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禁食可抑制肝星状细胞活化,并增强索拉非尼在肝癌细胞中的抗癌活性。

Fasting inhibits hepatic stellate cells activation and potentiates anti-cancer activity of Sorafenib in hepatocellular cancer cells.

作者信息

Lo Re Oriana, Panebianco Concetta, Porto Stefania, Cervi Carlo, Rappa Francesca, Di Biase Stefano, Caraglia Michele, Pazienza Valerio, Vinciguerra Manlio

机构信息

Center for Translational Medicine (CTM), International Clinical Research Center (ICRC), St. Anne's University Hospital, Brno, Czech Republic.

Department of Biology, Masaryk University, Brno, Czech Republic.

出版信息

J Cell Physiol. 2018 Feb;233(2):1202-1212. doi: 10.1002/jcp.25987. Epub 2017 Jul 11.

Abstract

Hepatocellular carcinoma (HCC) has a poor outcome. Most HCCs develop in the context of liver fibrosis and cirrhosis caused by chronic inflammation. Short-term fasting approaches enhance the activity of chemotherapy in preclinical cancer models, other than HCC. Multi-tyrosine kinase inhibitor Sorafenib is the mainstay of treatment in HCC. However, its benefit is frequently short-lived. Whether fasting can alleviate liver fibrosis and whether combining fasting with Sorafenib is beneficial remains unknown. A 24 hr fasting (2% serum, 0.1% glucose)-induced changes on human hepatic stellate cells (HSC) LX-2 proliferation/viability/cell cycle were assessed by MTT and flow cytometry. Expression of lypolysaccharide (LPS)-induced activation markers (vimentin, αSMA) was evaluated by qPCR and immunoblotting. Liver fibrosis and inflammation were evaluated in a mouse model of steatohepatitis exposed to cycles of fasting, by histological and biochemical analyses. A 24 hr fasting-induced changes were also analyzed on the proliferation/viability/glucose uptake of human HCC cells exposed to Sorafenib. An expression panel of genes involved in survival, inflammation, and metabolism was examined by qPCR in HCC cells exposed to fasting and/or Sorafenib. Fasting decreased the proliferation and the activation of HSC. Repeated cycles of short term starvation were safe in mice but did not improve fibrosis. Fasting synergized with Sorafenib in hampering HCC cell growth and glucose uptake. Finally, fasting normalized the expression levels of genes which are commonly altered by Sorafenib in HCC cells. Fasting or fasting-mimicking diet diets should be evaluated in preclinical studies as a mean to potentiate the activity of Sorafenib in clinical use.

摘要

肝细胞癌(HCC)的预后较差。大多数HCC是在慢性炎症引起的肝纤维化和肝硬化背景下发生的。除HCC外,短期禁食方法可增强临床前癌症模型中化疗的活性。多酪氨酸激酶抑制剂索拉非尼是HCC治疗的主要药物。然而,其疗效往往是短暂的。禁食是否能减轻肝纤维化以及禁食与索拉非尼联合使用是否有益尚不清楚。通过MTT和流式细胞术评估24小时禁食(2%血清,0.1%葡萄糖)诱导的人肝星状细胞(HSC)LX-2增殖/活力/细胞周期的变化。通过qPCR和免疫印迹评估脂多糖(LPS)诱导的激活标志物(波形蛋白、αSMA)的表达。通过组织学和生化分析,在暴露于禁食周期的脂肪性肝炎小鼠模型中评估肝纤维化和炎症。还分析了24小时禁食对暴露于索拉非尼的人HCC细胞增殖/活力/葡萄糖摄取的影响。通过qPCR检测暴露于禁食和/或索拉非尼的HCC细胞中涉及生存、炎症和代谢的基因表达谱。禁食降低了HSC的增殖和激活。短期饥饿的重复周期在小鼠中是安全的,但并未改善纤维化。禁食与索拉非尼协同抑制HCC细胞生长和葡萄糖摄取。最后,禁食使索拉非尼在HCC细胞中通常改变的基因表达水平正常化。在临床前研究中,应评估禁食或模拟禁食饮食,作为增强索拉非尼临床活性的一种手段。

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