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二甲双胍与姜黄素联合使用通过抑制血管生成、调节免疫系统以及诱导不依赖p53的细胞凋亡来靶向治疗小鼠乳腺癌。

Combination of metformin and curcumin targets breast cancer in mice by angiogenesis inhibition, immune system modulation and induction of p53 independent apoptosis.

作者信息

Falah Rabah Rashad, Talib Wamidh H, Shbailat Seba Jamal

机构信息

Department of Clinical Pharmacy and Therapeutics, Applied Science Private University, Amman, Jordan.

Department of Clinical Pharmacy and Therapeutics, Applied Science Private University, Amman, 11931-166, Jordan.

出版信息

Ther Adv Med Oncol. 2017 Apr;9(4):235-252. doi: 10.1177/1758834016687482. Epub 2017 Feb 1.

Abstract

BACKGROUND

The effects of metformin (MET) and curcumin (CUR) single treatments have been tested against breast cancer; however, their combination has not been explored. Here, we evaluated the antitumor activity of MET and CUR combination against breast cancer in mice.

MATERIALS AND METHODS

The antiproliferative activity of single and combined treatments against breast cancer cell lines was determined. Vascular endothelial growth factor (VEGF) and expression was examined in EMT6/P cells. studies were carried out by inoculating BALB/c mice with EMT6/P cells and examining tumor growth and apoptosis induction in tumor sections. Furthermore, serum levels of different cytokines and transaminases and creatinine were measured to detect the immune response and toxicity, respectively.

RESULTS

The combination treatment exhibited the highest effects against tumor proliferation and growth. It significantly reduced VEGF expression, induced independent apoptosis, triggered Th2 immune response and showed no toxicity.

CONCLUSION

The combination can be a potential therapeutic option to treat breast cancer. However, further testing is needed to measure the exact serum levels of MET and CUR and to further explain the obtained results.

摘要

背景

已对二甲双胍(MET)和姜黄素(CUR)单药治疗乳腺癌的效果进行了测试;然而,它们的联合应用尚未被探索。在此,我们评估了MET和CUR联合应用对小鼠乳腺癌的抗肿瘤活性。

材料与方法

测定了单药及联合治疗对乳腺癌细胞系的抗增殖活性。在EMT6/P细胞中检测血管内皮生长因子(VEGF)及[此处原文缺失部分内容]的表达。通过给BALB/c小鼠接种EMT6/P细胞并检查肿瘤生长及肿瘤切片中的凋亡诱导情况来进行体内研究。此外,分别测量不同细胞因子、转氨酶和肌酐的血清水平以检测免疫反应和毒性。

结果

联合治疗对肿瘤增殖和生长表现出最高的效果。它显著降低VEGF表达,诱导[此处原文缺失部分内容]独立凋亡,引发Th2免疫反应且无毒性。

结论

该联合用药可能是治疗乳腺癌的一种潜在治疗选择。然而,需要进一步测试以测定MET和CUR的确切血清水平并进一步解释所得结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/80f3/5405996/91e49ad87cad/10.1177_1758834016687482-fig1.jpg

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