5-Fluorouracil (5-FU) is a principal
drug for the treatment of
colorectal cancer. Due to its low response and high toxicity, synergistic effects of
5-FU in combination with other drugs have been widely researched. This study investigated whether
oroxylin A improved the sensitivity of HT-29 human
colon cancer cells to
5-FU. A correlation between COX-2 inhibition by
oroxylin A and a synergistic effect of
5-FU on the growth of HT-29 cells was observed, and a COX-2 pathway for this effect was recognized;
oroxylin A evidently elevated the level of
reactive oxygen species in HT-29 cells, which subsequently inhibited COX-2 expression and enhanced the susceptibility of HT-29 cells to
5-FU. Likely also related to COX-2 inhibition,
oroxylin A decreased
PGE(2) levels in HT-29 cells. The synergistic effect of
5-FU induced by
oroxylin A was also found in the suppression of Bcl-2 and in the activation of P53, Bax, PARP, and
procaspase-3 proteins in HT-29 cells. Ultimately, a combination of
5-FU with
oroxylin A significantly reduced the growth of HT-29
tumors in nude mice compared with treatment with
5-FU or
oroxylin A alone. In conclusion, a combination of
5-FU and
oroxylin A has a significant synergistic effect in the inhibition of HT-29 cell proliferation in vitro and controls HT-29
tumor growth in vivo. This synergistic effect may be mainly related to COX-2 inhibition by
oroxylin A in HT-29 cells.