评估源自IsCT1的合成肽与顺铂联合在口腔鳞状细胞癌中的抗肿瘤和抗增殖潜力。

Evaluation of the Antitumor and Antiproliferative Potential of Synthetic Peptides Derived from IsCT1, Associated with Cisplatin, in Squamous Cell Carcinoma of the Oral Cavity.

作者信息

Cabral Laertty Garcia de Sousa, de Oliveira Cyntia Silva, Oliveira Vani Xavier, de Abreu Paulo Ellen Paim, Poyet Jean-Luc, Maria Durvanei Augusto

机构信息

Laboratory of Development and Innovation, Butantan Institute, Sao Paulo 05585-000, Brazil.

Faculty of Medicine, University of Sao Paulo (FMUSP), Sao Paulo 05508-220, Brazil.

出版信息

Molecules. 2025 Jun 15;30(12):2594. doi: 10.3390/molecules30122594.

Abstract

Head and neck squamous cell carcinoma (SCC), particularly in the oral cavity, is among the most prevalent and lethal forms of cancer globally. Current therapeutic strategies, predominantly involving cisplatin, face challenges like chemoresistance and toxicity to normal cells, justifying the exploration of new approaches. This study evaluates the antitumor, antiproliferative, and immunomodulatory potential of a synthetic peptide derived from IsCT1 (Isalo scorpion cytotoxic peptide), named AC-AFPK-IsCT1, in combination with cisplatin in oral squamous cell carcinoma cellular models. Tumor and normal cells were treated with varying concentrations of cisplatin and peptide, and the cytotoxicity was measured through an MTT assay, while apoptosis and cell cycle alterations were assessed via flow cytometry. Interestingly, the combination of AC-AFPK-IsCT1 with cisplatin exhibited higher specificity for tumor cells, significantly reducing IC50 values compared to cisplatin used as a single agent. Moreover, the combination treatment induced pronounced S-phase cell cycle arrest and enhanced apoptotic activity, evidenced by the upregulation of caspase-3, caspase-8, and p53, while maintaining low toxicity in normal fibroblast cells. The peptide also modulated the mitochondrial membrane potential, further contributing to the activation of intrinsic apoptotic pathways. The data suggest that AC-AFPK-IsCT1 potentiates the antitumor effects of cisplatin by engaging both intrinsic and extrinsic apoptotic pathways while preserving normal cell viability. These findings underscore the potential of combining cisplatin with AC-AFPK-IsCT1 as a promising therapeutic strategy for improving the efficacy of chemotherapy in SCC, reducing systemic toxicity, and overcoming chemoresistance.

摘要

头颈部鳞状细胞癌(SCC),尤其是口腔癌,是全球最常见且致命的癌症形式之一。目前的治疗策略主要涉及顺铂,但面临着诸如化疗耐药性和对正常细胞的毒性等挑战,这使得探索新方法变得合理。本研究评估了一种源自IsCT1(伊萨洛蝎细胞毒性肽)的合成肽AC - AFPK - IsCT1与顺铂联合在口腔鳞状细胞癌细胞模型中的抗肿瘤、抗增殖和免疫调节潜力。用不同浓度的顺铂和肽处理肿瘤细胞和正常细胞,并通过MTT法测量细胞毒性,同时通过流式细胞术评估细胞凋亡和细胞周期变化。有趣的是,AC - AFPK - IsCT1与顺铂的联合对肿瘤细胞表现出更高的特异性,与单一使用顺铂相比,显著降低了IC50值。此外,联合治疗诱导了明显的S期细胞周期停滞并增强了凋亡活性,这通过caspase - 3、caspase - 8和p53的上调得以证明,同时在正常成纤维细胞中保持低毒性。该肽还调节了线粒体膜电位,进一步促进了内源性凋亡途径的激活。数据表明,AC - AFPK - IsCT1通过激活内源性和外源性凋亡途径增强了顺铂的抗肿瘤作用,同时保留了正常细胞的活力。这些发现强调了将顺铂与AC - AFPK - IsCT1联合作为一种有前景的治疗策略的潜力,可提高SCC化疗的疗效,降低全身毒性并克服化疗耐药性。

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