1 Ethanol extract of Hedyotis diffusa Willd up-regulates G0/G1 phase arrest and induces apoptosis in human leukemia cells by modulating caspase cascade signaling and altering microarray-assisted pathway YU‑JUI KUO1, JAI-SING YANG2, CHI-CHENG LU3, SU-YIN CHIANG1, JAUNG-GENG LIN1, JING-GUNG CHUNG4 1 School of Chinese Medicine-Chinese Herbal Medicine, China Medical University, Taichung, Taiwan, R.O.C. 2Department of Pharmacology, China Medical University, Taichung, Taiwan, R.O.C. 3Department of Life Sciences, National Chung Hsing University, 250, Kuo-Kuang Road, Taichung 402, Taiwan. 4Department of Biological Science and Technology, China Medical University, Taichung, Taiwan, R.O.C. Running Title: Hedyotis diffusa Willd induces cell cycle arrest and apoptosis in HL60 cells Correspondence to: Prof. Jing-Gung Chung, Department of Biological Science and Technology, China Medical University, No 91, Hsueh-Shih Road, Taichung 404, Taiwan. Tel.: +886-4-2205-3366 ext 2161. Fax: +886-4-2205-3764. E-mail: jgchung@mail.cmu.edu.tw ABSTRACT: Our previous study has shown that water extract of Hedyotis diffusa Willd (HDW) promoted immune response and exhibited anti-leukemic activity in BALB/c leukemic mice in vivo. In the present study, we investigated the anti-proliferation effects of ethanol extract of Hedyotis diffusa Willd (EEHDW) on 2 lung cancer cell lines (A549, H1355 and LLC), leukemia cell lines (HL-60, WEHI-3) and a mouse melanoma cell line (B16F10) in vitro. Our results demonstrated that EEHDW suppressed the cell proliferation of A549, H1355, HL-60, WEHI-3 and B16F10 cells as well as reduced cell viability in a concentration-dependent manner. We also found that EEHDW induced cell morphological changes and time- and concentration-dependently inhibited the cell proliferation of HL-60 cells. In addition, EEHDW triggered an arrest of HL-60 cells at G0/G1 phase and sub-G1 population (apoptotic cells). EEHDW provoked DNA condensation and DNA damage in HL-60 cells. The activities of caspase-3, -8 and -9 were elevated in EEHDW-treated HL-60 cells. We also used the DNA microarray to investigate and display the gene levels related to cell growth, signal transduction, apoptosis, cell adhesion, cell cycle, DNA damage and repair, transcription and translation. Our findings suggest that EEHDW may be a potential herbal medicine and therapeutic agent for the treatment of leukemia. Key words: Hedyotis diffusa Willd, G0/G1 phase arrest, apoptosis, human leukemia cells. Introduction Hedyotis Diffusa Willd (HDW) has been used in traditional Chinese medicine (TCM) in Taiwan and China for thousands of years (Lin et al. 2011a). In China, HDW is used as cancers therapy agent and improved the adverse reactions of chemotherapy (Lin et al. 2013b),(Chen et al. 2012). The studies of molecular pharmacology showed that HDW contains major compounds with anti-cancer activities, including anthraquinones (Liu et al. 2010; Niu and Meng 2013; Wang et al. 2011), polyphenols (Han et al. 1997), organic acids (Huang et al. 2009),(Cheung et al. 2006), 3 hemiterpenes (Niu and Meng 2013; Wang et al. 2012) and polysaccharides (Cui et al. 2006; Lin et al. 2013c). Several reports showed that the extract of HDW induced cell cycle and apoptosis in many human cancer cell lines (Lin et al. 2011b; Lin et al. 2012; Liu et al. 2010; Zhang et al. 2012). The extract of HDW has also proven to target multiple signaling pathways that inhibit tumor cell proliferation, induce cell cycle arrest and apoptosis as well as suppress inflammation molecules (Lin et al. 2011a; Lin et al. 2011b; Lin et al. 2012; Liu et al. 2010; Zhang et al. 2012). It was reported that injection of HDW could inhibit the proliferation of RPMI 8226 human hematopoietic cells (Zhang et al. 2012). The anti-cancer mechanisms of HDW might be correlated with early apoptosis induction, cell cycle arrest, and anti-angiogenesis (Lin et al. 2013b; Lin et al. 2011b; Lin et al. 2012). Furthermore, the studies demonstrated that the ethanol extract of Hedyotis diffusa Willd (EEHDW) inhibited colorectal cancer growth in vivo through inhibition of SHH-mediated tumor angiogenesis (Lin et al. 2011b; Lin et al. 2012). Our earlier study demonstrated that water extract of HDW can reduce the weights of spleen and liver and increased the percentage of CD11b cell surface marker (monocytes), but it reduced the percentage of CD3 (T-cell) and CD19 (B-cell) markers in WEHI-3 leukemic mice (Lin et al. 2011a). Importantly, no significant effect on body weight occurred in treated animals (Lin et al. 2011a). However, the molecular mechanism of the anti-cancer activity of EEHDW remains unclear and not well investigated. The purpose of the research was to focus on the molecular mechanisms triggered by EEHDW in leukemia, lung cancer and melanoma cells, and then to clarify the anti-leukemia mechanism of EEHDW in vitro. Materials and methods Chemicals and Reagents. 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), ethanol, propidium iodide (PI), RNase A, Triton X-100 and 4 proteinase K were purchased from Sigma-Aldrich Corp. (St. Louis, MO, USA). RPMI-1640 medium, Dulbecco’s modified eagle medium (DMEM), L-glutamine, penicillin/streptomycin and trypsin-EDTA were obtained from Life Technologies (Carlsbad, CA, USA). Caspase-3, -8 and -9 activity assay kits were purchased from R&D Systems Inc. (Minneapolis, MN, USA). Cell Culture. The leukemia cell lines HL-60 (human promyelocytic leukemia) and WEHI-3 (mouse myelomonocytic leukemia cell), the lung cancer cell lines A549 (human lung adenocarcinoma cells), H1355 (human lung adenocarcinoma cells), LLC (mouse Lewis lung adenocarcinoma cells) and B16F10 (mouse melanoma cells) were purchased from the Bioresource Collection and Research Center (BCRC) of Food Industry Research and Development Institute (Hsinchu, Taiwan). HL-60, WEHI-3 and B16F10 cells were cultured in RPMI-1640 medium. A549, H1355 and LLC were cultured in DMEM medium. All media were supplemented with 10% heat-inactivated fetal calf serum (FCS) (HyClone, Logan, UT, USA), 100 Units/ml penicillin, 100 μg/ml streptomycin and 2 mM L-glutamine at 37 °C in a 5% CO2 humidified incubator (Lin et al. 2013a; Wen et al. 2010; Yang et al. 2006). Preparation for Ethanol Extract of Hedyotis Diffusa Willd (EEHDW). Hedyotis Diffusa Willd (500 g) were extracted with 5000 ml of 50% ethanol using refluxing method and filtered. The ethanol solvent was then evaporated on a rotary evaporator. The dried powder of EEHDW was obtained by a spraying desiccation method using a spray dryer. Stock solutions of EEHDW were prepared by dissolving the powder in DMSO to a concentration of 100 mg/ml and stored at -20 °C. The working concentrations of EEHDW were made by diluting the stock solution in the culture medium. The final concentration of DMSO in the medium was also kept below 0.2%. 5 Cell Viability and Apoptotic Features. The cell viability assay was assessed by the MTT method (Chiang et al. 2013). All cells were individually cultured in a 96-well plate at a density of 1x104 cells per well and incubated with 0, 25, 50, 100 and 200 μg/ml of EEHDW for 24 or 48 h. After that, culture medium containing 500 μg/ml MTT was added to each well, and then incubated at 37 °C for 4 h before the supernatant was removed. The formed blue formazan crystals in viable cells were dissolved with isopropanol/0.04 N HCl, followed by measurement of the absorbance of each well at 570 nm with the ELISA reader. All experiments were performed in triplicate. The morphological examination in EEHDW-treated HL-60 cells was determined under a phase-contrast microscope as described elsewhere (Chen et al. 2010; Wen et al. 2010). Cell Cycle Distribution Analysis. HL-60 cells were seeded in 12-well plates at a density of 2.5x105 cells/well and incubated with or without 100 μg/ml of EEHDW for 24 h. For determination of cell cycle phase and apoptosis, cells were fixed gently by putting 70% ethanol in -20 °C overnight, and then re-suspended in 40 μg/ml PI of PBS, 0.1 mg/ml RNase and 0.1% Triton X-100 in dark room for 30 min. Cell cycle distribution and apoptotic nuclei were measured by flow cytometry as previously described (Yang et al. 2004). DAPI Staining. HL-60 cells in 12-well plates were treated with or without 100 μg/ml of EEHDW for 48 h. Cells were thereafter fixed in 4% paraformaldehyde and exposed to 1 μg/ml of 4’,6-diamidino-2-phenylindole (DAPI) (Molecular Probes by Life Technologies, Eugene, OR, USA) staining solution in darkness. The apoptotic cells were observed by fluorescence microscopy (Zeiss, Oberköchen, Germany) as 6 previously described (Chen et al. 2013; Huang et al. 2010). Comet Assay. HL-60 cells were grown in 12-well plates and incubated with 100 μg/ml of EEHDW for 48 h. Cells were mixed with 150 μl 0.75% low-melting agarose (Sigma-Aldrich Corp.) held at 37 °C and layered onto a pre-treated slide with 1.5% regular agarose. After agarose were solidified on a chilled plate, the slides were transferred to the same lysis buffer, held at room temperature for 4 h and stained with propidium iodide (PI) as described elsewhere with some modifications (Chiang et al. 2011; Lu et al. 2010). Assays for Caspase-3, -8 and -9 Activities. HL-60 cells in 12-well plates were incubated in presence or absence of 100 μg/ml of EEHDW for 24 h. Cells were then harvested, and cell lysates were assessed in accordance with the manufacturer’s instruction provided in the caspase-3, -8 and -9 Colorimetric Assay Kits (R&D System Inc., Minneapolis, MN, USA). Cell lysates containing 50 μg proteins were incubated for 1 h at 37 °C with individual specific caspase-3, -8 or -9 substrate in the reaction buffer (provided in the kits) and measured by OD405 of the released DNA as previously described (Chiu et al. 2011; Huang et al. 2012; Yang et al. 2012). cDNA Microarray. HL60 cells (1×107 cells) were incubated with or without 100 μg/ml of EEHDW for 24 h. After exposure, cell pellets were collected, and the total RNA from each treatment was purified using the Qiagen RNeasy Mini Kit (Qiagen, inc, Valencia, CA, USA). The RNA purity was determined to check the quality at 260/280 nm using a NanoDrop 1000 Spectrophotometer (Thermo Fisher Scientific, Wilmington, DE, USA). mRNA was amplified and labeled using the GeneChip WT Sense Target Labeling and Control Reagents kit (Affymetrix, Santa Clara, CA, USA) 7 for expression analysis. The synthesized cDNA was labeled with fluorescence, and then hybridized d for 17 h utilizing Affymetrix GeneChip Human Gene 1.0 ST array (Affymetrix) to determine for microarray hybridization following the manufacturer’s prototols. The arrays were subsequently washed by Fluidics Station 450 (Affymetrix), stained with streptavidin-phycoerythrin (GeneChip Hybridization, Wash, and Stain kit, Affymetrix) and scanned on a GeneChip Scanner 3000 (Affymetrix). The localized concentrations of fluorescent molecules were quantitated and analyzed using Expression Console Software (Affymetrix) with default RMA parameters as previously described (Chang et al. 2012; Liu et al. 2013). The gene expression level of a 5-fold change was considered a difference in EEHDW-treated HL60 cells in vitro. Statistical Analysis. All the statistical results were performed as the mean ± standard error of the mean (S.E.M.) for the indicated numbers of independent experiments. Statistical analyses of data were performed using one-way ANOVA followed by Student's t-test, and the levels of *P < 0.05 was considered significant between the treated and untreated group (Chang et al. 2012). Results EEHDW Reduces the Viability of Human Cancer Cell Lines. The lung cancer cell lines (A549, H1355 and LLC), leukemia cell lines (HL-60, WEHI-3) and a mouse melanoma cell line (B16F10) were treated with EEHDW (0, 25, 50, 100 and 200 μg/ml) for 24 or 48 h. The viability were determined by MTT assay. The concentrations 25, 50, 100 and 200 μg/ml of EEHDW treatment significantly decreased cell viability in A549, H1355 and HL-60 cells in a concentration-dependent manner (Figures 1A, 1B and 1D). EEHDW at 50, 100 and 200 μg/ml markedly 8 decreased cell viability in WEHI-3 and B16F10 cells in a concentration-dependent effect (Figures 1E and 1F). However, we found that EEHDW treatment did not significantly decrease cell viability of LLC cells (Figure 1C). Our results suggested that EEHDW exhibited the anti-cancer action and was sensitized in leukemia, lung cancer and melanoma cells in vitro. EEHDW Induces Apoptosis and Cell Cycle Arrest in Human Leukemia HL-60 Cells. Cells were exposed to EEHDW (0, 25, 50, 100 and 200 μg/ml) for 24 and 48 h. The cell viability was determined by MTT assay. The concentrations of 25, 50, 100 and 200 μg/ml of EEHDW treatments significantly decreased cell viability in HL-60 cells in a concentration- and time-dependent manner (Figure 2A). After exposure to 100 μg/ml of EEHDW for 48 h, apoptotic bodies were visualized in EEHDW-treated HL-60 cells (Figure 2B). Our studies investigated the possible mechanisms focused on cell cycle arrest or apoptosis by inhibitory effects in HL-60 cells after EEHDW incubation. Figure 3 indicates that EEHDW induced sub-G1 phase (apoptotic cell death) and increased G0/G1 phase arrest with 24-h treatment. Our results imply that EEHDW induced G0/G1 phase arrest and cell apoptosis in HL-60 cells. EEHDW Triggers DNA Condensation and Damage in HL-60 Cells. Effects of EEHDW on nuclear morphological change were examined by DAPI staining and DNA damage by the Comet assay. The results in Figure 4 demonstrated that HL-60 cells exhibited nuclear shrinkage and DNA condensation after a 48-h treatment with 100 μg/ml of EEHDW (Figure 4A). HL-60 cells after exposure to 100 μg/ml of EEHDW had an increase in DNA damage from the Comet assay (Figure 4B). These results hint that EEHDW induced DNA condensation and DNA damage in HL-60 cells. 9 EEHDW-Stimulated Apoptosis Occurs Through the Induction of Caspase-3, -8 and -9 Activities. HL-60 cells were treated with or without 100 μg/ml of EEHDW for 24 h before being subjected to caspase-3, -8 and -9 activities. Our data as shown in Figure 5 revealed that EEHDW promoted caspase-3, -8 and -9 activities in HL-60 cells. Based on our findings, it is concluded that the caspase cascade contributed to EEHDW-induced apoptosis in HL-60 cells. Microarray Analysis. cDNA microarray was analyzed to examine the expressed genes in HL-60 cells after treatment with or without 100 μg/ml of EEHDW as listed in Table 1. We showed that the transcripts of 6 genes with fold changes >5.0 were up-regulated, while these of 97 genes were down-regulated in EEHDW-treated HL-60 cells. Our results revealed that EEHDW affected the expression of important genes that regulated cell growth (AKR1C2, AKR1C1, AKR1C1, ALDH3A1, TXNRD1 and ANKRD11); signal transduction (G protein-coupled receptor 109A, G protein-coupled receptor 20, EGF-containing fibulin-like extracellular matrix protein 2, mitogen-activated protein kinase 12, G protein-coupled receptor 73, sprouty homolog 1, antagonist of FGF signaling, estrogen-related receptor beta, Ral-GDS related protein Rgr, purinergic receptor P2Y, G-protein coupled, 2, fms-related tyrosine kinase 4, nasal embryonic LHRH factor, lymphocyte antigen 6 complex, locus E, hypothetical protein MGC4171;mitogen-activated protein kinase 3, interleukin 6 receptor); Apoptosis (clusterin, hypothetical protein MGC13096,scavenger receptor class B, member 1; BCL2-like 11 (apoptosis facilitator), hypothetical protein FLJ20425); cell adhesion (GTPase activating RANGAP domain-like 3, bystin-like); cell cycle (cyclin-dependent kinase 4, mitochondrial topoisomerase I, replication factor C (activator 1) 1, 145kDa); DNA 10 damage and repair (APEX nuclease (multifunctional DNA repair enzyme) 1, RuvB-like 1, uracil-DNA glycosylase); transcription and translation (nuclear factor I/A, zinc finger protein 584, zinc finger protein 202, nuclear factor (erythroid-derived 2), 45kDa, D site of albumin promoter (albumin D-box) binding protein, lymphoblastic leukemia derived sequence 1, SLC2A4 regulator, polymerase (RNA) III (DNA directed) polypeptide K, 12.3 kDa, polymerase (RNA) I polypeptide C, 30kDa, polymerase (RNA) I polypeptide B, 128 kDa, polymerase (DNA directed), epsilon 3 (p17 subunit), MYB binding protein (P160) 1a, polymerase (RNA) I polypeptide B, 128kDa, PEPP subfamily gene 2, v-myc myelocytomatosis viral oncogene homolog (avian), POU domain, class 4, transcription factor 3, FLJ42986 protein. Discussion It has been reported that HDW is one of the most popular traditional herbal medicines in Taiwan and China (Lin et al. 2011a). It is noteworthy that HDW has various pharmacological activities such as anti-cancer (Chen et al. 2008; Lin et al. 2011b), anti-inflammatory (Lin et al. 2002), hepatoprotective (Lin et al. 2002), and neuroprotective activities (Kim et al. 2001). HDW is used as a therapy to treat hepatoma (Chen et al. 2012; Lee et al. 2011; Lin et al. 2011a), lung cancer (Lee et al. 2011), colon cancer (Lee et al. 2011; Lin et al. 2010; Lin et al. 2011b; Lin et al. 2012), Pancreatic cancer and leukemia (Chen et al. 2008; Lin et al. 2011a). Our earlier study demonstrated that the water extract of HDW caused anti-leukemic effects in the BALB/c mouse WEHI-3 model (Lin et al. 2011b). This report is the first study to investigate the anti-lung cancer effects of EEHDW on human A549 and H1355 cells in vitro. Although Chen et al have demonstrated that water extract of HDW can inhibit cell growth of HL-60 cells (Chen et al. 2008), the molecular mechanism of the 11 anti-leukemia activity of EEHDW still showed unsatisfactory results. Our study also provided the first pharmacological evidence for the anti-leukemia effects of EEHDW on HL-60 cells by DNA microarray. The previous studies demonstrated that water extract of HDW inhibited HepG2 cell proliferation through G0/G1 phase arrest and induction of S phase delay (Chen et al. 2012; Shi et al. 2008). In addition, Lin et al have demonstrated that EEHDW treatment blocked the cell cycle, preventing G1 to S progression, and reduced mRNA expression of pro-proliferative PCNA, Cyclin D1 and CDK4, but increased p21 (CDKI) in HT-29 human colon cancer cells (Lin et al. 2010). Our results demonstrated that EEHDW inhibited HL-60 leukemia cell proliferation (Figure 2) through G0/G1 phase arrest and induction of cell apoptosis (Figure 3). In addition, EEHDW affected the expression of important genes that regulated cell cycle G0/G1 phase include cyclin-dependent kinase 4, mitochondrial topoisomerase I, replication factor C (activator 1) 1, 145kDa gene (Table 1). Our present results indicated that EEHDW-induced anti-proliferation action might be mediated by the way of G0/G1 phase arrest in HL-60 cells. Apoptosis is one of the major forms of cell death, associated with characteristic morphological changes including the formation of membrane blebs and apoptotic bodies, DNA condensation and fragmentation (De la Rosa et al. 2013; Stevens et al. 2013; Wood et al. 2013). It was reported that EEHDW induced DNA fragmentation, loss of plasma membrane asymmetry, collapse of mitochondrial membrane potential and activation of caspase-3 and caspase-9 in HT29 colon cancer cells (Lin et al. 2010). Our results also showed that EEHDW inhibited HL-60 leukemia cell proliferation (Figure 2) and induced DNA condensation (Figure 4A), DNA damage (Figure 4B) and apoptotic cell death (Figure 2B). We revealed that EEHDW affected the expression of important genes that regulated cell proliferation gene (AKR1C2, 12 AKR1C1, AKR1C1, ALDH3A1, TXNRD1 and ANKRD11), Apoptotic cell death gene (clusterin, hypothetical protein MGC13096, scavenger receptor class B, member 1; BCL2-like 11 (apoptosis facilitator), hypothetical protein FLJ20425) and DNA damage and repair gene (APEX nuclease (multifunctional DNA repair enzyme) 1, RuvB-like 1, uracil-DNA glycosylase) (Table 1). Caspases play a vital role in cell apoptosis. There are two major pathways by which a caspase cascade results in the activation of effector caspase-3 initiated by the apical caspases such as caspase-8 and -9 (Fiandalo and Kyprianou 2012; Hensley et al. 2013; Olsson and Zhivotovsky 2011). Figure 5 showed EEHDW provoked apoptosis through the activation of caspase-3, -8 and -9 in HL-60 cells. These results conclude that EEHDW-induced apoptosis might be via the caspase-dependent signaling pathway, which has connection with the activation of caspases-3, -8 and -9 signals. Wang et al has shown that treatment of U937 cells with 2-hydroxy-3-methylanthraquinone from HDW resulted in induction of apoptosis and activation of caspase-3 pathway (Wang et al. 2013). Furthermore, 2-hydroxy-3-methylanthraquinone also induces apoptosis through Fas/FasL-mediated caspase-8 pathway in human leukemic THP-1 cells (Wang et al. 2011). Hence, 2-hydroxy-3-methylanthraquinone show major potential as a selective anti-leukemia compound by modulating apoptosis in leukemia cells. In conclusion, EEHDW is likely to induce growth inhibition of A549, H1355, HL-60, WEHI-3 and B16F10 cells. We also found that EEHDW promoted G0/G1 phase arrest and apoptosis in HL-60 cells. The molecular signaling pathways involved in these effects on HL-60 cells are summarized in Figure 6. The findings suggest that EEHDW triggered apoptotic cell death through activation of caspase-3, 8 and 9 in HL-60 cell. EEHDW may be one of the best TCM to be developed as a novel medicine against leukemia in the future. In addition, EEHDW demonstrated potent inhibitory activity against human lung cancer cells and merits further investigation. 13 Acknowledgements This work was supported by grant CMU101-ASIA-09 from Department of Health, Executive Yuan, R.O.C (Taiwan). REFERENCES Chang CM, Chang PY, Tu MG, Lu CC, Kuo SC, Amagaya S, Lee CY, Jao HY, Chen MY, Yang JS. 2012. Epigallocatechin gallate sensitizes CAL-27 human oral squamous cell carcinoma cells to the anti-metastatic effects of gefitinib (Iressa) via synergistic suppression of epidermal growth factor receptor and matrix metalloproteinase-2. Oncol Rep 28(5):1799-807. 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Mol Neurobiol 48(2):308-14. Yang JS, Hour MJ, Kuo SC, Huang LJ, Lee MR. 2004. Selective induction of G2/M arrest and apoptosis in HL-60 by a potent anticancer agent, HMJ-38. Anticancer Res 24(3a):1769-78. 17 Yang JS, Kok LF, Lin YH, Kuo TC, Yang JL, Lin CC, Chen GW, Huang WW, Ho HC, Chung JG. 2006. Diallyl disulfide inhibits WEHI-3 leukemia cells in vivo. Anticancer Res 26(1A):219-25. Yang JS, Wu CC, Kuo CL, Lan YH, Yeh CC, Yu CC, Lien JC, Hsu YM, Kuo WW, Wood WG and others. 2012. Solanum lyratum Extracts Induce Extrinsic and Intrinsic Pathways of Apoptosis in WEHI-3 Murine Leukemia Cells and Inhibit Allograft Tumor. Evid Based Complement Alternat Med 2012:254960. Zhang X, Ye BD, Lin SY. 2012. [Effects of Hedyotis diffusa Willd injection on the proliferation of RPMI 8226 cells]. Zhongguo Zhong Xi Yi Jie He Za Zhi 32(12):1658-62. Figure legend FIGURE 1. Effects of EEHDW on cell viability in cancer cell lines. Lung cancer A549 (A), H1355 (B), LLC cells (C), leukemia HL-60 (D) and WEHI-3 cells (E), and melanoma B16F10 cells (F) were incubated in the absence or presence of 0, 25, 50, 100 and 200 μg/ml of EEHDW for 48 h. Cell viability was determined using the MTT assay. The data are presented as mean ± S.E.M. in triplicate by comparing the treated with untreated control cells. *, p<0.05 compared with the control value. FIGURE 2. Effects of EEHDW on cell viability and cell morphology in HL-60 cells. (A) Cells were treated with or without 0, 25, 50, 100 and 200 μg/ml of EEHDW for 24 and 48 h. Cell viability were determined using the MTT assay. The data are presented as mean ± S.E.M. in triplicate by comparing the treated with untreated control cells. *, p<0.05 compared with the control value. (B) The morphological examination was determined under a phase-contrast microscope. FIGURE 3. Effects of EEHDW on distribution of cell cycle and apoptosis in HL-60 cells. Cells were exposed in the absence or presence of 100 μg/ml of EEHDW for 24 18 h, then harvested for determination the distribution of cell cycle by flow cytometry (A) and quantitative results (B) were expressed. The data are presented as mean ± S.E.M. in triplicate by comparing the treated with untreated control cells. *, p<0.05 compared with the control value. The morphological examination was determined under a phase-contrast microscope. FIGURE 4. Effects of EEHDW on DNA condensation and DNA damage in HL-60 cells. Cells were incubated and treated with or without 100 μg/ml of EEHDW for 48 h. (A) HL-60 cells stained with DAPI to observe DNA condensation. Arrows indicate cells showing DNA condensation and nuclear fragmentation. (B) HL-60 cells were examined for DNA damage by Comet assay. Cells were photographed under fluorescence microscopy (x200). FIGURE 5. Effects of caspase-3, -8 and -9 activities on EEHDW-treated HL-60 cells. Cells were incubated in the absence or presence of 100 μg/ml of EEHDW for 24 h, and the whole-cell lysate were subjected to caspase-3, -8 and -9 activity assay. Each result is shown as mean ± S.E.M. in triplicate by comparing the treated with untreated control cells. *, p<0.05 compared with the untreated control value. FIGURE 6. Proposed a schematic diagram for the mechanisms of EEHDW-mediated signaling pathways by DNA microarray in HL-60 human leukemia cells. 19 Table 1: List of genes with more than 5.0-fold change in mRNA levels in HLDNA microarray -treatment identified by Ratio Gene_Name Gene_ID Panther_Family_Name Function Process 23.94 G protein-coupled receptor 109A hCG2016371.1 G-PROTEIN COUPLED RECEPTOR G-protein coupled receptor Signal transduction 18.98 POU domain, class 4, transcription factor 3 hCG1980143 POU DOMAIN TRANSCRIPTION FACTOR Transcription factor mRNA transcription CLUSTERIN Molecular function unclassified Apoptosis 13.66 12.60 clusterin cytosolic acetyl-CoA hydrolase hCG17283.4 hCG37739.4 CYTOSOLIC ACYL COENZYME A THIOESTER HYDROLASE-RELATED Hydrolase Lipid, fatty acid and steroid metabolism 6.22 5.60 glial fibrillary acidic protein calpain 2, (m/II) large subunit hCG27744.3 hCG38902.3 COILED-COIL INTERMEDIATE FILAMENT FAMILY MEMBER CALPAIN FAMILY MEMBER Cytoskeletal protein Cysteine protease Cell structure and motility Protein metabolism and modification -5.00 solute carrier family 39 (zinc transporter), member 3 hCG25250.4 ZINC-IRON TRANSPORTER Transporter Transport 20 -5.00 folylpolyglutamate synthase hCG18548.3 FOLYLPOLYGLUTAMATE SYNTHASE-RELATED Synthase and synthetase Carbon metabolism -5.10 sprouty homolog 1, antagonist of FGF signaling hCG1778453.2 SPROUTY Transcription factor Signal transduction -5.32 estrogen-related receptor beta hCG21644.4 NUCLEAR HORMONE RECEPTOR Nuclear hormone Signal receptor transduction RIBOSOMAL RNA METHYLTRANSFERASE Transferase -> Methyltransferase Nucleoside, nucleotide and nucleic acid metabolism GUANINE NUCLEOTIDE DISSOCIATION G-protein Signal STIMULATOR RALGDS modulator transduction -5.35 FtsJ homolog 1 hCG17419.3 -5.38 Ral-GDS related protein Rgr hCG2043016 -5.67 lymphoblastic leukemia derived sequence 1 hCG27763.3 SCL FAMILY Transcription factor mRNA transcription -5.68 FK506 binding protein 1A, 12kDa hCG2019616.1 FK506-BINDING PROTEIN Isomerase Protein folding -5.71 MKI67 interacting nucleolar phosphoprotein hCG1750014.3 RNA-BINDING PROTEIN Nucleic acid binding replication factor C (activator 1) 1, 145kDa hCG38547.4 -5.80 REPLICATION FACTOR C SUBUNIT DNA-directed RNA polymerase Biological process unclassified Cell cycle; DNA 21 replication -5.80 phosphoribosyl pyrophosphate amidotransferase hCG2027246 AMIDOPHOSPHORIBOSYLTRANSFERASERELATED Transferase Monosacchari de metabolism Cell -5.87 -5.95 dachshund homolog 1 oxysterol binding protein-like 1A hCG32210.2 hCG2020467 DACHSHUND FAMILY MEMBER OXYSTEROL BINDING PROTEIN-RELATED Transcription factor Miscellaneous function proliferation and differentiation Lipid, fatty acid and steroid metabolism Amino acid -5.98 -6.12 ornithine decarboxylase 1 NHP2 non-histone chromosome protein 2-like 1 hCG21951.2 hCG41538.3 ORNITHINE/DIAMINOPIMELATE PLP-DEPENDENT DECARBOXYLASES RIBOSOMAL PROTEIN L7AE-RELATED Lyase -> Decarboxylase Nucleic acid binding -> Ribosomal protein -6.13 phosphatidylethanolamine N-methyltransferase hCG31440.2 PHOSPHATIDYLETHANOLAMINE N-METHYLTRANSFERASE-RELATED Transferase -> Methyltransferase metabolism -> Amino acid biosynthesis Biological process unclassified Lipid, fatty acid and 22 steroid metabolism -6.29 calreticulin hCG172487.2 CALRETICULIN AND CALNEXIN Select calcium binding protein Protein folding Amino acid -6.32 pyrroline-5-carboxylate reductase 1 hCG38803.3 PYRROLINE-5-CARBOXYLATE REDUCTASE Oxidoreductase -> Reductase metabolism -> Amino acid biosynthesis -6.50 acetylcholinesterase (YT blood group) hCG19216.3 ESTERASE-RELATED Hydrolase -> Esterase Neuronal activities -6.57 megakaryocyte-associated tyrosine kinase hCG23522.2 TYROSINE PROTEIN KINASE Non-receptor tyrosine protein kinase -6.80 U3 snoRNP protein 4 homolog hCG39079.3 U3 SMALL NUCLEOLAR RIBONUCLEOPROTEIN PROTEIN IMP4-RELATED -6.81 purinergic receptor P2Y, G-protein coupled, 2 hCG23327.4 G PROTEIN-COUPLED RECEPTOR -6.97 IMP cyclohydrolase hCG16691.5 BIFUNCTIONAL PURINE BIOSYNTHESIS Nucleic acid binding -> Ribonucleoprotei n Protein metabolism and modification Nucleoside, nucleotide and nucleic acid metabolism Signal transduction Hydrolase -> Nucleoside, 23 PROTEIN PURH -7.36 -7.40 stromal antigen 3 lysophospholipase II hCG2024106 hCG1981746 Other hydrolase nucleotide and nucleic acid metabolism Molecular Biological PROTEIN function unclassified process unclassified ESTERASE-RELATED Hydrolase -> Lipase -> Phospholipase Lipid, fatty acid and steroid metabolism STROMAL ANTIGEN CONTAINING Nucleoside, -7.41 -7.46 -7.82 splicing factor, arginine/serine-rich 7, 35kDa pseudouridylate synthase 1 mitochondrial ribosomal protein S7 hCG15878.3 hCG1744445.2 hCG27458.3 SPLICING FACTOR-RELATED PSEUDOURIDYLATE SYNTHASE RIBOSOMAL PROTEIN S7 Nucleic acid binding Synthase and synthetase Nucleic acid nucleotide and nucleic acid metabolism Nucleoside, nucleotide and nucleic acid metabolism Protein 24 binding -> Ribosomal protein -8.15 glucose 6 phosphatase, catalytic, 3 hCG30307.3 GLUCOSE-6-PHOSPHATASE Phosphatase biosynthesis Biological process unclassified -8.18 -8.33 retinol dehydrogenase 13 (all-trans and 9-cis) proliferation-associated 2G4, 38kDa hCG20266.4 hCG2015367 OXIDOREDUCTASE METHIONINE AMINOPEPTIDASE Oxidoreductase -> Dehydrogenase Biological process unclassified Transcription factor Protein metabolism and modification -8.53 phosphoglycerate mutase 1 (brain) hCG25778.3 -8.61 opioid receptor, sigma 1 hCG20471.4 -8.65 SLC2A4 regulator hCG22760.2 -8.74 exosome component 7 hCG1641243.2 Isomerase -> Mutase Carbohydrate metabolism C-8 STEROL ISOMERASE-RELATED Receptor Biological process unclassified PAPILLOMAVIRUS REGULATORY FACTOR Transcription mRNA PRF-1 RELATED cofactor transcription RIBONUCLEASE PH-RELATED Nucleic acid binding -> Nucleoside, nucleotide PHOSPHOGLYCERATE MUTASE 25 Nuclease and nucleic acid metabolism -8.79 polymerase (RNA) III polypeptide K, 12.3 kDa hCG1787292.2 TRANSCRIPTION FACTOR TFIIS DNA-directed RNA polymerase mRNA transcription -9.02 fms-related tyrosine kinase 4 hCG15283.4 IG DOMAIN SUPERFAMILY Tyrosine protein kinase receptor Signal transduction Nucleic acid binding Nucleoside, nucleotide and nucleic acid metabolism -9.28 splicing factor, arginine/serine-rich 7, 35kDa hCG15878.3 SPLICING FACTOR-RELATED Non-receptor -9.38 -9.50 cyclin-dependent kinase 4 bystin-like hCG40151.2 hCG16772.3 -9.54 hypothetical protein FLJ20425 hCG38080.3 -9.88 exosome component 2 hCG2024976 PROTEIN KINASE BYSTIN CELL GROWTH REGULATING NUCLEOLAR serine/threonine protein kinase Molecular function unclassified Cell cycle; Mitosis Cell adhesion Molecular PROTEIN function unclassified Oncogene 3'-5' EXORIBONUCLEASE RRP4 Nucleic acid Nucleoside, 26 binding -> Nuclease nucleotide and nucleic acid metabolism Nucleoside, -10.02 phosphoribosylaminoimidazole carboxylase -10.19 peptidylprolyl isomerase (cyclophilin)-like 1 hCG2027161 PHOSPHORIBOSYLAMIDOIMIDAZOLE-SUC CINOCARBOXAMIDE SYNTHASE Synthase and synthetase hCG15366.3 CYCLOPHILIN-TYPE PEPTIDYL-PROLYL CIS-TRANS ISOMERASE FAMILY MEMBER Isomerase Nucleic acid -10.45 -10.53 -10.65 nucleolar protein NOP5/NOP58 dyskeratosis congenita 1, dyskerin exosome component 5 hCG32478.2 hCG18117.2 hCG22328.3 NUCLEOLAR PROTEIN NOP56-RELATED TRNA PSEUDOURIDINE SYNTHASE-RELATED RIBONUCLEASE PH-RELATED binding -> Ribonucleoprotei n Centromere DNA-binding nucleotide and nucleic acid metabolism Protein folding Nucleoside, nucleotide and nucleic acid metabolism Nucleoside, nucleotide and nucleic protein acid metabolism Transferase -> Biological 27 Nucleotidyltransf erase process unclassified mRNA transcription -10.72 polymerase (RNA) I polypeptide C, 30kDa hCG18995.3 DNA-DIRECTED RNA POLYMERASE SUBUNIT D DNA-directed RNA polymerase -11.04 nasal embryonic LHRH factor hCG28443.3 NASAL EMBRYONIC LHRH FACTOR Chemokine -11.18 importin 4 hCG2014018.1 IMPORTIN Transporter -> Other transporter Nuclear transport -11.32 polymerase (RNA) I polypeptide B, 128kDa hCG16259.3 DNA-DIRECTED RNA POLYMERASE BETA CHAIN DNA-directed RNA polymerase mRNA transcription GLYCINE CLEAVAGE SYSTEM H Hydrolase -> Amino acid metabolism -> PROTEIN-RELATED Other hydrolase Amino acid -11.49 glycine cleavage system protein H hCG1980047 Signal transduction catabolism -11.71 -11.72 A kinase (PRKA) anchor protein 1 cytochrome P450, family 27, subfamily B hCG33378.3 hCG2014568 A KINASE ANCHOR PROTEIN 1 Signaling molecule CYTOCHROME Transferase -> P450;METHYLTRANSFERASE - RELATED Methyltransferase Protein targeting and localization Nucleoside, nucleotide and nucleic acid metabolism 28 -11.98 mitochondrial ribosomal protein L12 hCG2040013 RIBOSOMAL PROTEIN L7/L12 Nucleic acid binding -> Synthetase -12.07 polymerase (DNA directed), epsilon 3 (p17 subunit) hCG29189.2 DNA BINDING TRANSCRIPTION FACTOR Transcription factor mRNA transcription hCG1985639 KRAB-RELATED C2H2-TYPE ZINC-FINGERS;KINESIN-RELATED Cytoskeletal protein Protein targeting and localization 60S RIBOSOMAL PROTEIN L22 Nucleic acid binding -> Ribosomal protein Protein biosynthesis -12.17 -12.38 -12.56 -12.60 -12.60 MYC-associated zinc finger protein ribosomal protein L22 spermine oxidase mitochondrial methionyl-tRNA synthetase endothelin converting enzyme 2 hCG2009685 hCG39338.5 FLAVIN MONOAMINE OXIDASE-RELATED hCG1820508.1 METHIONYL-TRNA SYNTHETASE hCG2022032 FAMILY NOT NAMED;ZINC METALLOPROTEASE Oxidoreductase Protein biosynthesis Biological -> Oxidase process unclassified Nucleic acid binding -> Synthetase Protein metabolism and modification Metalloprotease Protein metabolism and 29 modification -12.62 nucleolar protein 5A hCG39617.2 NUCLEOLAR PROTEIN NOP56-RELATED Nucleic acid binding -> Ribonucleoprotei n -12.90 Down syndrome critical region gene 2 hCG401227.3 LEUCINE RICH PROTEIN Molecular function unclassified -13.03 MYB binding protein (P160) 1a hCG32148.3 MYB BINDING PROTEIN P160 Transcription cofactor Molecular -13.30 -13.34 -14.02 lymphocyte antigen 6 complex, locus E phenylalanine-tRNA synthetase-like, beta subunit arginase, liver hCG1765592.2 hCG2012454 hCG21029.4 UPAR-LY6 DOMAIN CONTAINING PROTEIN Nucleoside, nucleotide and nucleic acid metabolism Cell proliferation and differentiation mRNA transcription Signal function unclassified transduction PHENYLALANYL-TRNA SYNTHETASE BETA CHAIN Synthase and synthetase Protein metabolism and modification ARGINASE-RELATED Hydrolase -> Other hydrolase Amino acid metabolism -> Amino acid 30 catabolism -14.23 uridine monophosphate synthetase hCG1780791.2 OROTIDINE 5-PHOSPHATE DECARBOXYLASE-RELATED Lyase -> Decarboxylase Nucleoside, nucleotide and nucleic acid metabolism -14.27 -14.71 -15.66 -15.74 solute carrier family 25 glycine cleavage system protein H polymerase (RNA) I polypeptide B, 128kDa mitochondrial ribosomal protein L4 hCG37927.2 hCG1980047 hCG16259.3 hCG28479.3 Transfer/carrier protein Transport GLYCINE CLEAVAGE SYSTEM H PROTEIN-RELATED Hydrolase -> Other hydrolase Amino acid metabolism -> Amino acid catabolism DNA-DIRECTED RNA POLYMERASE BETA DNA-directed mRNA CHAIN RNA polymerase transcription 50S RIBOSOMAL PROTEIN L4 Nucleic acid binding -> Ribosomal protein Protein biosynthesis MITOCHONDRIAL CARRIER PROTEIN Nucleoside, -16.30 aspartate transcarbamylase hCG23710.3 CARBAMOYL-PHOSPHATE SYNTHASE Synthase and synthetase nucleotide and nucleic acid 31 metabolism -16.79 cyclin-dependent kinase 4 hCG40151.2 PROTEIN KINASE Non-receptor serine/threonine protein kinase Cell cycle Nucleic acid -17.63 -17.79 -17.82 -19.30 -19.57 chromosome 1 open reading frame 33 DPH2-like 2 (S. cerevisiae) sideroflexin 4 RuvB-like 1 (E. coli) DEAD (Asp-Glu-Ala-Asp) box polypeptide 51 hCG41080.3 60S ACIDIC RIBOSOMAL PROTEIN P0 hCG25198.3 DIPTHERIA TOXIN RESISTANCE PROTEIN-RELATED hCG37954.2 hCG40109.3 hCG96673.3 SIDEROFLEXIN RUVB-RELATED DEAD BOX ATP-DEPENDENT RNA HELICASE binding -> Ribosomal protein Molecular function unclassified Transfer/carrier protein RNA helicase RNA helicase Protein biosynthesis Immunity and defense Biological process unclassified DNA repair Nucleoside, nucleotide and nucleic acid metabolism -19.64 hypothetical protein MGC15429 hCG42593.2 THERMOACIDOPHILIC ALPHA-BETA HYDROLASE-RELATED Hydrolase Biological process 32 unclassified FATTY ACID-BINDING PROTEIN Transfer/carrier protein Lipid, fatty acid and steroid metabolism hCG1796030.1 PPAR GAMMA COACTIVATOR-RELATED Transcription cofactor Biological process unclassified spermidine synthase hCG24773.3 SPERMIDINE SYNTHASE-RELATED Synthase and synthetase Metabolism translocase of outer mitochondrial membrane 40 homolog hCG1996194 MITOCHONDRIAL IMPORT RECEPTOR SUBUNIT TOM40-RELATED -20.19 fatty acid binding protein 5 (psoriasis-associated) -21.06 peroxisome proliferative activated receptor -22.32 -23.92 hCG1984476 Receptor -> Other Mitochondrial receptor transport Cytoskeletal -23.92 lamin B2 hCG2004338.1 INTERMEDIATE FILAMENT protein -> Intermediate filament Cell structure and motility -24.16 quinoid dihydropteridine reductase hCG39606.3 DIHYDROPTERIDINE REDUCTASE Oxidoreductase -> Dehydrogenase -25.27 PEPP subfamily gene 2 hCG1740373.2 HOMEOBOX PROTEIN Transcription factor mRNA transcription -26.80 similar to CGI-96;polymerase hCG1988267 40S RIBOSOMAL PROTEIN S2 Chaperone Nucleoside, Amino acid catabolism 33 nucleotide and nucleic acid metabolism Nucleoside, -26.87 similar to CGI-96;polymerase hCG1988267 40S RIBOSOMAL PROTEIN S2 Chaperone -32.04 uracil-DNA glycosylase hCG38494.3 URACIL-DNA GLYCOSYLASE DNA glycosylase RNA 3'-TERMINAL PHOSPHATE Nucleic acid binding -> -32.54 RNA terminal phosphate cyclase-like 1 hCG1811283.3 CYCLASE-RELATED -32.84 hypothetical protein MGC15668 hCG1794543.1 4-HYDROXYPHENYLPYRUVATE DIOXYGENASE -39.46 solute carrier family 25 hCG37927.2 MITOCHONDRIAL CARRIER PROTEIN -44.44 solute carrier family 29 hCG19000.3 EQUILIBRATIVE NUCLEOSIDE TRANSPORTER nucleotide and nucleic acid metabolism DNA repair Pre-mRNA processing -> Synthetase mRNA splicing Oxidoreductase -> Oxygenase Amino acid metabolism -> Amino acid catabolism Transfer/carrier protein Transporter -> Other transporter Transport Nucleoside, nucleotide 34 and nucleic acid metabolism -55.57 v-myc myelocytomatosis viral oncogene homolog hCG15917.3 MYC PROTO-ONCOGENE Transcription factor mRNA transcription -79.62 interferon-related developmental regulator 2 hCG2039742.2 INTERFERON-RELATED DEVELOPMENTAL REGULATOR Glycosidase Neurogenesis hCG1983753 PROTEIN KINASE;MITOGEN-ACTIVATED PROTEIN KINASE-RELATED Non-receptor serine/threonine protein kinase Signal transduction -82.20 mitogen-activated protein kinase 3 35 36 37 38 39 40 41