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Real-time analysis of the effects of toxic, therapeutic and sub-therapeutic concentrations of digitoxin on lung cancer cells.

Abstract
Digitoxin belongs to a naturally occurring class of cardiac glycosides (CG); digitoxin is clinically approved for heart failure and known for its anti-cancer effects against non-small lung cancer cells (NSCLC). However, concerns associated with its narrow therapeutic index and its concentration-dependent mechanism of action are rising. Thus, before digitoxin implementation in designing and developing safer and more effective CG-based anti-cancer therapies, its pharmacological and safety profiles need to be fully elucidated. In this research we used a combinatorial approach to evaluate the anti-cancer mechanisms of digitoxin in real-time. Our approach employed a non-invasive electric cell impedance sensing technique as a proxy to monitor NSCLC behavior post-exposure to toxic, therapeutic and sub-therapeutic concentrations of the drug. By developing structure-function combinatorial relations we showed that digitoxin targets cancer cells in a time and dose-dependant manner by activating pro-apoptotic and anti-proliferative signaling cascades that results in strengthening cellular adhesion and sequestration of key regulatory proliferation protein from the nucleus.
AuthorsR Eldawud, T A Stueckle, S Manivannan, H Elbaz, M Chen, Y Rojanasakul, C Z Dinu
JournalBiosensors & bioelectronics (Biosens Bioelectron) Vol. 59 Pg. 192-9 (Sep 15 2014) ISSN: 1873-4235 [Electronic] England
PMID24727605 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S.)
CopyrightCopyright © 2014 Elsevier B.V. All rights reserved.
Chemical References
  • Antineoplastic Agents
  • Cardiotonic Agents
  • Digitoxin
Topics
  • Antineoplastic Agents (pharmacology)
  • Apoptosis (drug effects)
  • Biosensing Techniques (methods)
  • Carcinoma, Non-Small-Cell Lung (drug therapy, metabolism, pathology)
  • Cardiotonic Agents (pharmacology)
  • Cell Adhesion (drug effects)
  • Cell Line, Tumor
  • Digitoxin (pharmacology)
  • Humans
  • Lung (metabolism, pathology)
  • Lung Neoplasms (drug therapy, metabolism, pathology)
  • Signal Transduction (drug effects)

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