AUTHOR=Mesmar Joelle , Abdallah Rola , Hamade Kamar , Baydoun Serine , Al-Thani Najlaa , Shaito Abdullah , Maresca Marc , Badran Adnan , Baydoun Elias TITLE=Ethanolic extract of Origanum syriacum L. leaves exhibits potent anti-breast cancer potential and robust antioxidant properties JOURNAL=Frontiers in Pharmacology VOLUME=Volume 13 - 2022 YEAR=2022 URL=https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2022.994025 DOI=10.3389/fphar.2022.994025 ISSN=1663-9812 ABSTRACT=Breast cancer (BC) is the most prevalent cancer and the leading cause of cancer-related mortality. Triple negative BC (TNBC) is the most aggressive BC being resistant to hormonal and targeted therapies. Hypothesis/Purpose: The medicinal plant Origanum syriacum is a shrubby plant rich in bioactive compounds and widely used in traditional medicine to treat various diseases. However, its therapeutic potential against BC remains poorly investigated. In the present study, we screened the phytochemical content of the ethanolic extract of Origanum syriacum (OSEE) and investigated its effects and possible mechanisms of action against TNBC cell line MDA-MB-231. Methods: MTT, trans-well migration, and scratch assays were used to assess cell viability, invasion, or migration, respectively. Antioxidant potential was evaluated using the DPPH radical scavenging assay and ROS levels were assessed using DHE staining. Aggregation assays were used to determine cell-cell adhesion. Flow cytometry was used to analyze cell cycle progression. Protein levels of markers of apoptosis, proliferation, cell migration, invasion, or adhesion, angiogenesis, and cell signaling were determined by immunoblotting. Chorioallontoic Membrane assay evaluated in ovo angiogenesis. Results: We demonstrated that OSEE had potent radical scavenging activity and induced the generation of reactive oxygen species (ROS) in MDA-MB-231 cells, especially at higher OSEE concentrations. Non-cytotoxic concentrations of OSEE attenuated cell proliferation and induced G0/G1 cell cycle arrest, which was associated with phosphorylation of p38 MAPK, an increase in the levels of tumor suppressor protein p21, and a decrease of proliferation marker protein Ki67. Additionally, only higher concentrations of OSEE were able to attenuate inhibition of proliferation induced by the ROS scavenger N-acetyl cysteine, proposing that the anti-proliferative effects of OSEE can be ROS-dependent. OSEE stimulated apoptosis and its effector Caspase-3 in MDA-MB-231 cells, in correlation with activation of STAT3/p53 pathway. Furthermore, OSEE reduced the migration and invasive properties of MDA-MB-231 cells through the deactivation of focal adhesion kinase. OSEE also reduced the production of inducible nitric oxide synthase and inhibited in ovo angiogenesis. Conclusion: Our findings shows that Origanum syriacum may act as a rich source of potential TNBC therapeutics and poising it to offer novel avenues for the design novel TNBC drugs.