非瑟酮联合索拉非尼通过激活死亡受体-5介导的半胱天冬酶-8/半胱天冬酶-3和线粒体依赖性凋亡途径对人宫颈癌HeLa细胞产生协同作用。

Synergistic effect of fisetin combined with sorafenib in human cervical cancer HeLa cells through activation of death receptor-5 mediated caspase-8/caspase-3 and the mitochondria-dependent apoptotic pathway.

作者信息

Lin Ming-Te, Lin Chia-Liang, Lin Tzu-Yu, Cheng Chun-Wen, Yang Shun-Fa, Lin Chu-Liang, Wu Chih-Chien, Hsieh Yi-Hsien, Tsai Jen-Pi

机构信息

Department of Obstetrics and Gynecology, Chang Bing Show Chwan Memorial Hospital, Lugang Town, Changhua County, Taiwan.

Liberal Arts Center, Da-Yeh University, Changhua, Taiwan.

出版信息

Tumour Biol. 2016 May;37(5):6987-96. doi: 10.1007/s13277-015-4526-4. Epub 2015 Dec 12.

Abstract

Combining antitumor agents with bioactive compounds is a potential strategy for improving the effect of chemotherapy on cancer cells. The goal of this study was to elucidate the antitumor effect of the flavonoid, fisetin, combined with the multikinase inhibitor, sorafenib, against human cervical cancer cells in vitro and in vivo. The combination of fisetin and sorafenib synergistically induced apoptosis in HeLa cells, which is accompanied by a marked increase in loss of mitochondrial membrane potential. Apoptosis induction was achieved by caspase-3 and caspase-8 activation which increased the ratio of Bax/Bcl-2 and caused the subsequent cleavage of PARP level while disrupting the mitochondrial membrane potential in HeLa cells. Decreased Bax/Bcl-2 ratio level and mitochondrial membrane potential were also observed in siDR5-treated HeLa cells. In addition, in vivo studies revealed that the combined fisetin and sorafenib treatment was clearly superior to sorafenib treatment alone using a HeLa xenograft model. Our study showed that the combination of fisetin and sorafenib exerted better synergistic effects in vitro and in vivo than either agent used alone against human cervical cancer, and this synergism was based on apoptotic potential through a mitochondrial- and DR5-dependent caspase-8/caspase-3 signaling pathway. This combined fisetin and sorafenib treatment represents a novel therapeutic strategy for further clinical developments in advanced cervical cancer.

摘要

将抗肿瘤药物与生物活性化合物联合使用是提高化疗对癌细胞疗效的一种潜在策略。本研究的目的是阐明黄酮类化合物非瑟酮与多激酶抑制剂索拉非尼联合使用对人宫颈癌细胞的体内外抗肿瘤作用。非瑟酮和索拉非尼联合使用可协同诱导HeLa细胞凋亡,同时伴随着线粒体膜电位丧失的显著增加。凋亡诱导是通过激活caspase-3和caspase-8实现的,这增加了Bax/Bcl-2的比例,导致PARP水平随后裂解,同时破坏了HeLa细胞的线粒体膜电位。在经siDR5处理的HeLa细胞中也观察到Bax/Bcl-2比例水平和线粒体膜电位降低。此外,体内研究表明,使用HeLa异种移植模型,非瑟酮和索拉非尼联合治疗明显优于单独使用索拉非尼治疗。我们的研究表明,非瑟酮和索拉非尼联合使用在体外和体内对人宫颈癌的协同作用比单独使用任何一种药物都更好,这种协同作用基于通过线粒体和DR5依赖性caspase-8/caspase-3信号通路的凋亡潜力。这种非瑟酮和索拉非尼联合治疗代表了晚期宫颈癌进一步临床开发的一种新的治疗策略。

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