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Capsaicin Induces Apoptosis in Endometrial Cancer Cells via Endoplasmic Stress and Triggers Antiproliferative Effects

Year 2025, Volume: 9 Issue: 2, 186 - 194, 08.08.2025
https://doi.org/10.46332/aemj.1592791

Abstract

Purpose: Endometrial cancer is a common gynecological malignancy globally. Endoplasmic reticulum (ER) stress, characterized by disrupted cellular homeostasis, is implicated in cancer progression. Capsaicin, a bioactive compound with known antiproliferative properties, may act as a therapeutic agent by inducing ER stress in cancer cells. This study explores the mechanisms by which capsaicin triggers ER stress in endometrial cancer cells.

Materials and Methods: Ishikawa endometrial cancer cells were treated with capsaicin (0–800 μM), and cell viability was asses-sed using the MTT assay. Capsaicin reduced viability in a dose-dependent manner, with an IC50 of 285.2 μM at 24 hours. BrdU assays further confirmed the suppression of proliferation. To evaluate the involvement of ER stress and apoptosis, levels of GRP78, ATF6, CHOP (ER stress markers), and cytochrome c and caspase-3 (apoptotic markers) were measured via ELISA.

Results: Capsaicin treatment significantly reduced cell viability and proliferation in a concentration- and timedependent manner. Elevated levels of GRP78, ATF6, and CHOP confirmed the induction of ER stress (p<0.05). Concurrently, increased cytochrome c and caspase-3 levels indicated the activation of apoptosis.

Conclusion: Capsaicin induces ER stress-mediated apoptosis in Ishikawa endometrial cancer cells, suggesting its therapeutic potential in targeting cancer progression. Further in vivo investigations are warranted to confirm its efficacy and underlying mechanisms.

References

  • 1. Brüggmann D, Ouassou K, Klingelhöfer D, Bohlmann MK, Jaque J, Groneberg DA. Endometrial cancer: mapping the global landscape of research. J Transl Med. 2020;18(1):386.
  • 2. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61(2):69-90.
  • 3. Dowdy SC, Borah BJ, Bakkum-Gamez JN, et al. Prospective assessment of survival, morbidity, and cost associated with lymphadenectomy in low-risk endometrial cancer. Gynecol Oncol. 2012;127(1):5-10.
  • 4. Braun MM, Overbeek-Wager EA, Grumbo RJ. Diagnosis and Management of Endometrial Cancer. Am Fam Physician. 2016;93(6):468-474.
  • 5. Heidari F, Rabizadeh S, Mansournia MA, et al. Inflammatory, oxidative stress and anti-oxidative markers in patients with endometrial carcinoma and diabetes. Cytokine. 2019;120:186-190.
  • 6. Chapa-Oliver AM, Mejía-Teniente L. Capsaicin: From Plants to a Cancer-Suppressing Agent. Molecules. 2016;21(8):931.
  • 7. Pasierski M, Szulczyk B. Beneficial Effects of Capsaicin in Disorders of the Central Nervous System. Molecules. 2022;27(8):2484.
  • 8. Radhakrishna GK, Ammunje DN, Kunjiappan S, et al. A Comprehensive Review of Capsaicin and Its Role in Cancer Prevention and Treatment. Drug Res (Stuttg). 2024;74(5):195-207.
  • 9. Hacioglu C, Kar F. Capsaicin induces redox imbalance and ferroptosis through ACSL4/GPx4 signaling pathways in U87-MG and U251 glioblastoma cells. Metab Brain Dis. 2023;38(2):393-408.
  • 10. Hacioglu C. Capsaicin Enhances Temozolomide‐Resistant Glioblastoma Cells’ Chemosensitivity and Ferroptosis through FHOD1/IRF2 Downregulation. J Food Biochem. 2024(1):8464817.
  • 11. Hacıoğlu C. Kapsaisin U87 İnsan Glioblastoma Hücrelerinde Epitelyal-Mezenkimal Geçişi Regüle Ederek Hücre Canlılığını Baskılar. JHS. 2024;33(2):271-278.
  • 12. Hacioglu C. Capsaicin inhibits cell proliferation by enhancing oxidative stress and apoptosis through SIRT1/NOX4 signaling pathways in HepG2 and HL-7702 cells. J Biochem Mol Toxicol. 2022;36(3): 22974.
  • 13. Oakes SA, Papa FR. The role of endoplasmic reticulum stress in human pathology. Annu Rev Pathol. 2015;10:173-194.
  • 14. Sano R, Reed JC. ER stress-induced cell death mechanisms. Biochim Biophys Acta. 2013;1833(12):3460-3470.
  • 15. Coleman OI, Haller D. ER Stress and the UPR in Shaping Intestinal Tissue Homeostasis and Immunity. Front Immunol. 2019;10:2825.
  • 16. Chen X, Cubillos-Ruiz JR. Endoplasmic reticulum stress signals in the tumour and its microenvironment. Nat Rev Cancer. 2021;21(2):71-88.
  • 17. Urra H, Dufey E, Avril T, Chevet E, Hetz C. Endoplasmic Reticulum Stress and the Hallmarks of Cancer. Trends Cancer. 2016;2(5):252-262.
  • 18. Gifford JB, Hill R. GRP78 Influences Chemoresistance and Prognosis in Cancer. Curr Drug Targets. 2018;19(6):701-708.
  • 19. Li J, Lee AS. Stress induction of GRP78/BiP and its role in cancer. Curr Mol Med. 2006;6(1):45-54.
  • 20. Clark R, Lee SH. Anticancer properties of capsaicin against human cancer. Anticancer Res. 2016;36(3):837-843.
  • 21. Zhu M, Yu X, Zheng Z, Huang J, Yang X, Shi H. Capsaicin suppressed activity of prostate cancer stem cells by inhibition of Wnt/βcatenin pathway. Phytother Res. 2021;34(4):817-824.
  • 22. Yang K, Pyo J, Kim GY, et al. Capsaicin induces apoptosis by generating reactive oxygen species and disrupting mitochondrial transmembrane potential in human colon cancer cell lines. Cell Mol Biol Lett. 2009;14(3):497-510.
  • 23. Richbart SD, Friedman JR, Brown KC, et al. Nonpungent N-AVAM capsaicin analogues and cancer therapy. J Med Chem. 2021;64(3):1346-1361.
  • 24. Thoennissen NH, O’kelly J, Lu D, et al. Capsaicin causes cell-cycle arrest and apoptosis in ER-positive and-negative breast cancer cells by modulating the EGFR/HER-2 pathway. Oncogene. 2010;29(2):285-296.
  • 25. Chen M, Xiao C, Jiang W, et al. Capsaicin inhibits proliferation and induces apoptosis in breast cancer by down-regulating FBI-1-mediated NF-κB pathway. Drug Des Devel Ther. 2021;5:125-140.
  • 26. Moriguchi M, Watanabe T, Kadota A, Fujimuro M. Capsaicin induce apoptosis in KSHV-positive primary effusion lymphoma by suppressing ERK and p38 MAPK signaling and IL-6 expression. Front Oncol. 2019;9:83.
  • 27. Lin S, Zhang J, Chen H, et al. Involvement of endoplasmic reticulum stress in capsaicin-induced apoptosis of human pancreatic cancer cells. Evid Based Complement Alternat Med. 2013;2013(1):629750.
  • 28. Walter P, Ron D. The unfolded protein response: from stress pathway to homeostatic regulation. Science. 2011;334(6059):1081-1086.
  • 29. Hetz C. The unfolded protein response: controlling cell fate decisions under ER stress and beyond. Nat Rev Mol Cell Biol. 2012;13(2):89-102.
  • 30. Marciniak SJ, Chambers JE, Ron D. Pharmacological targeting of endoplasmic reticulum stress in disease. Nat Rev Drug Discov. 2022;21(2):115-140.
  • 31. Ibrahim IM, Abdelmalek DH, Elfiky AA. GRP78: A cell's response to stress. Life Sci. 2019;226:156-163.
  • 32. Bánhegyi G, Baumeister P, Benedetti A, et al. Endoplasmic reticulum stress. Ann N Y Acad Sci. 2007; 1113(1):58-71.
  • 33. Ip SW, Lan SH, Lu HF, et al. Capsaicin mediates apoptosis in human nasopharyngeal carcinoma NPC-TW 039 cells through mitochondrial depolarization and endoplasmic reticulum stress. Hum Exp Toxicol. 2012;31(6):539-549.
  • 34. Bifulco G, Miele C, Di Jeso B, et al. Endoplasmic reticulum stress is activated in endometrial adenocarcinoma. Gynecol Oncol. 2012;125(1):220-225.
  • 35. Lin CH, Lu WC, Wang CW, Chan YC, Chen MK. Capsaicin induces cell cycle arrest and apoptosis in human KB cancer cells. BMC Complement Altern Med. 2013;13:1-9.
  • 36. Krizanova O, Steliarova I, Csaderova L, Pastorek M, Hudecova S. Capsaicin induces apoptosis in PC12 cells through ER stress. Oncol Rep. 2014;31(2):581-588.
  • 37. Park SY, Kim JY, Lee SM, et al. Capsaicin induces apoptosis and modulates MAPK signaling in human gastric cancer cells. Mol Med Rep. 2014;9(2):499-502.

Kapsaisin Endoplazmik Stres Yoluyla Endometrial Kanser Hücrelerinde Apoptozu İndükler ve Antiproliferatif Etkileri Tetikler

Year 2025, Volume: 9 Issue: 2, 186 - 194, 08.08.2025
https://doi.org/10.46332/aemj.1592791

Abstract

Amaç: Endometriyal kanser, dünya genelinde yaygın görülen bir jinekolojik malignitedir. Hücresel homeostazın bozulmasıyla tanımlanan endoplazmik retikulum (ER) stresi, kanserin ilerlemesinde önemli bir rol oynamaktadır. Antiproliferatif özellikleri bilinen biyoaktif bir bileşik olan kapsaisin, kanser hücrelerinde ER stresi oluşturarak potansiyel bir tedavi ajanı olabilir. Bu çalışma, kapsaisinin endometriyal kanser hücrelerinde ER stresini nasıl tetiklediğini araştırmayı amaçlamaktadır.

Araçlar ve Yöntem: İshikawa endometriyal kanser hücreleri 0–800 μM aralığında kapsaisin ile muamele edildi ve hücre canlılığı MTT testi ile değerlendirildi. Kapsaisin, 24 saatlik uygulamada 285.2 μM IC50 değeri ile doza bağımlı bir şekilde hücre canlılığını azalttı. BrdU testleri de çoğalmanın baskılandığını doğruladı. ER stresi ve apoptozun değerlendirilmesi için GRP78, ATF6, CHOP (ER stres belirteçleri) ile sitokrom c ve kaspaz-3 (apoptoz belirteçleri) düzeyleri ELISA yöntemiyle ölçüldü.

Bulgular: Kapsaisin, hücre canlılığını ve çoğalmasını konsantrasyon ve zamana bağlı olarak anlamlı biçimde azalttı. GRP78, ATF6 ve CHOP düzeylerindeki artış, ER stresinin indüklendiğini gösterdi (p<0.05). Aynı zamanda sitokrom c ve kaspaz-3 düzeylerinin artması, apoptozun da aktive olduğunu ortaya koydu.

Sonuç: Kapsaisin, İshikawa endometriyal kanser hücrelerinde ER stresi aracılı apoptozu tetikleyerek kanserin ilerlemesini engelleme potansiyeline sahiptir. Ancak, etkinliğini ve mekanizmalarını doğrulamak için in vivo çalışmalara ihtiyaç vardır.

References

  • 1. Brüggmann D, Ouassou K, Klingelhöfer D, Bohlmann MK, Jaque J, Groneberg DA. Endometrial cancer: mapping the global landscape of research. J Transl Med. 2020;18(1):386.
  • 2. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61(2):69-90.
  • 3. Dowdy SC, Borah BJ, Bakkum-Gamez JN, et al. Prospective assessment of survival, morbidity, and cost associated with lymphadenectomy in low-risk endometrial cancer. Gynecol Oncol. 2012;127(1):5-10.
  • 4. Braun MM, Overbeek-Wager EA, Grumbo RJ. Diagnosis and Management of Endometrial Cancer. Am Fam Physician. 2016;93(6):468-474.
  • 5. Heidari F, Rabizadeh S, Mansournia MA, et al. Inflammatory, oxidative stress and anti-oxidative markers in patients with endometrial carcinoma and diabetes. Cytokine. 2019;120:186-190.
  • 6. Chapa-Oliver AM, Mejía-Teniente L. Capsaicin: From Plants to a Cancer-Suppressing Agent. Molecules. 2016;21(8):931.
  • 7. Pasierski M, Szulczyk B. Beneficial Effects of Capsaicin in Disorders of the Central Nervous System. Molecules. 2022;27(8):2484.
  • 8. Radhakrishna GK, Ammunje DN, Kunjiappan S, et al. A Comprehensive Review of Capsaicin and Its Role in Cancer Prevention and Treatment. Drug Res (Stuttg). 2024;74(5):195-207.
  • 9. Hacioglu C, Kar F. Capsaicin induces redox imbalance and ferroptosis through ACSL4/GPx4 signaling pathways in U87-MG and U251 glioblastoma cells. Metab Brain Dis. 2023;38(2):393-408.
  • 10. Hacioglu C. Capsaicin Enhances Temozolomide‐Resistant Glioblastoma Cells’ Chemosensitivity and Ferroptosis through FHOD1/IRF2 Downregulation. J Food Biochem. 2024(1):8464817.
  • 11. Hacıoğlu C. Kapsaisin U87 İnsan Glioblastoma Hücrelerinde Epitelyal-Mezenkimal Geçişi Regüle Ederek Hücre Canlılığını Baskılar. JHS. 2024;33(2):271-278.
  • 12. Hacioglu C. Capsaicin inhibits cell proliferation by enhancing oxidative stress and apoptosis through SIRT1/NOX4 signaling pathways in HepG2 and HL-7702 cells. J Biochem Mol Toxicol. 2022;36(3): 22974.
  • 13. Oakes SA, Papa FR. The role of endoplasmic reticulum stress in human pathology. Annu Rev Pathol. 2015;10:173-194.
  • 14. Sano R, Reed JC. ER stress-induced cell death mechanisms. Biochim Biophys Acta. 2013;1833(12):3460-3470.
  • 15. Coleman OI, Haller D. ER Stress and the UPR in Shaping Intestinal Tissue Homeostasis and Immunity. Front Immunol. 2019;10:2825.
  • 16. Chen X, Cubillos-Ruiz JR. Endoplasmic reticulum stress signals in the tumour and its microenvironment. Nat Rev Cancer. 2021;21(2):71-88.
  • 17. Urra H, Dufey E, Avril T, Chevet E, Hetz C. Endoplasmic Reticulum Stress and the Hallmarks of Cancer. Trends Cancer. 2016;2(5):252-262.
  • 18. Gifford JB, Hill R. GRP78 Influences Chemoresistance and Prognosis in Cancer. Curr Drug Targets. 2018;19(6):701-708.
  • 19. Li J, Lee AS. Stress induction of GRP78/BiP and its role in cancer. Curr Mol Med. 2006;6(1):45-54.
  • 20. Clark R, Lee SH. Anticancer properties of capsaicin against human cancer. Anticancer Res. 2016;36(3):837-843.
  • 21. Zhu M, Yu X, Zheng Z, Huang J, Yang X, Shi H. Capsaicin suppressed activity of prostate cancer stem cells by inhibition of Wnt/βcatenin pathway. Phytother Res. 2021;34(4):817-824.
  • 22. Yang K, Pyo J, Kim GY, et al. Capsaicin induces apoptosis by generating reactive oxygen species and disrupting mitochondrial transmembrane potential in human colon cancer cell lines. Cell Mol Biol Lett. 2009;14(3):497-510.
  • 23. Richbart SD, Friedman JR, Brown KC, et al. Nonpungent N-AVAM capsaicin analogues and cancer therapy. J Med Chem. 2021;64(3):1346-1361.
  • 24. Thoennissen NH, O’kelly J, Lu D, et al. Capsaicin causes cell-cycle arrest and apoptosis in ER-positive and-negative breast cancer cells by modulating the EGFR/HER-2 pathway. Oncogene. 2010;29(2):285-296.
  • 25. Chen M, Xiao C, Jiang W, et al. Capsaicin inhibits proliferation and induces apoptosis in breast cancer by down-regulating FBI-1-mediated NF-κB pathway. Drug Des Devel Ther. 2021;5:125-140.
  • 26. Moriguchi M, Watanabe T, Kadota A, Fujimuro M. Capsaicin induce apoptosis in KSHV-positive primary effusion lymphoma by suppressing ERK and p38 MAPK signaling and IL-6 expression. Front Oncol. 2019;9:83.
  • 27. Lin S, Zhang J, Chen H, et al. Involvement of endoplasmic reticulum stress in capsaicin-induced apoptosis of human pancreatic cancer cells. Evid Based Complement Alternat Med. 2013;2013(1):629750.
  • 28. Walter P, Ron D. The unfolded protein response: from stress pathway to homeostatic regulation. Science. 2011;334(6059):1081-1086.
  • 29. Hetz C. The unfolded protein response: controlling cell fate decisions under ER stress and beyond. Nat Rev Mol Cell Biol. 2012;13(2):89-102.
  • 30. Marciniak SJ, Chambers JE, Ron D. Pharmacological targeting of endoplasmic reticulum stress in disease. Nat Rev Drug Discov. 2022;21(2):115-140.
  • 31. Ibrahim IM, Abdelmalek DH, Elfiky AA. GRP78: A cell's response to stress. Life Sci. 2019;226:156-163.
  • 32. Bánhegyi G, Baumeister P, Benedetti A, et al. Endoplasmic reticulum stress. Ann N Y Acad Sci. 2007; 1113(1):58-71.
  • 33. Ip SW, Lan SH, Lu HF, et al. Capsaicin mediates apoptosis in human nasopharyngeal carcinoma NPC-TW 039 cells through mitochondrial depolarization and endoplasmic reticulum stress. Hum Exp Toxicol. 2012;31(6):539-549.
  • 34. Bifulco G, Miele C, Di Jeso B, et al. Endoplasmic reticulum stress is activated in endometrial adenocarcinoma. Gynecol Oncol. 2012;125(1):220-225.
  • 35. Lin CH, Lu WC, Wang CW, Chan YC, Chen MK. Capsaicin induces cell cycle arrest and apoptosis in human KB cancer cells. BMC Complement Altern Med. 2013;13:1-9.
  • 36. Krizanova O, Steliarova I, Csaderova L, Pastorek M, Hudecova S. Capsaicin induces apoptosis in PC12 cells through ER stress. Oncol Rep. 2014;31(2):581-588.
  • 37. Park SY, Kim JY, Lee SM, et al. Capsaicin induces apoptosis and modulates MAPK signaling in human gastric cancer cells. Mol Med Rep. 2014;9(2):499-502.
There are 37 citations in total.

Details

Primary Language Turkish
Subjects Clinical Chemistry
Journal Section Original Articles
Authors

Betül Keyif 0000-0002-7472-551X

Ceyhan Hacıoğlu 0000-0002-0993-6118

Early Pub Date August 1, 2025
Publication Date August 8, 2025
Submission Date November 28, 2024
Acceptance Date February 14, 2025
Published in Issue Year 2025 Volume: 9 Issue: 2

Cite

APA Keyif, B., & Hacıoğlu, C. (2025). Kapsaisin Endoplazmik Stres Yoluyla Endometrial Kanser Hücrelerinde Apoptozu İndükler ve Antiproliferatif Etkileri Tetikler. Ahi Evran Medical Journal, 9(2), 186-194. https://doi.org/10.46332/aemj.1592791
AMA Keyif B, Hacıoğlu C. Kapsaisin Endoplazmik Stres Yoluyla Endometrial Kanser Hücrelerinde Apoptozu İndükler ve Antiproliferatif Etkileri Tetikler. Ahi Evran Med J. August 2025;9(2):186-194. doi:10.46332/aemj.1592791
Chicago Keyif, Betül, and Ceyhan Hacıoğlu. “Kapsaisin Endoplazmik Stres Yoluyla Endometrial Kanser Hücrelerinde Apoptozu İndükler Ve Antiproliferatif Etkileri Tetikler”. Ahi Evran Medical Journal 9, no. 2 (August 2025): 186-94. https://doi.org/10.46332/aemj.1592791.
EndNote Keyif B, Hacıoğlu C (August 1, 2025) Kapsaisin Endoplazmik Stres Yoluyla Endometrial Kanser Hücrelerinde Apoptozu İndükler ve Antiproliferatif Etkileri Tetikler. Ahi Evran Medical Journal 9 2 186–194.
IEEE B. Keyif and C. Hacıoğlu, “Kapsaisin Endoplazmik Stres Yoluyla Endometrial Kanser Hücrelerinde Apoptozu İndükler ve Antiproliferatif Etkileri Tetikler”, Ahi Evran Med J, vol. 9, no. 2, pp. 186–194, 2025, doi: 10.46332/aemj.1592791.
ISNAD Keyif, Betül - Hacıoğlu, Ceyhan. “Kapsaisin Endoplazmik Stres Yoluyla Endometrial Kanser Hücrelerinde Apoptozu İndükler Ve Antiproliferatif Etkileri Tetikler”. Ahi Evran Medical Journal 9/2 (August2025), 186-194. https://doi.org/10.46332/aemj.1592791.
JAMA Keyif B, Hacıoğlu C. Kapsaisin Endoplazmik Stres Yoluyla Endometrial Kanser Hücrelerinde Apoptozu İndükler ve Antiproliferatif Etkileri Tetikler. Ahi Evran Med J. 2025;9:186–194.
MLA Keyif, Betül and Ceyhan Hacıoğlu. “Kapsaisin Endoplazmik Stres Yoluyla Endometrial Kanser Hücrelerinde Apoptozu İndükler Ve Antiproliferatif Etkileri Tetikler”. Ahi Evran Medical Journal, vol. 9, no. 2, 2025, pp. 186-94, doi:10.46332/aemj.1592791.
Vancouver Keyif B, Hacıoğlu C. Kapsaisin Endoplazmik Stres Yoluyla Endometrial Kanser Hücrelerinde Apoptozu İndükler ve Antiproliferatif Etkileri Tetikler. Ahi Evran Med J. 2025;9(2):186-94.

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