Cancer Centre, Faculty of Health Sciences, University of Macau, Taipa, Macau, China.
Department of Applied Biology and Chemical Technology, Lo Ka Chung Centre for Natural Anti-Cancer Drug Development, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China.
J Pharm Pharmacol. 2019 Mar;71(3):306-315. doi: 10.1111/jphp.13033. Epub 2018 Oct 25.
Drug combination in cancer therapy aims to achieve synergistic therapeutic effect, reduced drug dosage, reduced drug toxicity and minimizes or delays the induction of drug resistance. In the present study, we investigated the anticancer effects of the combination of two metabolic modulators, dichloroacetate (DCA) and bacillus caldovelox arginase (BCA) (or pegyated human arginase (HA)).
The combination treatments were evaluated in MCF-7 and MDA-MB 231 cells as well as in MDA-MB 231 breast cancer xenograft model.
Dichloroacetate and BCA combination exhibited anti-proliferative effects on MCF-7 cells, which were found to be synergistic. Analysis of the gene expression upon drug treatments revealed that the synergistic anti-proliferative effect on MCF-7 cells was possibly in part due to the activation of the p53 pathway. A similar synergistic anti-proliferative effect was observed in the combined use of DCA and HA on MCF-7 and MDA-MB231 cells, which was due to induction of cell cycle arrest at G2/M phase. Moreover, the combination enhanced anti-tumour activity in a MDA-MB 231 xenograft mouse model.
Our results suggested that dichloroacetate and arginase combination exhibited enhanced anti-cancer effects in preclinical breast cancer models which may offer an additional treatment option for breast cancer.
癌症治疗中的药物联合旨在实现协同治疗效果,降低药物剂量,降低药物毒性,并最大程度地减少或延迟耐药性的产生。在本研究中,我们研究了两种代谢调节剂二氯乙酸(DCA)和枯草芽孢杆菌精氨酸酶(BCA)(或聚乙二醇化人精氨酸酶(HA))联合的抗癌作用。
在 MCF-7 和 MDA-MB231 细胞以及 MDA-MB231 乳腺癌异种移植模型中评估联合治疗。
DCA 和 BCA 联合对 MCF-7 细胞表现出抗增殖作用,发现具有协同作用。药物处理后的基因表达分析表明,DCA 和 BCA 联合对 MCF-7 细胞的协同抗增殖作用可能部分归因于 p53 途径的激活。在 MCF-7 和 MDA-MB231 细胞中联合使用 DCA 和 HA 也观察到类似的协同抗增殖作用,这是由于细胞周期停滞在 G2/M 期。此外,该联合在 MDA-MB231 异种移植小鼠模型中增强了抗肿瘤活性。
我们的结果表明,二氯乙酸和精氨酸酶联合在临床前乳腺癌模型中表现出增强的抗癌作用,这可能为乳腺癌提供了另一种治疗选择。