Abstract:
According to WHO, Breast cancer is the most widespread form of cancer worldwide and the
fifth-leading cause of death from cancer. In Pakistan, breast cancer is the most frequent type of
cancer in terms of both incidence and fatality. Among all the major types of breast cancer, Triple
Negative Breast Cancer (TNBC) is the most evasive, recurrent, and difficult to treat. TNBC lacks
almost all major hormonal receptors as well as other therapeutic targets that were used in
targeted therapy. Cases of TNBC constitutes almost 15% of total breast cancer worldwide and in
Pakistan this percentage is even higher up to 24%. Conventional treatments of TNBC are
surgery, Chemotherapy, Radiotherapy and Targeted approaches. Conventional therapies to treat
TNBC have a lot of disadvantages in terms of less efficacy, high recurrence rate, high cost, low
aesthetic value, off target effects, and difficult availability. Due to all these effects new
therapeutic approaches are continuously studied like targeted inhibition by novel bioactive plant
compounds and nanomedicine. A major portion of already available drugs come from plant
sources so it’s natural to seek further interest in bio-active compounds from plant sources. One
such ethnomedicinal plant is Fagonia arabica, that is used in this study against TNBC.
Nanomedicine is also another new technique used in breast cancer therapeutic as well as
diagnostics. One of the most common nanoparticles utilized in medicine is called gold
nanoparticles (AuNPs), because of their bioactive and biocompatible nature. AuNPs are used as
therapeutic agents as well as drug delivery vehicles. In this study Fagonia arabica was collected
and whole plant extract was prepared by Soxhlet method. The extract was used to prepare
AuNPs by green synthesis method. AuNPs were characterized using UV-Vis, SEM, EDS, XRD,
and FTIR. All the techniques used confirmed the formation of AuNPs and their surface
functionalization with plant phytochemicals. Bioactivity assays were performed on both AuNPs
as well as plant extract. Antioxidant potential was confirmed using DPPH. Both AuNPs and
Plant extract showed excellent Antioxidant potential. Anti-inflammatory effects were studied
using Protein Denaturation assays. Both samples scored excellent in this test. Phytochemical
constituents of plant extracts were analyzed using GC-MS techniques. Total 250 Compounds
were identified. Bioactive compounds were shortlisted based on Insilco Drug Discovery
parameters like Lipinsky rules, ADMET properties, Lead likeliness, HERG analysis,
Cardiotoxicity etc. 6 Compounds were shortlisted based on perfect druggable properties. The
XV
topmost responsible HUB genes of TNBC were isolated using online database and HUB gene
analysis. 3D protein structures of Top 3 Hub genes were docked with All 6 compounds using
PyRx software and compound 3 showed excellent affinity with low docking energy. A short
simulation of Docked proteins was done using Cabflex 2.0 online server indicating flexibility
and stability of protein structures. Lastly invitro therapeutic effect of Plant extract and AuNPs
was studied on TNBC by using MTT Assay on MDA-MB-231 cell lines indicating dose
dependent cytotoxic response from both samples. This study proved the potential of Fagonia
arabica against TNBC, specifically its bioactive compounds like 1-(4-Hydroxy-5,5-dimethyl-2-
oxo-3-phenylimidazolidin-1-yl)-3-phenylurea. It also proved the bioactive potential of green
synthesized AuNPs. Further studies are required to provide further evidence