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Aminopeptidase N inhibitor 4cc synergizes antitumor effects of 5-fluorouracil on human liver cancer cells through ROS-dependent CD13 inhibition.

Abstract
Aminopeptidase N (APN, also known as CD13) is involved in cellular processes of various types of tumors and a potential anti-cancer therapeutic target. Here, we report the effect of an APN inhibitor 4cc in enhancing sensitivity of hepatocellular carcinoma (HCC) cell lines and xenograft model in response to 5-fluorouracil (5-FU) in vivo and in vitro. The treatment of the combination of 4cc with 5-FU, compared to the combination of bestain with 5-FU, markedly suppressed cell growth and induced apoptosis of HCC cells, accompanying the increase in the level of reactive oxygen species (ROS) and followed by a decrease in the mitochondrial membrane potential (ΔΨM). Furthermore, the combination of 4cc and 5-FU showed a significant inhibitory effect on the growth of HCC xenograft tumors. In addition, following the treatment of 4cc, APN activity and clonogenic formation and the number of CD13-positive cells in PLC/PRF/5 cells were significantly decreased, suggesting that 4cc may also inhibit liver cancer stem cells by CD13 inhibition. These results showed that the APN inhibitor 4cc synergizes antitumor effects of 5-FU on human liver cancer cells via ROS-mediated drug resistance inhibition and concurrent activation of the mitochondrial pathways of apoptosis.
AuthorsZhi-Peng Sun, Jian Zhang, Li-Hong Shi, Xiu-Rong Zhang, Yu Duan, Wen-Fang Xu, Gong Dai, Xue-Jian Wang
JournalBiomedicine & pharmacotherapy = Biomedecine & pharmacotherapie (Biomed Pharmacother) Vol. 76 Pg. 65-72 (Dec 2015) ISSN: 1950-6007 [Electronic] France
PMID26653552 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2015 Elsevier Masson SAS. All rights reserved.
Chemical References
  • 4-methyl-2-(3-(naphthalen-1-yl-methyl)ureido)pentanoic acid hydroxyamide
  • Hydroxamic Acids
  • Reactive Oxygen Species
  • Urea
  • CD13 Antigens
  • Leucine
  • Fluorouracil
Topics
  • Animals
  • Antineoplastic Combined Chemotherapy Protocols (pharmacology)
  • Apoptosis (drug effects)
  • CD13 Antigens (antagonists & inhibitors)
  • Carcinoma, Hepatocellular (drug therapy, pathology)
  • Cell Line, Tumor
  • Drug Synergism
  • Female
  • Fluorouracil (administration & dosage)
  • Humans
  • Hydroxamic Acids (administration & dosage)
  • Leucine (administration & dosage, analogs & derivatives)
  • Liver Neoplasms (drug therapy, pathology)
  • Membrane Potential, Mitochondrial (drug effects)
  • Mice
  • Mitochondria (metabolism)
  • Reactive Oxygen Species (metabolism)
  • Urea (administration & dosage, analogs & derivatives)
  • Xenograft Model Antitumor Assays

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