alpha small interfering RNA (siRNA) transfection revealed that NF-kappaB activation was upstream of HIF-1alpha expression, which controls cord formation by HMVEC-dLy. In addition, the reduction of vascular endothelial growth factor C (VEGF-C) and vascular endothelial growth factor receptor-3 (VEGFR-3) mRNA levels were also found in HMVEC-dLy that treated with shikonin. In conclusion, shikonin inhibits lymphangiogenesis in vitro by interfering the NF-kappaB/HIF-1alpha pathway and involves in suppression of VEGF-C and VEGFR-3 mRNA expression. FAU - Prangsaengtong, Orawin AU - Prangsaengtong O AD - Department of Biopharmacy, Faculty of Pharmacy, Srinakharinwirot University. FAU - Jantaree, Phatcharida AU - Jantaree P AD - Laboratory of Biochemistry, Chulabhorn Research Institute. FAU - Lirdprapamongkol, Kriengsak AU - Lirdprapamongkol K AD - Laboratory of Biochemistry, Chulabhorn Research Institute. FAU - Svasti, Jisnuson AU - Svasti J AD - Laboratory of Biochemistry, Chulabhorn Research Institute. FAU - Koizumi, Keiichi AU - Koizumi K AD - Department of Kampo Diagnostics, Institute of Natural Medicine, University of Toyama. LA - eng PT - Journal Article PL - Japan TA - Biol Pharm Bull JT - Biological & pharmaceutical bulletin JID - 9311984 RN - 0 (Drugs, Chinese Herbal) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (NF-kappa B) RN - 0 (Naphthoquinones) RN - 0 (RNA, Messenger) RN - 0 (Vascular Endothelial Growth Factor C) RN - 3IK6592UBW (shikonin) RN - EC 2.7.10.1 (Vascular Endothelial Growth Factor Receptor-3) SB - IM MH - Drugs, Chinese Herbal/*pharmacology/therapeutic use MH - Endothelial Cells/drug effects MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/genetics/*metabolism MH - Lithospermum/*chemistry MH - Lymphangiogenesis/*drug effects MH - Lymphatic Metastasis/prevention & control MH - NF-kappa B/*metabolism MH - Naphthoquinones/*pharmacology/therapeutic use MH - Phytotherapy MH - RNA, Messenger/metabolism MH - Vascular Endothelial Growth Factor C/genetics/metabolism MH - Vascular Endothelial Growth Factor Receptor-3/genetics/metabolism OTO - NOTNLM OT - hypoxia-inducible factor-1 (HIF-1) OT - in vitro OT - lymphangiogenesis OT - nuclear factor-kappaB (NF-kappaB) OT - shikonin EDAT- 2018/11/02 06:00 MHDA- 2019/02/15 06:00 CRDT- 2018/11/02 06:00 PHST- 2018/11/02 06:00 [entrez] PHST- 2018/11/02 06:00 [pubmed] PHST- 2019/02/15 06:00 [medline] AID - 10.1248/bpb.b18-00329 [doi] PST - ppublish SO - Biol Pharm Bull. 2018;41(11):1659-1666. doi: 10.1248/bpb.b18-00329.