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Published in: BMC Complementary Medicine and Therapies 1/2018

Open Access 01-12-2018 | Research article

Hot water extract of Agaricus blazei Murrill specifically inhibits growth and induces apoptosis in human pancreatic cancer cells

Authors: Yoshihisa Matsushita, Yoshiyuki Furutani, Rumiko Matsuoka, Toru Furukawa

Published in: BMC Complementary Medicine and Therapies | Issue 1/2018

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Abstract

Background

Pancreatic cancer is one of the most aggressive human malignancies. The development of a novel drug to treat pancreatic cancer is imperative, and it is thought that complementary and alternative medicine (CAM) could yield such a candidate. Agaricus blazei Murrill is a CAM that has been tested as an anticancer drug, but its efficacy against pancreatic cancer is poorly understood. To study the potential of A. blazei in the treatment of pancreatic cancer, we examined the effects of its hot water extract on the proliferation and global gene expression profile of human pancreatic cancer cells.

Methods

Three distinct human pancreatic cancer cell lines, MIAPaCa-2, PCI-35, and PK-8, and the immortalized human pancreatic duct-epithelial cell line, HPDE, were employed. The cells were incubated with the appropriate growth medium supplemented with the hot water extract of A. blazei at final concentrations of 0.005, 0.015%, or 0.045%, and cellular proliferation was assessed for five consecutive days using an MTT assay. Apoptosis was examined by using flow cytometry and the terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL) assay. Caspase-dependent apoptosis was assayed using immunoblotting. Global gene expression profiles were examined using a whole human genome 44 K microarray, and the microarray results were validated by using real-time reverse transcription PCR.

Results

The hot water extract of A. blazei significantly inhibited the proliferation of cultured pancreatic cancer cells through the induction of G0/G1 cell cycle arrest and caspase-dependent apoptosis; the effect was the smallest in HPDE cells. Furthermore, significant alterations in the global gene expression profiles of pancreatic cancer cells occurred following treatment with the hot water extract of A. blazei. Genes associated with kinetochore function, spindle formation, and centromere maintenance were particularly affected, as well as cyclins and cyclin-dependent kinases that are essential for cell cycle progression. In addition, proapoptotic genes were upregulated.

Conclusions

The hot water extract of A. blazei may be useful for the treatment of pancreatic cancer and is a potential candidate for the isolation of novel, active compounds specific for mitotic spindle dysfunction.
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Literature
1.
go back to reference Hruban RH. Pancreatic cancer. In: Stewart BW, Wild CP, editors. World Cancer report 2014. Lyon: International Agency for Research on Cancer; 2014. p. 413–21. Hruban RH. Pancreatic cancer. In: Stewart BW, Wild CP, editors. World Cancer report 2014. Lyon: International Agency for Research on Cancer; 2014. p. 413–21.
2.
go back to reference Hruban RH, Boffetta P, Hiraoka N, Iacobuzio-Donahue C, Kato Y, Kern SE, et al. Ductal adenocarcinoma of the pancreas. In: Bosman FT, Hruban RH, Carneiro F, Theise ND, editors. WHO classification of Tumours of the digestive system. WHO classification of Tumours. 4th ed. Lyon: IARC; 2010. p. 281–91. Hruban RH, Boffetta P, Hiraoka N, Iacobuzio-Donahue C, Kato Y, Kern SE, et al. Ductal adenocarcinoma of the pancreas. In: Bosman FT, Hruban RH, Carneiro F, Theise ND, editors. WHO classification of Tumours of the digestive system. WHO classification of Tumours. 4th ed. Lyon: IARC; 2010. p. 281–91.
3.
go back to reference Chand S, O'Hayer K, Blanco FF, Winter JM, Brody JR. The landscape of pancreatic cancer therapeutic resistance mechanisms. Int J Biol Sci. 2016;12:273–82.CrossRefPubMedPubMedCentral Chand S, O'Hayer K, Blanco FF, Winter JM, Brody JR. The landscape of pancreatic cancer therapeutic resistance mechanisms. Int J Biol Sci. 2016;12:273–82.CrossRefPubMedPubMedCentral
4.
go back to reference Burris HA 3rd, Moore MJ, Andersen J, Green MR, Rothenberg ML, Modiano MR, et al. Improvements in survival and clinical benefit with gemcitabine as first-line therapy for patients with advanced pancreas cancer: a randomized trial. J Clin Oncol. 1997;15:2403–13.CrossRefPubMed Burris HA 3rd, Moore MJ, Andersen J, Green MR, Rothenberg ML, Modiano MR, et al. Improvements in survival and clinical benefit with gemcitabine as first-line therapy for patients with advanced pancreas cancer: a randomized trial. J Clin Oncol. 1997;15:2403–13.CrossRefPubMed
5.
go back to reference Conroy T, Desseigne F, Ychou M, Bouche O, Guimbaud R, Becouarn Y, et al. FOLFIRINOX versus gemcitabine for metastatic pancreatic cancer. N Engl J Med. 2011;364:1817–25.CrossRefPubMed Conroy T, Desseigne F, Ychou M, Bouche O, Guimbaud R, Becouarn Y, et al. FOLFIRINOX versus gemcitabine for metastatic pancreatic cancer. N Engl J Med. 2011;364:1817–25.CrossRefPubMed
6.
go back to reference Von Hoff DD, Ervin T, Arena FP, Chiorean EG, Infante J, Moore M, et al. Increased survival in pancreatic cancer with nab-paclitaxel plus gemcitabine. N Engl J Med. 2013;369:1691–703.CrossRef Von Hoff DD, Ervin T, Arena FP, Chiorean EG, Infante J, Moore M, et al. Increased survival in pancreatic cancer with nab-paclitaxel plus gemcitabine. N Engl J Med. 2013;369:1691–703.CrossRef
7.
go back to reference Hyodo I, Amano N, Eguchi K, Narabayashi M, Imanishi J, Hirai M, et al. Nationwide survey on complementary and alternative medicine in cancer patients in Japan. J Clin Oncol. 2005;23:2645–54.CrossRefPubMed Hyodo I, Amano N, Eguchi K, Narabayashi M, Imanishi J, Hirai M, et al. Nationwide survey on complementary and alternative medicine in cancer patients in Japan. J Clin Oncol. 2005;23:2645–54.CrossRefPubMed
8.
go back to reference Wang H, Fu Z, Han C. The medicinal values of culinary-medicinal royal sun mushroom (Agaricus blazei Murrill). Evid Based Complement Alternat Med. 2013;2013:842619.PubMedPubMedCentral Wang H, Fu Z, Han C. The medicinal values of culinary-medicinal royal sun mushroom (Agaricus blazei Murrill). Evid Based Complement Alternat Med. 2013;2013:842619.PubMedPubMedCentral
9.
go back to reference Endo M, Beppu H, Akiyama H, Wakamatsu K, Ito S, Kawamoto Y, et al. Agaritine purified from Agaricus blazei Murrill exerts anti-tumor activity against leukemic cells. Biochim Biophys Acta. 2010;1800:669–73.CrossRefPubMed Endo M, Beppu H, Akiyama H, Wakamatsu K, Ito S, Kawamoto Y, et al. Agaritine purified from Agaricus blazei Murrill exerts anti-tumor activity against leukemic cells. Biochim Biophys Acta. 2010;1800:669–73.CrossRefPubMed
10.
go back to reference Takaku T, Kimura Y, Okuda H. Isolation of an antitumor compound from Agaricus blazei Murill and its mechanism of action. J Nutr. 2001;131:1409–13.CrossRefPubMed Takaku T, Kimura Y, Okuda H. Isolation of an antitumor compound from Agaricus blazei Murill and its mechanism of action. J Nutr. 2001;131:1409–13.CrossRefPubMed
11.
go back to reference Faccin LC, Benati F, Rincao VP, Mantovani MS, Soares SA, Gonzaga ML, et al. Antiviral activity of aqueous and ethanol extracts and of an isolated polysaccharide from Agaricus brasiliensis against poliovirus type 1. Lett Appl Microbiol. 2007;45:24–8.CrossRefPubMed Faccin LC, Benati F, Rincao VP, Mantovani MS, Soares SA, Gonzaga ML, et al. Antiviral activity of aqueous and ethanol extracts and of an isolated polysaccharide from Agaricus brasiliensis against poliovirus type 1. Lett Appl Microbiol. 2007;45:24–8.CrossRefPubMed
12.
go back to reference Cardozo FT, Camelini CM, Mascarello A, Rossi MJ, Nunes RJ, Barardi CR, et al. Antiherpetic activity of a sulfated polysaccharide from Agaricus brasiliensis mycelia. Antivir Res. 2011;92:108–14.CrossRefPubMed Cardozo FT, Camelini CM, Mascarello A, Rossi MJ, Nunes RJ, Barardi CR, et al. Antiherpetic activity of a sulfated polysaccharide from Agaricus brasiliensis mycelia. Antivir Res. 2011;92:108–14.CrossRefPubMed
13.
go back to reference Oh TW, Kim YA, Jang WJ, Byeon JI, Ryu CH, Kim JO, et al. Semipurified fractions from the submerged-culture broth of Agaricus blazei Murill reduce blood glucose levels in streptozotocin-induced diabetic rats. J Agric Food Chem. 2010;58:4113–9.CrossRefPubMed Oh TW, Kim YA, Jang WJ, Byeon JI, Ryu CH, Kim JO, et al. Semipurified fractions from the submerged-culture broth of Agaricus blazei Murill reduce blood glucose levels in streptozotocin-induced diabetic rats. J Agric Food Chem. 2010;58:4113–9.CrossRefPubMed
14.
go back to reference Dong S, Furutani Y, Suto Y, Furutani M, Zhu Y, Yoneyama M, et al. Estrogen-like activity and dual roles in cell signaling of an Agaricus blazei Murrill mycelia-dikaryon extract. Microbiol Res. 2012;167:231–7.CrossRefPubMed Dong S, Furutani Y, Suto Y, Furutani M, Zhu Y, Yoneyama M, et al. Estrogen-like activity and dual roles in cell signaling of an Agaricus blazei Murrill mycelia-dikaryon extract. Microbiol Res. 2012;167:231–7.CrossRefPubMed
15.
go back to reference Dong S, Furutani Y, Kimura S, Zhu Y, Kawabata K, Furutani M, et al. Brefeldin a is an estrogenic, Erk1/2-activating component in the extract of Agaricus blazei mycelia. J Agricul Food Chem. 2013;61:128–36.CrossRef Dong S, Furutani Y, Kimura S, Zhu Y, Kawabata K, Furutani M, et al. Brefeldin a is an estrogenic, Erk1/2-activating component in the extract of Agaricus blazei mycelia. J Agricul Food Chem. 2013;61:128–36.CrossRef
16.
go back to reference Fujimiya Y, Suzuki Y, Katakura R, Ebina T. Tumor-specific cytocidal and immunopotentiating effects of relatively low molecular weight products derived from the basidiomycete. Agaricus blazei Murill Anticancer Res. 1999;19:113–8.PubMed Fujimiya Y, Suzuki Y, Katakura R, Ebina T. Tumor-specific cytocidal and immunopotentiating effects of relatively low molecular weight products derived from the basidiomycete. Agaricus blazei Murill Anticancer Res. 1999;19:113–8.PubMed
17.
go back to reference Ito H, Shimura K, Itoh H, Kawade M. Antitumor effects of a new polysaccharide-protein complex (ATOM) prepared from Agaricus blazei (Iwade strain 101) “Himematsutake” and its mechanisms in tumor-bearing mice. Anticancer Res. 1997;17:277–84.PubMed Ito H, Shimura K, Itoh H, Kawade M. Antitumor effects of a new polysaccharide-protein complex (ATOM) prepared from Agaricus blazei (Iwade strain 101) “Himematsutake” and its mechanisms in tumor-bearing mice. Anticancer Res. 1997;17:277–84.PubMed
18.
go back to reference Wu MF, Chen YL, Lee MH, Shih YL, Hsu YM, Tang MC, et al. Effect of Agaricus blazei Murrill extract on HT-29 human colon cancer cells in SCID mice in vivo. In vivo. 2011;25:673–7.PubMed Wu MF, Chen YL, Lee MH, Shih YL, Hsu YM, Tang MC, et al. Effect of Agaricus blazei Murrill extract on HT-29 human colon cancer cells in SCID mice in vivo. In vivo. 2011;25:673–7.PubMed
19.
go back to reference Kim CF, Jiang JJ, Leung KN, Fung KP, Lau CB. Inhibitory effects of Agaricus blazei extracts on human myeloid leukemia cells. J Ethnopharmacol. 2009;122:320–6.CrossRefPubMed Kim CF, Jiang JJ, Leung KN, Fung KP, Lau CB. Inhibitory effects of Agaricus blazei extracts on human myeloid leukemia cells. J Ethnopharmacol. 2009;122:320–6.CrossRefPubMed
20.
go back to reference Kobayashi H, Yoshida R, Kanada Y, Fukuda Y, Yagyu T, Inagaki K, et al. Suppressing effects of daily oral supplementation of beta-glucan extracted from Agaricus blazei Murill on spontaneous and peritoneal disseminated metastasis in mouse model. J Cancer Res Clin Oncol. 2005;131:527–38.CrossRefPubMed Kobayashi H, Yoshida R, Kanada Y, Fukuda Y, Yagyu T, Inagaki K, et al. Suppressing effects of daily oral supplementation of beta-glucan extracted from Agaricus blazei Murill on spontaneous and peritoneal disseminated metastasis in mouse model. J Cancer Res Clin Oncol. 2005;131:527–38.CrossRefPubMed
21.
go back to reference Jin CY, Choi YH, Moon DO, Park C, Park YM, Jeong SC, et al. Induction of G2/M arrest and apoptosis in human gastric epithelial AGS cells by aqueous extract of Agaricus blazei. Oncol Rep. 2006;16:1349–55.PubMed Jin CY, Choi YH, Moon DO, Park C, Park YM, Jeong SC, et al. Induction of G2/M arrest and apoptosis in human gastric epithelial AGS cells by aqueous extract of Agaricus blazei. Oncol Rep. 2006;16:1349–55.PubMed
22.
go back to reference Sorimachi K, Akimoto K, Ikehara Y, Inafuku K, Okubo A, Yamazaki S. Secretion of TNF-alpha, IL-8 and nitric oxide by macrophages activated with Agaricus blazei Murill fractions in vitro. Cell Struct Funct. 2001;26:103–8.CrossRefPubMed Sorimachi K, Akimoto K, Ikehara Y, Inafuku K, Okubo A, Yamazaki S. Secretion of TNF-alpha, IL-8 and nitric oxide by macrophages activated with Agaricus blazei Murill fractions in vitro. Cell Struct Funct. 2001;26:103–8.CrossRefPubMed
23.
go back to reference Kishimoto T, Ishikura H, Kimura C, Takahashi T, Kato H, Yoshiki T. Phenotypes correlating to metastatic properties of pancreas adenocarcinoma in vivo: the importance of surface sialyl Lewis(a) antigen. Int J Cancer. 1996;69:290–4.CrossRefPubMed Kishimoto T, Ishikura H, Kimura C, Takahashi T, Kato H, Yoshiki T. Phenotypes correlating to metastatic properties of pancreas adenocarcinoma in vivo: the importance of surface sialyl Lewis(a) antigen. Int J Cancer. 1996;69:290–4.CrossRefPubMed
24.
go back to reference Kobari M, Hisano H, Matsuno S, Sato T, Kan M, Tachibana T. Establishment of six human pancreatic cancer cell lines and their sensitivities to anti-tumor drugs. Tohoku J Exp Med. 1986;150:231–48.CrossRefPubMed Kobari M, Hisano H, Matsuno S, Sato T, Kan M, Tachibana T. Establishment of six human pancreatic cancer cell lines and their sensitivities to anti-tumor drugs. Tohoku J Exp Med. 1986;150:231–48.CrossRefPubMed
25.
go back to reference Furukawa T, Duguid WP, Rosenberg L, Viallet J, Galloway DA, Tsao MS. Long-term culture and immortalization of epithelial cells from normal adult human pancreatic ducts transfected by the E6E7 gene of human papilloma virus 16. Am J Pathol. 1996;148:1763–70.PubMedPubMedCentral Furukawa T, Duguid WP, Rosenberg L, Viallet J, Galloway DA, Tsao MS. Long-term culture and immortalization of epithelial cells from normal adult human pancreatic ducts transfected by the E6E7 gene of human papilloma virus 16. Am J Pathol. 1996;148:1763–70.PubMedPubMedCentral
26.
go back to reference Mi H, Huang X, Muruganujan A, Tang H, Mills C, Kang D, et al. PANTHER version 11: expanded annotation data from gene ontology and Reactome pathways, and data analysis tool enhancements. Nucleic Acids Res. 2017;45:D183–D9.CrossRef Mi H, Huang X, Muruganujan A, Tang H, Mills C, Kang D, et al. PANTHER version 11: expanded annotation data from gene ontology and Reactome pathways, and data analysis tool enhancements. Nucleic Acids Res. 2017;45:D183–D9.CrossRef
27.
go back to reference Fabregat A, Sidiropoulos K, Garapati P, Gillespie M, Hausmann K, Haw R, et al. The Reactome pathway knowledgebase. Nucleic Acids Res. 2016;44:D481–7.CrossRefPubMed Fabregat A, Sidiropoulos K, Garapati P, Gillespie M, Hausmann K, Haw R, et al. The Reactome pathway knowledgebase. Nucleic Acids Res. 2016;44:D481–7.CrossRefPubMed
28.
go back to reference Sun C, Yamato T, Furukawa T, Ohnishi Y, Kijima H, Horii A. Characterization of the mutations of the K-ras, p53, p16, and SMAD4 genes in 15 human pancreatic cancer cell lines. Oncol Rep. 2001;8:89–92.PubMed Sun C, Yamato T, Furukawa T, Ohnishi Y, Kijima H, Horii A. Characterization of the mutations of the K-ras, p53, p16, and SMAD4 genes in 15 human pancreatic cancer cell lines. Oncol Rep. 2001;8:89–92.PubMed
29.
go back to reference Roth W, Stenner-Liewen F, Pawlowski K, Godzik A, Reed JC. Identification and characterization of DEDD2, a death effector domain-containing protein. J Biol Chem. 2002;277:7501–8.CrossRefPubMed Roth W, Stenner-Liewen F, Pawlowski K, Godzik A, Reed JC. Identification and characterization of DEDD2, a death effector domain-containing protein. J Biol Chem. 2002;277:7501–8.CrossRefPubMed
30.
go back to reference Alcivar A, Hu S, Tang J, Yang X. DEDD and DEDD2 associate with caspase-8/10 and signal cell death. Oncogene. 2003;22:291–7.CrossRefPubMed Alcivar A, Hu S, Tang J, Yang X. DEDD and DEDD2 associate with caspase-8/10 and signal cell death. Oncogene. 2003;22:291–7.CrossRefPubMed
31.
go back to reference Wu Y, Yan Q, Zuo J, Saiyin H, Jiang W, Qiao S, et al. Link of Dlk/ZIP kinase to cell apoptosis and tumor suppression. Biochem Biophys Res Commun. 2010;392:510–5.CrossRefPubMed Wu Y, Yan Q, Zuo J, Saiyin H, Jiang W, Qiao S, et al. Link of Dlk/ZIP kinase to cell apoptosis and tumor suppression. Biochem Biophys Res Commun. 2010;392:510–5.CrossRefPubMed
32.
go back to reference Cai Z, Cao R, Zhang K, Xue Y, Zhang C, Zhou Y, et al. Oncogenic miR-17/20a forms a positive feed-forward loop with the p53 kinase DAPK3 to promote tumorigenesis. J Biol Chem. 2015;290:19967–75.CrossRefPubMedPubMedCentral Cai Z, Cao R, Zhang K, Xue Y, Zhang C, Zhou Y, et al. Oncogenic miR-17/20a forms a positive feed-forward loop with the p53 kinase DAPK3 to promote tumorigenesis. J Biol Chem. 2015;290:19967–75.CrossRefPubMedPubMedCentral
34.
go back to reference Hlaing T, Guo RF, Dilley KA, Loussia JM, Morrish TA, Shi MM, et al. Molecular cloning and characterization of DEFCAP-L and -S, two isoforms of a novel member of the mammalian Ced-4 family of apoptosis proteins. J Biol Chem. 2001;276:9230–8.CrossRefPubMed Hlaing T, Guo RF, Dilley KA, Loussia JM, Morrish TA, Shi MM, et al. Molecular cloning and characterization of DEFCAP-L and -S, two isoforms of a novel member of the mammalian Ced-4 family of apoptosis proteins. J Biol Chem. 2001;276:9230–8.CrossRefPubMed
35.
go back to reference Vaid R, Sharma N, Chauhan S, Deshta A, Dev K, Sourirajan A. Functions of polo-like kinases: a journey from yeast to humans. Protein Pept Lett. 2016;23:185–97.CrossRefPubMed Vaid R, Sharma N, Chauhan S, Deshta A, Dev K, Sourirajan A. Functions of polo-like kinases: a journey from yeast to humans. Protein Pept Lett. 2016;23:185–97.CrossRefPubMed
36.
go back to reference Sampson EM, Haque ZK, Ku MC, Tevosian SG, Albanese C, Pestell RG, et al. Negative regulation of the Wnt-beta-catenin pathway by the transcriptional repressor HBP1. EMBO J. 2001;20:4500–11.CrossRefPubMedPubMedCentral Sampson EM, Haque ZK, Ku MC, Tevosian SG, Albanese C, Pestell RG, et al. Negative regulation of the Wnt-beta-catenin pathway by the transcriptional repressor HBP1. EMBO J. 2001;20:4500–11.CrossRefPubMedPubMedCentral
37.
go back to reference Fesik SW. Promoting apoptosis as a strategy for cancer drug discovery. Nat Rev Cancer. 2005;5:876–85.CrossRefPubMed Fesik SW. Promoting apoptosis as a strategy for cancer drug discovery. Nat Rev Cancer. 2005;5:876–85.CrossRefPubMed
38.
go back to reference Li L, Leung PS. Use of herbal medicines and natural products: an alternative approach to overcoming the apoptotic resistance of pancreatic cancer. Int J Biochem Cell Biol. 2014;53:224–36.CrossRefPubMed Li L, Leung PS. Use of herbal medicines and natural products: an alternative approach to overcoming the apoptotic resistance of pancreatic cancer. Int J Biochem Cell Biol. 2014;53:224–36.CrossRefPubMed
39.
go back to reference Monte M, Benetti R, Collavin L, Marchionni L, Del Sal G, Schneider C. hGTSE-1 expression stimulates cytoplasmic localization of p53. J Biol Chem. 2004;279:11744–52.CrossRefPubMed Monte M, Benetti R, Collavin L, Marchionni L, Del Sal G, Schneider C. hGTSE-1 expression stimulates cytoplasmic localization of p53. J Biol Chem. 2004;279:11744–52.CrossRefPubMed
40.
go back to reference Mizuno M, Morimoto M, Minato K, Tsuchida H. Polysaccharides from Agaricus blazei stimulate lymphocyte T-cell subsets in mice. Biosci Biotechnol Biochem. 1998;62:434–7.CrossRefPubMed Mizuno M, Morimoto M, Minato K, Tsuchida H. Polysaccharides from Agaricus blazei stimulate lymphocyte T-cell subsets in mice. Biosci Biotechnol Biochem. 1998;62:434–7.CrossRefPubMed
41.
go back to reference Mizuno M, Minato K, Ito H, Kawade M, Terai H, Tsuchida H. Anti-tumor polysaccharide from the mycelium of liquid-cultured Agaricus blazei mill. Biochem Mol Biol Int. 1999;47:707–14.PubMed Mizuno M, Minato K, Ito H, Kawade M, Terai H, Tsuchida H. Anti-tumor polysaccharide from the mycelium of liquid-cultured Agaricus blazei mill. Biochem Mol Biol Int. 1999;47:707–14.PubMed
42.
go back to reference Akiyama H, Endo M, Matsui T, Katsuda I, Emi N, Kawamoto Y, et al. Agaritine from Agaricus blazei Murrill induces apoptosis in the leukemic cell line U937. Biochim Biophys Acta. 2011;1810:519–25.CrossRefPubMed Akiyama H, Endo M, Matsui T, Katsuda I, Emi N, Kawamoto Y, et al. Agaritine from Agaricus blazei Murrill induces apoptosis in the leukemic cell line U937. Biochim Biophys Acta. 2011;1810:519–25.CrossRefPubMed
Metadata
Title
Hot water extract of Agaricus blazei Murrill specifically inhibits growth and induces apoptosis in human pancreatic cancer cells
Authors
Yoshihisa Matsushita
Yoshiyuki Furutani
Rumiko Matsuoka
Toru Furukawa
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2018
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-018-2385-4

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