Zhang Quan-Bo, Ye Rui-Fan, Ye Long-Yun, Zhang Qi-Yu, Dai Ning-Gao
Department of Pathology, The First Affiliated Hospital of Wenzhou Medical University Wenzhou, China.
Department of Hepatobiliary Surgery, The First Affiliated Hospital of Wenzhou Medical University Wenzhou, China.
Am J Transl Res. 2020 Jul 15;12(7):3702-3714. eCollection 2020.
Gemcitabine is widely used as an anticancer chemotherapy drug for a variety of solid tumors, and it has become the standard treatment option for locally advanced and metastatic pancreatic cancer. However, pancreatic cancer cells develop resistance to gemcitabine after a few weeks of treatment, resulting in poor therapeutic effects. Isocorydine (ICD) is a typical natural aporphine alkaloid, and ICD and its derivatives inhibit the proliferation of many types of cancer cells in vitro. In this study, ICD was found to synergistically inhibit cell viability with gemcitabine in pancreatic cancer cells. A microarray analysis showed that ICD can inhibit the upregulation of STAT3 and EMT in pancreatic cancer cells induced by gemcitabine. STAT3 is closely related to tumor EMT, migration and invasion. After knocking down the expression of STAT3 in pancreatic cancer cells, the combination index (CI) of ICD and gemcitabine decreased. ICD can reverse the increase in the expression of EMT-related transcription factors and proteins caused by gemcitabine, thereby inhibiting the enhanced cell migration and invasion ability caused by gemcitabine. Finally, the synergistic treatment effect of the combination treatment of ICD and gemcitabine in pancreatic cancer cells was confirmed in established xenograft models.
吉西他滨作为一种用于多种实体瘤的抗癌化疗药物被广泛使用,并且它已成为局部晚期和转移性胰腺癌的标准治疗选择。然而,胰腺癌细胞在治疗几周后会对吉西他滨产生耐药性,导致治疗效果不佳。异紫堇碱(ICD)是一种典型的天然阿朴啡生物碱,并且ICD及其衍生物在体外可抑制多种类型癌细胞的增殖。在本研究中,发现ICD与吉西他滨在胰腺癌细胞中协同抑制细胞活力。微阵列分析表明,ICD可抑制吉西他滨诱导的胰腺癌细胞中STAT3的上调和上皮-间质转化(EMT)。STAT3与肿瘤EMT、迁移和侵袭密切相关。在敲低胰腺癌细胞中STAT3的表达后,ICD与吉西他滨的联合指数(CI)降低。ICD可逆转吉西他滨引起的EMT相关转录因子和蛋白质表达的增加,从而抑制吉西他滨导致的细胞迁移和侵袭能力增强。最后,在建立的异种移植模型中证实了ICD与吉西他滨联合治疗在胰腺癌细胞中的协同治疗效果。