*Corresponding Author:
Ganapathy Sindhu
Department of Biochemistry
Government Arts College (Autonomous)
Kumbakonam 612002, India
E-mail: ganapathysindhu@gmail.com
Date of Received 15 October 2019
Date of Revision 14 July 2021
Date of Acceptance 06 September 2021
Indian J Pharm Sci 2021;83(5):906-917  

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Development of oral cancer is associated with excessive cell proliferation, deregulation in cellular differentiation, insufficient apoptosis and genomic instability. Linalool is a natural monoterpene, contained in edible plants, considered to have potent antioxidant nature. In this context, it should be necessitate in broadening the understanding of the anticancer potential of linalool in experimental oral cancer model, which could be beneficial in anticancer therapy. Hence, this study is intended to assess the anticancer quality of linalool in keratin-forming tumor cell line. 3-(4, 5-dimethylthiazolyl-2)-2, 5-diphenyltetrazolium bromide assay was conducted to find out the half maximal inhibitory concentration of linalool in keratinforming tumor cell line. Linalool induced the loss of cell viability or cell death by a clear dose and time dependent manner. The half maximal inhibitory concentration on keratin-forming tumor cell line cells is 13, 24 and 45 μM for 24, 48 and 72 h respectively. Morphological changes, increased level of intracellular level of reactive oxygen species and loss of mitochondrial transmembrane potential of keratin-forming tumor cell line cells were evidently visualized on staining. Early growth 1 phase arrest in the cell cycle of keratin-forming tumor cell line cells was confirmed on dose and time dependent manner when compared with control during linalool treatment. Linalool treatment in various concentrations in vitro in keratinforming tumor cell line cells was able to reduce cell viability as compared to its counterparts. This study showed that linalool was a potent growth inhibitor of keratin-forming tumor cell line. In near future in vivo screening for its anticancer activity will be warranted and a linkage map will be developed between in vivo and in vitro studies.


Linalool, reactive oxygen species, in vitro study, apoptosis, cell cycle, keratin-forming tumor cell line cells, mitochondrial membrane potential

Cancer is the foremost health issue in many parts of the World[1]. It is characterized by out of control in cell proliferation and development leading to excessive propagation and metastasis. Carcinoma in squamous cells is the preponderance malignant epithelial neoplasm distressing the head and neck. It spreads principally by local extension and to some extent seldom by the lymphatics. The degree of tumor invasion based upon the anatomic site, the aggressive nature of tumor and host response factors. Developing countries including India have reported with 62 % of global annual incidence of over 300 000 cases. Severe alcohol consumption, use of tobacco in cigarettes, smokeless tobacco with betel nut chewing and Human Papilloma Virus (HPV) are the most dreadful risk factors for oral cancer[2]. More than 70 % of the cases imply for diagnostic and treatment services are in difficult stages of the disease, ensuing in deprived survival with hiked mortality[3]. Early revealing and avoidance of oral premalignancy and cancer are thus quite important.

Need of the hour in the development of specific modulator which enhances antitumor activity and reduces adverse side effects of conventional antitumor agents. A reasonable number of purified constituents from medicinal plants exhibit beneficial therapeutic potentials. Linalool is one among them used to restrict the abnormal growth of various human cancer cells by specifically inducing apoptotic cell death. Linalool is a natural monoterpene, occurs in edible plants, considered to have potent antioxidants. It is a chief volatile constituent of the essential oils of a number of aromatic plant species including Coriandrum sativum Linn, lavender (Lavandula officinalis) and sweet basil (Ocimum basilicum)[4]. Linalool containing essential oils possess ample of pharmacological properties, including anti-inflammatory, antimicrobial, cardioprotective, anti-aging, neuroprotective, antidiabetic, antiallergic, analgesic and local anesthetic activities, antihyperalgesic and antinociceptive and inhibited the enzymatic activities of some drug metabolizing enzymes[5-9].

Cancer cell line derived from tumor tissue not only provide a fundamental platform to understand molecular biology of neoplasia, but also serve as a basis for the investigation of specific therapeutic strategies towards specific cancer types. The understanding of cell cycle and apoptosis helps to predict which molecules are effective in oral cancer treatment. Human oral cancer cell line, Keratin-forming tumor cell line (KB) is the most commonly used oral cancer cell line in the in vitro analysis for anticancer drug screening. In vitro assay is more sensitive to test most anti-tumor agents. It is also less expensive and requires less test material and time. Though the anti-tumor activity against several human tumor cell lines by linalool has been shown, its molecular mechanisms inhibiting tumor cell growth are not fully understood. In this context, it should be necessitating in broadening the understanding of the anticancer prospective of linalool in experimental oral cancer model, which could be beneficial in anticancer therapy. Therefore, this study is designed to evaluate the anticancer effect of linalool in KB cell lines.

Materials and Methods

Linalool was purchased from Sigma Aldrich chemicals, India. Fetal Bovine Serum (FBS) was purchased from Sigma USA. Dulbecco’s Modified Eagle’s Medium (DMEM), streptomycin, penicillin-G, phosphate buffered saline (PBS), 3-(4, 5-dimethylthiazolyl-2)-2, 5-diphenyltetrazolium bromide (MTT), 2'-7'dichlorofluorescin diacetate (DCFH-DA), Ethylene Diamine Tetra Acetic Acid (EDTA), Carboxymethylcellulose (CMC), Acridine orange (AO), Ethidium bromide (EB), Tris-Hcl Buffer, triton X-100, ethanol, sodium acetate, Dimethyl sulfoxide (DMSO), tween 20, were purchased from Hi Media Laboratories, Mumbai.

Cell culture maintenance:

Human oral carcinoma KB cells were obtained from National Centre for Cell Lines (NCCS), Pune, India. The cell lines were maintained in culture in DMEM supplement with 10 % fetal calf serum, 100 U/ml of penicillin and 100 µg/ml of streptomycin. Cells were maintained in 5 % CO2 incubator at 37° and the experiments were carried out after confluence stage was attained. The medium was replaced every 2 d and the maintenance was strictly followed in accordance with the standard methods.

Cell viability assay:

The cells were plated separately in 96 well plates at a concentration of 1×105 cells/well. After 24 h, cells were washed twice with 100 μl of serum-free medium and starved for an hour at 37°. After starvation, cells were incubated in a CO2 incubator at 37° at various time periods (24, 48 and 72 h). At the end of the treatment period the medium was aspirated and serum free medium containing MTT (0.5 mg/ml) was added and incubated for 4 h at 37° in a CO2 incubator. The MTT containing medium was then discarded and the cells were washed with PBS (200 μl). The crystals were then dissolved by adding 100 μl of DMSO and this was mixed properly by pipetting up and down. Spectrophotometrical absorbance of the purple blue formazan dye was measured in a microplate reader at 570 nm (Biorad 680). The results are expressed at the percentage of stable cells with respect to the control. The half maximal inhibitory concentration (IC50) values were calculated and the optimum doses were analyzed at different time period.

Inhibition of cell proliferation (%)=Mean absorbance of the control−Mean absorbance of the sample/Mean absorbance of the control×10

The medium effective dose (IC50 ) is the amount of samples able to inhibit cell proliferation by 50 %, which was calculated graphically for each well proliferation curve.

Apoptosis assay:

KB cells were seeded (5×104 cells/well) in a 6 well plate and incubated for 24 h. After treatment with IC50 dose of linalool for 24, 48 and 72 h, the cells were detached, washed by cold PBS and then stained with a mixture of AO (100 μg ml-1) and EB (100 μg ml-1) at room temperature for 5 min. The stained cells were observed by a fluorescence microscope at 40x magnifications. At the end of treatment the cells were collected and washed three times with PBS. The plates were stained with acridine orange/ethidium bromide (AO/EB 1:1 ratio; 100 μg/ml) for 5 min and examined immediately under fluorescent microscope 40x magnification. While AO is taken up by both viable and nonviable cells and emits green fluorescence if intercalated into double stranded nucleic acid (Deoxyribonucleic acid (DNA)) or red fluorescence if bound to single stranded nucleic acid (Ribonucleic acid (RNA)). EB is taken up only by nonviable cells and emits red fluorescence by intercalation into DNA.

Detection of apoptotic nuclei by 4’,6-diamidino-2- phenylindole (DAPI) staining:

KB cells were seeded onto a 12 well plate, 48 h before being treated with linalool. The cells were incubated for various range of time exposure 24, 48 and 72 h. The control cultures were treated with 0.1 % DMSO. After incubation, cells were fixed with 3.7 % formaldehyde for 15 min, permeabilized with 0.1 % Triton X-100 and stained with 1 mg/ml DAPI for 5 min at 37°. The cells were then washed with PBS and examined by fluorescence microscopy (Nickon Eclipse TS100).

Measurement of Reactive Oxygen Species (ROS):

Dichlorofluorescein (DCF) is oxidized by radicals such as hydroxyl, peroxyl, alkoxyl, nitrate and carbonate to a fluorescent molecule (excitation 530 nm, emission 485 nm). DCF is not oxidized by hydrogen peroxide or superoxide radical. Overnight grown cells were treated in 24 well plates (45 μl/ml) for 24 h. After exposure, cells were washed by centrifugation and loaded with 20 μM DCFH-DA in DMEM for 30 min at 37°. Thereafter, treated cells were washed with DMEM and fluorescent was recorded every 5 min in over 30 min (excitation 485 nm, emission 535 nm) using a spectrofluorimetry at 37°. ROS increase was calculated as mean slope per min and normalized to the unexposed control.

Measurement of Mitochondrial Membrane Potential (MMP):

The possible effect of linalool in disturbing MMP was evaluated using the lipophilic cationic fluorescent probe Rhodamine 123 (Rh-123) for mitochondria. The cells were incubated with vehicle alone or with linalool for various range of time exposure 24, 48 and 72 h. Rh- 123 was supplementary to attain a final concentration of 10 μg/ml and the KB cells were incubated for 30 min at 37°. Then the cells were swept away with PBS and observed under fluorescence microscope using blue filter.

Cell cycle analysis:

For flow cytometric analysis of cell cycle, KB cells at a density of 1.5×105 cells/ml were treated with both DMSO alone (vehicle control) and linalool at 24 and 48 h. All adhering and floating cells were harvested and washed with cold PBS, ice-cold 70 % ethanol was fixed, the cells and incubated at –20° overnight. The cells were incubated with 500 μl of hypotonic Propidium iodide (PI) solution (10 ml sodium citrate, 0.25 mg of PI and 0.4 mg of Ribonuclease (RNase) and 0.3 μl of tween 20 for 10 ml) at 37° for 30 min staining in the dark at 4°. Flow cytometry analysis was performed in the Central Instrumentation Scientific Laboratory (CISL), Annamalai University using flow cytometer (BD FACS Aria III) equipped with a 633 nm, 488 nm and 375 nm air-cooled Argon laser collecting at least 10 000 events. The DNA profile indicated the relative abundance of the cell population in sub growth 1 phase (G1), resting phase (G0)/G1, synthesis phase (S) and growth 2 phase (G2)/mitosis (M) phases.

Statistical analysis:

The data are expressed as mean±standard deviation (SD) statistical comparisons were performed by one-way Analysis of Variance (ANOVA), followed by Duncan’s Multiple Range Test (DMRT) using Statistical Package for the Social Sciences (SPSS) version 17.0 for windows. The results were considered statistically significant values p<0.05.

Results and Discussion

Linalool induced time and dose-dependent cytotoxicity. The MTT cell viability assay is the primary step for screening anticancer effect of test compound in vitro. Cells were treated with different concentrations of linalool (in concentration range from 5 to 80 μM/ ml) at different duration ranges (24, 48 or 72 h) to clarify the role in the time of exposure. Fig. 1 shows the dose and time-dependent activity of linalool for all duration ranges. We chose different incubation times to determine the most effective one. While the inhibition of cell viability was obtained after linalool treatment only for the highest concentrations 80 μM/ml, prolonged treatments (24, 48 and 72 h) caused significant inhibition of viability for all concentrations. The cell proliferation at 72 h treatment resulted in an increase in IC50 (13 μM) values (inhibitory dose at inhibited cell growth by 50 %). A significant time dependent inhibition of cell proliferation was not obtained when only exposing the cells to the lower concentrations after 72 h and this did not strengthen along with the longer time of exposure. Low concentrations can kill cells immediately after treatment, but after longer time of exposure, cells may recover and they can stimulate some proliferative effects in surviving cells (fig. 1-fig. 3).


Fig. 1: Morphological changes in control and linalool treated KB cells. The images captured by light microscope showing A, B and C intact morphology of KB cells and D, E and F shows the IC50: 43, 30 and 13 μM at various time periods of 24, 48 and 72 h respectively


Fig. 2: Effect of linalool on the growth of KB cells by MTT assay. It shows linalool induced cytotoxicity in cellosaurus cell line (HOC) KB cells at various concentrations (5, 10, 20, 25, 30, 40, 50, 60, 70 and 80 μM) for 24, 48 and 72 h. Values were presented as mean±SD of three independent experiments


Fig. 3: Effect of linalool on the inhibition of KB cells growth by MTT assay. It shows HOC KB cells treated with control and linalool at various concentrations (5, 10, 20, 25, 30, 40, 50, 60, 70 and 80 μM) for 24, 48 and 72 h. Linalool inhibits the growth of KB cells in a time and dose dependent manner. Values were presented as mean±SD of three independent experiments

DCFH-DA can pass through the cytomembrane and is oxidized by ROS. The increased fluorescence signal of the product DCF indicates the accumulation of peroxides and superoxides, important elements in apoptosis. Linalool induced ROS generation in KB cells. Excessive production of ROS may lead to oxidative stress, loss of cell function and ultimately apoptosis. In order to demonstrate the role that ROS play in linalool-induced cell death, intracellular ROS generation was examined by using an oxidant sensitive fluorescent probe, DCFH-DA. As shown in fig. 4, the DCF signal was observed in KB cells treatment with short term exposure (24 h) of linalool (43 μM) and in control cells. An elevation of intracellular fluorescence intensity has been shown to occur within 20 min after cell incubation with linalool (IC50: 43, 30 and 13 μM) at various time periods 24, 48 and 72 h respectively when increase in time of incubation, the oxidized form of cells were also increased time dependently.


Fig. 4: ROS measurement in control and linalool treated KB cells. (A) KB cells were treated with linalool (IC50: 43, 30 and 13 μM/ml) at various time periods for (24, 48 and 72 h), stained with DCFH-DA dye. Then the digital images were captured by Fluorescence microscope, (a) Control (green florescence); (b) KB cells exposed with linalool for 24 h; (c) KB cells exposed with linalool for 48 h; (d) KB cells exposed with linalool for 72 h; (a and b) depicted weak background DCF florescence; (c and d) depicted bright DCF florescence in KB cells treated with linalool in time dependent manner; (B) Intracellular ROS measurement by spectrofluorimeter. Results shows a time dependent increase in ROS production during linalool treatment cells as shown by increased % DCF staining ratio. Values were presented as mean±SD of three experiments in each group one way ANOVA followed by DMRT. (a&b)indicate statistically different from control: ap<0.05; and bp<0.001

It is well known that ROS participate in apoptosis by inducing loss of MMP. This study examined the effect of linalool on MMP in KB cells. The mitochondrial transmembrane potential was investigated with the fluorescent probe Rh-123. Rh-123 is a cationic fluorescent dye that exhibits potential-dependent accumulation and formation of red fluorescent aggregates in mitochondria that have high MMP. In contrast, the Rh-123 exists as a monomer that produces green fluorescence in the cytoplasm and mitochondria that have low MMP.

When cells were incubated with linalool (IC50: 43, 30 and 13 μM) for 24, 48 and 72 h, linalool induced a marked decrease in red fluorescence intensity compared to those in control cells (fig. 5). Present data indicated that a remarkable drop in MMP occurred in cells exposed to linalool 43 μM (IC50 value) for 24 h (fig. 5). Based on the above data, linalool-induced KB cell death was dependent on ROS production and MMP disturbance. Table 1 presents in vitro cytotoxic activities of the linalool, which were expressed by IC50 values. The IC50 value used here was confirmed from cytotoxicity assay. The results showed that maximum effect has been exhibited by linalool (IC50: 30 and 13 μM) after 48 and 72 h, indicating that time of exposure is most important factor to measure antiproliferative effects.

Time 50 % Inhibition dose (IC50: µM) Mean±standard error of mean (SEM)
24 h 43 µM 0.018±0.001a
48 h 30 µM 0.092±0.029a
72 h 13 µM 0.105±0.007b

Table 1: The Cytotoxic Effect of Linalool on KB Cells


Fig. 5: Quantification of MMP in control and linalool treated KB cells. (A) KB cells were treated with linalool for (IC50: 43, 30 and 13 μM/ml) different time periods at 24, 48 and 72 h, stained with Rh-123 and the results showed mitochondrial depolarization patterns of KB cells. The gradual decrease of red/green fluorescence indicates a decreased MMP in a time dependent manner were analyzed by fluorescent microscope. The photomicrograph shows (a) Control (high Rh-accumulation); (b) KB cells exposed with linalool for 24 h (moderate Rh-accumulation); (c) KB cells exposed with linalool for 48 h (low Rh-accumulation); (d) KB cells exposed with linalool for 72 h (No Rh-accumulation). (B) Quantification of MMP in spectrofluorimeter. Values are given as mean±SD of six experiments in each concentration, one way ANOVA followed by DMRT. (a&b)indicate statistically different from control: ap<0.05; bp<0.1

To confirm the type of cell death induced by the linalool (IC50: 43, 30 and 13 μM) for 24, 48 and 72 h in KB cells, the morphological changes after dual staining with AO and EB were investigated. These dyes emit different shades of fluorescence and possess a different ability to penetrate cells. AO penetrates into living cells, emitting green fluorescence after intercalation into DNA. The second dye, EB emits red fluorescence in the cells with altered cell membrane integrity. Morphological features of apoptosis such as chromatin condensation, nuclear fragmentation, alterations in the size and the shape of cells, as revealed by fluorescence microscopic analysis, were observed predominantly after linalool treatment at IC50: 43, 30 and 13 μM for 24, 48 and 72 h. The maximum increase in the number of apoptotic cells was observed in IC50-13 μM of linalool in long term treatment 72 h, which was significantly higher compared to the control. As shown in fig. 6 the different time exposure of the linalool treatment also induced the necrosis.


Fig. 6: Apoptosis measurement in control and linalool treated KB cells. (A) KB cells treated with vehicle and linalool (IC50: 43, 30 and 13 μM/ml) for various time periods at 24, 48 and 72 h, stained with dual dye EB/AO and then analyzed by fluorescence microscopy (Nickon Eclipse TS-100); (a) control KB cells (green florescence); (b, c and d) representative images of linalool treatment for 24, 48 and 78 h respectively. White arrow indicates live cells; Orange arrow indicates apoptotic bodies; Blue arrow indicates apoptotic cells; Yellow arrow indicates necrotic cells. (B) Percentage of apoptotic cells were calculated by scoring apoptotic and viable cells. The values are given as mean±SD of six experiments in each group one-way ANOVA followed by DMRT. (a&b)indicate statistically different from control: ap<0.05, bp<0.01

To further investigate whether the induction of cell death by linalool was a typical apoptosis in KB cells, the analysis of nuclear morphology were performed. Treatment of KB cells with linalool resulted in nuclear morphology alterations as evidenced by the DAPI staining, a DNA binding dye. The nuclei feature of control cells was round; whereas irregular nuclei were seen in cells at 24, 48 and 72 h after treatment with linalool (fig. 7). In DAPI staining, it is obvious that the morphological features are characteristically different from established features of apoptosis or necrosis. Linalool at 24, 48 and 72 h period exposed KB cells shows with apoptotic features and a few necrotic cells.


Fig. 7: Apoptosis measurement in control and linalool treated KB cells by DAPI staining. (A) KB cells were exposed with linalool (IC50: 43, 30 and 13 μM/ml) for 24, 48 and 72 h, fixed with 4 % paraformaldehyde and nuclear staining was performed using DAPI. The KB cells stained by DAPI were observed under a fluorescence microscope; (B) Effect of linalool on percentage of cells displaying apoptotic morphology. Apoptotic cells were counted and data shown in the graphs are expressed as mean±SD of triplicate experiments. ap<0.05, bp<0.01 compared with the control group

Effects of linalool on cell cycle distribution (fig. 8A) in KB cells were studied after exposure to linalool (IC50: 43 and 30 μM) for 24 and 48 h, respectively. The control cells showed a typical distribution of cell cycle phases. Linalool had a significant impact on the cell cycle. In KB cells, the linalool-induced inhibition of proliferation may be through G0/G1 arrest. We observed a reduction in the percentage of linalool treated KB cells in the S phase (0.1 % and 0.5 %) and in G2/M phase (0.4 % and 0.5 %) when compared to the control KB cells at 24 h and 48 h along the cell cycle. Although there was a consistent trend toward accumulation of linalool-treated KB cells in the G1 phase (28.79 % and 20.9 %) of the cell cycle at 24 and 48 h respectively. This effect was statistically significant p≤0.2 in linalool (IC50: 43 μM) at short term (24 h) treated KB cells and p≤0.01 in linalool (IC50: 30 μM) treated for long term (48 h). The additive effect of G1 phase accumulation likely accounts for the observed decrease in S and G2 phase accumulation, followed by increase in the population of cells in sub G1 phase in a time dependent manner. This increase in sub G1 was G1/S transition. These results indicate that linalool regulates the cell cycle at G1/S phase in KB cells thereby affects their proliferation pattern.


Fig. 8: Cell cycle distributions. (A) Cell cycle distributions of (a) Control (0.5 % DMSO treated) and (b and c) linalool (IC50: 43 and 30 μM/ml) treated KB cells at various time periods for 24 h and 48 h were determined using PI staining by flow cytometry and quantification. (B) Histograms showing the number of the channel (vertical axis) against DNA content (horizontal axis). Linalool caused a dose dependent G1 phase accumulation and a corresponding decrease in the percentage of cells entering S and G2/M phase. The values are presented as mean±SD of three determinations and indicated by a, b, c showed a significant difference ap<0.05, bp<0.01, cp<0.02 respectively relative to the relevant control

Prevention and therapy is undeniable, the prudent maneuver towards the ultimate target of cancer controlling. The global level increase in the use of herbal measures and active ingredients isolated from medicinal plants have delivered the pharmaceutical industry with important sources of lead compounds. Furthermore, over a 100 new products are in clinical development, particularly as anticancer agents. Several dietary phytochemicals are an alternative due to their various degrees of antiproliferative and immunostimulatory effects on various types of human cancer. A recent study revealed that suppression of oral cancer by induction of cell cycle arrest and apoptosis using Juniperus communis extract[10]. Therefore process of identification of new phytochemicals with chemopreventive and therapeutic efficacy starts with the analysis of their effect on experimental cancer cell line models. Our current study shows that linalool exerts its cytotoxic effect in oral human cancer cell line, through a disturbance in cell cycle events, leading to cell death by apoptosis.

The MTT assay showed that linalool reduced the viability of the human oral cancer cell line KB in a dose and time dependent manner. Thus results indicate that linalool induced antiproliferative and/or cytotoxic effects of these cells. A few studies have reported previously that linalool exhibited good inhibitory effects against breast, colorectal and liver cancer cell[5,11]. Jabir et al. used the cytotoxicity assay to demonstrate the selective toxicity of linalool in cancer cells and induced apoptosis by activating caspase-8, the p53 protein in human ovary cancer cell line (SKOV-3) cells through extrinsic and intrinsic pathways[12]. It has been showed that linalool exerted antiproliferative activity against certain solid tumor cells, such as adenocarcinoma cells and human liver cancer cell line (HepG2). Alterations on KB cell viability were confirmed by phase contrast microscopy and flow cytometry. The linalool treated cells presented modification in cell morphology (fig. 1). In addition, the analysis using MTT confirmed the cytotoxicity and inhibition rate of linalool treated cells (fig. 1 and fig. 2). According to previous report, morphological alterations such as rounding and cell shrinkage are consistent with apoptotic cell death[13]. Moreover, given that linalool induces cell cycle arrest in KB cells, it could potentiate the cytotoxicity nature of cell cycle disrupting chemotherapeutics.

Apoptosis is a dynamic and physiological mode of cell death subjected to complex regulatory process, which is an important aspect to impede tumourigenesis. In this way, new strategies capable of inducing the apoptotic process in cancer cells are welcoming, modulating the sensitivity of tumor and normal cells to antitumor agents, via regulatory mechanism of apoptosis[14]. KB cells were analyzed in the presence of AO/EB staining so as to corroborate that apoptosis has been induced by linalool. The induction of apoptosis induced by early and late apoptotic morphological changes observed in KB cells was confirmed by dual staining which has been used to discuss living cells were in early and late stage of apoptosis. Cytological examination of linalool treated cells showed morphological characteristics consistent with apoptotic cell death (fig. 1). Other research groups have demonstrated that linalool induced apoptosis, growth arrest and differentiation in a variety of human leukemia cells but spared normal hematopoietic cells[15]. Mechanisms of cell death other than apoptosis (autophagic cell death, necroptosis, ferroptosis, etc.) were also mediated by linalool to exhibit its antitumor action[16]. Gong et al. verified by morphological analysis that linalool inhibits the viability of Jurkat cells via inducing the apoptosis of leukemia cells[17]. Linalool treatment exhibited fragmentation of chromatin, bleb formation on the cell surface, cytoplasmic shrinkage, loss of cell-to-cell contact and a reduction in their density, which is representative apoptotic features. Mitochondria associated oxidative stress has been shown to play critical role in apoptotic cell death. Loss of MMP is an important event for induction of apoptotic cell death in human oral cancer cells. In this study it has been observed that significant alteration in MMP of linalool treated KB cell. Thus, there would be a correlation in linalool induced oxidative stress, a decrease in MMP and induction of apoptotic cell death in KB cells. Further the present results demonstrated that the ROS generation was significantly increased when the KB cells pretreated with linalool.

ROS were involved in cell growth inhibition and mitochondrial depolarization. Linalool increased ROS production and MMP depolarization[18]. To investigate the mechanism of anti-tumorigenic potential of linalool, we studied its effect on KB cells in terms of oxidative stress. It has been reported that modulation of ROS levels is a therapeutic strategy to selectively destruct cancer cells[19]. Excess levels of ROS in the cells can readily induce cell cycle arrest and apoptosis. Recent studies have showed utility of agents that increase cellular ROS levels may kill cancer cells effectively[20]. In our present study, generation of ROS was found to be higher in KB cells treated with linalool than untreated control KB cells in a time and dose dependent manner. Thus, proving that one of the mechanisms by which linalool killed KB cells is by elevating intracellular ROS. Oxidative stress was measured in KB cells in vitro to explore the involvement of oxidative stress in the observed reduction in viability of cancer cells. In addition, the preventive role of linalool on mitochondrial complex I and II, the electron transport followed by mitochondrial rearrangements and apoptosis in HepG2 cells were revealed[21]. Thus, the difference in the redox, metabolic and mitochondrial states between the cancer and normal organ tissues might be responsible for linalool’s selective oxidative stress induction and selective cytotoxic to cancer cells. Results obtained from this study clearly demonstrated significant anticancer activity of linalool is mainly by increasing ROS production.

The flow cytometric method was employed to further test the linalool influence on the cell cycle events after treating linalool to KB cell. Fig. 8A and fig. 8B showed that linalool caused a G1 phase accumulation. This observation is considered to be a hallmark of apoptotic cell death, as during apoptosis, chromosomal DNA is cleaved by a caspase activated deoxyribonuclease (DNase) to facilitate phagocytosis[22]. Recently it has been suggested that linalool could induce G0/G1 arrest and apoptosis in leukemia cells and in cervical cancer cells and significantly increased sub G1 phase and more cells were collected in G1 phase lead to apoptosis[23]. Linalool was reported to induce G1 phase arrest in several types of cancer, such as oral cancer[24], leukemia and hepatocellular carcinoma. In addition linalool blocked the transition through the G1 checkpoint to inhibit cancer growth in 22Rv1 prostate cancer cell[25]. Profound studies showed linalool had cytostatic antiproliferative effects against cancer cells by causing G0/G1 or G2/M cell growth arrest accompanied by a strong diminution of S phase cells. Our results suggested that linalool could induce apoptosis and G0/G1 arrest in KB cells at short and long term exposure of linalool. At IC50 (30 μM) linalool presented the sub G1 peaks for 24 h and 48 h respectively as well as S and G2/M phase were reduced ultimately. Accordingly these results showed that linalool can effectively suspend the cell cycle of KB cells in phase G1 and subsequently present sub G1 phase early which symbolize the occurrence of suspended cell cycle. It was reported that treatment with linalool significantly increased the sub G1 phase and there were more cells concentrated in the G1 phase. Particularly, linalool induces apoptosis in human leukemia cells without affecting normal hematopoietic cell growth[15]. Linalool become ligands in nuclear receptors thereby regulate expression of various genes and ameliorate conditions related to this disease[26].

Earlier studies revealed that linalool treatment in sarcoma cancer cell line (S-180) cells reduced the cell viability, induced apoptosis and also increased number of cells in the sub G0 phase in the sarcoma tissues by cells analysis, which demonstrated significant anticancer activity of the linalool. Further they were providing one of the mechanisms by which linalool killed KB cells were by elevating intracellular ROS[27]. In a pre-treatment experiment linalool has suppressed t-butyl hydroperoxide induced DNA damage in human hepatoma HepG2 and human lymphoid neural crest (NC) cells[6]. During linalool treatment the level of DNA strand breaks were higher, which may reflect faster excision of oxidized bases. In recent study, it showed that linalool effectively protects human cells against genotoxic effect of the ROS-inducing agent, without any adverse effects at nanomolar concentrations[28,29].

An early study showed that natural small molecule monoterpene linalool possessed strong activity against histiocytic lymphoma cells U937 (IC50: 3.51 g/ml) and Burkitt lymphoma cells P3HR1 (IC50: 4.21 g/ml)[30]. Moreover, several recent studies reported that linalool could reverse doxorubicin resistance in human breast adenocarcinoma cells[5], displayed antiproliferative activity against some solid tumor cells, such as amelanotic melanoma and renal cell adenocarcinoma[31], HepG2 and Michigan Cancer Foundation-7 (MCF- 7) cells[11,21] as well as against a variety of leukemia cells[15]. Linalool managed all oxidation system parameters including reduced Glutathione (GSH), Superoxide dismutase (SOD), Catalase (CAT), Malondialdehyde (MDA), Nicotinamide Adenine Dinucleotide Phosphate (NADPH) and particularly the Nuclear Erythroid 2-related factor 2 (Nrf2) mediated pathway markers and potentiated the cytotoxic effect of cisplatin when investigated on Henrietta Lacks (HeLa) and Human prostatic carcinoma cell line (PC-3)[32].

Linalool induced apoptosis of human colon cancer cells via cancer specific oxidative stress, which was detectable as an Electron Spin Resonance (ESR) signal by Kenichi et al.[33].

Here we have analyzed that linalool was able to induce growth inhibition and apoptosis in human oral cancer cells KB. All of the results, obtained and presented here, illustrate that linalool is capable of inducing apoptotic cell death in KB cells. Further it was confirmed by measuring intracellular ROS, MMP, apoptosis and cell cycle progression. This study corroborated with earlier literatures that linalool was a potent growth inhibitor of KB cells. However the mechanism of linalool inhibits the growth of tumor cells remains to be fully elucidated. In near future in vivo screening for its anticancer activity will be warranted and a linkage map will be developed between in vivo and in vitro studies.

Conflicts of interest:

The authors declared no conflict of interest.