Abstract:Objective To explore the antitumor effects of total alkaloids from Gelsemium elegans Benth. (TAG) on human lung adenocarcinoma cells (A549, SPCA1) by incorporating various concentrations of TAG into the culture medium.Methods TAG was extracted using heating reflux and extraction methods, and identified through thin-layer chromatography. The Incucyte S3 Live Cell Analysis System was used to fit the concentration-response of TAG on A549 and SPCA1 cells and to observe changes in cell morphology. Cell proliferation was measured using the CCK-8 assay and colony formation tests. Cell apoptosis was assessed using Hoechst 33258 staining and Rhodamine 123 staining, while the cell cycle was examined using propidium iodide staining. Western blotting was employed to detect the expression of apoptosis-related proteins Bax, Bcl-2, and cleaved Caspase-3.Results Successful extraction of TAG was confirmed via thin-layer chromatography. The EC50 values of TAG for A549 and SPCA1 cells were 99.2 and 82.0 μg/mL, respectively, determining the low, medium, and high concentrations of TAG as 50, 100, and 150 μg/mL. Observations showed a decrease in cell confluence and a reduction in cell numbers with increasing concentrations of TAG. The CCK-8 and colony formation assays indicated that TAG inhibited the proliferation of A549 and SPCA1 cells (P <0.05). Hoechst 33258 staining revealed nuclear fragmentation in treated cells, and flow cytometry using Rhodamine123 probe showed increased fluorescence intensity, indicating apoptosis. Cell cycle analysis revealed that TAG induced cell cycle arrest at the G2/M phase in A549 and SPCA1 cells. Western blot results showed that TAG induced a decrease in Bcl-2 expression, an increase in Bax expression, and activation of Caspase-3 cleavage, suggesting that TAG promotes apoptosis in A549 and SPCA1 cells (P < 0.05).Conclusion TAG inhibits the proliferation of lung adenocarcinoma cells and induces apoptosis.