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Dave et al. J Cancer Metastasis Treat 2020;6:46 I  http://dx.doi.org/10.20517/2394-4722.2020.106                         Page 11 of 36






































               Figure 5. Anthocyanin mechanism of action. Based on structural-activity relationships (SAR), the ortho-dihydroxyphenyl functional
               group on the B-ring of anthocyanidins plays a key role in inhibiting the action of AP-1 and cell transformation. The compound inhibits
               MAPK/ERK and mitochondrial associated pathway caspases 3, 7, 8 to induce apoptosis. Further, anthocyanins have exhibited inhibition
               of cyclin-B by acting on p51 and p21 signaling pathways to induce cell cycle arrest. In addition, anthocyanins can act through the NF-
               κB signaling pathway to mediate anti-inflammatory functions. NF-κB: nuclear factor-κB; MAPK: mitogen-activated protein kinase; ERK:
               extracellular signaling regulated kinases

               number of sugars attached to their structure, the number of hydroxylated groups in the molecule, the
               aromatic or aliphatic carboxylates attached to the sugar, and the position of these bonds [138] . Studies have
               indicated the ortho-dihydroxyphenyl structure is the active moiety on the B-ring that suppresses tumor
               growth and metastasis [139,140] .


               Chemopreventive mechanism of anthocyanins
               MAPK pathway and AP-1
                                               +
               With mouse epidermal cells (JB6 ), tumor promoters such as epidermal growth factor (EGF),
               12-O-tetradecanoylphorbol-13-acetate (TPA), and TNF-α can stimulate AP-1 activity and neoplastic
               transformation by inducing MAPK comprising ERK, p38 kinase, or JNK [141,142] . Cyanidin, petunidin, and
                                                                                                         +
               delphinidin suppress TPA-stimulated AP-1 transcriptional activity and cell transformation with JB6
               cells [139] .

               Evaluation of structure-activity relationships have shown that the ortho-dihydroxyphenyl functional group
               on the B-ring of anthocyanidins plays a key role in inhibitory action since malvidin, pelargonidin, and
               peonidin, devoid of the ortho-dihydroxyphenyl structure, fail to block AP-1 activity or cell transformation.
               Signal transduction analysis showed that delphinidin blocked ERK phosphorylation at early times and JNK
               phosphorylation at later times, but p38 was not blocked [Figure 5] [139] . Furthermore, delphinidin inhibits
               the phosphorylation of c-Jun (a phosphorylation target of JNK and ERK), SAPK/ERK kinase (SEK, a JNK
               kinase), and MAPK/ERK kinase (MEK, an ERK kinase). Suppression of TPA-induced AP-1 activity and
               cell transformation by delphinidin involves inhibition of JNK and ERK signaling cascades. This effect is
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