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Synergistic antitumoral activity and induction of apoptosis by novel pan Bcl-2 proteins inhibitor apogossypolone with adriamycin in human hepatocellular carcinoma.

AbstractAIM:
To investigate the in vitro and in vivo activities and related mechanism of apogossypolone (ApoG2) alone or in combination with adriamycin (ADM) against human hepatocellular carcinoma (HCC).
METHODS:
The IC50 of ApoG2 in vitro was tested by WST assay, and the synergistic effect was analyzed using the CalcuSyn method. Cell apoptosis was determined using 4',6-diamidino-2- phenylindole staining and flow cytometric analysis. Western blotting was used to determine the expression of apoptosis-related proteins. In vivo activity was evaluated in the xenograft model in nude mice, and apoptosis in tumor tissues was determined by terminal deoxynucleotidyl transferase-mediated digoxigenin-dUTP nick-end labeling (TUNEL) assay.
RESULTS:
The IC50 of ApoG2 in HCC cells was 17.28-30.63 micromol/L. When ApoG2 was combined with ADM, increased cytotoxicity and apoptosis were observed in SMMC-7721 cells compared to treatment with ApoG2 alone. The Western blotting results indicated that the ApoG2 induced apoptosis in SMMC-7721 cells by downregulating anti-apoptotic proteins Bcl-2, Mcl-1, and Bcl-XL, up-regulating pro-apoptotic protein Noxa, and promoting the activities of caspases-9 and -3. The tumor growth of xenograft SMMC-7721 was inhibited in nude mice when ApoG2 was administered orally without causing damage to the normal tissues. The in vivo study also indicated an increasing anti-tumoral effect when ApoG2 at 100 or 200 mg/kg dosages were used together with ADM at 5.5 mg/kg, with relative tumor proliferation rate (T/C) values of 0.456 and 0.323, respectively. Apoptosis induced in vivo by ApoG2 alone or combined with ADM was confirmed by TUNEL assay in tumor tissues.
CONCLUSION:
ApoG2 is a potential non-toxic target agent that induces apoptosis by upregulating Noxa, while inhibiting anti-apoptotic proteins and promoting the effect of chemotherapy agent ADM in HCC.
AuthorsJin-xia Mi, Guang-feng Wang, Heng-bang Wang, Xiao-qing Sun, Xin-yan Ni, Xiong-wen Zhang, Jia-ming Tang, Da-jun Yang
JournalActa pharmacologica Sinica (Acta Pharmacol Sin) Vol. 29 Issue 12 Pg. 1467-77 (Dec 2008) ISSN: 1745-7254 [Electronic] United States
PMID19026166 (Publication Type: Journal Article)
Chemical References
  • Antibiotics, Antineoplastic
  • PMAIP1 protein, human
  • Proto-Oncogene Proteins c-bcl-2
  • apogossypolone
  • Doxorubicin
  • Gossypol
Topics
  • Animals
  • Antibiotics, Antineoplastic (pharmacology, therapeutic use)
  • Apoptosis (drug effects)
  • Carcinoma, Hepatocellular (drug therapy, pathology, physiopathology)
  • Cell Line, Tumor
  • Dose-Response Relationship, Drug
  • Doxorubicin (pharmacology, therapeutic use)
  • Drug Therapy, Combination
  • Gossypol (analogs & derivatives, pharmacology, therapeutic use)
  • Humans
  • In Situ Nick-End Labeling
  • Liver Neoplasms (drug therapy, pathology, physiopathology)
  • Mice
  • Mice, Nude
  • Molecular Structure
  • Neoplasm Transplantation
  • Proto-Oncogene Proteins c-bcl-2 (antagonists & inhibitors, genetics, metabolism)
  • Transplantation, Heterologous

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