纳米颗粒和/或索拉非尼通过调节抗氧化状态、肿瘤标志物基因和抗炎信号通路对肝细胞癌产生的化疗影响

Impending Chemotherapeutic Impact of Nanoparticles and/or Sorafenib against Hepatocellular Carcinoma through Modulation of Antioxidant Status, Tumor Marker Genes, and Anti-Inflammatory Signaling Pathways.

作者信息

Ghamry Heba I

机构信息

Department of Home Economics, College of Home Economics, King Khalid University, P.O. Box 960, Abha 61421, Saudi Arabia.

出版信息

Toxics. 2023 Jan 22;11(2):107. doi: 10.3390/toxics11020107.

Abstract

This study investigated nanoparticles (NSP) to overcome sorafenib resistance in diethyl nitrosamine-induced hepatocellular carcinoma (HCC) in rats. This study used sixty Wistar male rats randomly grouped into two main groups, the normal control group, and the HCC model. For the normal control group ( = 12), animals were injected i.p. with PBS two times/week for 16 weeks. The remaining 48 rats were injected i.p. with using a single dose of diethyl nitrosamine (DENA) (200 mg/kg, ip), followed by phenobarbital sodium (0.05%) in drinking water for 16 weeks. At the end of the 16th week, rats were allocated into four groups (11 rats/each), one group was left without treatment (DENA group), and the other three groups were treated with either sorafenib (30 mg/kg; p.o.) or Nanoparticles (NSP) (0.5 mg/kg body weight) once daily orally with the aid of gastric gavage or their combination for another four weeks. Blood and tissue samples were collected for further biochemical, histological, immunohistochemical, and gene expression analysis. Our result revealed that DENA-treated rats showed a marked elevation of hepatic enzyme markers with an increase in the total protein and globulin and decreases in the hepatic SOD. Catalase and GSH, with significantly increased MDA levels, subsequently increased the tumor biomarkers (AFP and CEA). On the molecular level, the DENA-treated rats showed significant up-regulation of Cyp19 mRNA and the inflammatory cytokines (TNF-α, iNOS, and TGF-1β) as well as the Ki-67 gene expression ( < 0.05) with down-regulation of the PPAR-γ and FOXO-1. In addition, the HCC group showed a loss of hepatic architecture, as well as atypia, swelling, macrosteatosis of hepatocytes, and fibrosis, besides increased vascularization. The immunohistochemical findings show increased expression of both GPC-3 and Hep Par 1 in the HCC group. SOR, NSP, or a combination of NSP and SOR.NSP treatment significantly overturned the DENA's harmful effect near the normal levels and restored all cancer biomarkers and antioxidant activities, indicating the chemotherapeutic impact of NSP. The present study provides evidence that NSP exerts a major anticancer effect on DENA-induced HCC. SOR/NSP is a promising combination for tumor suppression and overcoming sorafenib resistance in HCC by modulating antioxidants, anti-inflammatory signals, and tumor markers.

摘要

本研究调查了纳米颗粒(NSP)对二乙基亚硝胺诱导的大鼠肝细胞癌(HCC)中索拉非尼耐药性的克服作用。本研究使用60只雄性Wistar大鼠,随机分为两个主要组,即正常对照组和HCC模型组。对于正常对照组(n = 12),动物每周腹腔注射两次PBS,共16周。其余48只大鼠腹腔注射单剂量二乙基亚硝胺(DENA)(200 mg/kg,腹腔注射),随后在饮用水中加入苯巴比妥钠(0.05%),持续16周。在第16周结束时,将大鼠分为四组(每组11只),一组不进行治疗(DENA组),其他三组分别用索拉非尼(30 mg/kg;口服)或纳米颗粒(NSP)(0.5 mg/kg体重)通过胃管灌服每日一次口服给药,或两者联合给药,持续另外四周。采集血液和组织样本进行进一步的生化、组织学、免疫组织化学和基因表达分析。我们的结果显示,DENA处理的大鼠肝酶标志物显著升高,总蛋白和球蛋白增加,肝超氧化物歧化酶降低。过氧化氢酶和谷胱甘肽降低,丙二醛水平显著升高,随后肿瘤生物标志物(甲胎蛋白和癌胚抗原)增加。在分子水平上,DENA处理的大鼠Cyp19 mRNA、炎性细胞因子(肿瘤坏死因子-α、诱导型一氧化氮合酶和转化生长因子-1β)以及Ki-67基因表达显著上调(P < 0.05),而过氧化物酶体增殖物激活受体-γ和叉头框蛋白O1下调。此外,HCC组显示肝结构丧失,以及肝细胞异型性、肿胀、大脂肪变性和纤维化,同时血管生成增加。免疫组织化学结果显示,HCC组中磷脂酰肌醇蛋白聚糖-3和肝细胞石蜡1的表达均增加。索拉非尼、NSP或NSP与索拉非尼的联合治疗显著逆转了DENA的有害作用,使其接近正常水平,并恢复了所有癌症生物标志物和抗氧化活性,表明NSP的化疗作用。本研究提供了证据表明NSP对DENA诱导的HCC具有主要的抗癌作用。索拉非尼/NSP是一种有前景的联合用药,可通过调节抗氧化剂、抗炎信号和肿瘤标志物来抑制肿瘤并克服HCC中的索拉非尼耐药性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f43/9964820/e891b273165b/toxics-11-00107-g001.jpg

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