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            <front>

                <journal-meta>
                                                                <journal-id>j. fac. pharm. ankara</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Journal of Faculty of Pharmacy of Ankara University</journal-title>
            </journal-title-group>
                            <issn pub-type="ppub">1015-3918</issn>
                                        <issn pub-type="epub">2564-6524</issn>
                                                                                            <publisher>
                    <publisher-name>Ankara University</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.33483/jfpau.1286359</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Pharmacology and Pharmaceutical Sciences</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Eczacılık ve İlaç Bilimleri</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                        <trans-title-group xml:lang="tr">
                                    <trans-title>KOENZİM Q0 İNSAN KRONİK MYELOİD LÖSEMİ K562 HÜCRELERİNİN PROLİFERASYONUNU ENGELLER VE MAPK VE AKT SİNYAL YOLAKLARINI MODÜLE EDER</trans-title>
                                </trans-title-group>
                                                                                                                                                                                                <article-title>COENZYME Q0 INHIBITS CELL PROLIFERATION AND MODULATES MAPK AND AKT SIGNALLING PATHWAYS IN HUMAN CHRONIC MYELOID LEUKEMIA K562 CELLS</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-8490-6293</contrib-id>
                                                                <name>
                                    <surname>Kaya Sezginer</surname>
                                    <given-names>Ecem</given-names>
                                </name>
                                                                    <aff>ANKARA ÜNİVERSİTESİ, ECZACILIK FAKÜLTESİ, TEMEL ECZACILIK BİLİMLERİ BÖLÜMÜ, BİYOKİMYA ANABİLİM DALI</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-8951-5478</contrib-id>
                                                                <name>
                                    <surname>Yaprak</surname>
                                    <given-names>Ali</given-names>
                                </name>
                                                                    <aff>ANKARA ÜNİVERSİTESİ, ECZACILIK FAKÜLTESİ, TEMEL ECZACILIK BİLİMLERİ BÖLÜMÜ, BİYOKİMYA ANABİLİM DALI</aff>
                                                            </contrib>
                                                    <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-2482-0359</contrib-id>
                                                                <name>
                                    <surname>Karabay</surname>
                                    <given-names>Arzu Zeynep</given-names>
                                </name>
                                                                    <aff>ANKARA ÜNİVERSİTESİ, ECZACILIK FAKÜLTESİ, TEMEL ECZACILIK BİLİMLERİ BÖLÜMÜ, BİYOKİMYA ANABİLİM DALI</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20230920">
                    <day>09</day>
                    <month>20</month>
                    <year>2023</year>
                </pub-date>
                                        <volume>47</volume>
                                        <issue>3</issue>
                                        <fpage>761</fpage>
                                        <lpage>769</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20230421">
                        <day>04</day>
                        <month>21</month>
                        <year>2023</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20230517">
                        <day>05</day>
                        <month>17</month>
                        <year>2023</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 1971, Journal of Faculty of Pharmacy of Ankara University</copyright-statement>
                    <copyright-year>1971</copyright-year>
                    <copyright-holder>Journal of Faculty of Pharmacy of Ankara University</copyright-holder>
                </permissions>
            
                                                                                                <trans-abstract xml:lang="tr">
                            <p>Amaç: Bu çalışma, insan kronik miyeloid lösemi K562 hücre hattında koenzim Q0&#039;ın (CoQ0) antiproliferatif ve proapoptotik etkilerini değerlendirmiştir.Gereç ve Yöntem: CoQ0&#039;ın insan kronik miyeloid lösemi K562 hücre hattındaki sitotoksik etkisi, MTT testi ile belirlendi. Kaspaz-3 aktivitesi, apoptozis, MAPK ve AKT sinyal yolağı ile ilişkili proteinlerin ekspresyonu sırasıyla enzimatik analiz ve western blot analizi ile belirlendi. Sonuç ve Tartışma: Sonuçlar, CoQ0’ın K562 hücre canlılığını 5 μM ve daha yüksek konsantrasyonlarda inhibe ettiğini ve Bax protein ekspresyonunu, 12.5 μM konsantrasyonunda önemli ölçüde azalttığını göstermiştir, ancak CoQ0 kaspaz 3 aktivitesini ve Bcl-2 protein ekspresyonunu önemli ölçüde etkilemedi. p-c-Raf (Ser259) protein ekspresyonu, 12.5 μM CoQ0&#039;da önemli ölçüde azaldı. K562 hücre hattında, 10 μM CoQ0, p38 MAPK&#039;nın fosforilasyonunu önemli ölçüde indükledi ve 12,5 μM CoQ0, p-ERK1/2 protein ekspresyonunda anlamlı olmayan bir azalmaya neden oldu. İlginç bir şekilde, 12.5 μM CoQ0 K562 hücrelerinde Akt (Ser473) fosforilasyonu azalttı, ancak p-Akt (Thr308) protein ekspresyonunda gruplar arasında herhangi bir farklılık gözlenmedi. Sonuç olarak, CoQ0, K562 hücrelerinin proliferasyonunu inhibe etti ve c-Raf (Ser259), Akt (Ser473) fosforilasyonunu baskıladı, ancak ERK1/2 fosforilasyonuna etki etmedi. CoQ0&#039;ın antikanser etkisinin altında yatan moleküler mekanizmalara yeni bakış açıları sağlamak ve kronik miyeloid lösemi tedavi stratejilerini geliştirmek için daha fazla araştırmaya hala ihtiyaç bulunmaktadır.</p></trans-abstract>
                                                                                                                                    <abstract><p>Objective: This study evaluated the antiproliferative and pro-apoptotic effects of coenzyme Q0 (CoQ0) in human chronic myeloid leukemia K562 cell line.Material and Method: The cytotoxic effect of CoQ0 on human chronic myeloid leukemia cell line, K562 was determined by MTT test. The activity of caspase-3, expression of proteins involved in apoptosis, MAPK and AKT signaling pathways were determined with enzymatic assay and western blot analysis, respectively.Result and Discussion: Results showed that CoQ0 inhibited cell viability of K562 cells at 5 μM and higher concentrations and Bax protein expression was significantly decreased at 12.5 μM concentration of CoQ0. However, CoQ0 did not significantly affect caspase 3 activity and Bcl-2 protein expression. p-c-Raf (Ser259) protein expression was significantly decreased at 12.5 μM of CoQ0. Treatment with 10 μM of CoQ0 induced significantly phosphorylation of p38 MAPK and 12.5 μM CoQ0 caused a nonsignificant decrease in p-ERK1/2 protein expression in K562 cell line. Interestingly, in K562 cells, phosphorylation of Akt (Ser473) was diminished at 12.5 μM of CoQ0, with no change observed in p-Akt (Thr308) protein expression among groups. In conclusion, CoQ0 inhibited cell proliferation and suppressed phosphorylation of c-Raf (Ser259), Akt (Ser473), but not ERK1/2 in K562 cells. There is still a need for new insights into the anticancer mechanisms of CoQ0 and develop treatment strategies for chronic myeloid leukemia.</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>Chronic myeloid leukemia</kwd>
                                                    <kwd>  coenzyme Q0</kwd>
                                                    <kwd>  K562</kwd>
                                            </kwd-group>
                            
                                                <kwd-group xml:lang="tr">
                                                    <kwd>Koenzim Q0</kwd>
                                                    <kwd>  kronik miyeloid lösemi</kwd>
                                                    <kwd>  K562</kwd>
                                            </kwd-group>
                                                                                                                                        </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">1.	Faderl, S., Talpaz, M., Estrov, Z., O&#039;Brien, S., Kurzrock, R., Kantarjian, H.M. (1999). The biology of 	chronic myeloid leukemia. New England Journal of Medicine, 341(3), 164-172. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">2.	Chereda, B., Melo, J.V. (2015). Natural course and biology of CML. Annals of Hematology, 94(Suppl 2), S107-121. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">3.	Druker, B.J., Talpaz, M., Resta, D.J., Peng, B., Buchdunger, E., Ford, J.M., Lydon, N.B., Kantarjian, H., Capdeville, R., Ohno-Jones, S., Sawyers, C.L. (2001). Efficacy and safety of a specific inhibitor of the BCR-ABL tyrosine kinase in chronic myeloid leukemia. New England Journal of Medicine, 344(14), 1031-1037. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">4.	Kantarjian, H.M., Talpaz, M. (2001). Imatinib mesylate: Clinical results in Philadelphia chromosome-positive leukemias. Seminars in Oncology, 28(5 Suppl 17), 9-18. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">5.	Mohamed, A.N., Pemberton, P., Zonder, J., Schiffer, C.A. (2003). The effect of imatinib mesylate on patients with Philadelphia chromosome-positive chronic myeloid leukemia with secondary chromosomal aberrations. Clinical Cancer Research, 9(4), 1333-1337.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">6.	Somers-Edgar, T.J., Rosengren, R.J. (2009). Coenzyme Q0 induces apoptosis and modulates the cell cycle in estrogen receptor negative breast cancer cells. Anticancer Drugs, 20(1), 33-40. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">7.	MacDonald, M.J., Husain, R.D., Hoffmann-Benning, S., Baker, T.R. (2004). Immunochemical identification of coenzyme Q0-dihydrolipoamide adducts in the E2 components of the alpha-ketoglutarate and pyruvate dehydrogenase complexes partially explains the cellular toxicity of coenzyme Q0. Journal of Biological Chemistry, 279(26), 27278-27285. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">8.	Chung, C.H., Yeh, S.C., Chen, C.J., Lee, K.T. (2014). Coenzyme Q0 from Antrodia cinnamomea in submerged cultures induces reactive oxygen species-mediated apoptosis in A549 human lung cancer cells. Evidence-Based Complementary and Alternative Medicine, 2014, 246748. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">9.	MacDonald, M.J. (1991). Stimulation of insulin release from pancreatic islets by quinones. Bioscience Reports, 11(3), 165-170. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">10.	Yang, H.L., Korivi M, Lin M.W, Chen S.C, Chou C.W, Hseu Y.C. (2015). Anti-angiogenic properties of coenzyme Q0 through downregulation of MMP-9/NF-kappaB and upregulation of HO-1 signaling in TNF-alpha-activated human endothelial cells. Biochemical Pharmacology, 98(1), 144-156. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">11.	Yang, H.L., Lin, M.W., Korivi, M., Wu, J.J., Liao, C.H., Chang, C.T., Liao, J.W., Hseu, Y.C. (2016). Coenzyme Q0 regulates NFkappaB/AP-1 activation and enhances Nrf2 stabilization in attenuation of LPS-induced inflammation and redox imbalance: Evidence from in vitro and in vivo studies. Biochimica et Biophysica Acta, 1859(2), 246-261. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">12.	Yang, H.L., Thiyagarajan, V., Shen, P.C., Mathew, D.C., Lin, K.Y., Liao, J.W., Hseu, Y.C. (2019). Anti-EMT properties of CoQ0 attributed to PI3K/AKT/NFKB/MMP-9 signaling pathway through ROS-mediated apoptosis. Journal of Experimental&amp;Clinical Cancer Research, 38(1), 186. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">13.	Hseu, Y.C., Thiyagarajan, V., Tsou, H.T., Lin, K.Y., Chen, H.J., Lin, C.M., Liao, J.W., Yang, H.L. (2016). In vitro and in vivo anti-tumor activity of CoQ0 against melanoma cells: Inhibition of metastasis and induction of cell-cycle arrest and apoptosis through modulation of Wnt/beta-catenin signaling pathways. Oncotarget, 7(16), 22409-22426. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">14.	Wang, H.M., Yang, H.L., Thiyagarajan, V., Huang, T.H., Huang, P.J., Chen, S.C., Liu, J.Y., Hsu, L.S., Chang, H.W., Hseu, Y.C. (2017). Coenzyme Q0 enhances ultraviolet B-induced apoptosis in human estrogen receptor-positive breast (MCF-7) cancer cells. Integrative Cancer Therapies, 16(3), 385-396. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">15.	Esaka, Y., Nagahara, Y., Hasome, Y., Nishio, R., Ikekita, M. (2005). Coenzyme Q2 induced p53-dependent apoptosis. Biochimica et Biophysica Acta, 1724(1-2), 49-58. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">16.	Devun, F., Walter, L., Belliere, J., Cottet-Rousselle, C., Leverve, X., Fontaine, E. (2010). Ubiquinone analogs: A mitochondrial permeability transition pore-dependent pathway to selective cell death. PLOS One, 5(7), e11792. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">17.	Bold, R.J., Termuhlen, P.M., McConkey, D.J. (1997). Apoptosis, cancer and cancer therapy. Surgical Oncology, 6(3), 133-142. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">18.	Kim, E.K., Kwon, K.B., Shin, B.C., Seo, E.A., Lee, Y.R., Kim, J.S., Park, J.W., Park, B.H., Ryu, D.G. (2005). Scopoletin induces apoptosis in human promyeloleukemic cells, accompanied by activations of nuclear factor kappaB and caspase-3. Life Sciences, 77(7), 824-836. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">19.	Zhou, Y., Liu, Q.H., Liu, C.L., Lin, L. (2015). Calycosin induces apoptosis in human ovarian cancer SKOV3 cells by activating caspases and Bcl-2 family proteins. Tumour Biology, 36(7), 5333-5339. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">20.	Brunelle, J.K., Letai, A. (2009). Control of mitochondrial apoptosis by the Bcl-2 family. Journal of Cell Science, 122(Pt 4), 437-441. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">21.	Schaeffer, H.J., Weber, M.J. (1999). Mitogen-activated protein kinases: Specific messages from ubiquitous messengers. Molecular and Cellular Biology, 19(4), 2435-2444. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">22.	Platanias, L.C. (2003). Map kinase signaling pathways and hematologic malignancies. Blood, 101(12), 4667-4679. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">23.	Dong, C., Davis, R.J., Flavell, R.A. (2002). MAP kinases in the immune response. Annual Review of Immunology, 20, 55-72. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">24.	Denhardt, D.T. (1996). Signal-transducing protein phosphorylation cascades mediated by Ras/Rho proteins in the mammalian cell: The potential for multiplex signalling. Biochemical Journal, 318(Pt 3), 729-747. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">25.	Widmann, C., Gibson, S., Jarpe, M.B., Johnson, G.L. (1999). Mitogen-activated protein kinase: Conservation of a three-kinase module from yeast to human. Physiological Reviews, 79(1), 143-180. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">26.	Zhang, W., Liu, H.T. (2002). MAPK signal pathways in the regulation of cell proliferation in mammalian cells. Cell Research,12(1), 9-18. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">27.	Zhang, Z., Zhou, X., Shen, H., Wang, D., Wang, Y. (2009). Phosphorylated ERK is a potential predictor of sensitivity to sorafenib when treating hepatocellular carcinoma: Evidence from an in vitro study. BMC Medicine, 7, 41. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">28.	Beeram, M., Patnaik, A., Rowinsky, E.K. (2005). Raf: A strategic target for therapeutic development against cancer. Journal of Clinical Oncology, 23(27), 6771-6790. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">29.	Lopez-Bergami, P., Huang, C., Goydos, J.S., Yip, D., Bar-Eli, M., Herlyn, M., Smalley, K.S., Mahale, A., Eroshkin, A., Aaronson, S., Ronai, Z. (2007). Rewired ERK-JNK signaling pathways in melanoma. Cancer Cell, 11(5), 447-460. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">30.	Mirmohammadsadegh, A., Mota, R., Gustrau, A., Hassan, M., Nambiar, S., Marini, A., Bojar, H., Tannapfel, A., Hengge, U.R. (2007). ERK1/2 is highly phosphorylated in melanoma metastases and protects melanoma cells from cisplatin-mediated apoptosis. Journal of Investigative Dermatology, 127(9), 2207-2215. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">31.	Mendes, O., Kim, H.T., Lungu, G., Stoica, G. (2007). MMP2 role in breast cancer brain metastasis development and its regulation by TIMP2 and ERK1/2. Clinical&amp;Experimental Metastasis, 24, 341-351. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">32.	Fransecky, L., Mochmann, L.H., Baldus, C.D. (2015). Outlook on PI3K/AKT/mTOR inhibition in acute leukemia. Molecular and Cellular Therapies, 3, 2. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">33.	Kawauchi, K., Ogasawara, T., Yasuyama, M., Otsuka, K., Yamada, O. (2009). Regulation and importance of the PI3K/Akt/mTOR signaling pathway in hematologic malignancies. Anticancer Agents in Medicinal Chemistry, 9(9), 1024-1038. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">34.	Min, Y.H., Eom, J.I., Cheong, J.W., Maeng, H.O., Kim, J.Y., Jeung, H.K., Lee, S.T., Lee, M.H., Hahn, J.S., Ko, Y.W. (2003). Constitutive phosphorylation of Akt/PKB protein in acute myeloid leukemia: Its significance as a prognostic variable. Leukemia, 17(5), 995-997. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">35.	Kornblau, S.M., Tibes, R, Qiu, Y.H., Chen, W., Kantarjian, H.M., Andreeff, M., Coombes, K.R., Mills, G.B. (2009). Functional proteomic profiling of AML predicts response and survival. Blood, 113(1), 154-164. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">36.	Pei, R., Si, T., Lu, Y., Zhou, J.X., Jiang, L. (2018). Salvianolic acid A, a novel PI3K/Akt inhibitor, induces cell apoptosis and suppresses tumor growth in acute myeloid leukemia. Leukemia&amp;Lymphoma, 59(8), 1959-1967. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">37.	Zhou, Y., Ho, W.S. (2014). Combination of liquiritin, isoliquiritin and isoliquirigenin induce apoptotic cell death through upregulating p53 and p21 in the A549 non-small cell lung cancer cells. Oncology Reports, 31(1), 298-304. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">38.	Hseu, Y.C., Tsai, T.J., Korivi, M., Liu, J.Y., Chen, H.J., Lin, C.M., Shen, Y.C., Yang, H.L. (2017). Antitumor properties of Coenzyme Q0 against human ovarian carcinoma cells via induction of ROS-mediated apoptosis and cytoprotective autophagy. Scientific Reports, 7(1), 8062. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref39">
                        <label>39</label>
                        <mixed-citation publication-type="journal">39.	Elumalai, P., Gunadharini, D.N., Senthilkumar, K., Banudevi, S., Arunkumar, R., Benson, C.S., Sharmila, G., Arunakaran, J. (2012). Induction of apoptosis in human breast cancer cells by nimbolide through extrinsic and intrinsic pathway. Toxicology Letters, 215(2), 131-142. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref40">
                        <label>40</label>
                        <mixed-citation publication-type="journal">40.	Green, D.R. (2000). Apoptotic pathways: paper wraps stone blunts scissors. Cell, 102(1), 1-4. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref41">
                        <label>41</label>
                        <mixed-citation publication-type="journal">41.	McIlwain, D.R., Berger, T., Mak, T.W. (2013). Caspase functions in cell death and disease. Cold Spring Harbor Perspectives in Biology, 5(4), a008656. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref42">
                        <label>42</label>
                        <mixed-citation publication-type="journal">42.	Yang, X., Zheng, F., Xing, H., Gao, Q., Wei, W., Lu, Y., Wang, S., Zhou, J., Hu, W., Ma, D. (2004). Resistance to chemotherapy-induced apoptosis via decreased caspase-3 activity and overexpression of antiapoptotic proteins in ovarian cancer. Journal of Cancer Research and Clinical Oncology, 130(7), 423-428. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref43">
                        <label>43</label>
                        <mixed-citation publication-type="journal">43.	Kim, R. (2005). Unknotting the roles of Bcl-2 and Bcl-xL in cell death. Biochemical and Biophysical Research Communication, 333(2), 336-343. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref44">
                        <label>44</label>
                        <mixed-citation publication-type="journal">44.	Mayorga, M., Bahi, N., Ballester, M., Comella, J.X., Sanchis, D. (2004). Bcl-2 is a key factor for cardiac fibroblast resistance to programmed cell death. Journal of Biological Chemistry, 279(33), 34882-34889. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref45">
                        <label>45</label>
                        <mixed-citation publication-type="journal">45.	Goldsmith, C.D., Bond, D.R., Jankowski, H., Weidenhofer, J., Stathopoulos, C.E., Roach, P.D., Scarlett, C.J. (2018). The olive biophenols oleuropein and hydroxytyrosol selectively reduce proliferation, influence the cell cycle, and induce apoptosis in pancreatic cancer cells. International Journal of Molecular Sciences, 19(7), 1937. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref46">
                        <label>46</label>
                        <mixed-citation publication-type="journal">46.	Roberts, P.J., Der, C.J. (2007). Targeting the Raf-MEK-ERK mitogen-activated protein kinase cascade for the treatment of cancer. Oncogene, 26(22), 3291-3310. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref47">
                        <label>47</label>
                        <mixed-citation publication-type="journal">47.	Miyata, Y., Nishida, E. (1999). Distantly related cousins of MAP kinase: Biochemical properties and possible physiological functions. Biochemical and Biophysical Research Communication, 266(2), 291-295. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref48">
                        <label>48</label>
                        <mixed-citation publication-type="journal">48.	Schulze-Bergkamen, H., Krammer, P.H. (2004). Apoptosis in cancer-implications for therapy. Seminars in Oncology, 31(1), 90-119. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref49">
                        <label>49</label>
                        <mixed-citation publication-type="journal">49.	Xia, Z., Dickens, M., Raingeaud, J., Davis, R.J., Greenberg, M.E. (1995). Opposing effects of ERK and JNK-p38 MAP kinases on apoptosis. Science, 270(5240), 1326-1331. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref50">
                        <label>50</label>
                        <mixed-citation publication-type="journal">50.	Weir, N.M., Selvendiran, K., Kutala, V.K., Tong, L., Vishwanath, S., Rajaram, M., Tridandapani, S., Anant, S., Kuppusamy, P. (2007). Curcumin induces G2/M arrest and apoptosis in cisplatin-resistant human ovarian cancer cells by modulating Akt and p38 MAPK. Cancer Biology&amp;Therapy, 6(2), 178-184. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref51">
                        <label>51</label>
                        <mixed-citation publication-type="journal">51.	Shinojima, N., Yokoyama, T., Kondo, Y., Kondo, S. (2007). Roles of the Akt/mTOR/p70S6K and ERK1/2 signaling pathways in curcumin-induced autophagy. Autophagy, 3(6), 635-637. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref52">
                        <label>52</label>
                        <mixed-citation publication-type="journal">52.	Juretic, N., Santibanez, J.F., Hurtado, C., Martinez, J. (2001). ERK 1,2 and p38 pathways are involved in the proliferative stimuli mediated by urokinase in osteoblastic SaOS-2 cell line. Journal of Cellular Biochemistry, 83(1), 92-98. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref53">
                        <label>53</label>
                        <mixed-citation publication-type="journal">53.	Pugazhenthi, S., Miller, E., Sable, C., Young, P., Heidenreich, K.A., Boxer, L.M., Reusch, J.E. (1999). Insulin-like growth factor-I induces bcl-2 promoter through the transcription factor cAMP-response element-binding protein. Journal of Biological Chemistry, 274(39), 27529-27535. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref54">
                        <label>54</label>
                        <mixed-citation publication-type="journal">54.	Wang, Y., Huang, S., Sah, V.P., Ross, J.Jr., Brown, J.H., Han, J., Chien, K.R. (1998). Cardiac muscle cell hypertrophy and apoptosis induced by distinct members of the p38 mitogen-activated protein kinase family. Journal of Biological Chemistry, 273(4), 2161-2168. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref55">
                        <label>55</label>
                        <mixed-citation publication-type="journal">55.	Li, L., Zhao, G.D., Shi, Z., Qi, L.L., Zhou, L.Y., Fu, Z.X. (2016). The Ras/Raf/MEK/ERK signaling pathway and its role in the occurrence and development of HCC. Oncology Letters, 12(5), 3045-3050. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref56">
                        <label>56</label>
                        <mixed-citation publication-type="journal">56.	Dhillon, A.S., Meikle, S., Yazici, Z., Eulitz, M., Kolch, W. (2002). Regulation of Raf-1 activation and signalling by dephosphorylation. EMBO Journal, 21(1-2), 64-71. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref57">
                        <label>57</label>
                        <mixed-citation publication-type="journal">57.	Rommel, C., Clarke, B.A., Zimmermann, S., Nunez, L., Rossman, R., Reid, K., Moelling, K., Yancopoulos, G.D., Glass, D.J. (1999). Differentiation stage-specific inhibition of the Raf-MEK-ERK pathway by Akt. Science, 286(5445), 1738-1741. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref58">
                        <label>58</label>
                        <mixed-citation publication-type="journal">58.	Corona, G., Deiana, M., Incani, A., Vauzour, D., Dessi, M.A., Spencer, J.P. (2007). Inhibition of p38/CREB phosphorylation and COX-2 expression by olive oil polyphenols underlies their anti-proliferative effects. Biochemical and Biophysical Research Communication, 362(3), 606-611. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref59">
                        <label>59</label>
                        <mixed-citation publication-type="journal">59.	Wang, N., Li, D.Y., Niu, H.Y., Zhang, Y., He, P., Wang, J.H. (2013). 2-Hydroxy-3-methylanthraquinone from Hedyotis diffusa Willd induces apoptosis in human leukemic U937 cells through modulation of MAPK pathways. Archives of Pharmacal Research, 36(6), 752-758. [CrossRef]</mixed-citation>
                    </ref>
                                    <ref id="ref60">
                        <label>60</label>
                        <mixed-citation publication-type="journal">60.	Fu, Y., Zhang, Y., Gao, M., Quan, L., Gui, R., Liu, J. (2016). Alisertib induces apoptosis and autophagy through targeting the AKT/mTOR/AMPK/p38 pathway in leukemic cells. Molecular Medicine Reports, 14(1), 394-398. [CrossRef]</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
