Cellular and Molecular Biology Laboratory, Affiliated Zhoushan Hospital of Wenzhou Medical University, Zhoushan, Zhejiang 316020, P.R. China.
Cancer and Anticancer Drug Research Center, School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, Zhejiang 325035, P.R. China.
Int J Oncol. 2024 Aug;65(2). doi: 10.3892/ijo.2024.5665. Epub 2024 Jun 14.
Non‑small cell lung cancer (NSCLC) is one of the major causes of cancer‑related death worldwide. Cisplatin is a front‑line chemotherapeutic agent in NSCLC. Nevertheless, subsequent harsh side effects and drug resistance limit its further clinical application. Polydatin (PD) induces apoptosis in various cancer cells by generating reactive oxygen species (ROS). However, underlying molecular mechanisms of PD and its effects on cisplatin‑mediated antitumor activity in NSCLC remains unknown. MTT, colony formation, wound healing analyses and flow cytometry was employed to investigate the cell phenotypic changes and ROS generation. Relative gene and protein expressions were evaluated by reverse transcription‑quantitative PCR and western blot analyses. The antitumor effects of PD, cisplatin and their combination were evaluated by mouse xenograft model. In the present study, it was found that PD in combination with cisplatin synergistically enhances the antitumor activity in NSCLC by stimulating ROS‑mediated endoplasmic reticulum stress, and the C‑Jun‑amino‑terminal kinase and p38 mitogen‑activated protein kinase signaling pathways. PD treatment elevated ROS generation by promoting expression of NADPH oxidase 5 (NOX5), and NOX5 knockdown attenuated ROS‑mediated cytotoxicity of PD in NSCLC cells. Mice xenograft model further confirmed the synergistic antitumor efficacy of combined therapy with PD and cisplatin. The present study exhibited a superior therapeutic strategy for some patients with NSCLC by combining PD and cisplatin.
非小细胞肺癌(NSCLC)是全球癌症相关死亡的主要原因之一。顺铂是 NSCLC 的一线化疗药物。然而,随后的严重副作用和耐药性限制了其进一步的临床应用。虎杖苷(PD)通过产生活性氧物种(ROS)诱导各种癌细胞凋亡。然而,PD 的潜在分子机制及其对 NSCLC 中顺铂介导的抗肿瘤活性的影响尚不清楚。MTT、集落形成、划痕愈合分析和流式细胞术用于研究细胞表型变化和 ROS 的产生。通过逆转录定量 PCR 和 Western blot 分析评估相对基因和蛋白表达。通过小鼠异种移植模型评估 PD、顺铂及其组合的抗肿瘤作用。在本研究中,发现 PD 与顺铂联合协同增强 NSCLC 的抗肿瘤活性,通过刺激 ROS 介导的内质网应激,以及 c-Jun-N 末端激酶和 p38 丝裂原活化蛋白激酶信号通路。PD 处理通过促进 NADPH 氧化酶 5(NOX5)的表达来增加 ROS 的产生,而 NOX5 敲低减弱了 PD 在 NSCLC 细胞中 ROS 介导的细胞毒性。小鼠异种移植模型进一步证实了 PD 和顺铂联合治疗的协同抗肿瘤疗效。本研究通过联合使用 PD 和顺铂为一些 NSCLC 患者展示了一种优越的治疗策略。
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