神经生长因子、抗菌肽与化疗:胶质母细胞瘤联合治疗以提高疗效

Nerve Growth Factor, Antimicrobial Peptides and Chemotherapy: Glioblastoma Combination Therapy to Improve Their Efficacy.

作者信息

Chernov Alexandr, Kudryavtsev Igor, Komlev Aleksei, Alaverdian Diana, Tsapieva Anna, Galimova Elvira, Shamova Olga

机构信息

Institute of Experimental Medicine, WCRC "Center for Personalized Medicine", Saint-Petersburg 197022, Russia.

Medical Genetics, Department of Medical Biotechnologies, University of Siena, 53100 Siena, Italy.

出版信息

Biomedicines. 2023 Nov 9;11(11):3009. doi: 10.3390/biomedicines11113009.

Abstract

Glioblastoma (GBM) is an aggressive and lethal malignancy of the central nervous system with a median survival rate of 15 months. We investigated the combined anticancer effects of nerve growth factor (NGF), cathelicidin (LL-37), and protegrin-1 (PG-1) with chemotherapy (temozolomide, doxorubicin, carboplatin, cisplatin, and etoposide) in the glioblastoma U251 cell line to overcome the limitations of conventional chemotherapy and to guarantee specific treatments to succeed. The MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay was used to study cell viability and to determine the cytotoxic effects of NGF, LL-37, and PG-1 and their combination with chemotherapy in U251 cells. Synergism or antagonism was determined using the combination index (CI) method. Caspase-3 activity was evaluated spectrophotometrically using a caspase-3 activity assay kit. Apoptosis was analyzed with flow cytometry using propidium iodide (PI) and YO-PRO-1. NGF and the peptides showed a strong cytotoxic effect on U251 glioma cells in the MTT test (IC 0.0214, 3.1, and 26.1 μM, respectively) compared to chemotherapy. The combination of PG-1 + etoposide had a synergistic effect on apoptosis of U251 glioma cells. It should be noted that the cells were in the early and late stages of apoptosis, respectively, compared with the control cells. The caspase-3 activation analysis revealed that the caspase-3 level was not significantly ( > 0.05) increased in U251 cells following PG-1 with etoposide treatment compared with that in the untreated cells, suggesting that the combination of PG-1 and etoposide may induce caspase-independent apoptosis in U251 cells. NGF, LL-37, and PG-1 represent promising drug candidates as the treatment regimen for GBM. Furthermore, the synergistic efficacy of the combined protocol using PG-1 and etoposide may overcome some of the typical limitations of the conventional therapeutic protocols, thus representing a promising approach for GBM therapy.

摘要

胶质母细胞瘤(GBM)是一种侵袭性且致命的中枢神经系统恶性肿瘤,中位生存期为15个月。我们研究了神经生长因子(NGF)、杀菌肽(LL - 37)和防御素 - 1(PG - 1)与化疗药物(替莫唑胺、阿霉素、卡铂、顺铂和依托泊苷)联合对胶质母细胞瘤U251细胞系的抗癌作用,以克服传统化疗的局限性并确保特定治疗取得成功。采用MTT(3 -(4,5 - 二甲基噻唑 - 2 - 基)- 2,5 - 二苯基四氮唑溴盐)法研究细胞活力,并确定NGF、LL - 37和PG - 1及其与化疗联合对U251细胞的细胞毒性作用。使用联合指数(CI)法确定协同作用或拮抗作用。使用caspase - 3活性检测试剂盒通过分光光度法评估caspase - 3活性。使用碘化丙啶(PI)和YO - PRO - 1通过流式细胞术分析细胞凋亡。与化疗相比,在MTT试验中NGF和这些肽对U251胶质瘤细胞显示出较强的细胞毒性作用(IC分别为0.0214、3.1和26.1 μM)。PG - 1 + 依托泊苷联合对U251胶质瘤细胞凋亡有协同作用。需要注意的是,与对照细胞相比,细胞分别处于早期和晚期凋亡阶段。caspase - 3激活分析显示,与未处理细胞相比,PG - 1与依托泊苷处理后的U251细胞中caspase - 3水平没有显著升高(> 0.05),这表明PG - 1和依托泊苷联合可能在U251细胞中诱导非caspase依赖性凋亡。NGF、LL - 37和PG - 1作为GBM的治疗方案代表了有前景的候选药物。此外,使用PG - 1和依托泊苷的联合方案的协同疗效可能克服传统治疗方案的一些典型局限性,因此代表了一种有前景的GBM治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f97e/10669874/1668c749771c/biomedicines-11-03009-g001a.jpg

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