Identification of Kazinol Q, a Natural Product from Formosan Plants, as an Inhibitor of DNA Methyltransferase Jing-Ru Weng,1* I-Lu Lai,2 Hsiao-Ching Yang,3 Chun-Nan Lin1,4 and Li-Yuan Bai5,6 1Department 2Division of Medicinal Chemistry, College of Pharmacy, The Ohio State University, Columbus, OH 43210, USA 3Department 4Faculty of Chemistry, Fu Jen Catholic University, New Taipei 24205, Taiwan of Fragrance and Cosmetics, College of Pharmacy, Kaohsiung Medical University, Kaohsiung 80708, Taiwan 5Division 6School of Biological Science and Technology, China Medical University, Taichung 40402, Taiwan of Hematology and Oncology, Department of Internal Medicine, China Medical University Hospital, Taichung 40447, Taiwan of Medicine, China Medical University, Taichung 40402, Taiwan DNA methylation plays a pivotal role in the epigenetic regulation of the transcription of a number of cancerrelated genes, thereby representing an important target for cancer prevention and treatment. In our search for DNA methyltransferase (DNMT) inhibitors from Formosan plants, by screening against a library consisting of 12 structurally distinct natural products, we identified kazinol Q {4-[6-(1,1-dimethyl-allyl)-7-hydroxy-chroman2-yl]-3,6-bis-(3-methyl-but-2-enyl)-benzene-1,2-diol} as an inhibitor of recombinant DNMT1 with IC50 of 7mM. The effect of kazinol Q on DNMT inhibition was validated by its ability to reactivate the expression of a DNA methylation-silenced gene, E-cadherin, in MDA-MB-231 breast cancer cells. Moreover, kazinol Q suppressed the proliferation of MCF-7 breast and LNCaP prostate cancer cells, in part, through apoptosis induction. The role of DNMT1 inhibition in mediating kazinol Q’s antiproliferative effect was supported by the protective effect of ectopic expression of DNMT1 on kazinol Q-induced cell death. Molecular modeling analysis suggests that kazinol Q inhibited DNMT activity by competing with cytosine binding, a mechanism similar to that described for (-)-epigallocatechin-3-gallate (EGCG). Relative to EGCG, kazinol Qexhibits several desirable features for drug development, including chemical stability and increased hydrophobicity, and might have therapeutic relevance to cancer treatment. Copyright © 2013 John Wiley & Sons, Ltd. Keywords: kazinol Q; DNA methyltransferase; drug discovery; screening. Abbreviations: DNMT, DNA methyltransferase; HDAC, histone deacetylase; DMSO, dimethylsulfoxide; EGCG, (-)-epigallocatechin3-gallate; PARP, poly-(ADP-ribose)polymerase; SAH, S-adenosyl-homocysteine. INTRODUCTION Following the completion of theHuman Genome Project, epigenetics has emerged as an important area to understand how the genome translates its information. To date, two mechanisms have been identified to play prominent roles in the epigenetic regulation of gene transcription, namely, histone modifications and DNA methylation (Esteller, 2005;Quina et al., 2006). These genomic modifications affect patterns of genetic regulation without altering the nucleotide sequence of the underlying DNA, and are inheritable from one cell generation to the next (Biel et al., 2005). Moreover, these dynamic processes provide a mechanism by which an organism can respond to environmental signals through changes in gene expression during cell growth and differentiation (Jaenisch and Bird, 2003). Accumulating evidence indicates that dysregulation of these epigenetic processes causes transcriptional repression (or silencing) of a subset of genes, which underlies the pathogenesis of many human diseases. In the past decade, substantial progress has beenmade in understanding the causative relationship between aberrant epigenetic changes and tumorigenesis (Jones, 2005; Laird, 2005; Moggs et al., 2004; Momparler, 2003), which has led to the human clinical trials of histone deacetylase (HDAC) inhibitors and, to a lesser extent, DNA methylation inhibitors in solid tumors and hematological malignancies. DNA methylation inhibitors can be classified into two categories: nucleoside inhibitors and non-nucleoside inhibitors (Fig. 1) (Goffin and Eisenhauer, 2002; Lyko and Brown, 2005; Yoo and Jones, 2006). Nucleoside inhibitors, such as 5-azacytidine, 5-aza-2’-deoxycytidine (decitabine), and zebularine, are often associated with substantial toxic effects and short half-lives in aqueous solutions (Lyko and Brown, 2005). To date, there are only a limited number of non-nucleoside inhibitors of DNA methylation described in the literature, which include procainamide (Lee et al., 2005), (-)-epigallocatechin-3gallate (EGCG) (Fang et al., 2003), psammaplins (Pina et al., 2003), hydralazine (Cornacchia et al., 1988; Segura-Pacheco et al., 2003; Zambrano et al., 2005), and RG108 (Brueckner et al., 2005). Among them, RG108, EGCG, and psammaplins mediate the inhibition of DNA methylation by binding to the catalytic pocket of human DNA methyltransferase (DNMT), while the * Correspondence to: Jing-Ru Weng, Ph.D, Department of Biological Science and Technology, China Medical University, 91 Hsueh-Shih Road, Taichung 40402, Taiwan. E-mail: columnster@gmail.com PHYTOTHERAPY RESEARCH Phytother. Res. (2013) Published online in Wiley Online Library (wileyonlinelibrary.com) DOI: 10.1002/ptr.4955 Copyright © 2013 John Wiley & Sons, Ltd. Received 06 June 2012 Revised 14 January 2013 Accepted 25 January 2013 mode of mechanism of other inhibitors remains unclear. In light of the potential of DNMT as a therapeutic target, there is an urgent need to identify novel non-nucleoside DNMT inhibitors for clinical development. Previously, we reported the isolation of a series of natural products fromFormosan plants,which exhibit interesting antitumor and antiplatelet activities (Chung et al., 1993; Chung et al., 1997; Day et al., 1999; Gan et al., 1998; Ko et al., 1999; Ko et al., 1997; Weng et al., 2006). In the present study, we characterized the abilities of 12 representative agents to inhibit DNMT activity, which led to the identification of kazinol Q {4-[6-(1,1-dimethyl-allyl)-7-hydroxy-chroman2-yl]-3,6-bis-(3-methyl-but-2-enyl)-benzene-1,2-diol} as a DNMT inhibitor with mM potency. MATERIALS AND METHODS Compound library and reagents. Compounds 1 – 12 were isolated from various Formosan plant sources as previously described (Chung et al., 1993; Chung et al., 1997; Day et al., 1999; Gan et al., 1998; Ko et al., 1999; Ko et al., 1997; Weng et al., 2006). EGCG, poly(dI-dC)•poly (dI-dC), and rabbit polyclonal antibodies against b-actin were purchased from Sigma-Aldrich (St. Louis, MO). Recombinant DNMT1 and S-adenosyl-L-[methyl-3H] methionine were obtained from New England Biolabs (Ipswich, MA) and Amersham (Piscataway, NJ), respectively. Rabbit polyclonal anti-E-cadherin antibodies and mouse monoclonal anti-poly-(ADP-ribose)polymerase (PARP) antibody were purchased from Cell Signaling Technologies (Beverly,MA) and Pharmingen (San Diego, CA), respectively. The enhanced chemiluminescence (ECL) system for detection of immunoblotted proteins was from GE Healthcare Bioscience (Piscataway, NJ). Other chemicals and biochemistry reagents were obtained from Sigma–Aldrich unless otherwise mentioned. Cell culture. LNCaP prostate and MCF-7 and MDAMB231 breast cancer cells were purchased from the American Type Tissue Collection (Manassas, VA) and cultured in RPMI 1640 and Dulbecco’s minimal essential medium/Ham’s F12 (DMEM/F12; 1:1) (Gibco, Grand Island, NY), respectively, supplemented with 10% fetal bovine serum (FBS; Gibco). All cell types were cultured at 37 _C in a humidified incubator containing 5% CO2. DNMT assays. Cultured LNCaP cells were harvested, and nuclear extracts were prepared with the nuclear extraction reagent (Pierce, Rockford, IL). The DNMT assay was performed according to a published method (Belinsky et al., 1996). The isolated nuclear extracts (1.28 mg of protein) were incubated with 0.5 mM poly (dI-dC)•poly(dI-dC) (Sigma, St. Louis, MO) and 10 mM S-adenosyl-L-[methyl-3H]methionine (1 mCi; Amersham, Piscataway, NJ) in a total volume of 20 ml of a DNMT buffer solution (New England, Biolabs Inc.) in the presence of the test agent in indicated concentrations at 37 _C for 3 h. The reaction was initiated by the addition of S-adenosyl-L-[methyl-3H] methionine and stopped by loading into mini-columns (Spin-50, USA Scientific) and centrifuged for 3 min. The radioactivity of resulting solutions was counted in a scintillation counter. All of the assays were performed in duplicate. Background levels were determined in incubations without the nuclear extracts. Effect of kazinol Q on cancer cell proliferation. LNCaP and MCF-7 cells were seeded into six-well plates at approximately 200,000 cells/well in 10% FBS-containing medium. Following a 24 h attachment period, cells were treated in triplicate with the indicated concentrations of test agent or DMSO vehicle in 10% FBS-containing medium. At different time intervals, cells were harvested by trypsinization, and numerated using a Coulter counter (Model Z1 D/T, Beckman Coulter, Fullerton, CA). Apoptosis analysis. Drug-induced apoptotic cell death was assessed by Western blot analysis of caspase-3 activation and PARP cleavage. Drug-treated cells were collected after 48 h of treatment, washed with ice-cold PBS, and resuspended in lysis buffer containing 20mM Tris-HCl, pH8, 137mM NaCl, 1mM CaCl2, 10% glycerol, 1% Nonidet P-40, 0.5% deoxycholate, 0.1% SDS, 100 mM 4-(2-aminoethyl)benzenesulfonyl fluoride, leupeptin at 10 mg/mL, and aprotinin at 10 mg/mL. Soluble cell lysates were collected after centrifugation at 10,000 g for 5min. Equivalent amounts of proteins (60–100 mg) from each lysate were resolved in 8% SDS-polyacrylamide gels. Proteins were transferred to nitrocellulose membranes and analyzed by immunoblotting with antibodies against caspase-3 or PARP as described below. Immunoblotting. Treated cells were washed in PBS, resuspended in SDS sample buffer, sonicated for 5 s, and then boiled for 5 min. After brief centrifugation, equivalent amounts of proteins from the soluble fractions of cell lysates were resolved in 10%SDS-polyacrylamide gels on a Minigel apparatus, and transferred to a nitrocellulose membrane using a semi-dry transfer cell. The transblotted membrane was washed three times with TBS containing 0.05% Tween 20 (TBST). After blocking with TBST containing 5% nonfat milk for 60min, the membrane was incubated with an appropriate primary antibody at 1:500 dilution (with the exception of anti-b-actin antibody, 1:2000) in TBST-5%low fat milk at 4 _C for 12 h, and was then washed three times with TBST. The membrane was probed with goat anti-rabbit or anti-mouse IgG-horseradish peroxidase conjugates (1:2500) for 90 min at room temperature, and washed three times with TBST. The immunoblots were visualized by ECL. Ectopic expression of DNMT1 in MCF-7 cells. Transfection of MCF-7 cells with a full-length DNMT1 plasmid (pLZRS-DNMT1; Addgene, Cambridge, MA) or Figure 1. Structures of existing DNA methylation inhibitors. J.-R. WENG ET AL. Copyright © 2013 John Wiley & Sons, Ltd. Phytother. Res. (2013) pCMV vector was performed by electroporation using Nucleofector kit R of the Amaxa Nucleofector system (Lonza, Walkersville, MD) according to the manufacturer’s protocol. Flow cytometric analysis of reactive oxygen species (ROS) production. ROS was detected using the fluorescence probe 5-(and-6)-carboxy-2’,7’-dichloro-dihydrofluorescein diacetate as described (Bai et al., 2011). Data were analyzed by ModFitLT V3.0 software program. Human DNMT1 homology modeling. The homology model of the human DNMT1 catalytic domain was built with the crystal structure of the bacterial modification methylase (Hhal) catalytic domain (PDB ID 4MHT) as the modeling template. The 478 amino acids (AA 1139-1616) of DNMT1 were aligned against the 327 residue of the Hhal methylase catalytic domain by a combination of CLUSTALW and Smith–Waterman methods (Scheme 1). As shown, the N- and C-terminal sequences align well with the template, and the middle sequence has little homology between the two proteins. The two aligned regionsweremodeled usingMODELLER v8 (Sali and Blundell, 1993). The resulting structure was minimized together with cofactor S-adenosyl-homocysteine (SAH) and flipped cytosine substrate plus 15Å truncated octahedron TIP3P water box. Molecular docking. For kazinol Q, all hydrogens were added, and Gasteiger charges were assigned (Gasteiger and Marsili, 1980), then non-polar hydrogens were merged. Eighty_100_70 3-D affinity grids centered on the empty binding site with 0.375Å spacing were calculated for each of the following atomtypes: a) protein: A (aromatic C), C, HD, N, NA, OA, SA; b) ligand: C, A, OA, HD, e (electrostatic) and d (desolvation) using Autogrid4 (Huey et al., 2007). AutoDock version 4.0.0 (Huey et al., 2007) was used for the docking simulation. We selected the Lamarckian genetic algorithm (LGA) for ligand conformational searching because it has enhanced performance relative to simulated annealing or the simple genetic algorithm. The ligand’s translation, rotation, and internal torsions are defined as its state variables, and each gene represents a state variable. LGA adds local minimization to the genetic algorithm, enabling modification of the gene population. The docking parameterswere as follows: trials of 100 dockings, population size of 250, random starting position and conformation, translation step ranges of 2.0 Å, rotation step ranges of 50_, elitism of 1, mutation rate of 0.02, crossover rate of 0.8, local search rate of 0.06, and 100 million energy evaluations. Final docked conformations were clustered using a tolerance of 1.5Å root-meansquare deviations. RESULTS AND DISCUSSION Small diverse molecular library A small library consisting of 12 purified, structurally distinct natural products fromour lab was used to identify compounds with inhibitory activity against recombinant DNMT1 (Chung et al., 1993; Chung et al., 1997; Day et al., 1999; Gan et al., 1998; Ko et al., 1999; Ko et al., 1997; Weng et al., 2006). These compounds included gemichalcone A (1) (Chung et al., 1997), 3a-acetoxy-5alanosta8,24-dien-21-oic acid ester b-D-glucoside (2) (Gan et al., 1998), frangulin B (3) (Chung et al., 1993), justicidin A (4) (Day et al., 1999), morusin (5) (Ko et al., 1997), kazinol Q (6)(Ko et al., 1999), artochamin B (7) (Weng et al., 2006), artomin D (8) (Weng et al., 2006), cyclocomunomethonol (9) (Weng et al., 2006), artomunoflavanone (10) (Weng et al., 2006), artomunoisoxanthone (11) (Weng et al., 2006), and artocommunol CC (12) (Weng et al., 2006) (Fig. 2A). Screening In the screening of DNMT inhibitors, the ability of individual compounds from Formosan plants vis-à-vis the positive control EGCG, each at 10 mM, to block the recombinant DNMT1-mediated transfer of tritiumlabeled methyl function from S-adenosyl-(3H-methyl)L-methionine to poly(dI-dC)•poly(dI-dC) was monitored (Fig. 2). Among the 12 compounds examined, compound Scheme 1. Homology modeling of DNMT1 Figure 2. Structures of compounds 1 – 12 (A), and the relative activities of 10 mM individual compounds vis-à-vis EGCG, each at 10 mM, compared to the DMSO control in inhibiting recombinant DNMT1 activity (B). Each data point represents mean_S.D. (n=3). IDENTIFICATION OF KAZINOL AS A NOVEL DNA METHYLTRANSFERASE INHIBITOR Copyright © 2013 John Wiley & Sons, Ltd. Phytother. Res. (2013) 6 (kazinol Q) exhibited a significant effect on DNMT1 inhibition, while others showed no apparent inhibitory activities. Further examinations at different doses of kazinol Q versus EGCG revealed a dose-dependent inhibition of recombinant DNMT1 activity, with IC 50 of 7 mM and 3mM, respectively (Fig. 3A). Previously, the IC50 ofEGCGwas reported to be 20 mM, which, however, was based on the nuclear extract of esophageal squamous cells as the enzyme source (Fang et al., 2003). To validate the inhibition of DNMT, we investigated the effect of kazinol Q vis-à-vis EGCG and 5-aza-2’deoxycytidine (decitabine) on the expression of E-cadherin in MDA-MB-231 breast cancer cells by Western blotting. Evidence indicates that expression of E-cadherin is silenced in MDA-MB-231 cells due to aberrant 5’CpG island methylation (Nass et al., 2000), and that the silenced E-cadherin gene (CDH1) could be reactivated by 5-aza-2’-deoxycytidine (Graff et al., 1995). Exposure of MDA-MB-231 cells to kazinol Q and 5-aza-2’-deoxycytidine for 48 h culminated in a dose-dependent increase in E-cadherin expression, which, however, was not noted with EGCG (Fig. 3B). This finding is consistent with the reported chemical instability of EGCG in culture medium (half-life, 130min) as a result of auto-oxidation (Naasani et al., 2003). Consequently, spontaneous degradation might account for EGCG’s lack of potency in reactivating E-cadherin expression. Furthermore, the antiproliferative effect of kazinol Q was examined in LNCaP prostate cancer and MCF-7 cells in 10% FBS-supplemented medium (Fig. 4A). As shown, the IC50 in inhibiting cell proliferation was approximately 2 mM for both cell lines. This antitumor activity was, at least in part, attributable to apoptosis as evidenced by PARP cleavage by Western blot analysis (Fig. 4B). Figure 3. Identification of kazinol Q as a DNMT inhibitor. (A) Dose– response curves of kazinol Q and EGCG in inhibiting the activity of recombinant DMNT1 (n=3). (B) Western blot analysis of the dose-dependent effects of kazinol Q, EGCG, and 5-aza-2’deoxycytidine on up-regulating E-cadherin expression in 5% FBSsupplementedmediuminMDAMB-231 cells after 48h of treatment. Controls received DMSO vehicle. Figure 4. Effects of kazinol Q on the survival of LNCaP and MCF-7 cells. (A) Antiproliferative effect of kazinol Q at 1, 2, 5, and 10 mM in 10% FBS-supplemented medium in LNCaP and MCF-7 cells. Each data point represents mean_S.D. (n=3). (B) PARP cleavage in kazinol Q-treated MCF-7 cells. PARP proteolysis to the apoptosis-specific 85-kDa fragment was monitored by Western blotting after 48 h of treatment. J.-R. WENG ET AL. Copyright © 2013 John Wiley & Sons, Ltd. Phytother. Res. (2013) Evidence that DNMT1 inhibition and ROS underlies the antiproliferative effect of kazinol Q To shed light onto the role of DNMT1 inhibition in kazinol Q-mediated inhibition of cell proliferation, we assessed the effect of ectopic expression of DNMT1 on the viability of kazinol Q-treated MCF-7 cells. MCF-7 cells were transiently transfected with a DNMT1 plasmid or pCMV control vector. As shown, increased DNMT1 expression provided a partial protection against the suppressive effect of kazinolQon cell viability (*P<0.05; Fig. 5A). Moreover, in light of a recent report that kazinol Q induced ROS-dependent cell death in gastric cancer cells (Wei et al., 2011), we investigated the effect of kazinol Q on ROS production in MCF-7 cells (Fig. 5B). Flow cytometric analysis confirmed the accumulation of ROS in response to the treatment of kazinol Q (10 mM), suggesting the pleiotropic mode of action of kazinol Q in mediating its antiproliferative activity. Validation and characterization In light of the largely shared structural motif (i.e., the hydroxylated 2-phenyl-chroman nucleus), kazinol Q and EGCG might exhibit a similar mode of binding to the catalytic site of DNMT1. To envisage the ligand– protein interaction, we used the crystal structure of the bacterial homologue Hhal methyltransferase (Nass et al., 2000) (PDB entry code, 4MHT) as a template to carry out homology modeling of the human DNMT1 catalytic domain. The resulting structure was energy-minimized in complex with its cofactor SAH. Docking of kazinol Q into the modeled DNMT1 catalytic site suggests that kazinol Q inhibited DNMT activity by competing with cytosine binding, a mechanism similar to that described for EGCG (Fang et al., 2003). However, despite shared structural motifs, kazinol Q exhibited a somewhat different mode of protein–ligand interactions from that of EGCG (Fang et al., 2003), in part, due to the absence of the galloyl moiety and Figure 5. (A) Protective effect of ectopic expression of DNMT1 on kazinol Q-mediated suppression of the viability of MCF-7 cells. Left, Western blot analysis of the expression level of DNMT1 in MCF-7 cells transiently transfected with a DNMT1 plasmid versus that with a pCMV control vector. Right, MTTanalysis of the dose-dependent effect of kazinol Q on the viability in MCF-7 cells transfected with a DNMT1 plasmid versus a pCMV vector after 72 h of treatment. Each data point represents mean_S.D. (n=6). (B) Flow cytometric analysis of ROS production in MCF-7 cells treated with 10 mM kazinol Q versus DMSO control for 72 h. Values, means+SD (n=3). Figure 6. Modeled docking of kazinol Q into the cytosine-binding site of DNMT1. (A) Consensus orientation of kazinol Q in the cytosine-binding domain. Protein structure is depicted in ribbon representation and colored by secondary structures (helix, strand, and loop). Ligand contact residues are represented in stick form and colored by atom type with carbon in gray, oxygen in red, and hydrogen in green. (B) Diagrammatic presentation of the interactions between kazinol Q and the cytosine-binding site. Dashed lines represent hydrogen bonds. This figure is available in colour online at wileyonlinelibrary.com/journal/ptr. IDENTIFICATION OF KAZINOL AS A NOVEL DNA METHYLTRANSFERASE INHIBITOR Copyright © 2013 John Wiley & Sons, Ltd. Phytother. Res. (2013) differences in the hydrophobicity of the core structure. The driving force for kazinol Q binding was the insertion of the phenyl ring into the cytosine-binding pocket (Fig. 6A and B). In addition to hydrophobic interactions with the isoprenyl function, Glu1265, Arg1309, and Arg1311 were positioned to form hydrogen bonds with the two hydroxyl groups. Relatively, the chroman moiety played a lesser role in protein binding, contributing to a hydrogen bond with Gln1226, reminiscent to that of EGCG. However, due to lack of a galloyl moiety, kazinol Q displayed a lower degree of hydrogen bonding with the cytosinebinding site, which might underlie its lower potency in DNMTinhibition as compared to EGCG (7 versus 3 mM). In summary, this study identifies kazinol Q as a novel DNMT inhibitor by screening against a small natural product-based chemical diversity library from our previous studies (Chung et al., 1993; Chung et al., 1997; Day et al., 1999; Gan et al., 1998; Ko et al., 1999; Ko et al., 1997; Weng et al., 2006), which was demonstrated by its ability to inhibit DNMT1 activity and to upregulate E-cadherin expression in breast cancer cells. Relative to EGCG, kazinol Q exhibits several desirable features for drug development, including chemical stability and increased hydrophobicity for improved pharmacokinetic behaviors.Moreover, kazinolQexhibits a unique ability to induce ROS, which in combination with DNMT1 inhibition, might underlie the effect of kazinol Q on proliferation and apoptosis in cancer cells. Acknowledgements This work was supported by grants from the Taiwan Department of Health, China Medical University Hospital Cancer Research of Excellence (DOH102-TD-C-111-005), China Medical University Hospital (DMR-102-009) and National Science Council (NSC 101-2320B-039-029-MY2). Conflict of Interest The authors have declared that there is no conflict of interest. REFERENCES Bai LY, Chiu CF, Pan SL, et al. 2011. Antitumor activity of a novel histone deacetylase inhibitor (S)-HDAC42 in oral squamous cell carcinoma. Oral Oncol 47: 1127–1133. Belinsky SA, Nikula KJ, Baylin SB, Issa JP. 1996. Increased cytosine DNA-methyltransferase activity is target-cell-specific and an early event in lung cancer. Proc Natl Acad Sci U S A 93: 4045–4050. Biel M,Wascholowski V, Giannis A. 2005. Epigenetics--an epicenter of gene regulation: histones and histone-modifying enzymes. Angew Chem Int Ed Engl 44: 3186–3216. Brueckner B, Boy RG, Siedlecki P, et al. 2005. Epigenetic reactivation of tumor suppressor genes by a novel small-molecule inhibitor of human DNA methyltransferases. Cancer Res 65: 6305–6311. Chung MI, Gan KH, Lin CN, Ko FN, Teng CM. 1993. Antiplatelet effects and vasorelaxing action of some constituents of Formosan plants. J Nat Prod 56: 929–934. Chung MI, Lai MH, Yen MH, Wu RR, Lin CN. 1997. Phenolics from Hypericum geminiflorum. Phytochemistry 44: 943–947. Cornacchia E, Golbus J, MaybaumJ,Strahler J,HanashS,Richardson B. 1988. Hydralazine and procainamide inhibit Tcell DNA methylation and induce autoreactivity. J Immunol 140: 2197–2200. Day SH, Chiu NY, Won SJ, Lin CN. 1999. Cytotoxic lignans of Justicia ciliata. J Nat Prod 62: 1056–1058. Esteller M. 2005. Aberrant DNA methylation as a cancer-inducing mechanism. Annu Rev Pharmacol Toxicol 45: 629–656. Fang MZ, Wang Y, Ai N, et al. 2003. Tea polyphenol (-)epigallocatechin-3-gallate inhibits DNA methyltransferase and reactivates methylation-silenced genes in cancer cell lines. Cancer Res 63: 7563–7570. Gan KH, Fann YF, Hsu SH, Kuo KW, Lin CN. 1998. Mediation of the cytotoxicity of lanostanoids and steroids of Ganoderma tsugae through apoptosis and cell cycle. J Nat Prod 61: 485–487. Gasteiger J, Marsili M. 1980. Iterative partial equalization of orbital electronegativity—a rapid access to atomic charges. Tetrahedron 36: 3219–3228. Goffin J, Eisenhauer E. 2002. DNA methyltransferase inhibitorsstate of the art. Ann Oncol 13: 1699–1716. Graff JR, Herman JG, Lapidus RG, et al. 1995. E-cadherin expression is silenced by DNA hypermethylation in human breast and prostate carcinomas. Cancer Res 55: 5195–5199. Huey R, Morris GM, Olson AJ, Goodsell DS. 2007. A semiempirical free energy force fieldwith charge-based desolvation. J Comput Chem 28: 1145–1152. Jaenisch R, Bird A. 2003. Epigenetic regulation of gene expression: how the genome integrates intrinsic and environmental signals. Nat Genet 33(Suppl): 245–254. Jones PA. 2005. Overview of cancer epigenetics. Semin Hematol 42: S3–8. Ko HH, Yen MH, Wu RR, Won SJ, Lin CN. 1999. Cytotoxic isoprenylated flavans of Broussonetia kazinoki. J Nat Prod 62: 164–166. Ko HH, Yu SM, Ko FN, Teng CM, Lin CN. 1997. Bioactive constituents of Morus australis and Broussonetia papyrifera. J Nat Prod 60: 1008–1011. Laird PW. 2005. Cancer epigenetics. Hum Mol Genet 14 Spec No 1: R65–76. Lee BH, Yegnasubramanian S, Lin X, Nelson WG. 2005. Procainamide is a specific inhibitor of DNA methyltransferase 1. J Biol Chem 280: 40749–40756. Lyko F, Brown R. 2005. DNA methyltransferase inhibitors and the development of epigenetic cancer therapies. J Natl Cancer Inst 97: 1498–1506. Moggs JG, Goodman JI, Trosko JE, Roberts RA. 2004. Epigenetics and cancer: implications for drug discovery and safety assessment. Toxicol Appl Pharmacol 196: 422–430. Momparler RL. 2003. Cancer epigenetics.Oncogene 22: 6479–6483. Naasani I, Oh-Hashi F, Oh-Hara T, et al. 2003. Blocking telomerase by dietary polyphenols is a major mechanism for limiting the growth of human cancer cells in vitro and in vivo. Cancer Res 63: 824–830. Nass SJ,Herman JG,Gabrielson E, et al. 2000. Aberrant methylation of the estrogen receptor and E-cadherin 5’ CpGislands increases with malignant progression in human breast cancer. Cancer Res 60: 4346–4348. Pina IC, Gautschi JT, Wang GY, et al. 2003. Psammaplins from the sponge Pseudoceratina purpurea: inhibition of both histone deacetylase and DNA methyltransferase. J Org Chem 68: 3866–3873. Quina AS, Buschbeck M, Di Croce L. 2006. Chromatin structure and epigenetics. Biochem Pharmacol 72: 1563–1569. Sali A, Blundell TL. 1993. Comparative protein modelling by satisfaction of spatial restraints. J Mol Biol 234: 779–815. Segura-Pacheco B, Trejo-Becerril C, Perez-Cardenas E, et al. 2003. Reactivation of tumor suppressor genes by the cardiovascular drugs hydralazine and procainamide and their potential use in cancer therapy. Clin Cancer Res 9: 1596–1603. Wei BL, Chen YC, Hsu HY. 2011. Kazinol Q from Broussonetia kazinoki enhances cell death induced by Cu(II) through increased reactive oxygen species. Molecules 16: 3212–3221. Weng JR, Chan SC, Lu YH, Lin HC, Ko HH, Lin CN. 2006. Antiplatelet prenylflavonoids from Artocarpus communis. Phytochemistry 67: 824–829. Yoo CB, Jones PA. 2006. Epigenetic therapy of cancer: past, present and future. Nat Rev Drug Discov 5: 37–50. Zambrano P, Segura-Pacheco B, Perez-Cardenas E, et al. 2005. A phase I study of hydralazine to demethylate and reactivate the expression of tumor suppressor genes. BMC Cancer 5: 44–55. J.-R. WENG ET AL. Copyright © 2013 John Wiley & Sons, Ltd. Phytother. Res. (2013)