Ovarian cancer (OC) is the most lethal gynecological cancers (Jayson et al., 2014). More than 80% of women with non-symptomatic OCs are detected only in advanced stages (III and IV), as a lack of definite symptoms in early-stages. And there are no effective screening strategies as the exact cause of ovarian cancer is unknown (Shabir & Gill, 2020). OC predominantly affects older women (age 65 and above) which are at a higher risk of post-operative complications (Allemani et al., 2015; Sia et al., 2020). The incidences of ovarian cancer in India are increasing at an alarming rate i.e., 1 in 75 individuals are at risk to develop OC and 1 in 100 are at risk of mortality due to OC. The risk starts increasing from age 35 and reaches a peak between the ages of 55–64. In past 20 years, the survival rate has decreased from 45–30%(Shabir & Gill, 2020) in patients in an advanced stage as therapies become increasingly ineffective in treating metastatic ovarian cancer (Lengyel, 2010). Development of chemo-resistance and ineffective treatments and treatment failure causes over 90% of deaths (Agarwal & Kaye, 2003).
In India, OC ranks third in cancer morbidity and mortality after breast and cervix uteri in females (Sung et al., 2021), resulting in deaths of 1 in 133 females (Mathur et al., 2020). For the past two decades, frontline treatment has included standalone chemotherapy or in combination with cytoreductive surgery (CRS) (Wang et al., 2020). In addition, adjuvant chemotherapy, maintenance chemotherapy, genetic counseling, nanoparticle-based therapy, and gene therapy are part of modern-day treatments (Jit et al., 2022). Due to adverse side effects and higher costs of drugs and treatments, synthetic drugs are falling out of treatment choice, especially in developing countries like India. Natural compounds with minimal side effects are inexpensive at the current time and can be a promising alternative.
Murraya koenigii (MK), commonly called the “Curry plant” is one of the mostly used spices in Indian cuisines (Handral & Pandith, 2012). The extracts from parts of the MK plant are reported to have antimicrobial, antioxidant, neuroprotective, antidiabetic, hepatoprotective etc. benefits to human health (Table 1). Also, many reports show the anticancer potential of MK extracts (Table 1). However, very few studies show the anticancer effect of MK extracts on OC. In 2020, Satyavarapu et al., have reported cytotoxic effects Mahanine Enhanced Faction (MEF) in many cancer cell lines including ovarian cancer (Satyavarapu et al., 2020). And 2018, Xin et al. reported that Girinimbine inhibits proliferation in ovarian cancer cells via PI3K/AKT/mTOR and Wnt/β-Catenin signally pathway (Xin & Muer, 2018).
As per our best knowledge, this is the first comparative study of whole methanol, aqueous and toluene extracts of MK leaves and stem on ovarian teratocarcinoma which also compares angiogenic effects of these extracts.
This study evaluates presence of phytochemicals, total phenolic content, antioxidant activity, antimicrobial activity on Staphylococcus aureus and Escherichia coli, antifungal activity on Trichoderma viride (TV) and Aspergillus flavus (AF) and cytotoxicity of on ovarian cancer cell line – PA1 (ovarian teratocarcinoma) with comprehensive experiments for cytotoxicity and apoptosis. This study also gives insights on teratogenic and angiogenic effects of these MK extracts.
Table 1
Important studies available on MK extracts and its active compounds
Sr. No | Plant Extract | Active Compound | Activity | Organism | Reference |
Part | Extraction solvent |
1 | Seeds | Methanol | - | Anticancer | Human breast cancer – MCF7, human colorectal adenocarcinoma – DLD-1. | (Nadaf et al., 2020) |
2 | Shoot | n-hexane, chloroform, ethyl acetate, butanol, water | - | Anticancer | Human Cervical cancer cell line- HeLa | (Saleem et al., 2022) |
3 | Root | Hexane | Girinimbine | Anticancer | Lung Cancer - A549 cell line | (Mohan et al., 2013) |
4 | Leaf; Roots | Chloroform, Ethanol, Ethyl Acetate and Petroleum Ether | - | Antibacterial | Escherichia coli, Micrococcus luteus, Staphylococcus aureus, Pseudomonas aeruginosa and Bacillus subtilis. | (Abuga et al., 2020) |
5 | Leaf | Alkaloid Extract | Carbazole Alkaloids | Neuroprotective, Antioxidant | Mice | (Mani et al., 2013) |
6 | Leaf | Diethyl Ether | - | Antifungal, Antioxidant | Alternaria alternata, Aspergillus flavus, Aspergillus niger, Aspergillus parasiticus, Fusarium oxysporum, Fusarium moniliforme, Mucor mucedo, Penicillium notatum, Penicillium funiculosum, and Trichoderma viride. | (Tripathi et al., 2018) |
7 | Leaf | Acetone | Murrafoline -I and Mahabinine -A | Anticancer | human leukemia cell line – HL-60 | (Ito et al., 2006) |
8 | Leaf | Petroleum Ether | Carbazole Alkaloids, Tannins | Hepatoprotective | Liver Cancer – HepG2 cell line | (Sathaye et al., 2011) |
9 | Leaf | Hexane | - | Anticancer | Human Cervical cancer cell line- HeLa | (Amna et al., 2019) |
10 | Leaf | n-hexane, ethyl acetate, and methanol | - | Anticancer | Human Cervical cancer cell line- HeLa | (Amna et al., 2019) |
11 | Leaf | Ethyl Acetate | Ag NP from b-Caryophyllene | Antimalarial; Anticancer | P. falciparum. A549 & HeLa cell line | (Kamaraj et al., 2017) |
12 | Leaf | Ethyl Acetate; Methanol. | Mahanine | Anticancer | Human pancreatic adenocarcinoma cell lines – MIAPaCa-2 and BxPC-3 | (Sarkar Bhattacharya et al., 2018) |
13 | Leaf | Water, 50% Methanol | - | Anti-inflammatory; immunomodulatory; antidiabetic | Mouse model | (Paul et al., 2011) |
14 | Leaf | dichloromethane; methanol | Carbazole alkaloids | Anticancer | Human Oral Cancer cell line – CLS-354 | (Utaipan et al., 2017) |
15 | Leaf | Water | - | Chemopreventive, Anti-inflammatory | Mice model; human and mice breast cancer – MDA-MB231; 4T1 cell lines. | (Yeap et al., 2015) |
16 | Leaf | Water | - | Nephroprotective | Rats | (Punuru et al., 2014) |
17 | Leaf | Water | - | Neuroprotective, Antidiabetic | Rats | (Yankuzo et al., 2011) |
18 | Leaf | Water | - | Anti-Alzheimer | Rats | (Reddy et al., 2019) |
19 | Leaf | Water | - | Hepatoprotective | Rats | (Shinde & Mohan, 2022) |
20 | Leaf | Water | - | Cardioprotective | Rats | (Sandamali et al., 2020) |
21 | Leaf | Water | - | Antiulcer | Rats | (Sharma et al., 2011) |
22 | Leaf | 50% Ethanol | - | Chemoprotective | Mice | (Kaur et al., 2021) |
23 | Leaf | 50% Ethanol | - | Anticancer | Human lung cancer cells- A549; Chinese Hamster Ovary cells – CHOK1 | (Bhatt et al., 2022) |
24 | Leaf | Ethanol | - | Antitumor | Rat model mammary carcinoma | (Aisyah et al., 2021) |
25 | Leaf | Ethanol | - | Antifungal | Canida albicans | (Lubis et al., 2022) |
26 | Leaf | 96% Ethanol | - | Antidiabetic | Rats | (Husna et al., 2018) |
27 | Leaf | 80% Methanol | - | Anticancer | Breast cancer – MCF-7 and MDA-MB-231 cell lines | (Noolu et al., 2013) |
28 | Leaf | Methanol | Mahanine | Anticancer | Breast cancer – MCF-7, MDA-MB-231 and MCF 10A cell lines | (Das et al., 2019) |
29 | Leaf | Methanol | Mahanine | Anticancer | Human Prostate cancer – PC3 & LNCaP | (Jagadeesh et al., 2007) |
30 | Leaf | Methanol | Mahanine | Anticancer | human glioblastoma cells – U87MG & LN229 | (Bhattacharya et al., 2014) |
31 | Leaf | Methanol | Mahanine | Anticancer | Human lung cancer cells – A549, H1299. Rat skeletal muscle cells -L6 | (Chatterjee et al., 2015) |
32 | Leaf | Methanol | - | Anti-inflammatory | Rats | (Arunkumar J ., 2021) |
33 | Leaf | Methanol | - | Antiproliferation | Breast Cancer cells – T47D | (Mutia et al., 2022) |
34 | Leaf | - | Mahanimbine | Anti-chemoresistance | Human lung cancer | (Mondal et al., 2022) |
35 | Leaf | - | - | Nephroprotective | Rats | (Nazeer et al., 2022) |