Journals / Journal of Experimental and Clinical Medicine / 2026 / Volume: 43 Issue: 1

Hesperidin enhances the antiproliferative and apoptotic effects of oxaliplatin in AGS gastric cancer cells through modulation of apoptosis-related proteins

Ilker Kiliccioglu(DÜZCE ÜNİVERSİTESİ, TIP FAKÜLTESİ, TEMEL TIP BİLİMLERİ BÖLÜMÜ, TIBBİ BİYOLOJİ ANABİLİM DALI)0000-0003-3367-9665
Pages
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Publication Date
2026-04-01
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

These findings suggest that HES may augment OXA-induced apoptosis and migration inhibition in gastric cancer cells.

📌 3 Key Takeaways

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Objective & Hypothesis:Gastric cancer remains a leading cause of cancer-related mortality worldwide, with poor prognosis and high rates of resistance to platinum-based chemotherapy.
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Key Findings & Data:Hesperidin (HES), a citrus-derived flavanone glycoside, has demonstrated anticancer properties, but its potential as an adjuvant to oxaliplatin (OXA) in gastric cancer has not been fully explored.
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Conclusion & Impact:These findings suggest that HES may augment OXA-induced apoptosis and migration inhibition in gastric cancer cells.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Gastric cancer · Hesperidin · Oxaliplatin

Abstract

Gastric cancer remains a leading cause of cancer-related mortality worldwide, with poor prognosis and high rates of resistance to platinum-based chemotherapy. Hesperidin (HES), a citrus-derived flavanone glycoside, has demonstrated anticancer properties, but its potential as an adjuvant to oxaliplatin (OXA) in gastric cancer has not been fully explored. The cytotoxic effects of HES, OXA, and their combination were evaluated in AGS gastric cancer cells and HUVEC normal endothelial cells using WST-1 assays and morphological analysis. Wound healing assay was applied to assess antimigratory activity. Apoptotic mechanisms were investigated by ELISA-based quantification of caspase-3, -8, and -9, and Western blot analysis of Bax, Bcl-2, p53, and Survivin. HES inhibited the proliferation of AGS cells in a dose- and time-dependent manner (with IC50 values of 170.4 µM at 24 h and 92.06 µM at 48 h) and showed limited cytotoxicity in HUVEC cells. OXA exerted stronger antiproliferative activity (IC50= 24.16 µM at 24 h), and its combination with HES produced a greater inhibition of proliferation and migration (p <0.0001). Combination treatment significantly increased caspase activation: caspase-3, caspase-8, and caspase-9 levels increased by approximately 2.7-fold, 3.0-fold, and 2.8-fold, respectively (p <0.0001). Furthermore, HES + OXA treatment downregulated Bcl-2 and Survivin (approximately 4.5- and 5-fold, respectively) while increasing Bax and p53 expression (approximately 9- and 5-fold, respectively), indicating significant (p <0.0001) activation of both intrinsic and extrinsic apoptotic pathways. These findings suggest that HES may augment OXA-induced apoptosis and migration inhibition in gastric cancer cells.

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Cite This Article

Kiliccioglu, I., Dulger, G., Dülger, B. (2026). Hesperidin enhances the antiproliferative and apoptotic effects of oxaliplatin in AGS gastric cancer cells through modulation of apoptosis-related proteins. Journal of Experimental and Clinical Medicine, Volume: 43 Issue: 1. https://ajindex.com/articles/1422525

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References (21)

  1. Smyth EC, Nilsson M, Grabsch HI, van Grieken, NC, Lordick, F. Gastric cancer. Lancet. 2020;396(10251): 635-648. Joshi SS, Badgwell BD. Current treatment and recent progress in gastric cancer. CA Cancer J Clin. 2021;71(3): 264-279.
  2. Zhang SX, Liu W, Ai B, Sun LL, Chen ZS, Lin LZ. Current advances and outlook in gastric cancer chemoresistance: a review. Recent Pat Anticancer Drug Discov. 2022;17(1): 26-41.
  3. Nath S, Datta A, Das A, Adhikari S. Metal-Based Drugs in Cancer Therapy. Int. J. Exp. Res. Rev. 2024; 37, 159-173.
  4. Ye T, Wu C, Na, J, Liu X, Huang Y. Multi-Pathway Study for Oxaliplatin Resistance Reduction. Curr Issues Mol Biol. 2025;47(3): 172.
  5. Wu J, Li Y, He Q, Yang X. Exploration of the use of natural compounds in combination with chemotherapy drugs for tumor treatment. Molecules. 2023;28(3): 1022.
  6. Alam F, Mohammadin K, Shafique Z, Amjad ST, Asad MHHB. Citrus flavonoids as potential therapeutic agents: A review. Phytother Res. 2022;36(4):1417-1441.
  7. Pandey P, Khan F. A mechanistic review of the anticancer potential of hesperidin,a natural flavonoid from citrus fruits. Nutr Res. 2021: 92:21-31.
  8. Ahmad A, Afzaal M, Saeed F, Ali SW, Imran A, Zaidi SY, et al. A comprehensive review of the therapeutic potential of citrus bioflavonoid hesperidin against lifestyle-related disorders. Cogent Food Agric. 2023, 9(1), 2226427.
  9. Aboraya DM, El Baz A, Risha EF, Abdelhamid FM. Hesperidin ameliorates cisplatin induced hepatotoxicity and attenuates oxidative damage, cell apoptosis, and inflammation in rats. Saudi J Biol Sci. 2022 May;29(5):3157-3166.
  10. Zia Q, Azhar A, Hassan N, Jain P, Singh M., Mirza MA, et al. Cell death: a molecular perspective. Mol. Biol. Rep. 2021, 7(4), 41-66.
  11. Meng X, Dang T, Chai J. From apoptosis to necroptosis: the death wishes to cancer. Cancer Control. 2021:28: 10732748211066311.
  12. Rahmani AH, Babiker AY, Anwar S. Hesperidin, a bioflavonoid in cancer therapy: a review for a mechanism of action through the modulation of cell signaling pathways. Molecules. 2023;28(13): 5152.
  13. Tan Y, Wang H, Xu B, Zhang X, Zhu G, Ge Y, et al. Chinese herbal medicine combined with oxaliplatin-based chemotherapy for advanced gastric cancer: A systematic review and meta-analysis of contributions of specific medicinal materials to tumor response. Front Pharmacol. 2022:13: 977708.
  14. Sohel M, Sultana H, Sultana T, Al Amin M, Aktar S, Ali M, et al. Chemotherapeutic potential of hesperetin for cancer treatment, with mechanistic insights: A comprehensive review. Heliyon. 2022;8(1): e08815.
  15. He P, Ma J, Liu Y, Deng H, Dong W. Hesperetin promotes cisplatin− induced apoptosis of gastric cancer in vitro and in vivo by upregulating PTEN expression. Front Pharmacol. 2020:11: 1326.
  16. Liu S, Li L, Ren D. Anti-cancer potential of phytochemicals: The regulation of the epithelial-mesenchymal
  17. transition. Molecules. 2023;28(13): 5069.
  18. Liang Z, Song J, Xu Y, Zhang X, Zhang Y, Qian H. Hesperidin reversed long-term N-methyl-N-nitro-N-nitroguanidine exposure induced EMT and cell proliferation by activating autophagy in gastric tissues of rats. Nutrients. 2022;14(24): 5281.
  19. Arslan A, Bircan B, Erden Y. Hesperidin potentiates the chemosensitivity of HT-29 colon cancer cells to 5‐ fluorouracil. Ann Med Res 2023;30(11):1416–1420.
  20. Roohbakhsh A, Parhiz H, Soltani F, Rezaee R, Iranshahi M. Molecular mechanisms behind the biological effects of hesperidin and hesperetin for the prevention of cancer and cardiovascular diseases. Life Sci. 2015:124: 64-74.
  21. Meng X, Dang T, Chai J. From apoptosis to necroptosis: the death wishes to cancer. Cancer Control. 2021:28: 10732748211066311.