Document Type : Original Research Article


1 Gynocologist,Department of Medical Education,Shahid Beheshti University of Medical Science, Tehran,Iran

2 Department of Medical Biochemistry, Faculty of Medicine, Cukurova University, Adana, Turkey

3 Department of Chemistry, Payame Noor University, P.O. Box 19395-4697 Tehran, Iran

4 Department of Genetics, Faculty of Science, Shahid Chamran University of Ahvaz, Ahvaz, Iran

5 Department of Urology, Isfahan University of Medical Sciences, Isfahan, Iran

6 Department of Surgery, Faculty of Medicine, Kerman University of Medical Sciences, Kerman, Iran


Objective(s): In recent years, the attention of many was focused on the features of the Green Synthesis process, such as its simplicity, cost-effectiveness, and environmental friendliness. This study investigates the feasibility of manufacturing silver nanoparticles from Malva sylvestris L aqueous extract and evaluates its anti-cancer effect on ovarian cancer cell lines OVCAR-3 and SK-OV-3. 
Methods: The aqueous extract of Malva sylvestris L proved to be capable of synthesizing silver nanoparticles (Ag-NPs) and the success of the procedure was affirmed through the results of characterizing analyzes such as UV-Vis spectroscopy, transmission electron microscopy (TEM), and dynamic light scattering (DLS). Additionally, we assessed the anti-cancer impacts of synthesized Ag-NPs on OVCAR-3 and SK-OV-3 cell lines by the means of MTT assay. The Bax, Bcl-2, caspase 3, and caspase 8 expression at mRNA levels were also estimated using real-time PCR.
Results: The appearance of an absorption peak at 462 nm using a spectrophotometer signified the complete synthesis of silver nanoparticles. The electron microscope images showed that the nanoparticles were spherical and had an average size of about 74.4 nm. Ag-NPs at the concentration (10-200nM) inhibited the proliferation of OVCAR-3 and SK-OV-3 cell lines. Moreover, treatment resulted in down-regulating Bcl-2 while up-regulating Bax and caspase 3 and caspase 8 expression.
Conclusions: In this study, synthesized Ag-NPs using Malva sylvestris L could induce a robust anti-cancer effect on ovarian cells in vitro by improving Bax/Bcl-2 ratio and triggering the apoptosis pathway.


Nanoparticles (NPs) implicate a notable range of materials in the sizes of below 100 nm and due to their varying propertied, they can be employed in multiple implementations including medical, pharmaceutical, manufacturing and materials, environmental, electronics, energy collection, and mechanical industries. Carbon nanotubes, quantum dots, nanorods, nanocapsules, nanoemulsions, fullerenes, metallic NPs, ceramic NPs, and polymer NPs are among the different types of nanoparticles  [1-3] that contain unique features such as conductivity, stability, catalytic, and antibacterial capabilities. Cancer is known as the the most stressful and life-threatening disease with the highest worldwide rates of mortality due to the advent of multiple drug resistance and the progress of severe adverse consequences by various chemotherapies. To address this issue, therapeutic approaches for early cancer diagnosis and treatment with low side effects are urgently needed. Nano-oncology research has resulted in creating a variety of nanoscale materials, technologies, and therapeutic agents to provide early diagnosis and effective treatment for cancer [4, 5]. AgNPs could reduce cancer cells viability and cause membrane leakage in a dose-dependent manner. AgNPs are capable of boosting the generation of reactive oxygen species and hydroxyl radicals in cells, while their apoptotic effects were further confirmed by caspase 3 activation and DNA nuclear fragmentation. The cytotoxic and apoptotic properties of these nanoparticles signifies the role of produced reactive oxygen species by AgNPs throughout the process of apoptosis[6].
The fascinating qualities of metallic NPs triggered the design of different synthesizing methodologies. However, the synthesized silver (Ag) NPs by various physical and chemical techniques implicate the exertion of hazardous chemicals and their products are neither economically feasible nor environmentally friendly [7-9]. Considering the limited available time for finding practical solutions to this obstacle, green chemistry stands as a applicable substitute for environmentally harmful methods and products that pose severe hazardous impacts on the world[10-12]. The novel premises of ‘Green Nanotechnology’ can cause tremendous impacts on the industrial revolution. Furtive extractions from natural precursors have resulted in the development of biogenic resources to fabricate advanced nanomaterials in a cost-effective and straightforward process[13, 14]. An effective biogenic mechanism can be the economical and green solution to environmental obstacles by highly decreasing the exertion of harmful reagents through the application of cheap natural and waste products and produce value-added nanomaterials with extensive relevance. Many different biological agents, similar to bacteria, fungi, plant extracts, etc., can be employed to perform the green synthesis of metal nanoparticles due to their biocompatibility. The reduction of dissolved metals ions into nano-metals can be facilitated by the bio-agents of a green process[15, 16]. The topic of nanoparticles biosynthesis attracted the focus of many due to the exceeding demand for the design of environmentally benign technologies in the field of materials synthesis. As an example, Mousavi and colleagues used Artemisia turcomanica leaf extract to synthesize silver nanoparticles and investigated its anti-cancer activity in gastric cancer cell lines (AGS). In contrast to untreated cells, the results showed increased apoptosis in cells treated with biological silver nanoparticles (p <.001). In conformity to the collected data, it was concluded that biologically produced silver nanoparticles triggered apoptosis and had a dose- and time-dependent cytotoxic and anti-cancer effect on gastric cancer cell lines. Commercial silver nanoparticles may not have the same anti-cancer capabilities as biologically produced nanoparticles[17]. Malva sylvestris L (in the family Malvaceae) is recognized by about 40 taxa around the world, which is an annual herb native to Europe, North Africa, and South-west Asia with the appearance of shallowly lobed leaves and purple flowers that bloom in late spring. M. sylvestris L. is exerted as a healing treatment for burn and dermal infected wounds, bronchitis, and inflammations, as well as digestive difficulties such as constipation [18, 19]. It is consisted of various metabolites including phenols, flavonoids, esters, and peptides that are capable of mediating the synthesis of nanoparticles[20]. This work presented the synthesis of silver nanoparticle through a green strategy with the usage of M. sylvestris L extract in mild conditions. Aqueous M. sylvestris L solution can facilitate a secured, cheap, and environmental-friendly procedure for the green synthesis of Ag NPs in water media. In the following, we distinguished the obtained product through the results of certain physical methods, and also investigated the cytotoxic impacts of biologically synthesized AgNPs on ovarian cancer cells. 

AgNO₃ (CAS-Nr.: 7761-88-8) as a source of silver ions was purchased from Merck (Germany). MTT reagents and mRNA Isolation Kit were purchased from Gibco (Germany). Further, the High Capacity cDNA Reverse Transcription Kit was attained from Thermo Scientific (USA). In addition, the nuclease-free water was purchased from Invitrogen™ (Germany), and SYBR Premix Ex Taq kit was also procured from TAKARA (Japan).

Characterizations of silver nanoparticles
Transmission electron microscopy (TEM) analysis was performed by the application of a (CM30 3000Kv) to characterize the morphology and size of the nanoparticles. Dynamic light scattering (DLS) analysis was conducted as a complementary TEM through a computerized inspection system (MALVERN Zen3600) supplied with DTS® (nano) software to characterize the average size distribution of nanoparticles. A varian Cary 50 UV–vis spectrophotometer was employed to complete the UVVis spectroscopy analyses that involved the recording of Spectra in a range of 300-700 nm.

Preparation of aqueous extract of Malva sylvestris L plant
About 3 grams of the dried plant was boiled in 10 ml of deionized water for 15 minutes at 100 ° C to be positioned on a shaker for the duration of 24 hours. The extract was cleansed for two rounds subsequent to being centrifuged(1000 rpm,30 min).

Green synthesis of silver particles by the aqueous extract of Malva sylvestris L plant
6 ml of 0.02 mM silver nitrate solution was appended to 4 ml of aqueous extract of Malva sylvestris L and placed on a magnetic stirrer for 12 hours at room temperature. About 20 minutes after the interaction, a color alteration was observed in the solution, turning from light yellow to dark brown, which indicated the synthesis of silver NPs.

Cell culture
We cultured ovarian cancer cells, OVCAR-3 and SK-OV-3 (ATCC), in Dulbecco’s Modified Eagle’s Medium (DMEM) supplemented with fetal bovine serum (FBS) 10%. Also, 100 units/ml of penicillin and 100 μg/ml of streptomycin (PAA, Austria) were added to culture media for the purpose of inhibiting the bacterial contamination of cell cultures, since they can display efficient combined activities toward gram-positive and gram-negative bacteria. In the following, the cells were kept in humidified air with 5% CO2 at 37 °C.

MTT assay
The cytotoxicity of AgNPs against SK-OV-3 and OVCAR-3 was evaluated through the results of MTT assay. Initially, we seeded SK-OV-3 and OVCAR-3 cells in 96-well plates at a density of 5×104 cells per well. Thereafter, we treated the SK-OV-3 and OVCAR-3 cells with 0-200 nM concentrations of AgNPs within 12-72 hours of treatment. Subsequent to appending 20 µL of 5 mg MTT/ml medium to the SK-OV-3 and OVCAR-3 cells that accompanied wells, they were stored at 37°C for the duration of 4 hours and the OD of the well was estimated by the application of ELISA reader at the wavelength of 570 nm.

RNA Isolation 
The total RNA of SK-OV-3 and OVCAR-3 cells was isolated by using the mRNA Isolation Kit (Gibco, Germany). Moreover, the quality and abundance of isolated RNA content were determined by the exertion of Nanodrop-2000. 

Reverse transcription and cDNA synthesis
The transcription of isolated total RNA into cDNA was completed by the means of High Capacity cDNA Reverse Transcription Kit (RevertAid First Strand cDNA Synthesis Kit, Thermo Scientific, USA). In brief, the mixture of nuclease-free water (Invitrogen™, Germany) and a concentration of 10 µL was added to the 1 µg mixture of RNA with random hexamer primer (1 µL). Once the tubes were positioned in a thermocycler at 65 ˚C for 5 minutes, every box was retained on ice to complete the appending of other reagents as the last step. The First-strand cDNA was amplified under the conditions of 5 minutes at 25 ˚C, 60 minutes at 42 ˚C, and 5 minutes at 70 ˚C.

Real Time-PCR
StepOnePlus Real-Time PCR system (Applied Biosystems, USA) and an SYBR Premix Ex Taq kit (TAKARA, Japan) are needed to accomplish real-time PCR. In this step, a standard reaction mixture (20 μl) was mixed with 10 μl of SYBR Premix Ex Taq 2x, 1 μl of template cDNA, 5 μl of ultra-pure water, and 200 nM volumes of primers.  
Table 1 exhibits the applied primer sequences in real-time PCR, while GAPDH was exerted in the form of internal control. All of the tests were completed in triplicate in regard to each data point.

Statistical Analysis 
The data of statistical analysis was gathered through the utilization of GraphPad Prism version 8.01. The consequences were represented as means ± SEM from three independent tests using the Student’s t-test. The P-value <0.05 was expressed as statistically significant.

UV-Vis spectroscopy analysis
As a result of adding silver nitrate to the plant extract, a color alteration was observed from light yellow to dark brown. This observation indicated the completion of silver nanoparticles synthesizing procedure and is related to the surface plasmon resonance, size, and form of the obtained product. In harmony to Fig. 1, the detected sharp peak near 462 nm affirmed the successful synthesis of silver nanoparticles. Based on other researches, the observed bond correlates to colloidal silver nanosphere absorption in the 450-500 nm range[21].
TEM and DLS investigation
Considering Fig. 2, the TEM images of silver nanoparticles displayed their spherical morphology. The average size of nanoparticles was about 74.4 nanometers, and the size distribution of nanoparticles was in the range of 24.08 to 178.31 nanometers. The particle size distribution histogram for nanoparticles generated using the DLS approach is shown in Fig. 3. In conformity to the tests results, the obtained nanoparticles contained an average size of 179 nm. The results of DLS and TEM do not coincide. DLS examines the hydrodynamic diameter of nanoparticles and their surrounding cover, which explains the difference. Furthermore, the attachment of some nanoparticles to one another, which leads to the formation of  aggregations, is quiet conceivable throughout an  aqueous environment. DLS measurements were conducted in the following to obtain the total diameter of collected nanoparticles. The particle size distribution of nanoparticles referred to a highly narrow to an extensive range in DLS, depending on the size of nanoparticles and the magnitude of biological components associated with diverse plant extract nanoparticles. Similar studies were reported on this disparity in particle size distribution as well[2].

Ag-NPs stimulated cytotoxicity toward SK-OV-3 and OVCAR-3 cell lines
Concerning the MTT assay results, 10, 20, 50, 100, 150, and 200 nM of AgNPs concentration abrogated the viability of SK-OV-3 and OVCAR-3 cell lines after being exposed for 12-72 hours (P<0.05) (Fig. 4A, B). Based on consequences, the suppressive impacts of AgNPs on cell viability relied on the applied time and dosage (P<0.05) (Fig. 4A, B). The IC50 values of AgNPs in SK-OV-3 and OVCAR-3 cell lines are listed in Table 2.
The attained RESULTS of our study were consistent with the outcomes of other associated reports. Meanwhile, studies have indicated that AgNP could provoke strong cytotoxicity in vitro versus human colon cancer HT29 cells [22]. Further, AgNPs (median 30.71 nm size) abrogated the survival of liver carcinoma cells with 75 μg/mL of the IC50 value [23]. AgNP also could strongly reduce the viability of A549 lung carcinoma cells mainly via promoting the levels of reactive oxygen species (ROS) [24]. Importantly, it was also suggested that the thermophilic fungus Humicola sp can be used for the biosynthesis of AgNPs [25]. Synthesized AgNPs elicited cytotoxicity versus NIH3T3 mouse embryonic fibroblast cell line and MDA-MB-231 cell line in vitro [25]. In addition, Boca et al. (2014) designed folic acid-conjugated, SERS-labeled silver nanotriangles for multimodal recognition and targeted photothermal therapy on human ovarian cancer cells [26].

AgNPs enhanced Bax/Bcl-2 expression ratio
We assessed the mRNA levels of pro-apoptotic proteins Bax and Bcl-2 by the application of real-time PCR in SK-OV-3 and OVCAR-3 cell lines subsequent to being treated with 50 and 100 nM of AgNPs for 24 and 48 hours (Fig. 5A, B). Accordingly, AgNPs 50 and 100 nM improved the expression levels of Bax in both SK-OV-3 and OVCAR-3 cell lines at 24 and 48 hours of treatment (P<0.05) (Fig. 5A). The Bax expression was observed more clearly in the case of SK-OV-3 cell lines (Fig. 5A) when compared to that of  OVCAR-3 cell lines. The analysis also showed that AgNPs 50 and 100 nM down-regulated the expression levels of Bcl-2 in both SK-OV-3 and OVCAR-3 cell lines (P<0.05) (Fig. 5B). In comparison to the outcomes of SK-OV-3, this reduction was more evident in OVCAR-3 cell lines  (Fig. 5B).
A myriad of studies has indicated that AgNPs could improve Bax expression leading to reduced viability and impaired apoptosis in cancer cells [27, 28]. In this light, Achillea biebersteinii flower extract-based biosynthesized AgNPs induced cytotoxicity versus breast cancer cells by up-regulating Bax expression [29]. In addition, AgNPs improved Bax/Bcl-2 expression ratio leading to tumor cell eradication in vitro and in vivo [30, 31]. Similarly, Zhang et al. exhibited that AgNPs resulted in attenuation in Bcl-2 expression levels in cancer cells [32]. 

AgNPs improved caspase 3 and 8 expression
The exertion of Real-time PCR was considered to perform an assessment on the  mRNA levels of caspase 3 and caspase 8 in SK-OV-3 and OVCAR-3 cell lines subsequent to being exposed to 50 and 100 nM of AgNPs throughout 24 and 48 hours of treatment (Fig. 6A, B). Considering the consequences, 50 and 100 nM of AgNPs strongly up-regulated the expression levels of both caspases in both SK-OV-3 and OVCAR-3 cell lines (P<0.05) (Fig. 6A, B). 
In 2020, Singh et al. reported the biosynthesis and configuration of AgNPs by the application of papaya leaf extract (PLE). The established AgNPs induced robust apoptosis in human prostate (DU145) cancer cells mainly by up-regulating caspase 3 expression [28]. Likewise, AgNPs synthesized using Artemisia oliveriana extract were abled to induce apoptosis in the A549 cell line mainly by improving caspase 3 and caspase 9 expression [33].

Green nanoparticle synthesis is an ecofriendly, easy, and cost-effective way for avoiding the problems that chemical synthesis causes. Malva sylvestris L aqueous extracts were utilized as the reducing agent in this research to reduce Ag+ cation. As a result of the AgNO3 reaction in the presence of Malva sylvestris L aqueous extracts, silver nanoparticles were synthesized (AgNPs). The effective production of AgNPs was supported by the results of Various characterization methods including TEM،, DLS, and UVVis. Synthesized AgNPs also abrogated the viability of ovarian cancer cells mainly by improving Bax/Bcl-2 ratio and also up-regulating caspase 3 and caspase 8

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