Cytotoxicity and Apoptosis Effects of Curcumin Analogue (2E,6E)-2,6-Bis(2,3-Dimethoxybenzylidine) Cyclohexanone (DMCH) on Human Colon Cancer Cells HT29 and SW620 In Vitro

Colorectal cancer (CRC) is the third most common type of cancer worldwide and a leading cause of cancer death. According to the Malaysian National Cancer Registry Report 2012–2016, colorectal cancer was the second most common cancer in Malaysia after breast cancer. Recent treatments for colon cancer cases have caused side effects and recurrence in patients. One of the alternative ways to fight cancer is by using natural products. Curcumin is a compound of the rhizomes of Curcuma longa that possesses a broad range of pharmacological activities. Curcumin has been studied for decades but due to its low bioavailability, its usage as a therapeutic agent has been compromised. This has led to the development of a chemically synthesized curcuminoid analogue, (2E,6E)-2,6-bis(2,3-dimethoxybenzylidine) cyclohexanone (DMCH), to overcome the drawbacks. This study aims to examine the potential of DMCH for cytotoxicity, apoptosis induction, and activation of apoptosis-related proteins on the colon cancer cell lines HT29 and SW620. The cytotoxic activity of DMCH was evaluated using the [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] (MTT) cell viability assay on both of the cell lines, HT29 and SW620. To determine the mode of cell death, an acridine orange/propidium iodide (AO/PI) assay was conducted, followed by Annexin V/FITC, cell cycle analysis, and JC-1 assay using a flow cytometer. A proteome profiler angiogenesis assay was conducted to determine the protein expression. The inhibitory concentration (IC50) of DMCH in SW620 and HT29 was 7.50 ± 1.19 and 9.80 ± 0.55 µg/mL, respectively. The treated cells displayed morphological features characteristic of apoptosis. The flow cytometry analysis confirmed that DMCH induced apoptosis as shown by an increase in the sub-G0/G1 population and an increase in the early apoptosis and late apoptosis populations compared with untreated cells. A higher number of apoptotic cells were observed on treated SW620 cells as compared to HT29 cells. Human apoptosis proteome profiler analysis revealed upregulation of Bax and Bad proteins and downregulation of Livin proteins in both the HT29 and SW620 cell lines. Collectively, DMCH induced cell death via apoptosis, and the effect was more pronounced on SW620 metastatic colon cancer cells, suggesting its potential effects as an antimetastatic agent targeting colon cancer cells.

Abstract: Colorectal cancer (CRC) is the third most common type of cancer worldwide and a leading cause of cancer death. According to the Malaysian National Cancer Registry Report 2012-2016, colorectal cancer was the second most common cancer in Malaysia after breast cancer. Recent treatments for colon cancer cases have caused side effects and recurrence in patients. One of the alternative ways to fight cancer is by using natural products. Curcumin is a compound of the rhizomes of Curcuma longa that possesses a broad range of pharmacological activities. Curcumin has been studied for decades but due to its low bioavailability, its usage as a therapeutic agent has been compromised. This has led to the development of a chemically synthesized curcuminoid analogue, (2E,6E)-2,6-bis(2,3-dimethoxybenzylidine) cyclohexanone (DMCH), to overcome the drawbacks. This study aims to examine the potential of DMCH for cytotoxicity, apoptosis induction, and activation of apoptosis-related proteins on the colon cancer cell lines HT29 and SW620. The cytotoxic activity of DMCH was evaluated using the [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] (MTT) cell viability assay on both of the cell lines, HT29 and SW620. To determine the mode of cell death, an acridine orange/propidium iodide (AO/PI) assay was conducted, followed by Annexin V/FITC, cell cycle analysis, and JC-1 assay using a flow cytometer. A proteome profiler angiogenesis assay was conducted to determine the protein expression. The inhibitory concentration (IC 50 ) of DMCH in SW620 and HT29 was 7.50 ± 1.19 and 9.80 ± 0.55 µg/mL, respectively. The treated cells displayed morphological features characteristic of apoptosis. The flow cytometry analysis confirmed that DMCH induced apoptosis as shown by an increase in the sub-G0/G1 population and an increase in the early apoptosis and late apoptosis populations compared with untreated cells. A higher number of apoptotic cells were observed on treated SW620 cells as compared to HT29 cells. Human apoptosis proteome profiler analysis revealed upregulation of Bax and Bad proteins and downregulation of Livin proteins in both the HT29 and SW620 cell lines. Collectively, DMCH induced cell death via apoptosis, and the effect was more pronounced on SW620 metastatic colon cancer cells, suggesting its potential effects as an antimetastatic agent targeting colon cancer cells.

Introduction
The incidence of colorectal or colon cancer has been progressively increasing in recent years, and it has become the third most common type of cancer worldwide and a leading cause of cancer death [1]. According to the Malaysian National Cancer Registry Report 2012-2016 [2], colorectal cancer was the second most common cancer in Malaysia after breast cancer. It was also reported that this type of cancer was the second most common cancer to cause death and that it had been diagnosed in both males and females. The type of treatment that is recommended depends on the stage of cancer. The treatments that can be applied are laparoscopic colectomy [3], radiation, and chemotherapy, but these treatments may have side effects for the patients such as loss of appetite, alopecia (hair loss), constipation, and vomiting [4]. One of the alternative ways to fight cancer is by using natural products [5]. A natural product refers to a compound derived from natural sources such as plants, animals, or microorganisms. Discoveries of natural products in pharmacology and therapeutics have paved an alternative way to treat cancer, as it was found that the most useful sources possessing anticancer effects are compounds isolated from plants [6]. Curcumin derived from the rhizomes of Curcuma longa has been reported to have anticarcinogenic, antimalarial, antioxidant, antimutagenic, antibacterial, antiangiogenic, and anti-inflammatory properties [7]. Even though curcumin has been studied for decades, due to its low solubility, its usage as a therapeutic agent has been compromised [8]. In statistics, it was reported that there were new drugs formulated showing poor water solubility, which becomes the limiting factor in the absorption of the drug after oral admission [9]. Thus, efforts to identify potential solutions or alternatives that can modify the natural compound structure to achieve better selectivity against cancer cell lines are required. Although there are several reports that have indicated curcumin as a potential candidate for future drug discovery, bioavailability issues such as poor absorption, rapid metabolism, low serum levels, and limited tissue distribution remain a concern for scientific communities to resolve [8,9]. Structural modification of the parent compound is one of the best ways to improve the drug efficacy and to control the bioavailability-related issues. For example, a curcumin derivative, 2,6-bis(4-hydroxy-3-methoxybenzylidene) cyclohexanone (BHMC), has been synthesized and reported to possess potential cytotoxicity and antinociceptive attributes comparable to curcumin [10][11][12]. A study on BHMC demonstrated that it showed a lower IC 50 value in cytotoxicity and effectively displayed in vivo antitumor effects [10]. In this study, (2E,6E)-2,6-bis(2,3-dimethoxybenzylidene) cyclohexanone (DMCH) (Figure 1) was synthesized, and the apoptotic mechanism of DMCH towards the human colon cancer cell lines HT29 and SW620 was investigated in detail.

Introduction
The incidence of colorectal or colon cancer has been progressively increasing in recent years, and it has become the third most common type of cancer worldwide and a leading cause of cancer death [1]. According to the Malaysian National Cancer Registry Report 2012-2016 [2], colorectal cancer was the second most common cancer in Malaysia after breast cancer. It was also reported that this type of cancer was the second most common cancer to cause death and that it had been diagnosed in both males and females. The type of treatment that is recommended depends on the stage of cancer. The treatments that can be applied are laparoscopic colectomy [3], radiation, and chemotherapy, but these treatments may have side effects for the patients such as loss of appetite, alopecia (hair loss), constipation, and vomiting [4]. One of the alternative ways to fight cancer is by using natural products [5]. A natural product refers to a compound derived from natural sources such as plants, animals, or microorganisms. Discoveries of natural products in pharmacology and therapeutics have paved an alternative way to treat cancer, as it was found that the most useful sources possessing anticancer effects are compounds isolated from plants [6]. Curcumin derived from the rhizomes of Curcuma longa has been reported to have anticarcinogenic, antimalarial, antioxidant, antimutagenic, antibacterial, antiangiogenic, and anti-inflammatory properties [7]. Even though curcumin has been studied for decades, due to its low solubility, its usage as a therapeutic agent has been compromised [8]. In statistics, it was reported that there were new drugs formulated showing poor water solubility, which becomes the limiting factor in the absorption of the drug after oral admission [9]. Thus, efforts to identify potential solutions or alternatives that can modify the natural compound structure to achieve better selectivity against cancer cell lines are required. Although there are several reports that have indicated curcumin as a potential candidate for future drug discovery, bioavailability issues such as poor absorption, rapid metabolism, low serum levels, and limited tissue distribution remain a concern for scientific communities to resolve [8,9]. Structural modification of the parent compound is one of the best ways to improve the drug efficacy and to control the bioavailability-related issues. For example, a curcumin derivative, 2,6-bis(4-hydroxy-3-methoxybenzylidene) cyclohexanone (BHMC), has been synthesized and reported to possess potential cytotoxicity and antinociceptive attributes comparable to curcumin [10][11][12]. A study on BHMC demonstrated that it showed a lower IC50 value in cytotoxicity and effectively displayed in vivo antitumor effects [10]. In this study, (2E,6E)-2,6-bis(2,3-dimethoxybenzylidene) cyclohexanone (DMCH) ( Figure  1) was synthesized, and the apoptotic mechanism of DMCH towards the human colon cancer cell lines HT29 and SW620 was investigated in detail.

DMCH Inhibits the Cell Proliferation of SW620 and HT29
Results from the MTT assay demonstrated that DMCH could inhibit the proliferation of SW620 and HT29. The cells were treated for three time periods, which were 24 h, 48 h, and 72 h. Table 1 shows the value of inhibitory concentration (IC 50 ) of DMCH towards both cell lines. After 24 h, both cells displayed IC 50 values exceeding 30 µM, while the IC 50 values obtained after 48 and 72 h for SW620 cells were 7.500 ± 1.185 and 5.000 ± 0.157 µM, respectively, as displayed in Table 1. Meanwhile, the IC 50 values after 48 and 72 h for HT29 cells were 9.80 ± 0.553 and 8.20 ± 0.761 µM, respectively. There were no IC 50 values observed for splenocytes after 24, 48, or 72 h of treatment.

DMCH Alters the Morphology and Induces Apoptosis in SW620 and HT29
Acridine orange/propidium iodide (AO/PI) double staining assay was conducted to examine the cell death of colon cancer cells microscopically. Viable cells are stained green colour [13], while the green stained cells showing some distinct apoptotic features such as membrane blebbing and chromatin condensation are early apoptotic cells. The cells that appear orange are the late apoptotic cells, whilst necrotic cells are stained red [14]. Based on the MTT assay, two different inhibition concentrations (IC 50 at 48-and 72-h time periods) of DMCH were used to treat both SW620 and HT29 for the AO/PI assay. Figure 2 shows the stained SW620 and HT29 cells that were treated with DMCH for the two time periods. Based on Figure 2A, different morphological changes were observed on the DMCH-treated cells. As the incubation time increased, the proportion of SW620 and HT29 cells that exhibited early apoptosis and late apoptosis was significantly higher (p < 0.05) as shown in Figure 2B. The results revealed a significant (p < 0.05) progression in apoptosis over the exposure time upon DMCH treatment in both cell lines.

DMCH Induces Apoptotic Cell Death in Colon Cancer Cells HT29 and SW620
Annexin V/FITC is an assay to observe the apoptotic population [15]. According to the result displayed in Figure 3, a high population of viable cells was observed in the untreated group for HT29 (98.18 ± 0.25%) and SW620 (99.38 ± 0.14%) cells. A pattern of the cell population shifting from viable cells to early apoptotic to late apoptotic was observed for both cell lines for both time periods ( Figure 3A). However, a significant increment in the early and late apoptotic/necrotic cells was observed after 72 h for both HT29 (8.83 ± 0.42%) and SW620 (15.70 ± 1.03%) cells ( Figure 3). The results revealed that DMCH induced apoptosis and necrosis in a time-dependent manner.

DMCH Induces Cell Cycle Accumulation at Sub-G0/G1 in HT29 and SW620
Cell cycle analysis by flow cytometry was used to determine the effect of DMCH on cell cycle progression in both SW620 and HT29 cells after 48 and 72 h. As shown in Figure 4, there was a slight increase in the cell percentage at sub-G0/G1 phase for HT29 as the time increased. For SW620 cells, DMCH treatment resulted in a significant increase in the sub-G0/G1 phase (p < 0.05) where it increased from 0.15 ± 0.05% at 48 h to 73.24 ± 1.65%

DMCH Induces Apoptotic Cell Death in Colon Cancer Cells HT29 and SW620
Annexin V/FITC is an assay to observe the apoptotic population [15]. According to the result displayed in Figure 3, a high population of viable cells was observed in the untreated group for HT29 (98.18 ± 0.25%) and SW620 (99.38 ± 0.14%) cells. A pattern of the cell population shifting from viable cells to early apoptotic to late apoptotic was observed for both cell lines for both time periods ( Figure 3A). However, a significant incre-  Cell cycle analysis by flow cytometry was used to determine the effect of DMCH on cell cycle progression in both SW620 and HT29 cells after 48 and 72 h. As shown in Figure  4, there was a slight increase in the cell percentage at sub-G0/G1 phase for HT29 as the time increased. For SW620 cells, DMCH treatment resulted in a significant increase in the sub-G0/G1 phase (p < 0.05) where it increased from 0.15 ± 0.05% at 48 h to 73.24 ± 1.65% at 72 h ( Figure 5). Meanwhile, comparatively, the percentage of cells in the sub-G0/G1 phase at 72 h for HT29 cells was only 10.96± 0.94%.

DMCH Induces Changes in the Mitochondrial Membrane Potential in SW620 and HT29
The mitochondrial membrane potential was analysed by staining the cells with JC-1 dye [16]. This dye is a marker that detects the loss of mitochondrial membrane potential [17]. The dye will emit green and red fluorescence in response to mitochondrial depolarization. The JC-1 dye present in healthy cells in the form of aggregates emits red fluorescence, while in apoptotic cells the dye is in monomeric form and emits green fluorescence [15]. The ratio of red to green was analysed. Histogram analysis in Figures 6 and 7 shows the ratio of red/green fluorescence after treatment with DMCH in HT-29 and SW620 for 48 and 72 h. As illustrated in Figures 6 and 7, as the time of treatment increased, the ratio of monomers observed was higher which indicates that apoptosis was induced in HT29 and SW620 cells in a time-dependent manner.

DMCH Induces Changes in the Mitochondrial Membrane Potential in SW620 and HT29
The mitochondrial membrane potential was analysed by staining the cells with JC-1 dye [16]. This dye is a marker that detects the loss of mitochondrial membrane potential [17]. The dye will emit green and red fluorescence in response to mitochondrial depolarization. The JC-1 dye present in healthy cells in the form of aggregates emits red fluorescence, while in apoptotic cells the dye is in monomeric form and emits green fluorescence [15]. The ratio of red to green was analysed. Histogram analysis in Figure 6 and Figure 7 shows the ratio of red/green fluorescence after treatment with DMCH in HT-29 and SW620 for 48 and 72 h. As illustrated in Figure 6 and Figure 7, as the time of treatment increased, the ratio of monomers observed was higher which indicates that apoptosis was induced in HT29 and SW620 cells in a time-dependent manner.

DMCH Regulates Several Apoptosis-Related Genes and Proteins
The effects of apoptotic proteins in both HT29 and SW620 treated with DMCH we demonstrated through use of a human apoptosis proteome profiler. A depiction of reg lated proteins is displayed in Figure 8, while the levels of regulation of the proteins a expressed in Table 2. Among the apoptosis-related proteins, the upregulation of Bax an Bad proteins and the downregulation of Livin proteins were observable in both HT29 an SW620 cell lines. However, both cell lines gave different trends in the regulation of Bcl pro-caspase 3, cytochrome c, and SMAC/Diablo proteins.

DMCH Regulates Several Apoptosis-Related Genes and Proteins
The effects of apoptotic proteins in both HT29 and SW620 treated with DMCH were demonstrated through use of a human apoptosis proteome profiler. A depiction of regulated proteins is displayed in Figure 8, while the levels of regulation of the proteins are expressed in Table 2. Among the apoptosis-related proteins, the upregulation of Bax and Bad proteins and the downregulation of Livin proteins were observable in both HT29 and SW620 cell lines. However, both cell lines gave different trends in the regulation of Bcl x, pro-caspase 3, cytochrome c, and SMAC/Diablo proteins.

Discussion
In this study, it was found that DMCH exhibited cytotoxic activity in human colonic adenocarcinoma cell lines HT29 and SW620. HT29 and SW620 were chosen as both have different characteristics, where SW620 was reported to be highly metastatic when compared with HT29, while HT-29 cells are more adhesive than other colon cancer cells. DMCH inhibited the proliferation of both HT29 and SW620 in a time-dependent manner. Based on the inhibitory concentration (IC 50 ) value of the compound, both cells demonstrated different efficiencies, respectively. Based on the IC 50 value, DMCH inhibited proliferation better in SW620 compared with HT29. Furthermore, DMCH treatment showed no adverse effect on normal cells as represented by splenocytes when given the same dosage and exposure time as that used on HT29 and SW620 cell lines. This suggests that the compound is not cytotoxic to non-cancerous cells. DMCH is believed to have better solubility and effectiveness compared with natural curcumin, which required a higher concentration to exhibit inhibitory concentrations as indicated in Table 1. In this study, a low DMCH concentration of 9.8 µM was required to achieve 50% inhibition in HT29 cells, and only 7.5 µM for SW620 at 48 h while curcumin required an almost three times higher concentration to achieve similar results. A similar trend was displayed in a previous study which found that against the HT29 and SW620 cell lines, treatment of curcumin required a higher concentration to obtain the IC 50 value compared with the curcumin analogue they studied [18]. Preliminary MTT screening done on breast cancer lines and osteosarcoma cell lines showed that treatment with curcumin analogues showed a better cytotoxic effect in a concentration-and time-dependent manner, as compared to natural curcumin [7,12]. Apoptosis is one of the most crucial factors in the development of anticancer therapeutic agents, and the induction of apoptosis can be evaluated by morphological and biochemical assessments [4]. From the AO/PI assay, it was observed that both HT29 and SW620 cells underwent apoptosis as shown by the results of DMCH treatment. Apoptotic cells can be categorized based on their morphological features such as chromatin condensation, cell shrinkage, and membrane blebbing [8,13]. During early apoptosis, cells will appear rounded in shape and have a mass with dark eosinophilic cytoplasm and dense purple nuclear chromatin fragment. Cells undergo shrinkage resulting in a smaller size, and the cytoplasm is denser and tightly packed [19]. The population of cells undergoing apoptosis increased as time increased. In the Annexin V/FITC assay, there was a shift in the pattern for the externalization of phosphatidylserine in the DMCH-treated cells for both cell lines. Increasing percentages of apoptotic cells were observed in 48 h and 72 h treatments when compared with the control treatment. This shows that DMCH possesses the capability to induce apoptosis in a time-dependent manner in both SW620 and HT29 cells.
The cell cycle is the set of events that is responsible for the duplication of the cell, where each checkpoint plays a significant role. From the cell cycle analysis (Figure 4), there was a relative increase in sub-G0/G1 peak in a time-dependent manner in both cell lines. Accumulation at this phase indicates that the cells were undergoing programmed cell death via apoptosis [20]. The results of this cellular mechanism study show that DMCH affected the cell cycle machinery as it exerts its cytotoxic effect on HT29 and SW620 cells by inducing apoptosis. The accumulation at sub-G0/G1 phase was much higher in SW620 cells compared with HT29 cells, which allows us to conclude that DMCH is more potent as an apoptosis inducer in SW620 cells compared with HT29 cells.
There are two main pathways involved in apoptosis, which are the intrinsic and extrinsic pathways [19,21]. The intrinsic pathway is highly dependent on mitochondrialrelated proteins while the extrinsic pathway, which is also known as the death receptor pathway, involves transmembrane receptor-mediated interactions [19]. As demonstrated in the JC-1 assay, DMCH was capable of triggering the depolarization of the mitochondrial membrane potential in both HT29 and SW620, proved by the significant decrease (p < 0.05) in the ratio of red/green in the treated samples compared with the control [14]. This event can be proved by the expression of several proteins examined via proteome profiler analysis (Figure 8). According to Table 2, DMCH was able to upregulate the pro-apoptotic proteins Bad and Bax in both HT29 and SW620 cells and downregulate the expression of antiapoptotic protein Bcl x in HT29. These proteins are members of the Bcl-2 protein family, which is heavily involved in intrinsic apoptosis events and controls the membrane integrity of mitochondria and the cytochrome c release process [22]. However, upregulated expression of pro-caspase 3, cytochrome c, and SMAC/Diablo was only observable in HT29 and not in SW620, where these proteins did not show any significant changes in expression. Furthermore, both cell lines showed a downregulation of Livin protein expression. Livin is a novel inhibitor of apoptosis as it inhibits the activation of caspase-9 [22]. The activation of caspase 9 is important as it will activate caspase 3, which promotes nucleus fragmentation and disruption of the nucleus membrane [22]. Half of the apoptotic genes studied were reversely regulated in SW620 cells when compared with HT29, and this may be caused by different resistance and selectivity of DMCH treatment towards different cell lines. Overall results showed that DMCH displayed greater potency towards SW620 compared with HT29, indicating that it is more effective on metastasized cells.

Cell Culture
The colon cancer cell lines HT-29 and SW620 were purchased from the American Type Culture Collection (ATCC, Manassas, VA, USA). SW620 cells were maintained in Dulbecco's Modified Eagle Medium (DMEM) while HT29 cells were maintained in Roswell Park Memorial Institute (RPMI) medium. Both media were supplemented with 10% fetal bovine serum (PAA, Austria) and 1% penicillin-streptomycin (Gibco, Thermo Fisher Scientific, Waltham, MA, USA).

Cell Viability Assay (MTT Assay)
Both SW620 and HT29 cells were grown in an incubator at 37 • C under 5% CO 2 condition with their respective media. After the cells were harvested, they were counted and seeded at 1 × 10 5 cells per well in a 96-well plate overnight before being treated with DMCH. The following day, cells were treated with various concentrations of DMCH. Then, the treated cells were incubated for different time periods, which were 48 h and 72 h. Following incubation for the designated time period, 20 µL of (5 mg/mL) MTT 3-[4, 5-dimethylthiazol-2-yl]-2, 5 diphenyltetrazolium bromide (Merck, Kenilworth, NJ, USA) reagent was added into each well and then cells were incubated again for another 3 to 4 h. Next, the solution was removed and 100 µL of dimethyl sulfoxide (DMSO) was added into the wells. Afterward, the plate was read at 575 nm using a microtiter plate reader (µQuant, Bio-Tek Instrument, Winooski, VT, USA). The results were analysed as the percentage proliferation of the cells regarding the concentration of the sample treated. The following formula was used to determine the percentage of viable cells: Percentage of viability (%) = (Absorbance of sample at 570 nm)/(Absorbance of control at 570 nm) × 100.

Cell Treatment
Based on the result from the MTT assay (Table 1), doses were based on the values of IC 50 for different time periods (48 h and 72 h) in SW620 and HT29.

Acridine Orange/Propidium Iodide (AO/PI) Double Staining Assay
Acridine orange/propidium iodide (AO/PI) double staining assay was performed on colon cancer cell lines to determine the mode of cell death microscopically. HT29 and SW620 cell lines were seeded in a 6-well plate at a density of 2 × 10 5 cells/well. Then, cells were treated with DMCH sample according to 48 h and 72 h concentrations. The treatment-free culture was used as a negative control, and cells were detached and collected at the end of each incubation time. Then, cells were washed with PBS and incubated with a 1:1 ratio of acridine orange (10 µg/mL) and propidium iodide (10 µg/mL). An amount of 10 µL of incubated suspension cells was placed on a slide and viewed immediately under a fluorescent microscope (Nikon FC-35DX, Nikon, Tokyo, Japan).

Cell Cycle Analysis
The effect of the DMCH sample on the cell cycle of HT29 and SW620 cells was investigated using flow cytometry cell cycle analysis. Cell cycle assay was carried out using the CycleTEST Plus DNA Reagent Kit according to the instructions (BD Pharmingen, San Diego, CA, USA). The cells were seeded at a density of 2.0 × 10 5 cells/well overnight. Then, cells were treated with different dosages of DMCH based on the concentration results of the MTT assay for 48 h and 72 h. After the treatment, cells were collected, and the pellet was resuspended in 200 µL of trypsin (solution A) and RNAse (solution B) for 10 min each followed by 250 µL of propidium iodide (solution C) for 15 min. After that, flow cytometric analysis was performed within 3 h using a Novocytes flow cytometer (ACEA Biosciences Inc., San Diego, CA, USA).

Annexin V/FITC Assay
The apoptosis effect on HT29 and SW620 cells was studied using an Annexin V fluorescence kit (BD Pharmingen, San Diego, CA, USA) according to the manufacturer's instructions without any modifications. Briefly, cells were seeded for 24 h at a density of 2.0 × 10 5 cells per well in a 6-well plate. Then, the seeded cells were treated with the designated concentrations for 48 h and 72 h. After the 48 h (or 72 h) of treatment, the treated cells were harvested and collected as a pellet. Next, the pellet was resuspended in 400 µL of binding buffer and stained with 5 µL of FITC-Annexin-V and 5 µL of PI provided in the kit. Afterward, the cells were analysed using a Novocyctes flow cytometer (ACEA Biosciences Inc., San Diego, CA, USA).

JC-1 (Mitoscreen) Assay
JC-1 assay was used to detect the depolarization of the mitochondrial membrane potential of the cell after being treated with the selected doses of DMCH for 48 h. This assay was accomplished using a BD MitoScreen Kit (BD Pharmingen, San Diego, CA, USA). In brief, the cells were seeded in a 6-well plate for 24 h at a density of 2.0 × 10 5 cells per well. Then, the cells were treated with various concentrations as described in Table 1. This assay was performed based on the manufacturer's instructions provided with the kit without any modification. After 48 h of incubation, the cells were harvested, collected, and incubated with 500 µL of JC-1 stock solution for 15 min. Then, analysis was performed using a Novocyctes flow cytometer (ACEA Biosciences Inc., San Diego, CA, USA).

Proteome Profiler Angiogenesis
Colon cancer cell lines SW620 and HT29 that had been treated with DMCH for 48 h were investigated for the expression profiles of apoptosis-related proteins. This was conducted using the Human Apoptosis Array Kit (R&D Systems, Minneapolis, MN, USA). Firstly, the proteins from both cells were extracted using 600 µL of RIPA buffer (50 mM Tris-HCl, 150 mM NaCl, 1.0% TritonX-100, 0.5% sodium deoxycholate, 0.1% SDS) supplemented with 10 mg of pre-made protease inhibitor cocktails (Roche, Mississauga, ON, Canada). After that, the proteins were quantified using the Bradford assay (Sigma, St. Louis, MO, USA). Then, membranes were blocked by blocking buffer for an hour. At the same time, the proteins were prepared with the addition of 1 mL Lysis Buffer 17 to the protein lysate. The prepared protein was loaded onto the membrane and was incubated at 4 • C overnight. The following day, the membranes were washed three times with 20 mL of wash buffer provided in the kit. Next, the membrane was transferred into a 4-well multi-dish that contains the reconstituted detection antibody cocktails, and it was incubated for an hour on a shaker. Then, the membrane was again washed with a washing buffer three times. Two millilitres of Streptavidin-HRP was added onto the membrane followed by incubation for 30 min. Then, the membrane was washed three times. Afterward, the membrane was loaded with 1.0 mL of Chemi Reagent Mix and then the membrane was scanned using ChemiDoc XRS (Bio-Rad, Hercules, CA, USA).

Statistical Analysis
All experiments were performed in triplicate, and average values were obtained. The statistical analysis was performed using GraphPad Prism. For the experimental analysis, one-way ANOVA was performed using Tukey's post-hoc test. The significance was set at p < 0.05. The comparison of statistical significance was done between control HT29/SW620 (untreated) and HT-29/SW-620 treated groups.

Conclusions
DMCH induced apoptosis in both HT29 and SW620 in a time-dependent manner. This study also showed that DMCH induced sub-G0/G1 arrest in both cell lines, and the regulation in pro-apoptotic proteins indicates that cells underwent programmed cell death via apoptosis when treated with DMCH. Overall, this study shows that DMCH is a potent cytotoxic agent on colon cancer cell lines, with potential drug candidate activity.