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解析氟尿嘧啶化疗耐药的潜在分子机制及其在实验性结肠癌细胞中的鱼油恢复作用。

Elucidation of underlying molecular mechanism of 5-Fluorouracil chemoresistance and its restoration using fish oil in experimental colon carcinoma.

机构信息

Department of Biochemistry, M.M. Institute of Medical Sciences and Research (MMIMSR), Mullana, Ambala, Haryana, India.

Department of Biochemistry, Panjab University, Chandigarh, 160025, India.

出版信息

Mol Cell Biochem. 2021 Mar;476(3):1517-1527. doi: 10.1007/s11010-020-03999-x. Epub 2021 Jan 4.

Abstract

Latest strategies for cancer treatment primarily focus on the use of chemosensitizers to enhance therapeutic outcome. N-3 PUFAs have emerged as the strongest candidate for the prevention of colorectal cancer (CRC). Our previous studies have demonstrated that fish oil (FO) rich in n-3 PUFAs not only increased therapeutic potential of 5-Fluorouracil(5-FU) in colon cancer but also ameliorated its toxicity. Henceforth, the present study is designed to elucidate mechanistic insights of FO as a chemosensitizer to circumvent drug resistance in experimental colon carcinoma. The colon cancer was induced by 1,2-dimethylhydrazine(DMH)/dextran sulfate sodium(DSS) in male Balb/c mice and these animals were treated with 5-FU(12.5 mg/kg b.w.), FO(0.2 ml), or 5-FU + FO(12.5 mg/kg b.w + 0.2 ml) orally for 14 days. The molecular mechanism of overcoming 5-FU resistance using FO in colon cancer was delineated by estimating expression of cancer stem cell markers using flowcytometric method and drug transporters by immunohistochemistry and immunoblotting. Additionally, distribution profile of 5-FU and its cytotoxic metabolite, 5-FdUMP at target(colon), and non-target sites (serum, kidney, liver, spleen) was assessed using high-performance liquid chromatography(HPLC) method. The observations revealed that expression of CSCs markers was remarkably reduced after using fish oil along with 5-FU in carcinogen-treated animals. Interestingly, the use of FO alongwith 5-FU also significantly declined the expression of drug transporters (ABCB1,ABCC5) and consequently resulted in an increased cellular uptake of 5-FU and its metabolite, 5-FdUMP at target site (colon). It could be possibly associated with change in permeability of cell membrane owing to the alteration in membrane fluidity. The present study revealed the mechanistic insights of FO as a MDR revertant which successfully restored 5-FU-mediated chemoresistance in experimental colon carcinoma.

摘要

最新的癌症治疗策略主要集中在使用化疗增敏剂来提高治疗效果。n-3 多不饱和脂肪酸 (PUFAs) 已成为预防结直肠癌 (CRC) 的最强候选物。我们之前的研究表明,富含 n-3 PUFAs 的鱼油不仅增加了氟尿嘧啶 (5-FU) 在结肠癌中的治疗潜力,还减轻了其毒性。因此,本研究旨在阐明鱼油作为化疗增敏剂的机制见解,以规避实验性结肠癌中的药物耐药性。雄性 Balb/c 小鼠用 1,2-二甲基肼 (DMH)/葡聚糖硫酸钠 (DSS) 诱导结肠癌,这些动物用 5-FU(12.5mg/kg b.w.)、鱼油 (0.2ml) 或 5-FU+鱼油 (12.5mg/kg b.w.+0.2ml) 口服治疗 14 天。通过流式细胞术评估癌症干细胞标志物的表达、免疫组织化学和免疫印迹法评估药物转运体,阐明了使用鱼油克服结肠癌中 5-FU 耐药的分子机制。此外,还使用高效液相色谱 (HPLC) 法评估 5-FU 及其细胞毒性代谢物 5-FdUMP 在靶标 (结肠) 和非靶标部位 (血清、肾脏、肝脏、脾脏) 的分布情况。结果表明,在致癌剂处理的动物中使用鱼油与 5-FU 联合使用后,CSC 标志物的表达明显降低。有趣的是,FO 与 5-FU 联合使用还显著降低了药物转运体 (ABCB1、ABCC5) 的表达,从而导致 5-FU 及其代谢物 5-FdUMP 在靶位 (结肠) 的细胞摄取增加。这可能与细胞膜通透性的变化有关,因为细胞膜的流动性发生了改变。本研究揭示了鱼油作为 MDR 逆转剂的机制见解,它成功地恢复了实验性结肠癌中 5-FU 介导的化疗耐药性。

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