Shenzhen Key Laboratory of Inflammatory and Immunology Diseases, Peking University Shenzhen Hospital, Shenzhen, Guangdong 518036, China.
Department of Thyroid and Breast Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong 518036, China.
Biomed Pharmacother. 2024 Jul;176:116871. doi: 10.1016/j.biopha.2024.116871. Epub 2024 Jun 10.
Breast cancer (BC) is the most prevalent cancer among women around the world. Finding new and efficient drugs has become a crucial aspect of BC treatment. Liensinine diperchlorate (LIN) and artemisitene (ATT) are natural compounds with potential anti-cancer activities extracted from lotus (Nelumbo nucifera Gaertn) seeds and Artemisia annua, respectively. However, the synergistic anti-breast cancer effectiveness and mechanism of LIN and ATT remain unknown. This study intended to reveal the biological functions and underlying mechanism of combined LIN and ATT treatment in BC. Herein, we first reported that LIN and ATT synergistically mitigated the proliferation, migration as well as invasion of BC cells. Besides, LIN boosted the stimulatory effect of ATT on reactive oxygen species (ROS)-mediated apoptosis in BC cells. Interestingly, LIN and ATT synergistically attenuated the growth of BC patient-derived organoids. Moreover, LIN augmented the inhibitory efficacy of ATT on BC growth in vivo without obvious side effects. Furthermore, the inactivation of PI3K-AKT pathway and its regulated proteins contributed to the therapeutic role of LIN and ATT treatment in BC. Intriguingly, a prediction model constructed as per RNA sequencing data indicated that the combination of LIN and ATT treatment might ameliorate the prognosis of BC patients. In conclusion, our present investigation demonstrated that LIN and ATT synergistically inhibited BC cell proliferation, migration as well as invasion and enhanced ROS-mediated apoptosis via suppressing the PI3K-AKT signaling, and suggested that combining LIN and ATT treatment might be a promising choice for BC therapy.
乳腺癌(BC)是全球女性最常见的癌症。寻找新的有效药物已成为 BC 治疗的关键方面。黄连碱高氯酸盐(LIN)和青蒿素(ATT)分别是从莲子(Nelumbo nucifera Gaertn)种子和青蒿中提取的具有潜在抗癌活性的天然化合物。然而,LIN 和 ATT 联合治疗乳腺癌的协同抗癌效果及其机制尚不清楚。本研究旨在揭示 LIN 和 ATT 联合治疗在乳腺癌中的生物学功能和潜在机制。在此,我们首次报道 LIN 和 ATT 协同抑制了乳腺癌细胞的增殖、迁移和侵袭。此外,LIN 增强了 ATT 对乳腺癌细胞中活性氧(ROS)介导的凋亡的刺激作用。有趣的是,LIN 和 ATT 协同抑制了乳腺癌患者来源的类器官的生长。此外,LIN 增强了 ATT 在体内抑制 BC 生长的疗效,而没有明显的副作用。此外,PI3K-AKT 通路及其调节蛋白的失活有助于 LIN 和 ATT 治疗在乳腺癌中的治疗作用。有趣的是,根据 RNA 测序数据构建的预测模型表明,LIN 和 ATT 联合治疗可能改善 BC 患者的预后。总之,本研究表明,LIN 和 ATT 通过抑制 PI3K-AKT 信号通路协同抑制乳腺癌细胞的增殖、迁移和侵袭,并增强 ROS 介导的凋亡,提示联合应用 LIN 和 ATT 治疗可能是乳腺癌治疗的一种有前途的选择。