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左氧氟沙星可能对口腔鳞状细胞癌患者安全。

Levofloxacin might be safe to use for OSCC patients.

机构信息

Department of Otorhinolaryngology & Head and Neck Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Department of Biochemistry, Faculty of Pharmacy, Istanbul Yeni Yuzyil University, Istanbul, Turkey.

出版信息

Med Oncol. 2021 Jun 25;38(8):87. doi: 10.1007/s12032-021-01538-2.

DOI:10.1007/s12032-021-01538-2
PMID:34170451
Abstract

Oral squamous cell carcinoma patients are exhausted against the powerful chemotherapies, radiotherapies after the surgery, and their immune system is devastated during the process and antibiotic usage become inescapable. Although prescribing an antibiotic might be fraught for such as drug interaction and undesirable proliferation danger, studies still look for the new ideas such as antibiotic combinations that might be safe to use. The antiproliferative and apoptotic outcomes of levofloxacin with cisplatin combination as well as their single usage were examined with WST-1, Caspase-3/BCA and Annexin V methods on SCC-15 cells and a healthy cell line (MRC-5). 24 h treatment of 50 mM single levofloxacin, 50 mM single cisplatin and 50 mM levofloxacin-cisplatin combination resulted in viability rates of SCC-15 cells as 90%, 67% and 80.8%, respectively. Caspase-3 enzyme activity was enhanced 0.92-fold for single levofloxacin, 13.05-fold for single cisplatin and 9.73-fold for the combination of levofloxacin-cisplatin, the total apoptotic activity of single levofloxacin, single cisplatin and levofloxacin-cisplatin combination were observed as 4.88%, 21.14%, 16.21%, respectively on SCC-15. The apoptotic effect of cisplatin on MRC-5 has been shown to be suppressed when combined with levofloxacin. Considering the cell viability, caspase-3, and apoptotic activity results, it's conclude that the levofloxacin-cisplatin combination was also effective compared to the only cisplatin treatment on OSCC cells. The combination has shown less toxicity for healthy cells than single cisplatin treatment. Therefore, our apoptotic findings suggest that the different dosage combinations are necessary to understand the interaction for the treatment of tongue squamous cell carcinoma.

摘要

口腔鳞状细胞癌患者在手术后会经历强大的化疗、放疗,其免疫系统受到严重破坏,抗生素的使用也不可避免。尽管开抗生素可能会存在药物相互作用和不良增殖的风险,但研究仍在寻找新的思路,如抗生素组合,这些组合可能是安全的。我们使用 WST-1、Caspase-3/BCA 和 Annexin V 方法,在 SCC-15 细胞和健康细胞系(MRC-5)中研究了左氧氟沙星与顺铂联合以及单独使用的抗增殖和凋亡作用。24 小时 50mM 左氧氟沙星、50mM 顺铂和 50mM 左氧氟沙星-顺铂联合处理后,SCC-15 细胞的存活率分别为 90%、67%和 80.8%。左氧氟沙星单独使用时 Caspase-3 酶活性增强 0.92 倍,顺铂单独使用时 Caspase-3 酶活性增强 13.05 倍,左氧氟沙星-顺铂联合使用时 Caspase-3 酶活性增强 9.73 倍,单独使用左氧氟沙星、顺铂和左氧氟沙星-顺铂联合处理后,SCC-15 的总凋亡活性分别为 4.88%、21.14%和 16.21%。顺铂与左氧氟沙星联合使用时,对 MRC-5 的凋亡作用受到抑制。考虑到细胞活力、Caspase-3 和凋亡活性的结果,与单独使用顺铂相比,左氧氟沙星-顺铂联合治疗对 OSCC 细胞也同样有效。与单独使用顺铂相比,联合治疗对健康细胞的毒性较小。因此,我们的凋亡研究结果表明,为了理解治疗舌鳞状细胞癌的相互作用,需要采用不同的剂量组合。

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Oral Oncol. 2020 Aug;107:104799. doi: 10.1016/j.oraloncology.2020.104799. Epub 2020 May 20.
2
Increasing incidence and improving survival of oral tongue squamous cell carcinoma.口腔舌鳞状细胞癌发病率的增加和生存率的提高。
Sci Rep. 2020 May 12;10(1):7877. doi: 10.1038/s41598-020-64748-0.
3
Selected pharmacotherapy agents as antiproliferative and anti-inflammatory compounds.选定的药物治疗剂作为抗增殖和抗炎化合物。
Drug Dev Res. 2020 Jun;81(4):470-490. doi: 10.1002/ddr.21640. Epub 2020 Jan 14.
4
New Insight Regarding the Relationship Between Enantioselective Toxicity Difference and Enantiomeric Toxicity Interaction from Chiral Ionic Liquids.手性离子液体中对映体选择性毒性差异与对映体毒性相互作用关系的新见解。
Int J Mol Sci. 2019 Dec 6;20(24):6163. doi: 10.3390/ijms20246163.
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Direct impact of cisplatin on mitochondria induces ROS production that dictates cell fate of ovarian cancer cells.顺铂直接作用于线粒体诱导活性氧的产生,决定卵巢癌细胞的命运。
Cell Death Dis. 2019 Nov 7;10(11):851. doi: 10.1038/s41419-019-2081-4.
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Levofloxacin: Insights Into Antibiotic Resistance and Product Quality.左氧氟沙星:抗生素耐药性与产品质量洞察
Front Pharmacol. 2019 Aug 14;10:881. doi: 10.3389/fphar.2019.00881. eCollection 2019.
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Oral squamous cell carcinoma of tongue: Histological risk assessment. A pilot study.舌口腔鳞状细胞癌:组织学风险评估。一项初步研究。
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Advances in Toxicological Research of the Anticancer Drug Cisplatin.顺铂抗癌药物毒理学研究进展。
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