In the process of drug discovery from phytomolecules, synergistic effects of phytochemicals are always preferred over pure compounds in Traditional or Complementary or Integrative systems of Medicine across the globe. However, the key challenge is always to identify the compound(s) responsible for specific bioactivity and toxicity. As a multi-disciplinary approach, the present study focused on designating phytochemicals from leaf extracts of soursop (Annona muricata), a plant known for its broad spectrum anti-cancer activity against osteosarcoma or bone cancer through analytical and in silico chemistry approach with confirmation from in vitro cell line studies. Annona muricata L, widely known as graviola or soursop is considered to have potential phytochemicals like phenols, saponins, terpenoids, flavonoids, isoquinoline alkaloids and annonaceous acetogenins (Alali et al. 1999; Bonneau et al. 2017; Shanmugam et al. 2022) that are reported to be effective against various cancer cell lines (Pieme et al. 2014). Several research works have confirmed that the entire soursop tree exhibits selective and significant anticancer activity, with leaves being the most potent (Mishra et al. 2013; Rupprecht et al. 1990). Interestingly, leaf extracts exhibited void/negative impact on normal cells, while showing selective toxicity towards cancerous cells (de Sousa and Vieira, 2010; Oberlies et al. 1995). Of late, nano delivery of plant phytochemicals with antiviral properties are explored in cancer treatment to increase the therapeutic efficiency and to overcome the limitations of chemotherapy drugs (Shanmugam et al. 2022).
Osteosarcoma, a deadly form of musculoskeletal cancer, is the most common type of cancerous tumor in a bone that predominantly affects children and adults (Marques et al. 2014; Mora et al. 2019). After lymphomas and brain tumors, osteosarcoma is considered to be the third most common cancer occurring in adolescence children with an average diagnosis age of 15 years. Osteosarcoma occurs in primitive mesenchymal bone-forming cells with production of malignant osteoid and exhibits an inclination over the metaphysis of long bones commonly found in the distal femur (43%), proximal tibia (23%) and humerus (10%) (Isakoff et al. 2015). Current curative treatment regimens consist of surgery, radiotherapy and intensive chemotherapy. Despite this multi-dimensional approach, survival of osteosarcoma patients is 5 years with 60–65% of survival rate (Blumenthal et al. 2002). Even adjuvant chemotherapies results in more side effects with dose intensification and patients are also at high risk of eventual relapse. Among various chemotherapeutic drugs given to the patients, use of high-dose methotrexate, doxorubicin, cisplatin, ifosfamide /etoposide, rafenib, sorafenib and regorafenib have been reported to be effective (Ferguson and Goorin, 2001; Rathore and Van Tine, 2021a). However, these drugs have different targets proteins that inhibit osteosarcoma cell proliferation. Among the various target proteins, receptor tyrosine kinases (RTK) are considered to be the effective target protein inhibiting osteosarcoma proliferation (Ségaliny et al. 2015).
RTK inhibitors like, Sorafenib and Regorafenib, binds to one of the target receptor, platelet derived growth factor receptors α and β (PDGFR) that has high affinity for various vital polypeptide growth factors, cytokines, hormones and hence, serves as an attractive drug discovery target for osteosarcoma (Zhou et al. 2021). Despite the effective inhibition of osteosarcoma proliferations, the current drugs have very high side effects like nerve damage, cardiotoxicity, damage to lining of bladder, renal and liver failure, damage to the white matter of the brain (Bielack et al. 2015; Rathore and Van Tine, 2021b). Considering the side effects, relapse and the cost associated with these treatments, there is a need to identify phytomolcules having selective inhibitory effect on the affected cancerous cells against osteosarcoma. An approach to identify phytomolecules possessing dual or multiple bioactivities like osteogenic stimulatory activity in bael bioactives (Shanmugam et al. 2019), apart from anti-cancer activity against osteosarcoma will be interesting. However, the current study is to assess the efficiency of leaf phytochemicals of A. muricata against osteosarcoma and to get an understanding of the chemistry behind the bioactivity. Specifically to identify hits from leaf phytochemicals as potential inhibitors against osteosarcoma targeting the receptor binding protein, Platelet Derived Growth Factor Receptor (PDGFR) through in silico analysis. Various types of PDGFR inhibitors like 3,3′Diindolylmethane, Brazilin, Curcumin, Dehydrozingerone, Ellagic acid, Glyceollins, Pterostilbene, and Vitisin B have been reported from various plants and vegetables sources (Ricci and Ferri, 2015). Till date, to the best of our knowledge, there are no reports on the inhibitory effect of A. muricata leaf phytochemicals as potential drug candidate against bone cancer. Hence, assessing the efficiency of leaf phytomolecules of A. muricata against human osteosarcoma and in silico screening of compounds to understand their chemistry could be a potential significant approach in dealing with developing new drug molecules from phytoextracts. To the best of our knowledge, this is the first report on cell proliferation inhibitory effect of leaf phytochemicals of A. muricata against osteosarcoma MG-63 cell lines.