Aquilaria Crassna Pierre Ex Lecomte Leaf Extract Induces Apoptosis and Immunogenic Cell Death in Breast Cancer Cells, Enhancing Anti-Tumor Effects of Dendritic Cells

Authors

  • Pinyada Pho-on Department of Anatomy, Faculty of Medical Science, Naresuan University, Phitsanulok 65000, Thailand
  • Sangkab Sudsaward Department of Anatomy, Faculty of Medical Science, Naresuan University, Phitsanulok 65000, Thailand
  • Piriya Luangwattananun Siriraj Center of Research Excellence for Cancer Immunotherapy (SiCORE-CIT), Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
  • Aussara Panya Cell Engineering for Cancer Therapy Research Group, Department of Biology, Faculty of Science, Chiang Mai University, Chiang Mai 50200, Thailand
  • Chutamas Thepmalee Division of Biochemistry, School of Medical Sciences, University of Phayao, Phayao 56000, Thailand
  • Mutita Junking Division of Molecular Medicine, Research Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
  • Eakkaluk Wongwad Centre of Excellence in Cannabis Research, Faculty of Pharmaceutical Sciences and Center of Excellence for Innovation in Chemistry, Naresuan University, Phitsanulok 65000, Thailand
  • Kornkanok Ingkaninan Centre of Excellence in Cannabis Research, Faculty of Pharmaceutical Sciences and Center of Excellence for Innovation in Chemistry, Naresuan University, Phitsanulok 65000, Thailand
  • Pattareeya Sereesantiwong Department of Doctor of Optometry, Faculty of Allied Health Sciences, Naresuan University, Phitsanulok 65000, Thailand
  • Warintorn Wongho Department of Anatomy, Faculty of Medical Science, Naresuan University, Phitsanulok 65000, Thailand
  • Pa-thai Yenchitsomanas Siriraj Center of Research Excellence for Cancer Immunotherapy (SiCORE-CIT), Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
  • Sasiprapa Khunchai Department of Anatomy, Faculty of Medical Science, Naresuan University, Phitsanulok 65000, Thailand

DOI:

https://doi.org/10.48048/tis.2026.11528

Keywords:

Aquilaria crassna Pierre ex Lecompte leaf extract, Immunogenic cell death, Dendritic cell maturation/activation, Triple-negative breast cancer, Cancer immunotherapy

Abstract

Aquilaria crassna (A. crassna) Pierre ex Lecomte, commonly known as agarwood, is traditionally used in medicinal preparations. Previous studies suggest anti-cancer properties in A. crassna leaf extract but the mechanisms and its involvement in immunogenic cell death (ICD) remain unexplored. This study investigates the impact of A. crassna Pierre ex Lecomte leaf extract (AE) on anti-cancer activity, specifically inducing ICD in triple-negative breast cancer (TNBC), and enhancing dendritic cell (DC) anti-tumor effects. A. crassna water extract underwent HPLC analysis. TNBC cells (MDA-MB-231) and non-tumorigenic epithelial cell lines, fibrocystic disease, (MCF-10A) were treated with different concentrations of AE for cytotoxicity testing by MTT assay. To assess ICD induction, danger-associated molecular patterns (DAMPs) including ectoCRT, secreted ATP, and HMGB1 were measured through staining, ATP bioluminescence, immunoblotting, and ELISA, respectively. AE-treated cells and DAMP-containing supernatants were administered to monocyte-derived DCs, evaluating impact on DC immunophenotype, maturation, and phagocytosis via flow cytometry. HPLC analysis identified AE compounds: iriflophenone 3,5-C-β-D-diglucoside, iriflophenone 3-C-β-D-glucoside, mangiferin, and genkwanin 5-O-β-primevoside (concentrations: 4.80, 1.04, 4.54 and 0.18 %w/w). MDA-MB-231 treated with AE exhibited ICD induction, evident in increased ectoCRT, secreted ATP, and HMGB1 levels. DCs exposed to AE-treated cells and DAMP-containing supernatant displayed enhanced phagocytic activity and maturation, with elevated CD86, CD80, CD83, and HLA-DR expression. In conclusion, AE exhibits immunomodulatory potential by inducing ICD in TNBC, suggesting therapeutic applications for its anti-cancer effects and a promising role in cancer immunotherapy.

HIGHLIGHTS

  • The first study demonstrates the significance of AE in inducing immunogenic cell death (ICD), evidenced by the heightened expression of 3 key hallmarks of danger-associated molecule patterns (DAMPs): ectoCRT, secreted ATP, and HMGB1, in the TNBC model.
  • AE-induced ICD or conditions expressing DAMPs enhance the maturation and phagocytic function of dendritic cells (DCs).
  • This study provides the novel anti-tumor activity and immune-activating effect of AE and suggests the potential development of AE as a dietary complementary or alternative treatment for anti-tumor purposes in the future.

GRAPHICAL ABSTRACT

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Published

2025-11-01

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