INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue IX September 2025
Page 3444
www.rsisinternational.org
BAX Expression in Colorectal Cancer Cells Exposed to Aspirin and
Novel Aspirin Analogues
Omolade Ojo, Ojo Emmanuel Suberu, Mohammed Abdullahi Hameed, Audu Haruna Sympha, Aliyu
Idris
Federal College of Education (TECH), Nigeria
DOI: https://doi.org/10.51244/IJRSI.2025.120800312
Received: 17 Aug 2025; Accepted: 23 Aug 2025; Published: 09 October 2025
ABSTRACTS
Aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs) have long been used in the treatment of
colorectal cancer and other neoplasm whose underlying efficacy and biomolecular mechanism is generally
believed to be through induction of Bax protein among others resulting in cell apoptosis but its toxicity
precludes its chemotherapeutic benefits. However, there exists a dearth of knowledge on the use of other more
efficacious and more tolerable novel aspirin analogues with better prognosis. The purpose of this study was to
investigate Bax induction on SW480 cells treated with 0.5mM aspirin and novel aspirin analogues; PN508
(bis-carboxylphenol-succinate), PN517 (Fumaroyldiasprin) and PN529 (Isopropyl m-
bromobenzoylsalicylate) measured after 48 hours of incubation at 37
0
C using analytical digital
photomicroscopy.
The results of this study showed a 60-70% folds increase in Bax expression in 0.5mM Aspirin treated cells.
0.5mM PN517 and PN529 treated cells showed 70-80% folds increases in Bax expression whilst 0.5mM
PN508 treated cells showed a significance of 100-120% folds increase in Bax expression.
This study reports that 0.5mM aspirin and novel aspirin analogues PN508, PN517 and PN529 caused increase
in Bax expression when exposed to SW480 cells at 37
0
C for 48 hours. It could be inferred from the results of
this study that novel aspirin analogues PN508, PN517 and PN529 are potentially more potent inducers of Bax
protein than aspirin in SW480 cells.
We therefore recommend that these novel aspirin analogues be considered in designing alternative and more
efficacious drugs for the treatment of colorectal cancer and other neoplasm in the nearest future.
Keywords: Bax, Aspirin, Aspirin Analogues, Collorectal cancer cells (SW480 CELLS)
INTRODUCTION
Colorectal cancer is a malignant tumour that affects the colon, rectum and appendix
Commonly found in adults age 50 years and above. It is the third most common cancer in men and the second
most common cancer among women affecting about 1.23 million people worldwide resulting in half a million
related deaths annually (1,2). High incidence of colorectal cancer reported in developed countries has been
linked with excessive consumption of red meat and dairy product (3, 4). Studies carried out in 2007 showed
that there were 38,608 new cases of large bowel cancer registered in united kingdom approximately two-third
in the colon and one-third in the rectum (5) whilst over 1million people were diagnosed of colorectal cancer
in United State of America the same year (6). In West Africa especially in Nigeria, a low incidence of this
disease with a prevalence rate of approximately 3 per 100,000 people per population has been reported (7- 8)
whilst a steady rise in its incidence from 1.9 to 3.2 and 4.9 per 100,000 people per population in men and
women respectively have been reported in south East Asia (9).
Currently known and documented predisposing factors of colorectal cancer include but not limited to genetic
predilection such as hereditary non-polyposis colorectal cancer (HNPCC) or Lynch syndrome, consumption
INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue IX September 2025
Page 3445
www.rsisinternational.org
of 100g/day of red meat, obesity, alcoholism and tobacco smoking, Diabetic Mellitus type II, ulcerative colitis
and Crohn’s disease among others (10 -14). It is now widely accepted that colorectal carcinogenesis is a
multistep process involving the activation and inactivation of a variety of well-defined tumour suppressor
genes, oncogenes and DNA mismatch repair genes (15). In addition, epigenetic alterations through aberrant
promoter methylation and histone modifications also play a major role in the evolution and progression of
colon cancer (16).
Moreover, aspirin, a member of non-steroidal anti-inflammatory drug mostly prescribed initially as pain
reliever, fever and rheumatism therapy is currently being used in the treatment and chemoprevention of
colorectal cancer and other related neoplasm (17-19). Varied underlying biomolecular chemotherapeutic
mechanisms of aspirin action have been postulated and documented.
Aspirin has been shown to inhibit cyclooxygenase-2 (COX-2) enzyme believed to promote inflammation and
cell proliferation often over expressed in colorectal cancer thus, demonstrating the anti-inflammatory and anti-
proliferative activities of aspirin against colorectal cancer (20, 21). Aspirin has been proven to be protective
against colorectal tumourigenesis through the release of cytochrome c from the mitochondrial and inhibition
of proteasome function, alterations of the Nuclear Factor kappa B (NFkB) signalling pathway, decreases
intracellular polyamines content , inhibit nterleukin-6, STAT3 signalling pathways and their downstream anti
apoptotic gene Bcl-2 and Bcl-xl, Bax induction among others to orchestrate cell apoptosis (22- 26).
Figure 1 shows the structure of salicylic acid and aspirin.
Salicylic acid is the precursor of aspirin with the absence of acetyl group found in aspirin (27)
Meanwhile, aspirin analogues are structurally modified form of aspirin whose molecules differ only from
aspirin by transposition of one or more functional groups for another and have been used as anti-
inflammatory and anti -thrombotic agent (28). Aspirin analogues mostly widely used as antithrombotic agents
involves additional carboxylate substituent to acetylsalicylate and has been proven to have fewer side effect
than aspirin (29). Nitric oxide donating aspirin (No-aspirin) is another aspirin analogue that has been used in
the treatment of colon cancer and the rationale behind it is addition of nitric oxide to the carboxyl chain (30)
and has been shown to have fewer side effects than aspirin.
Figure: The structure of aspirin, Diaspirin (PN508) and Fumaroyldiasprin (PN517)
INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue IX September 2025
Page 3446
www.rsisinternational.org
The role of Bax, a pro-apoptotic protein of Bcl-2 gene family in cell apoptosis has long been identified.
Evidence exist that Bax promote apoptosis (programmed cell death) by competing with Bcl-2 anti-apoptotic
protein. Studies carried out by Chiu et al., (31 ) demonstrated that Bax induces apoptosis through the release
of cytochrome c from mitochondrial with consequence loss of mitochondrial membrane potential, caspase
activation, chromatin condensation and fragmentation, and that no apoptosis will occur in the absence of
BAX. The work of Lin et al., (32) also demonstrated the role of Bax in the apoptotic response of malignant
cells to anticancer therapy. It was evident from the study that the absence of BAX completely abolished the
apoptotic response of malignant cells to chemo- preventive sulindac and other non-steroidal anti-inflammatory
drugs (NSAIDs). In a related study by Lai et al., (33) it was shown that Bax was up-regulated with down
regulation of Bcl-2 in apoptotic COX-2 negative colon cancer cells treated with aspirin. Therefore it was
evident that increase in BAX expression correlate well with the number of apoptotic nuclei in malignant tissue
when exposed to anticancer agents (34).
Furthermore, Irinotecan is a semisynthetic derivative of camptothecin, a water soluble cytotoxic alkaloid
extract from a plant called camptotheca acumunata first discovered and synthesized in Japan in 1983. Its
chemotherapeutic effect causing S-phase specific cell killing has long been employed in the treatment of
colorectal cancer and other carcinogenesis (35). Evidence exist that Irinotecan causes apoptosis of cells by
interacting with cellular topoisomerase 1 DNA (TOPO 1) complexes and has S-phase specific cytotoxicity
(36). Topoisomerase is an enzyme believed to reduce DNA twisting and supercoiling that occur at selected
regions of DNA during replication, transcription and repair combination thus repairing reversible single strand
DNA break however upon interaction with Irinotecan active metabolite SN-38 (7-ethyl-10-hydroxyl
camptothecin), the formation of a double stranded DNA breaks occur leading to the irreversible arrest of cell
replication and death (36). In addition the interaction of SN-38 with TOPO 1 has also been reported to cause
G2 arrest/delay by signalling the presence of DNA damage to an S-phase check point (37). At higher
concentration of Irinotecan, the killing of non S-phase cells has also been suggested of which mechanism
appears to be related to transcriptionally mediated DNA damage and of apoptosis (38).
It is obvious from the result of different study that the mechanism of action of aspirin used in the treatment
and prevention of colorectal cancer and other neoplasm is by induction of apoptosis demonstrable with Bax
expression.
Although the efficacy of aspirin in the treatment and chemoprevention of cancers has been widely
acknowledged however, the short and long term toxic effect may far much outweigh its benefits. Evidence
exists indicating that the long term usage of aspirin causes intestinal haemorrhage (39, 40). McGovern et al.
(41) established an association between Reye’s syndrome (Encephalopathy and fatty liver) and aspirin usage
in children and adult. D’Agati, (42) also demonstrated in his work that aspirin could increase the risk of end
term renal failure when used over a long period of time. Long term usage of aspirin has also been reported to
cause anaphylactic angioedema (43, 44)
The focus of research so far has been on chemotherapeutic efficacy of aspirin in the treatment and prevention
of colorectal cancer and its long term cytotoxic cumulative consequences. However, there exist a dearth of
knowledge on the use of other novel aspirin analogues with better efficacies and less cytotoxicity than aspirin
that could be explored for their potential use in the treatment and prevention of colorectal cancer and other
neoplasm. It was based on this insight that the present study was designed to determine the expression of Bax
protein on colorectal cancer cells exposed to aspirin and novel aspirin analogues PN508 (bis-carboxylphenol-
succinate) and PN517 (Fumaroyldiasprin) and PN529 (Isopropyl m- bromobenzoylsalicylate).
MATERIALS AND METHODS
Reagents used in this study were purchased from Sigma-Aldrich company Ltd. (The Old Brick Yard, New
Road, Gillingham, Dorset SP8 4XT) and the cell line was purchased from the European collection of cell
culture (ECACC, Health Protection Agency, Centre for Emergency Preparedness and Response, Porton
Down, Salisbury Wiltshire, SP4 0JG) unless otherwise stated.
INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue IX September 2025
Page 3447
www.rsisinternational.org
Cell Culture
SW480 cells (human colorectal adenocarcinoma) were cultured in vitro in 75 cm
2
non vented cultured flasks
(sarstedt Ltd., 68 Boston Road, Beaumont Leys, Leicester, LE4 1AW) in L-15 Leibovitz medium
supplemented with 10% Fetal Calf Serum (FCS) (PAA Laboratories Ltd., Termare Close, Houndstone
Business Park, Yeovil, Somerset, BA22 8YG) and 1% antibiotic solution [200mM L-glutamine/ 10,000
units/ml penicillin/ 10mg/ml streptomycin solution] in a class 1 hood using aseptic technique, sterile reagents
and equipment, thereafter incubated at 37
0
C in CO
2
free incubator until 80 90% confluence was attained.
Subculture of Cell Line
When cells reached 80 - 90% confluence, it was sub cultured using the following technique under class 1
safety hood. The medium was removed by aspiration and cells were gently washed with 4 mls of trypsin to
remove the remaining serum which will inhibit the action of trypsin and prevent the detachment of cells. This
4 mls of trypsin was then removed by aspiration and a further 4 mls of trypsin was added to the flask mixed
gently and incubated at 37
0
C for 5 minutes in a CO
2
free incubator. The flask was removed thereafter and
mixed very well until the cells had detached completely and this was confirmed under the microscope.
Six mls of pre- warmed L-15 medium was then added to the trypsinised cells and was mixed gently to
inactivate the trypsin. One ml of the suspension was removed for cell count as follows:
A modified Neubauer haemocytometer was loaded with 10µl of the cell suspension and the cells occupying
the four large corner squares were counted and the average was calculated to estimate the number of cells per
ml. Thereafter an aliquot of the cell suspension was removed from the flask and made up to 25 mls with a
fresh and pre warmed medium and was gently mixed. Four mls of the re-suspended cells were seeded onto a
sterile cover slip in a six well flask (Sarstedt) at a concentration of 120,000cells/well and then sealed with a
plate seal (MP Biomedicals, Ohio, USA) thereafter placed in a moisturized container and incubated for 48
hours at 37
0
C in a CO
2
incubator.
Preparation and Addition of Compounds
Fresh stock solutions of 0.5 M aspirin (Sigma, UK), PN508, PN517 and PN529 were made by dissolving a
predetermined weight of each compound in an appropriate volume of Dimethylsulfoxide (DMSO). These
were then diluted to 0.5mM with appropriate volume of pre warmed L-15 medium. Similarly 10mM stock
solution of Irinotican was prepared and diluted to 25uM with appropriate volume of pre warmed L-15 medium
and was used as positive control whilst equal volume of DMSO treated in a similar way was used as negative
control. After the preparation of compounds the flask was removed from the incubator and examined under
the microscope for cell viability. Thereafter, the medium was removed by aspiration aseptically in a class 1
safety hood. The flask was labelled and 4 mls of each compound was added to the appropriate well with
Irinotecan as positive control and DMSO as negative control, sealed with a plate seal, placed in moisturized
container and incubated at 37
0
C in a CO
2
incubator for 48 hours.
Immunohistochemistry
After 48 hours incubation, the medium was removed with plastic pipettes carefully to avoid damaging the
cells and then washed once with 2 mls of phosphate buffered saline to remove excess medium. The coverslips
were fixed in methanol for 2 minutes followed by acetone for 2 minutes and then washed twice in PBS. This
was aspirated off with a plastic pipette. Endogenous peroxidase activity was blocked by incubation for 5
minutes with 2 mls of 3% H
2
O
2
in water at 37
0
C in CO
2
incubator, rinsed in water three times and then
washed twice in PBS. The PBS was aspirated off and replaced with a blocking agent [3% BSA (w/v)/PBS
0.2% TWEEN 20] and then incubated for 20 minutes at 37
0
C in CO
2
incubator to prevent nonspecific binding.
The blocking agent was removed with a plastic pipette and replaced with primary antibody (anti-BAX-HRP)
diluted 1:150 with blocking agent prepared immediately before use. This was covered with a lid to prevent
sample dehydration and then incubated at room temperature for 1 hour with rocking. After incubation the
medium was removed with a plastic pipette carefully then coverslips washed 3 times with wash buffer [1%
(w/v) BSA in 0.2% v/v TWEEN 20 in PBS]. The buffer was aspirated off using plastic pipette and the
INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue IX September 2025
Page 3448
www.rsisinternational.org
coverslips washed twice with PBS. TMB reagent was then added to act as substrate for HRP and was
incubated for 5 minutes at room temperature. Thereafter the substrate was removed with a plastic pipette and
the coverslips rinsed with 5 mls of ultra-pure water 3 times to stop the reaction. The coverslips were then
removed carefully from the flask and dried against the edge of a tissue paper and then mounted by inversion
onto a clean slide with a drop of vectashield
TM
mounting agent (Dako). 3 photographs of each coverslip were
taking to obtain the average of each pixel value using white balance settings and 5 megapixel imaging. These
were then analyzed using analytical digital photomicroscopy (ADP) as outline by Biocolor Company UK. The
digitally acquired images were posterized using Adobe Photoshop software where the blue pixels (as the
substrate conversion resulted in blue stains) were counted in each image and recorded to give quantitative
values for comparative analysis. Instat and graph pad prism were used for the statistical analysis.
The pathway utilized for Adobe Photoshop software was:
Layer > New adjustment layer > Posterize (a constant value of 4 utilized for all images) > Layer > Flatten
image > Select >Colour range > Blues > OK > Histogram > Pixels
Results
(A) (B)
(C) (D)
(E) (F)
Figure 1 (A-F)
INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue IX September 2025
Page 3449
www.rsisinternational.org
(A) Posterized image of SW480 cells treated with 25µM DMSO used as negative control. (B) Posterized
image of SW480 cells treated with 25µM Irinotecan used as positive control. (C) Posterized image of SW480
cells treated with 0.5mM PN508. (D) Posterized image of SW480 cells treated with 0.5mM aspirin. (E)
Posterized image of SW480 cells treated with 0.5mM PN517 and (F) Posterized image of SW480 cells treated
with 0.5mM PN529.
Assessment of cellular response of SW480 cells to aspirin and novel aspirin analogues.
Bax induction has been used as early marker of apoptosis and previous studies have shown that Bax was
upregulated in apoptotic colon cancer cells treated with aspirin (Lai et al., 2008; Teles et al., 2008). However,
there has not been any documented evidence of previous study with novel aspirin analogues PN508, PN517
and PN529. To investigate whether Bax induction is increase on exposure of each compound to cancer cells.
SW480 cells were treated with 0.5mM aspirin, PN508, PN517 and PN529 for 48 hours at 37
0
C repeatedly in
different experiments to ascertain the reproducibility of result (Figure 2A, 2B and 2C). There was significant
increase in Bax induction in PN508 treated cells (P < 0.05) whilst Bax induction in cells treated with aspirin,
PN517 and PN529 were moderately increased but not statistically significant (P > 0.05) compared to the
control.
2A 2B
Neg. C
Pos. C
ASP
PN508
PN517
PN529
0
2000
4000
6000
8000
pixel no
Neg. C
Pos. C
ASP
PN508
PN517
PN529
0
10000
20000
30000
40000
pixel no
2C
Neg. C
Pos. C
ASP
PN508
PN517
PN529
0
5000
10000
15000
20000
25000
pixel no
Figure 2 Graphical assessment of SW480 cells incubated with 25µM DMSO (Negative control), Irinotecan
(Positive control) and 0.5mM PN508, PN517 and PN529 respectively for 48 hours at 37
0
C repeatedly at
different time (Fig 2A-2C). There was a consistent increase in Bax induction with aspirin and novel aspirin
analogues compared to the control (PN508, P < 0.05; ASP, PN517 and PN529, P > 0.05).
INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue IX September 2025
Page 3450
www.rsisinternational.org
Assessment of the degree of Bax induction
Previous studies have demonstrated that Bax was upregulated in colon cancer cells treated with aspirin (Lai et
al., 2008; Teles et al., 2008) but the extent and degree of Bax induction has not been previously investigated
with this compound. More interestingly, this study is the first to investigate the extent of Bax induction with
novel aspirin analogues PN508, PN517 and PN529. To demonstrate the relative increase in Bax induction,
SW480 cells were treated with 0.5mM aspirin and novel aspirin analogues for 48 hours at 37
0
C repeatedly to
ascertain reproducibility of result and Bax inductions quantified using analytical digital photomicroscopy
(ADP). Pixel numbers obtained from posterized images were transformed into percentage values and assessed
graphically (Figure 3A, 3B and 3C). Aspirin treated cells showed 60% -70% fold increase in Bax induction,
PN517 and PN529 treated cells showed 70% 80% folds increases in Bax induction whilst PN508 treated
cells showed 100% - 120% fold increase in Bax induction compared to the control.
3A 3B
Neg C
Pos C
ASP
PN508
PN517
PN529
0
100
200
300
400
pixel no (%)
3C
Neg C
Pos C
ASP
PN508
PN517
PN529
0
50
100
150
200
pixel no (%)
INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue IX September 2025
Page 3451
www.rsisinternational.org
Figure 3 The degree of Bax induction on SW480 cells exposed to 25µM DMSO (Negative control), 25µM
(Positive control) and 0.5mM of aspirin, PN508, PN517 and PN529 repeatedly for 48 hours at 37
0
C. Aspirin
treated cells showed 60-70% fold increase in Bax induction, PN517 and PN529 treated cells showed 70-80%
folds increases in Bax induction whilst PN529 showed 100-120% fold increase in Bax induction (Fig. 3A,
3B and 3C) compared to control.
DISCUSSION
Effect of aspirin on Bax induction
Bax induction has been used as an early marker of apoptosis of cancer cells treated with aspirin and has been
shown to correlate well with the number of apoptotic nuclei (33, 34). However attention has become more
focused on the need to source for alternative drugs that is more efficacious with fewer side effects than aspirin
for the treatment of cancer as long usage of aspirin has been known to cause cytotoxicity. Therefore, to
establish the basis for comparism with novel aspirin analogues, cellular response of SW480 aspirin treated
cells were investigated. There was 20-30% increase in Bax induction in SW480 cells treated with 0.5mM
aspirin compared to the positive control whilst 60-70% fold increase was observed compared to negative
control (Fig. 2A, 2B, 2C, 3A, 3B and 3C). Previous studies have demonstrated that Bax induction was
upregulated in cancer cells treated with aspirin suggesting its basis for use in cancer treatment (Lai et al.,
2008; Teles et al., 2008). This study is therefore in consonance with such finding suggesting that aspirin
causes apoptosis of cancer cells. However, no statistical significance difference was observed between the
mean values of aspirin and the controls (P > 0.05) possibly due to fewer sample size and such limitation may
have to be considered in future experiment.
Effects of PN517 and PN529 on Bax induction
Aspirin long usage for the treatment of cancer and other neoplasm has been shown to cause cytotoxicity. The
need to source for an alternative drug has become inevitable. Attempts were made to compare the effect of
aspirin with its novel analogues PN508, PN517 and PN529 on SW480 treated cells using Bax expression as
an index of apoptosis. There was 30-40% folds increases in Bax induction in PN517 and PN529 treated cells
compared to the positive control whilst 70-80% folds increases in Bax induction was observed compared to
negative control (Fig. 2A-2C and 3A-3C). Interestingly evidence of previous study demonstrating the effects
of these compounds (PN517 and PN529) on Bax induction with cancer cells does not exist suggesting that this
study is the first to investigate the induction of Bax with these novel aspirin analogues. The percentage folds
increases in Bax induction are suggestive of the apoptotic potency of these compounds on cancer cells and
therefore this finding could be relevant when designing new drugs for cancer chemotherapy. However, there
was no statistical significant difference between the mean values and the controls (P > 0.05) probably due to
fewer sample size. In addition, there is the need to further investigate the cytotoxicity of these compounds in
future experiment as this could not be established in this study.
Effect of PN508 on Bax induction
In the quest for alternative drugs for the treatment of colorectal cancer and other neoplasm, the effect of
PN508 on SW480 treated cells using Bax expression as a measure of apoptosis was investigated. There was
40-50% fold increase in Bax induction compared to the positive control whist 100-120% fold increase was
observed compared to the negative control (Fig. 2A-2C and 3A-3C) suggesting that PN508 is potent at
causing apoptosis of cancer cells. Interestingly, there was significant difference between the mean values of
PN508 and the controls (P < 0.05) which further suggested that PN508 is a potent inducer of Bax and
therefore could cause apoptosis of cancer cells more efficiently than aspirin and other aspirin analogues
investigated in this study. This finding is relevant and could serve as a basis for its consideration in designing
new drugs for the treatment of cancer. However, there is need to investigate further the cytotoxicity of this
novel aspirin analogue as this could not be established in this study. In addition, this study is the first to
investigate the degree of Bax induction on SW480 cells treated with this novel aspirin analogue and therefore
reference could not be made to any previous study.
INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue IX September 2025
Page 3452
www.rsisinternational.org
Comparative analysis of aspirin and novel aspirin analogues
Bax induction is an early marker of cell apoptosis and the extent of Bax expression corresponds well with the
number of apoptotic nuclei (34) suggesting that the degree of Bax expression also determines the potency of
each compound at inducing apoptosis of cancer cells. The degree of Bax expression of aspirin and novel
aspirin analogues from this study (Fig 3A-3B) therefore suggest variations in potency of each compound at
producing apoptosis when exposed to cancer cells.
PN517 and PN529 showed 70-80% fold increases in Bax expression compared to aspirin with 60--70% fold
increase. This suggests that these novel aspirin analogues are better inducers of Bax than aspirin and therefore
more potent at inducing apoptosis of cancer cells than aspirin. This finding may be relevant in designing a
new drug for cancer therapy. However there is need for further investigation into other properties of these
compounds such as the cytotoxicity and the mechanism underlying the induction of Bax as these could not be
established in the present study.
In addition, the result of this study shows that PN508 causes 100-120% fold increase in Bax expression
compared to aspirin, PN517 and PN529 which showed 60-70% and 70-80% folds increases in Bax expression
respectively (Fig. 3A-3C). This suggest that PN508 is the most potent at inducing Bax in cancer cells than
aspirin, PN517 and PN529 hence could cause better apoptosis of cancer cells than all the other compounds
investigated in this study. This finding may also be relevant in designing a new drug for cancer chemotherapy.
However the mechanisms underlying the induction of Bax with this compound needs to be investigated
further as this could not be established in this study.
Furthermore, Irinotecan has long been used in the treatment of colorectal cancer and other neoplasm because
it causes apoptosis of cancer cells (35, 36). This serves its basis for use as positive control in this study while
Dimethylsulfoxide used as negative control was chosen to neutralize its effect on all the stock solution of
compounds prepared with it for use in this study. More interestingly, a marked difference of 50-60% fold
increase in Bax induction was observed between the negative and positive control (Fig. 3A-3C) demonstrating
the reliability, robustness and reproducibility of the experimental method used in this study and therefore
provided the best basis for comparism between aspirin and its novel analogues.
CONCLUSION
The result from this study showed evidence of 60-70% fold increase in Bax expression on exposure of SW480
cells to 0.5mM aspirin at 37
0
C for 48 hours. In addition it is also evident from this study that o.5mM PN517
and PN529 SW480 treated cells produced 70-80% folds increases in Bax induction at 37
0
C for 48 hours and
are better inducers of Bax compared to aspirin. More obviously, 0.5mM PN508 is more potent than aspirin,
PN517 and PN529 at inducing Bax with a significant of 100-120% fold increase on SW480 treated cells at
37
0
C for 48 hours. These findings may be relevant in designing alternative drugs for the treatment of
colorectal cancer and other neoplasm.
REFERENCES
1. Ferlay, J., Shin, H.R., Bray, F., Forman, D., Mathers, C., and Parkin, D.M. (2010) GLOBOCAN 2008,
cancer incidence and mortality worldwide: IARC Cancer Base NO.10. Lyon France: international
Agency for Research on cancer
2. Boyle, P. and Levin, B. (2008) Word Cancer Report. World Health Organization
3. Baena, R., & Salinas, P. (2015). Diet and colorectal cancer. Maturitas, 80(3), 258-264.
4. Kikuchi, N., Nishiyama, T., Sawada, T., Wang, C., Lin, Y., Watanabe, Y., ... & Kikuchi, S. (2017).
Perceived stress and colorectal cancer incidence: the Japan collaborative cohort study. Scientific
reports, 7(1), 40363.
5. Office of national statistics , (2010) Cancer statistics registrations (ISD): registration of cancer
diagnosed in 2007
6. Altekruse, S.F., Kosary, C.L., Krapcho, M., Neyman, N., Aminou, R., Waldron, W., Ruhl, J.,
Howlader, N., Talalovich, Z., Cho, H., Mariotto, A., Eisner, M.P., Lewis, D.R., Cronin, K., Chen, H.S.,
INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue IX September 2025
Page 3453
www.rsisinternational.org
Feuer, E.J., Stinchcomb, D.G. and Edwards, B.K. (2009). SEER CANCER Statistics Review, 1975-
2007. National Cancer institute Bethesda. Posted to the SEER web 20 year survey-1971 to1990.
Hepatogastroenterology, 47: pp.709-13.
7. Tazinkeng, N. N., Pearlstein, E. F., Manda-Mapalo, M., Adekunle, A. D., Monteiro, J. F. G., Sawyer,
K., ... & Asombang, A. W. (2024). Incidence and risk factors for colorectal cancer in Africa: a
systematic review and meta-analysis. BMC gastroenterology, 24(1), 303.
8. Segal, I. (1998) Rarity of colorectal adenomas in the African black population. European Journal
Cancer preview, 7: pp.351 -2
9. Onyoh, E. F., Hsu, W. F., Chang, L. C., Lee, Y. C., Wu, M. S., & Chiu, H. M. (2019). The rise of
colorectal cancer in Asia: epidemiology, screening, and management. Current gastroenterology reports,
21(8), 36.
10. Mecklin, J.P. (2008) The implications of genetics in colorectal cancer. Ann Oncol, 19(Suppl 5): pp.87-
90
11. Norat, T. (2005) Meat, fish and colorectal cancer risk: the European prospective investigation into
cancer and nutrition. Journal of National cancer institute, 97(12): pp.906-16
12. Larsson, S.C., Orsini, N. and Wolk, A. (2005) Diabetes mellitus and risk of colorectal cancer: a meta-
analysis. Journal of national Cancer Institute, 97(22): pp.1679-87
13. Nguyen, L., & Shanmugan, S. (2025). A review article: the relationship between obesity and colorectal
cancer. Current Diabetes Reports, 25(1), 8.
14. Moskal, (2007) Alcohol intake and colorectal cancer risk: A dose-response meta-analysis of published
cohort studies. International Journal of Cancer, 120(3): pp.664-71
15. Chung, D.C. (2000) The genetic basis of colorectal cancer: insights into critical pathways of
tumorigenesis. Gastroenterology, 119: pp.854-865
16. Testa, U., Pelosi, E., & Castelli, G. (2018). Colorectal cancer: genetic abnormalities, tumor
progression, tumor heterogeneity, clonal evolution and tumor-initiating cells. Medical Sciences, 6(2),
31.
17. Chan, A.T. (2003) Aspirin, non-steroidal anti-inflammatory drugs and colorectal neoplasia: future
challenges in chemoprevention. Cancer Causes Control, 14: pp.413-418
18. Baron, J.A., Cole, B.F. and Sandler R.S. (2003) A randomized trial of aspirin to prevent colorectal
cancer. New England Journal of Medicine, 348: pp.891-899
19. Sandler, R.S., Halabi, S., and Baron, J.A. (2003) A randomized trial of aspirin to prevent colorectal
cancer adenomas in patients with previous colorectal cancer. New England Journal of Medicine, 348:
pp.883-890
20. Zhang, H. and Sun, X.F. (2002) Over expression of cyclooxygenase-2 correates with advanced stages
of colorectal cancer. American Journal of Gastroenterology, 97: pp.1037-1041ss
21. Brown, J.R. and DuBois, R.N. (2005) COX-2: a molecular target for colorectal cancer prevention.
Journal of Clinical Oncology, 23: pp.2840-2855
22. Greten, F.R., Eckmann, L., Greten, T.F., Park, J.M., Li, Z.W., Egan, L.J., Kagnoff, M.F. and Karin, M.
(2004) IKKbeta links inflammation and tumorigenesis in a mouse model of colitis-associated cancer.
Cell, 118(3): pp.285-96
23. Patron, C., Garcia, Rodriquez, L.A., Landolfi, R. and Baigent, C. (2005) Low dose aspirin for the
prevention of atherothrombosis. New England Journal of Medicine, 353: pp.2373-2383
24. Priyanka, Dikshit, Mou, Chatterjee, Anand, Goswanmi, Amit, Mishra, Nihar, Ranjan and Jana, (2006)
Aspirin induces apoptosis through inhibition of proteasome function. The Journal of Biological
Chemistry, 281: pp.29228-29335.
25. Stark, L.A., Reid, K., Sansom, O.J., Din, F.V., Guichard, S., Mayer, I., Jodrell, D.I., Clarke, A.R. and
Dunlop, M.G. (2007) Aspirin activates the NF-kappaB signalling pathway and induces apoptosis in
intestinal neoplasm in two in vivo models of human colorectal cancer. Carcinogenesis, 28(5): pp.968-
76
26. Yun, Tian, Ying, Ye, Wei, GAO, Ting, Song, Daqing, Wang, Xiaoyun, Mao, Changshan and Ren,
(2010) Aspirin promotes apoptosis in a murine model of colorectal cancer by mechanisms involving
downregulation of IL-6-STAT3 signalling pathway. International Journal of Colorectal Disease,
pp.1432-1262.
INTERNATIONAL JOURNAL OF RESEARCH AND SCIENTIFIC INNOVATION (IJRSI)
ISSN No. 2321-2705 | DOI: 10.51244/IJRSI |Volume XII Issue IX September 2025
Page 3454
www.rsisinternational.org
27. Miner, J., & Hoffhines, A. (2007). The discovery of aspirin's antithrombotic effects. Texas Heart
Institute Journal, 34(2), 179.
28. Ahmed, Alagha, Edemiro, Moman, Mauro, F.A., Adamo, Kelvin, B., Nolan and Anthony, J. (2009)
Design, synthesis and evaluation of aspirin analogues having additional carboxylate substituent.
Bioorganic and medicinal chemistry letters, 19(15): pp.4213-4216
29. Alagha, A., Morgan, E., Adamo, M.E., Nolan, K.B. and Chubb, A.J. (2009) Design, synthesis and
evaluation of aspirin analogues having an additional carboxylate substituent for antithrombotic activity.
Bioorg Med Chem Lett, 119(15): pp.4213-6
30. Thomas, R., Hundley and Basil, Rigas (2006) Nitric oxide donating aspirin inhibits colon cancer cell
growth via mitogen activated protein kinase activation. JPET, 316(1): pp.25-34
31. Chiu S.M., Xue, L.Y., Usuda, J., Azizuddin, K. and Oleinick, N.L. (2003) Bax is essential for
mitochondrion-mediated apoptosis but not for cell death caused by photodynamic therapy. British
Journal of Cancer, 89: pp.1590-1597
32. Lin, Zhang, Jian, Yu, Ben, Ho, Park, Kenneth, W., Kinzler, Bert and Vogelston, (2000) Role of Bax in
the apoptotic response to anticancer agents. Science, 290(5493): pp.989-992.
33. Lai, M.Y., Huang, J.A., Liang, Z.H., Jiang, H.X. and Tang, G.D. (2008) Mechanism underlying
aspirin- mediated growth inhibition and apoptosis induction of cyclooxygenase-2 negative colon cancer
cell line SW480. World J Gastroenterol, 14(26): pp.4227-33
34. Teles, A.V.F.F., Rosenstock, C.S., Okuno, G.S., Lopes, C.R.A., Bertoncini and Smailli, S.S. (2008)
Increase in bax expression and apoptosis are associated in Huntington disease progression. Posted
online 27 March 2008
35. Rothenberg, M.L. (2001) Irinotecan (CPT-11): recent development and future directions-colorectal
cancer and beyond. Oncology, 6: pp.66-80
36. Liu, L.F., Desai, S.D. and Li, T.K. (2000) Mechanism of action of camptothecin. Ann N Y Acad Sci,
922: pp.1-10
37. Shao, R.G., Cao, C.X. and Zhang, H. (1999) Replication mediated DNA damage by camptothecin
induces phosphorylation of RPA by DNA-dependent protein kinase and dissociates RPA:DNA-PK
complexes. EMBO J, 18: pp.1397-1406
38. Morris, E.J. and Geller, H.M. (1996) Induction of neuronal apoptosis by camptothecin, an inhibitor of
DNA topoisomerase-1: evidence for cell cycleindependent toxicity. J Cell Biol, 134: pp.757-770
39. Sheena, Derry, Yoon, Kong and Loke, (2000) Risk of gastrointestinal haemorrhage with long term use
of aspirin: metal analysis. BMJ, 321: pp.1183
40. Andrew, T., Chan, M.D., M.P.H., Edward, L., Giovannucci, M.D., ScD, Jeffrey, A., Mererhardt, M.D.,
MPH, Eva, S., Schernhammer, M.D., DrPH, Gary, C., Curhan, M.D, ScD and Charles, S. (2005) Long
term use of aspirin and nonsteroidal anti-inflammatory drugs and risk of colorectal cancer. JAMA,
294(8): pp.914-923
41. McGovern, M.C., Glasgown, J.F.T. and Stewart, M.C. (2001) Reye’s syndrome and aspirin: less we
forget. BMJ, 322: pp.1591
42. D’Agati, V. (1996) Does aspirin causes acute or chronic renal failure in experimental animals and in
human. American Journal of Kidney Disease, 28(1 Suppl 1): s24-9.
43. Frigas, E., & Park, M. A. (2009). Acute urticaria and angioedema: diagnostic and treatment
considerations. American journal of clinical dermatology, 10(4), 239-250
44. Grigoriadou, S., & Longhurst, H. J. (2009). Clinical immunology review series: an approach to the
patient with angio-oedema. Clinical & Experimental Immunology, 155(3), 367-377.