Abstract:Objective To explore the effects of croton alkaloids (CA) on the growth and pathomorphology of Lewis mice lung adenocarcinoma cells, and to research the regulation of apoptosis-related proteins (Bax, Survivin, Caspase-3) and YAP in Lewis mice lung adenocarcinoma cells. To discuss the effects of CA on growth and apoptosis of lung adenocarcinoma and its specific mechanism.Methods Lewis mouse-derived lung adenocarcinoma cells (LLC) were cultured,and subcutaneous tumorigenesis model of 50 mice were divided into control group, low dose group of CA, medium dose group of CA, high dose group of CA, and cisplatin group. After one week, given the drug intervention to the subcutaneous neoplasia. On the 22nd day, the effect of CA on LLC with calculating the tumor volume, tumor weight, tumor inhibition rate, and observing the changes of pathomorphology in each group was analyzed. Western blots and RT-PCR were used to detect the expression of apoptosis related proteins and genes Yap, Bax, Caspase-3, and Survivin to explore the mechanism of CA in promoting the apoptosis of lung adenocarcinoma cells.Results (1) The general survival status of mice in medium dose CA Group and high dose CA Group was better than that in control group, low dose group and cisplatin group. (2) HE staining: the tumor cells in low-dose CA Group, medium dose CA Group, high-dose CA Group and cisplatin group showed different degrees of apoptosis, while the tumor cells in the control group were mostly necrotic cells. (3) The tumor inhibition rates of low-dose CA Group, medium dose CA Group, high-dose CA Group and cisplatin group were 13.91%, 14.83%, 27.84%, and 68.45% respectively. The difference was statistically significant by analysis of variance (P < 0.05). The tumor inhibition rates of each group increased in turn, and the tumor growth of cisplatin group was the slowest. (4) The expression of Yap, Bax, Caspase-3, and Survivin was detected by RT-PCR and Western blot in each group. It found that the expression of Survivin in different doses of CA Group was lower than that control group (P < 0.05). The higher the dose of CA, the lower the expression of Survivin; The higher the CA dose, the higher the expression of Bax and Caspase-3 proteins (P < 0.05). YAP did not change significantly in each group and has not statistically significant. (5) Western blotting was used to detect the effect of group A and the groups with different doses of CA on the expression of apoptosis-related proteins. However, Bax and Caspase-3 were both higher than the group A at different doses of CA. The higher the CA dose, the higher the expression of Bax and Caspase-3 proteins. YAP did not change significantly in each group and was not statistically significant (P > 0.05).Conclusions CA can inhibit the growth of Lewis lung adenocarcinoma mice tumors and cause the apoptosis of cells. CA can induce the apoptosis of Lewis lung adenocarcinoma mice tumor cells by up-regulating the expression of protein and gene protein and gene expression, and the down-regulating the expression of survivin. The regulatory mechanism may be through down-regulation of Survivin expression, so that Survivin's inhibitory effect on Caspase-3 protein is weakened, and Bax up-regulation can further activate Caspase-3 protein, thereby inducing Caspase cascade effect to promote cell apoptosis, which provides new targets for lung adenocarcinoma treatment.