Department of Thoracic and Cardiovascular Surgery, Shanghai 9th People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Eur Rev Med Pharmacol Sci. 2018 Jun;22(12):3819-3825. doi: 10.26355/eurrev_201806_15266.
To evaluate the antitumor activity of gemcitabine (GEM), cisplatin (DDP) as well as the combination of these two agents in lung cancer cells and mice.
The cell viability was evaluated by the CCK-8 assay. Cell apoptosis was measured by flow cytometry assay and Hoechst staining. The protein expression of VEGF, VEGFR2, Ang II, AT1R, and ACE2 was examined by Western blotting. The effect of GEM and DDP on tumor growth and survival time was also measured in lung cancer mice in vivo.
The results revealed that alone or combined administration of GEM and DDP could inhibit the growth, induce apoptosis and apoptotic body formation of A549 cells compared with control cells, with the most significance detected in a combination of GEM and DDP administration. It is indicated that combined administration of GEM and DDP could delay the progress of tumor formation in nude mice. The cell apoptosis- and angiogenesis-related proteins expressions were decreased both in A549 cells and lung cancer mice.
GEM plus DDP can be an option for patients with lung cancer treatment. However, further prospective evaluation and randomized trials are to provide more accurate information through clinical trials.
评估吉西他滨(GEM)、顺铂(DDP)单独及联合应用于肺癌细胞和小鼠的抗肿瘤活性。
通过 CCK-8 法评估细胞活力。通过流式细胞术和 Hoechst 染色法检测细胞凋亡。通过 Western blot 检测 VEGF、VEGFR2、Ang II、AT1R 和 ACE2 的蛋白表达。还在体内肺癌小鼠模型中测量 GEM 和 DDP 对肿瘤生长和生存时间的影响。
结果表明,GEM 和 DDP 单独或联合应用均可抑制 A549 细胞的生长,诱导细胞凋亡和凋亡小体形成,与对照组相比,联合应用 GEM 和 DDP 的效果最显著。结果表明,联合应用 GEM 和 DDP 可延缓裸鼠肿瘤形成的进展。细胞凋亡和血管生成相关蛋白的表达在 A549 细胞和肺癌小鼠中均降低。
GEM 加 DDP 可作为肺癌患者的治疗选择。然而,需要进一步的前瞻性评估和随机试验通过临床试验提供更准确的信息。