Costunolide Induces Apoptosis in Human Endometriotic Cells through Inhibition of the Prosurvival Akt and Nuclear Factor Kappa B Signaling Pathway
Costunolide inhibits endometriotic cell viability and induces apoptosis by suppressing the prosurvival Akt and NFκB pathways, leading to caspase activation.
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The study evaluated the effects of costunolide, a sesquiterpene lactone, on proliferation and apoptosis in 11Z and 12Z human endometriotic epithelial cells compared with immortalized endometrial cells (HES). Costunolide significantly reduced cell viability, induced time-dependent apoptosis with sub-G1 accumulation, and activated caspase-3, -8, and -9 in a dose- and time-dependent manner, with z-VAD-fmk reversing the viability inhibition. Mechanistically, costunolide suppressed Akt and NFκB signaling and decreased expression of anti-apoptotic proteins Bcl-xL and XIAP in 11Z cells. This paper is centrally about endometriosis — it tests costunolide’s ability to trigger apoptosis in human endometriotic epithelial cells via inhibition of Akt/NFκB and downregulation of anti-apoptotic factors.
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