Lathyrol Binds with STAT3 DNA Binding Domain and Induces Apoptosis in Multiple Human Cancer Cells

Abrar ul Haq1, Shusheng Yin2, Amara Maryam1, Muhammad Khan1*,

Hafiz Abdullah Shakir1, Muhammad Akhtar Ali3, Muhammad Irfan4, Muhammad Faisal Maqbool1 and Yongming Li2*

1Cancer research Lab, Institute of Zoology, University of the Punjab, Quaid-e-Azam Campus, Lahore, Pakistan

2School of Medicine and Holistic Integrative Medicine, Nanjing University of Chinese Medicine, Nanjing 210023, China.

3School of Biological Sciences, University of the Punjab, Quaid-e-Azam Campus, Lahore, Pakistan

4Department of Biotechnology, University of Sargodha, Sargodha, Pakistan.

Abrar ul Haq and Shusheng Yin contributed equally in this paper.

ABSTRACT

Lathyrol, a natural diterpenoid molecule is one of the major components of Semen Euphorbiae, a famous traditional Chinese medicine with a long history of clinical use in China. Very recently, lathyrol has been reported to inhibit the growth and induce apoptosis in lung cancer cells. However, the anticancer activity of lathyrol remains largely unknown in various human cancers. The present study was designed to evaluate lathyrol for its broad-spectrum anticancer activity and binding affinity with STAT3 DNA binding domain. Using CCK-8 assay kit, we showed that lathyrol reduced the cell viability of Hep-3B, MHCC97-L, A2780 and taxol resistant Hey-T30 cells in a dose-dependent fashion. Using Molecular docking study, we found that lathyrol exhibits strong binding interactions with STAT3 DNA binding domain through hydrogen bonding and hydrophobic interactions with various amino acid residues of STAT3. Using immunoblotting, we found that lathyrol did not inhibit STAT3 phosphorylation and dimerization. Moreover, we showed that lathyrol induces apoptosis as evident from a remarkably increased expression of cleaved caspase-3 in all four cancer cell lines. Taken together, our findings suggest that lathyrol is a potent STAT3 DNA binding domain inhibitor and exhibits a broadspectrum anticancer activity.

Article Information

Received 26 May 2023

Revised 05 December 2023

Accepted 26 December 2023

Available online 27 February 2024

(early access)

Published 07 October 2024

Authors’ Contribution

MK designed and supervised the study. AH and SY performed experimental work. MFM assisted in molecular docking study. AM assisted in figures formatting. MI, HAS and MAA read the paper to remove language mistakes. AH wrote the initial draft and MK edited and approved the paper.

Key words

Lathyrol, Anticancer, Apoptosis, STAT3 DNA binding domain inhibitor, Molecular docking, Caspase-3 cleavage

DOI: https://dx.doi.org/10.17582/journal.pjz/20230526090501

* Corresponding author: [email protected], [email protected]

0030-9923/2024/0006-2877 $ 9.00/00

Copyright 2024 by the authors. Licensee Zoological Society of Pakistan.

This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).

Introduction

Signal transducer and activator of transcription 3 (STAT3) is a key transcriptional factor of the STAT protein family, together with STAT1, 2, 4, 5a, 5b, and 6 (Chan et al., 2010; Bao et al., 2012). The structure of STATs is divided into different domains like a coiled-coil domain (CCD), an amino-terminal domain (ATD), a DNA-binding domain (DBD), Src homology 2 domain (SH2D), linker domain and a transactivation domain (Funakoshi-Tago et al., 2008; Kim et al., 2011). Among all the members, STAT3 is the most investigated member of the STATs family. STAT3 can be triggered by different factors like growth factors, cytokines, and oncogenic proteins (Yang et al., 2022). Stimulation of STAT3 by growth factors and cytokines triggers the phosphorylation of STAT3 at tyrosine residue 705 (Tyr705), that results in STAT3 dimerization, and translocation into nucleus where it binds with DNA and induces transcription of certain genes (Khan et al., 2015; Huang et al., 2016). STAT3 potentially regulates the expressions of different genes involved in controlling the vital functions of the cell such as, cell proliferation, cell survival, metastasis and invasion, apoptosis, and development of immune suppressive tumor microenvironment. Under normal circumstances, the expression of STAT3 is highly regulated but if this balance gets disturbed then overexpression of STAT3 can lead to multiple types of cancers such as multiple myeloma, hepatocellular carcinoma, epidermoid carcinoma, prostate cancer, breast cancer, lung cancer, and pancreatic cancer etc. (Yang et al., 2022). It is strongly recommended that higher expression of phosphorylated STAT3 increases the rate of malignancy of the neoplasm (Yang et al., 2022). Therefore, inhibition of STAT3 is characterized as a striking target for the development of new antineoplastic drugs.

Indeed, several inhibitors of STAT3 have been identified over the last 15 years (Debnath et al., 2012; Lin et al., 2010; Huang et al., 2016). Some of them even potentially inhibit the growth in xenograft tumors. However, very limited number of these inhibitors have reached the clinical trials but none of them is approved for clinical practices. The causes of such failures are still unknown. It is important to note that all these inhibitors were designed to bind with SH2D of STAT3 and thereby inhibiting STAT3 tyr705 phosphorylation and dimerization of STAT3. Such approach of drug designing to find the inhibitor of STAT3 is a little bit problematic because it is reported that unphosphorylated STAT3 even has the potential to bind to DNA and may still be efficient to perform its functions (Yang et al., 2007; Timofeeva et al., 2012; Huang et al., 2016). Thus, disrupting the activation of STAT3 by inhibiting the interactions between Tyr705 phosphorylation and SH2 domain alone may not completely lower the level of STAT3. Although targeting the DBD of STAT3 can be more efficient to diminish the expressions of STAT3, it has yet not been in the main domain of research because it is expected that targeting DBD may has limited selectivity (Leung et al., 2013; Caboni and Lloyd, 2013; Huang et al., 2016). But due to a continuous disappointment in finding the inhibitor of STAT3 by using the SH2D, now researchers started to find the inhibitors for DBD of STAT3 to develop new therapeutics for cancer (Huang et al., 2014, 2016; Zhang and Liu, 2016).

Plants have a great role in human community, they may be used for nutritional additives, beverages production, flavoring agents, shelter, supplier of oxygen, forage for animals and to lower the burden of various disorders such as cancer (Ashaq et al., 2021; Gul et al., 2022). Many clinically practiced anticancer therapeutics such as camptothecin, taxol, podophyllotoxins and vinca alkaloids are obtained from biological sources (Yarla et al., 2016; Mohan et al., 2020; Kashyap et al., 2021). Eighty-five out of 175 drugs that had been practiced as an anticancer drug between 1940-2012 were derived from mother nature (Newman and Cragg, 2012). Naturally derived drugs are multitargeted, less toxic, cost-effective, and easily available in every region across the globe that’s why now a days naturally derived molecules are preferably used for the treatment of various disorders including cancer (Mohan et al., 2020).

Euphorbia semen (ES) is a traditional Chinese medicine made by the ripe and dried seed of Euphorbia lathyris. In China it is used to increase blood circulation, eliminate blood stasis and to treat scabies and tinea, snakebites, anuria, amenorrhea, terminal schistosomiasis, and constipation (Zhu and Zhang, 2018). The major bioactive molecules of SE include diterpenoids, coumarins, flavonoids, amino acids, steroids, volatile oil, and fatty oil (Zhu and Zhang, 2018). The diterpenoids, coumarins, and flavonoids in ES show multiple pharmacological activities, such as diuresis, antibacterial, anti-inflammatory, hepatoprotective, neuroprotective, antiviral, and anti-tumor both in in vivo and in clinical practice (Zhu and Zhang, 2018; Wong et al., 2018).

Lathyrol, a diterpenoid component of SE (Jiao et al., 2015; Chen et al., 2023) has been suggested to exhibit different pharmacological activities including anticancer effects (Chen et al., 2023). Here in this study, using molecular docking study, we have first time discovered that lathyrol could exclusively binds with DBD of STAT3 and induces anticancer activity in multiple drug-sensitive and drug-resistant cancer cell lines.

Materials and Methods

Reagents and antibodies

Lathyrol (Fig. 1) was purchased from TargetMol. (Catalog No. T3S2019). The purity of lathyrol was >99%. The primary antibodies against cleaved caspase-3 (9664), Phospho-STAT3 (9145) were purchased from Cell Signaling technology (Baverly MA). The primary antibodies against STAT3 (10253-2-AP) and GAPDH (10494-1-AP) and HRP-conjugated secondary antibody (goat anti-rabbit (SA00001-2) were purchased from Proteintech (Wuhan, China).

 

Cell lines and cell culture

Human ovarian cancer cell line A2780 was obtained from the European Collection of Cell Culture. Human liver cancer cell lines Hep-3B, and MHCC97-L and human Hey-T30 taxol resistant cell line were purchased from ATCC (USA). A2780, Hep-3B and MHCC97-L cells were cultured in DMEM medium supplemented with 10% FBS while Hey-T30 cells were cultured in RPMI-1640 medium supplemented with 10%FBS. The culture media were supplemented with 100units/mL penicillin and 100µg/mL streptomycin.

Determination of cell viability

Cells were cultured in recommended media supplemented with 10%FBS and treated with lathyrol in a concentration-dependent manner overnight. Following drug treatment for indicated time periods, CCK-8 assay was employed to evaluate cell viability as described by us previously (Liu et al., 2023).

Immunoblotting

Cells were cultured in 6 well plates and treated with indicated concentration of lathyrol overnight. Total cell lysate was prepared and subjected to immunoblotting for the expression of p-STAT3, STAT3, Cleaved caspase-3 and GAPDH as described by us previously (Khan et al., 2020).

Molecular docking

Retrieval of ligand (Lathyrol) and target protein (STAT3)

The 3D structure of STAT3 (PDB ID: 1BG1) with resolution 2.25 Å was retrieved from the official website, Protein Data Bank (PDB) (www.rcsb.pdb.com) in the form of PDB format. The ligand molecule, lathyrol was downloaded from PubChem (PubChem CID: 15479845) (www.pubchem.com) and saved in the form of structure data file (SDF).

Preparation of target (STAT3) protein

The retrieved 3D structure of protein from PDB may contain the water molecules and nonstandard ligands that may interfere with the interaction of our desired ligand with the protein molecule during molecular docking (MD) that’s why all these molecules must be removed before running the MD. To prepare the protein we just opened the previously retrieved PDB format of STAT3 in the Biovia discovery visualizer (BDV) then, water molecules, heteroatoms, and nonstandard ligands were selected and deleted. Then we saved the crystal structure of STAT3 in PDB format.

Docking

For the MD we used the PyRx software 0.8 version. To run the molecular docking the prepared crystal structure of STAT3 (in PDB format) was imported in PyRx and selected as a macromolecule, this causes the minimization of STAT3 by using the default settings with the addition of specific charges and hydrogen bonds. Then ligand (lathyrol) was imported in PyRx in SDF format and was minimized by using default settings of PyRx and finally converted it into PDBQT, the required format of ligand to run the molecular docking.

After that the protein and ligand were selected using command Vina wizard in PyRx. The grid box (The grid box basically selects the boundary of the docking of ligand with our desired macromolecule) was prepared as follows: STAT3 [Centre: Dimension-X (22.9381:46.6372); Y (12.5582:49:4057); Z (3.7933:59.1362)] and run the docking at exhaustiveness of 8. After the completion of the docking the pose with lowest binding affinity between protein and ligand was selected.

Visualization

Ligand binding with 3D structure of STAT3 (Fig. 1) is checked by using PyMol software. Further interactions between the ligand and STAT3 residues were visualized using the BDV. To show the different interactions between the various amino acids of STAT3 and lathyrol, the 2D diagram was retrieved as in Figure 1 by using the LigPlot+ software.

ADMET studies

The drug-likeness of lathyrol was studied through the Swiss Adme (http://www.swissadme.ch/) by using canonical smiles of lathyrol obtained from pubchem to verify the Lipinski rule of five (RO5) violations. In addition, the toxicity and pharmacokinetics (distribution, absorption, etc.), of lathyrol were also explored through the pkCSM server (http://biosig.unimelb.edu.au/pkcsm/prediction) by using canonical smiles of lathyrol obtained from pubchem.

Results

Lathyrol inhibits proliferation of cancer cells

To evaluate the broad-spectrum anticancer activity of lathyrol, we used four different cancer cell lines. The cells were exposed to lathyrol overnight and cell viability was measured using CCK-8 assay. Our data demonstrated that lathyrol decreased cell viability of all four different cancer cell lines in a similar fashion. It is important to mention that lathyrol exhibited no toxicity against any cell lines upto 20µM. However, a dose-dependent anticancer activity has been noted when cells were treated with >20 µM lathyrol (Fig. 2A-D).

 

Molecular docking

The basic result in the studies of MD is binding energy (BE). It provides a deep insight into the affinity of the ligand-receptor (protein) interactions. The binding energy is calculated in the form of negative value. The greater the negative value of the BE, the stronger and more stable will be the interactions between the ligand and receptor (Aja et al., 2021). In the present study, the results of molecular docking clearly suggested a strong interaction between the atoms of lathyrol and amino acid residues of STAT3 (Fig. 3A). The best hit pose between lathryol and residues of STAT3 gives the BE -7.5 kcal/mol, which also supported to a very stable interaction between selected ligand and protein molecule. To further confirm the interactions between STAT3 residues and lathyrol, 2D diagram was derived by using LigPlot+ which also clearly supported our hypothesis of lathyrol as a potential inhibitor for STAT3 DBD. As in Figure 3B, 2D diagram shows that lathyrol strongly interacted with the various residues of STAT3 such as Ser 381, Lys 383, Glu 415 and Gln 416 by forming H-bonds as represented with green dotted lines in the diagram. The bond distances of all the H-bonds among lathyrol and various amino acids are in the range of 3.0-3.21Å, that describe the stability of the H-bonds between the ligand and receptor. Interestingly all the H-bonds between lathyrol and STAT3 are in the range of 320 to 494 amino acid residues which is exactly the region of DBD of STAT3. These results of MD potentially identified the lathyrol as an inhibitor of DBD of STAT3.

 

Table I. ADME properties (Lipinski’s RO5).

Parameter	Standard	Calculated value
Molecular weight g/mol	≤500	334.45
Hydrogen bond acceptors	<10	4
Hydrogen bond donors	<5	3
Log p (Lipophilicity)	≤5	2.30
Polar surface area Å	<140	77.76

 

ADMET profile of lathyrol

RO5 is a rule that is designed as a standard to confirm the drug likeness of any molecule (Chen et al., 2020) and it can easily be calculated by using online web server (swissadme). Results of RO5 for lathyrol were calculated by using swissadme and shown in Table I. These results clearly suggest that our desired compound has a strong potential to be used as a drug, as lathyrol successfully followed all the standards of RO5 with zero violation of any of the parameter, as shown in Table I. Pharmacokinetic characteristics of the lathyrol show good gastrointestinal absorption explored by the pkCSM.

Lathyrol does not affect STAT3 Tyr705 activation and dimerization

Our molecular docking study revealed that lathyrol could bind with DNA binding domain of STAT3. However, STAT3 is activated upon phosphorylation at tyr705 in SH2 domain. Upon phosphorylation, STAT3 dimerizes and translocated into nucleus where it binds with DNA using DNA binding domain. We wanted to know if lathyrol binding with DNA binding domain of STAT3 could affect phosphorylation in SH2 domain. For this we measured the activation of STAT3 using immunoblotting. That data demonstrated that lathyrol did not inhibit STAT3 tyr705 activation in any cancer cell line (Fig. 4) indicating that lathyrol mainly binds with DNA binding domain of STAT3.

 

Lathyrol induces apoptosis in multiple human cancer cell lines

Since lathyrol reduced the cell viability and have been shown to bind with STAT3 DNA binding domain, we were interested to know if these effects lead to apoptotic cell death. Therefore, we treated all four types of cancer cells with lathyrol in a dose-dependent manner and measured the expression of cleaved caspase-3 which is the hallmark of apoptotic cell death. The data showed that lathyrol increased the expression of cleaved caspase-3 in all four types of cancer cells dose-dependently (Fig. 4) confirming that lathyrol-induced cell death is apoptotic cell death.

Discussion

In this study, we have identified lathyrol a natural bioactive molecule as potential STAT3 DNA binding domain inhibitor using molecular docking study. Our in silico data further indicate that lathyrol exclusively binds with DBD of STAT3. The crystal structure of STAT3 suggests that STAT3 DBD is composed of amino acid resides from 321 to 494 (Arora et al., 2018). Our docking data obtained by PyRx demonstrates that lathyrol makes hydrogen bonds with Ser381, Lys383 and Glu415 residues of STAT3. The 2D representation plotted by LigPlot+ shows that lathyrol is predicted to form stable hydrogen bonds with Ser381, Lys383, Glu415 and Gln416. The data clearly showed that lathyrol binds only with DBD of STAT3. STAT3 inhibitors targeting SH2 domain of STAT3 have been reported to inhibit STAT3 tyr705 phosphorylation and dimerization (Maryam et al., 2017, 2018). On the other hand, STAT3 inhibitors targeting exclusively DBD of STAT3 do not affect STAT3 phosphorylation, dimerization and nuclear translocation (Huang et al., 2014, 2016). In line with previously published data, lathyrol did not inhibit STAT3 activation and dimerization as evident from Western blot data.

Previous studies have shown that bioactive molecules targeting DBD of STAT3 and inhibiting STAT3 binding with DNA have the potential to suppress growth and induce apoptosis in cancer cells (Huang et al., 2014, 2018; Son et al., 2017). Since lathyrol is predicted to bind exclusively with DBD of STAT3, we were interested to know if lathyrol could also inhibit growth and induce cytotoxicity in cancer cells. For this we measured the cytotoxicity of lathyrol in 4 different human cancer cell lines. The data showed that lathyrol inhibited the cell proliferation in a dose-dependent manner in all four different cell lines. Anticancer drugs as well as natural bioactive molecules has been reported to inhibit growth and induce cell death through multiple mechanism in cancer cells including cell cycle arrest, induction of apoptosis, necrosis, autophagy and necroptosis and ferroptosis (D’Arcy, 2019). Among various modes of cell death, apoptosis is considered one of the major mechanisms activated in response to chemotherapy. Apoptosis is highly sophisticated mode of cell death in which a series of cellular events come into play to set the cells on the road to death. DNA damage, plasma membrane blebbing and cleavage of caspases are characteristic features of apoptotic cell death (Khan et al., 2015). To further decipher the mode of lathyrol-induced cell death, we investigated the effect of lathyrol on cleavage of caspase-3, which is considered the classical marker of apoptosis (Khan et al., 2020). Lathyrol exhibited a suppressive effect on growth and promoted cleavage of caspase-3 in all four cancer cell clines. Our findings are further supported by a recent study by Chen et al. (2023) which has shown that lathyrol inhibits the proliferation and induces mitochondrial apoptosis by inducing caspase-3 cleavage (Chen et al., 2023).

 

conclusion

In conclusion, we have shown that lathyrol is a potent STAT3 DBD inhibitor and exhibits good anticancer activity against multiple human cancer cell lines. The anticancer activity is mainly attributed by its potential to cleave caspase-3, a classical markers of apoptotic cell death. The natural source and anticancer mechanism of lathyrol has been shown in Figure 5. Finally, further in vitro study is required to validate the potential of lathyrol as STAT3 DBD inhibitor which is one of the major limitations of this study.

Funding

This study is supported by a research grant from Higher Education Commission (HEC) of Pakistan to Muhammad Khan (Project No.: 20-15729/NRPU/RandD/HEC/2021 2021).

Statement of conflict of interest

The authors have declared no conflict of interest.

References

Aja, P.M., Agu, P.C., Ezeh, E.M., Awoke, J.N., Ogwoni, H.A., Deusdedit, T., Ekpono, E.U., Igwenyi, I.O., Alum, E.U., Ugwuja, E.I., Ibiam, A.U., Afiukwa, C.A. and Adegboyega, A.E., 2021. Prospect into therapeutic potentials of Moringa oleifera phytocompounds against cancer upsurge: De novo synthesis of test compounds, molecular docking, and ADMET studies. Bull. natl. Res. Cent., 45: 99. https://doi.org/10.1186/s42269-021-00554-6

Arora, L., Kumar, A. P., Arfuso, F., Chng, W.J. and Sethi, G., 2018. The role of signal transducer and activator of transcription 3 (STAT3) and its targeted inhibition in hematological malignancies. Cancers, 10: 327. https://doi.org/10.3390/cancers10090327

Ashaq, A., Maqbool, M., Maryam, A., Khan, M.S., Shakir, H.A., Irfan, M., Qazi, J.I., Li, Y. and Ma, T., 2021. Hispidulin: A novel natural compound with therapeutic potential against human cancers. Phytother. Res., 35: 771–789. https://doi.org/10.1002/ptr.6862

Bao, M., Cao, Z., Yu, D., Fu, S., Zhang, G., Yang, P., Pan, Y., Yang, B., Han, H. and Zhou, Q., 2012. Columbamine suppresses the proliferation and neovascularization of metastatic osteosarcoma U2OS cells with low cytotoxicity. Toxicol. Lett., 215: 174–180. https://doi.org/10.1016/j.toxlet.2012.10.015

Caboni, L. and Lloyd, D., 2013. Beyond the ligand-binding pocket: Targeting alternate sites in nuclear receptors. Med. Res. Rev., 33: 1081–1118. https://doi.org/10.1002/med.21275

Chan, K.S., Li, K., Liu, S.J., Chu, K.H., Toh, M. and Xie, W., 2010. Cucurbitacin B inhibits STAT3 and the Raf/MEK/ERK pathway in leukemia cell line K562. Cancer Lett., 289: 46–52. https://doi.org/10.1016/j.canlet.2009.07.015

Chen, P., Li, Y., Zhou, Z., Pan, C. and Zeng, L., 2023. Lathyrol promotes ER stress-induced apoptosis and proliferation inhibition in lung cancer cells by targeting SERCA2. Biomed. Pharmacother., 158: 114123. https://doi.org/10.1016/j.biopha.2022.114123

Chen, X., Li, H., Tian, L., Xiao, X., Luo, J., and Zhang, Y., 2020. Analysis of the physicochemical properties of acaricides based on Lipinski’s rule of five. Comput. Biol., 27: 1397–1406. https://doi.org/10.1089/cmb.2019.0323

D’Arcy, M.S., 2019. Cell death: A review of the major forms of apoptosis, necrosis and autophagy. Cell Biol. Int., 43: 582-592. https://doi.org/10.1002/cbin.11137

Debnath, B., Xu, S. and Neamati, N., 2012. Small molecule inhibitors of signal transducer and activator of transcription 3 (STAT3) protein. J. med. Chem., 55: 6645–6668. https://doi.org/10.1021/jm300207s

Funakoshi-Tago, M., Tago, K., Nishizawa, C., Takahashi, K., Mashino, T., Iwata, S., Inoue, H., Sonoda, Y. and Kasahara, T., 2008. Licochalcone A is a potent inhibitor of TEL-Jak2-mediated transformation through the specific inhibition of Stat3 activation. Biochem. Pharmacol., 76: 1681–1693. https://doi.org/10.1016/j.bcp.2008.09.012

Gul, S., Maqbool, M., Zheng, D., Li, Y., Khan, M.S. and Ma, T., 2022. Alpinetin: A dietary flavonoid with diverse anticancer effects. Appl. Biochem. Biotechnol., 194: 4220–4243. https://doi.org/10.1007/s12010-022-03960-2

Huang, W., Dong, Z., Wang, F., Peng, H., Liu, J.Y. and Zhang, J.T., 2014. A small molecule compound targeting STAT3 DNA-binding domain inhibits cancer cell proliferation, migration, and invasion. ACS Chem. Biol., 9: 1188-1196. https://doi.org/10.1021/cb500071v

Huang, W., Liu, Y., Wang, J., Yuan, X., Jin, H., Zhang, L., Zhang, J., Liu, Z. and Cui, J., 2018. Small-molecule compounds targeting the STAT3 DNA-binding domain suppress survival of cisplatin-resistant human ovarian cancer cells by inducing apoptosis. Eur. J. med. Chem., 157: 887–897. https://doi.org/10.1016/j.ejmech.2018.08.037

Huang, W., Zhang, R., Chen, Y., Wang, F., Wang, C. H., Peng, H., He, Y., Hangoc, G., Pollok, K., Sandusky, G. E., Fu, X., Broxmeyer, H.E., Zhang, Z.P., Liu, J.B. and Zhang, J., 2016. Small-molecule inhibitors targeting the DNA-binding domain of STAT3 suppress tumor growth, metastasis and STAT3 target gene expression in vivo. Oncogene, 35: 783–792. https://doi.org/10.1038/onc.2015.215

Jiao, W., Wan, Z., Chen, S., Lu, R., Chen, X., Fang, D., Wang, J., Pu, S., Huang, X., Gao, H. and Shao, H., 2015. Lathyrol diterpenes as modulators of P-glycoprotein dependent multidrug resistance: Structure-activity relationship studies on Euphorbia factor L3 derivatives. J. med. Chem., 58: 3720–3738. https://doi.org/10.1021/acs.jmedchem.5b00058

Kashyap, D., Tuli, H.S., Yerer, M.B., Sharma, A.K., Sak, K., Srivastava, S., Pandey, A., Garg, V., Sethi, G. and Bishayee, A., 2021. Natural product-based nano formulations for cancer therapy: Opportunities and challenges. Semin. Cancer Biol., 69: 5–23. https://doi.org/10.1016/j.semcancer.2019.08.014

Khan, M., Maryam, A., Qazi, J.I. and Ma, T., 2015. Targeting apoptosis and multiple signaling pathways with Icariside II in cancer cells. Int. J. biol. Sci., 11: 1100–1112. https://doi.org/10.7150/ijbs.11595

Khan, M., Maryam, A., Saleem, M.Z., Shakir, H.A., Qazi, J.I., Li, Y. and Ma, T., 2020. Brevilin A induces ROS-dependent apoptosis and suppresses STAT3 activation by direct binding in human lung cancer cells. J. Cancer, 11: 3725-3735. https://doi.org/10.7150/jca.40983

Kim, J.H., Lee, Y.S., Shin, D., Jeon, S.K., Son, K., Han, D.S., Jung, S., Oh, T.K. and Kwon, B., 2011. Cosmomycin C inhibits signal transducer and activator of transcription 3 (STAT3) pathways in MDA-MB-468 breast cancer cell. Bioorg. med. Chem., 19: 7582–7589. https://doi.org/10.1016/j.bmc.2011.10.025

Leung, C., Chan, D.W., Pui-Yan, V.M.A. and Ma, D., 2013. DNA-binding small molecules as inhibitors of transcription factors. Med. Res. Rev., 33: 823–846. https://doi.org/10.1002/med.21266

Lin, L., Hutzen, B., Zuo, M., Ball, S., Deangelis, S., Foust, E., Pandit, B., Ihnat, M.A., Shenoy, S.S., Kulp, S.K., Li, P., Li, C., Fuchs, J.R. and Lin, J., 2010. Novel STAT3 phosphorylation inhibitors exhibit potent growth-suppressive activity in pancreatic and breast cancer cells. Cancer Res., 70: 2445–2454. https://doi.org/10.1158/0008-5472.CAN-09-2468

Liu, C., Wang, T., Khan, M., Cui, X. and Li, Y., 2023. Alantolactone inhibits A2780 cell growth through glycolysis inhibition and ros-induced apoptosis and overcomes cisplatin resistance. Pakistan J. Zool., 55: 1199-1206.

Maryam, A., Mehmood, T., Yan, Q., Li, Y., Khan, M.S. and Ma, T., 2018. Proscillaridin A promotes oxidative stress and ER stress, inhibits STAT3 activation, and induces apoptosis in A549 lung adenocarcinoma cells. Oxid. Med. Cell, 2018: 1–17. https://doi.org/10.1155/2018/3853409

Maryam, A., Mehmood, T., Zhang, H., Li, Y., Khan, M. and Ma, T., 2017. Alantolactone induces apoptosis, promotes STAT3 glutathionylation and enhances chemosensitivity of A549 lung adenocarcinoma cells to doxorubicin via oxidative stress. Sci. Rep., 7: 6242. https://doi.org/10.1038/s41598-017-06535-y

Mohan, C.D., Rangappa, K.S., Preetham, H.D., Nayaka, S.C., Gupta, V.K., Basappa, B., Sethi, G. and Rangappa, K.S., 2020. Targeting STAT3 signaling pathway in cancer by agents derived from mother nature. Semin. Cancer Biol., 80: 157–182. https://doi.org/10.1016/j.semcancer.2020.03.016

Newman, D. and Cragg, G.M., 2012. Natural products as sources of new drugs over the 30 years from 1981 to 2010. J. Nat. Prod., 75: 311–335. https://doi.org/10.1021/np200906s

Son, D.H., Zheng, J., Jung, Y.J., Hwang, C.J., Lee, H.C., Woo, J.Y., Baek, S.E., Ham, Y.R., Kang, M., Shong, M., Kweon, G.R., Song, M., Jung, J., Han, S., Kim, B.Y., Yoon, Y.S., Choi, B.Y. and Hong, J.T., 2017. MMPP attenuates non-small cell lung cancer growth by inhibiting the STAT3 DNA-binding activity via direct binding to the STAT3 DNA-binding domain. Theranostics, 7: 4632–4642. https://doi.org/10.7150/thno.18630

Timofeeva, O.A., Chasovskikh, S., Lonskaya, I., Tarasova, N.I., Khavrutskii, L., Tarasov, S.G., Zhang, X., Korostyshevskiy, V.R., Cheema, A.K., Zhang, L., Dakshanamurthy, S., Brown, M.L. and Dritschilo, A., 2012. Mechanisms of unphosphorylated STAT3 transcription factor binding to DNA. J. biol. Chem., 287: 14192–14200. https://doi.org/10.1074/jbc.M111.323899

Wong, J., De Rond, T., D’Espaux, L., Van Der Horst, C., Dev, I., Rios-Solis, L., Kirby, J.T., Scheller, H.V. and Keasling, J.D., 2018. High-titer production of lathyrane diterpenoids from sugar by engineered Saccharomyces cerevisiae. Metab. Eng., 45: 142–148. https://doi.org/10.1016/j.ymben.2017.12.007

Yang, J., Liao, X., Agarwal, M.M., Barnes, L.E., Auron, P.E. and Stark, G.R., 2007. Unphosphorylated STAT3 accumulates in response to IL-6 and activates transcription by binding to NFκB. Genes Dev., 21: 1396–1408. https://doi.org/10.1101/gad.1553707

Yang, J., Wang, L., Guan, X. and Qin, J., 2022. Inhibiting STAT3 signaling pathway by natural products for cancer prevention and therapy: In vitro and in vivo activity and mechanisms of action. Pharmacol. Res., 182: 106357. https://doi.org/10.1016/j.phrs.2022.106357

Yarla, N.S., Bishayee, A., Sethi, G., Reddanna, P., Kalle, A.M., Dhananjaya, B.L., Dowluru, K.S.V.G.K., Chintala, R. and Duddukuri, G.R., 2016. Targeting arachidonic acid pathway by natural products for cancer prevention and therapy. Semin. Cancer Biol., 40–41: 48–81. https://doi.org/10.1016/j.semcancer.2016.02.001

Zhang, J. and Liu, J., 2016. Drugging the undruggable DNA-binding domain of STAT3. Oncotarget, 7: 66324–66325. https://doi.org/10.18632/oncotarget.12181

Zhu, A. and Zhang, T., 2018. The phytochemistry, pharmacokinetics, pharmacology and toxicity of Euphorbia semen. J. Ethnopharmacol., 227: 41–55. https://doi.org/10.1016/j.jep.2018.08.024