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Synergistic antitumor activity of regorafenib and rosuvastatin in colorectal cancer.

作者信息

Yuan Tao, Wu Ruilin, Wang Weihua, Liu Yue, Kong Wencheng, Yang Bo, He Qiaojun, Zhu Hong

机构信息

Institute of Pharmacology and Toxicology, Zhejiang Province Key Laboratory of Anti-Cancer Drug Research, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, China.

Department of Gastroenterological Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.

出版信息

Front Pharmacol. 2023 Apr 17;14:1136114. doi: 10.3389/fphar.2023.1136114. eCollection 2023.


DOI:10.3389/fphar.2023.1136114
PMID:37138847
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10149949/
Abstract

Colorectal cancer is one of the most prevalent life-threatening malignant tumors with high incidence and mortality. However, the efficacy of current therapeutic regimens is very limited. Regorafenib has been approved for second- or third-line treatment of patients who are refractory to standard chemotherapy diagnosed with metastatic colorectal cancer, but its clinical efficacy needs to be further improved. Accumulating evidence demonstrates that statins also possess potent anticancer activities. However, whether regorafenib and statins pose synergistic anticancer effects in colorectal cancer is still unclear. Sulforhodamine B (SRB) assays were applied to evaluate the anti-proliferative activity of regorafenib or/and rosuvastatin , and immunoblotting analysis were applied to detect the effects of regorafenib/rosuvastatin combined treatment on mitogen-activated protein kinase (MAPK) signaling and apoptosis-related proteins. MC38 tumors were applied to investigate the synergistic anticancer effects of regorafenib in combination with rosuvastatin . We found that regorafenib in combination with rosuvastatin exerted significant synergistic inhibition against colorectal cancer growth and . Mechanistically, regorafenib and rosuvastatin combination synergistically suppressed MAPK signaling, a crucial signaling pathway promoting cell survival, as indicated by the reduction of phosphorylated MEK/ERK. In addition, regorafenib in combination with rosuvastatin synergistically induced the apoptosis of colorectal cancer and . Our study demonstrated the synergistic anti-proliferative and pro-apoptotic effects of regorafenib/rosuvastatin combined treatment in colorectal cancer and might potentially be evaluated as a novel combination regimen for clinical treatment of colorectal cancer.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f56/10149949/4ffd980aeca8/fphar-14-1136114-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f56/10149949/181068a796b2/fphar-14-1136114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f56/10149949/efaf04d7b27a/fphar-14-1136114-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f56/10149949/d25183d5f4ef/fphar-14-1136114-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f56/10149949/f76c8af81041/fphar-14-1136114-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f56/10149949/4ffd980aeca8/fphar-14-1136114-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f56/10149949/181068a796b2/fphar-14-1136114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f56/10149949/efaf04d7b27a/fphar-14-1136114-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f56/10149949/d25183d5f4ef/fphar-14-1136114-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f56/10149949/f76c8af81041/fphar-14-1136114-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4f56/10149949/4ffd980aeca8/fphar-14-1136114-g005.jpg

相似文献

[1]
Synergistic antitumor activity of regorafenib and rosuvastatin in colorectal cancer.

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[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
The role of statins in the regulation of breast and colorectal cancer and future directions.

Front Pharmacol. 2025-5-14

[2]
Synergistic Targeting of Hepatocellular Carcinoma via Novel Regorafenib Combinations with Diosmin, Sulfasalazine, or Rosuvastatin.

Biochem Genet. 2025-5-27

[3]
The Effect of Statin Usage on Survival in Metastatic Colorectal Cancer Patients Receiving Regorafenib.

In Vivo. 2024

[4]
Obesity-Associated Colorectal Cancer.

Int J Mol Sci. 2024-8-14

[5]
Interleukin-6 serves as a critical factor in various cancer progression and therapy.

Med Oncol. 2024-6-20

[6]
Pharmacokinetic interaction between regorafenib and atorvastatin in rats.

Pharmacol Rep. 2024-10

[7]
The role of gut microbiota and drug interactions in the development of colorectal cancer.

Front Pharmacol. 2023-8-23

本文引用的文献

[1]
Unraveling a mystery: Why human cells require cholesterol.

Sci Adv. 2022-9-16

[2]
Crucial Role of Oncogenic Mutations in Apoptosis and Autophagy Regulation: Therapeutic Implications.

Cells. 2022-7-13

[3]
Efficacy and Safety of Fruquintinib Plus PD-1 Inhibitors Versus Regorafenib Plus PD-1 Inhibitors in Refractory Microsatellite Stable Metastatic Colorectal Cancer.

Front Oncol. 2021-10-6

[4]
Growth Factors, PI3K/AKT/mTOR and MAPK Signaling Pathways in Colorectal Cancer Pathogenesis: Where Are We Now?

Int J Mol Sci. 2021-9-23

[5]
Statin-mediated inhibition of RAS prenylation activates ER stress to enhance the immunogenicity of KRAS mutant cancer.

J Immunother Cancer. 2021-7

[6]
Statins: a repurposed drug to fight cancer.

J Exp Clin Cancer Res. 2021-7-24

[7]
Statins use and the prognosis of colorectal cancer: a meta-analysis.

Clin Res Hepatol Gastroenterol. 2021-9

[8]
Diagnosis and Treatment of Metastatic Colorectal Cancer: A Review.

JAMA. 2021-2-16

[9]
Rapid Resistance of FGFR-driven Gastric Cancers to Regorafenib and Targeted FGFR Inhibitors can be Overcome by Parallel Inhibition of MEK.

Mol Cancer Ther. 2021-4

[10]
Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.

CA Cancer J Clin. 2021-5

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