Li Zhi-Lu, Chen Chen, Yang Yuan, Wang Cheng, Yang Ting, Yang Xin, Liu Sheng-Chun
Department of Endocrine and Breast Surgery, The First Affiliated Hospital of Chongqing Medical University Chongqing, China.
Department of Cardiovascular Medicine, The First Affiliated Hospital of Chongqing Medical University Chongqing, China.
Int J Clin Exp Pathol. 2015 May 1;8(5):4378-87. eCollection 2015.
Deregulated expression of molecular of the Notch signaling pathway is observed in malignant tumor. Notch signaling pathway is activated by a series of catalytic cleavage of the Notch receptor by gamma secretase. Gamma secretase inhibitor (GSI) have demonstrated clinical activity in patients with solid tumor. Triple negative breast cancer (TNBC) is related to poor prognosis and a high probability of lung and brain metastases. As first line therapy for TNBC, doxorubicin is partially effective in TNBC control. An understanding of the mechanisms for enhancing sensitivity to doxorubicin would be significant for future drug development. We hypothesized that a combination of cytotoxic chemotherapy doxorubicin to inhibit cell proliferation, together with GSI, would result in more effective outcome than either monotherapy alone. We treated MDA-MB-231 cell lines with doxorubicin and evaluated the monotherapy efficacy and in combination with GSI in both vitro and vivo. GSI-induced proliferation inhibition and apoptosis was achieved with an induction of PTEN and pro-apoptotic protein Bax expression and suppression of Notch-1, HES-1, CyclinD1 and anti-apoptotic protein Bcl-2. These results indicate that MDA-MB-231 cells are susceptible to a GSI, whether alone or in combination with doxorubicin, are correlated with changing of some surrogate marker. This study demonstrates practicability of combined use of GSI and doxorubicin, and together these results encourage new therapeutic method in triple negative breast cancer.
在恶性肿瘤中观察到Notch信号通路分子的表达失调。Notch信号通路通过γ-分泌酶对Notch受体的一系列催化切割而被激活。γ-分泌酶抑制剂(GSI)已在实体瘤患者中显示出临床活性。三阴性乳腺癌(TNBC)与预后不良以及肺和脑转移的高概率相关。作为TNBC的一线治疗药物,阿霉素在控制TNBC方面部分有效。了解增强对阿霉素敏感性的机制对于未来的药物开发具有重要意义。我们假设,细胞毒性化疗药物阿霉素与GSI联合使用以抑制细胞增殖,将比单独使用任何一种单一疗法产生更有效的结果。我们用阿霉素处理MDA-MB-231细胞系,并在体外和体内评估单一疗法的疗效以及与GSI联合使用的疗效。通过诱导PTEN和促凋亡蛋白Bax的表达以及抑制Notch-1、HES-1、细胞周期蛋白D1和抗凋亡蛋白Bcl-2,实现了GSI诱导的增殖抑制和凋亡。这些结果表明,MDA-MB-231细胞对GSI敏感,无论单独使用还是与阿霉素联合使用,都与一些替代标志物的变化相关。本研究证明了GSI和阿霉素联合使用的实用性,这些结果共同鼓励了三阴性乳腺癌的新治疗方法。