Anti-proliferative, anti-metastatic and anti-angiogenic effects of 17‑allylamino‑17‑demethoxy
geldanamycin (17-AAG) were studied alone and in combination with
Capecitabine (Cap) and/or
Irinotecan (IR) on HT-29 human
colorectal carcinoma cells. Expression of MMP-9 (matrix metalloproteinase‑9) and
VEGF (
vascular endothelial growth factor)
mRNA was analyzed by real-time PCR method. The study was further followed by
wound scratch assay for migration assessment.
Nitric oxide content,
Malondialdehyde generation and total
anti-oxidant capacity were also assessed. Results showed significant differences between mono- and double
therapy (p < 0.05). Combination of
17-AAG with IR or Cap resulted in synergistic effect (Combination Index < 1). Among double combination groups only Cap/17-AAG showed significant differences in MMP-9 and
VEGF genes expression and wound healing assay. Moreover, a significant decrease of
wound area in our triple combination group was obtained, indicating the antagonistic effect. IR/17-AAG and IR/Cap double combination groups resulted in down-regulation of MMP-9 and
VEGF mRNA expression, respectively. Significant generation of MDA and decrease in TAC values have been observed in all our tested groups, however, the IR/17-AAG combination was the only group that could elevate NO concentration, significantly. Our findings demonstrated potent anti-angiogenesis and anti-metastatic effects for
17-AAG when it is provided in double combination especially with Cap, suggesting a new protocol in
colorectal cancer combination
therapy. These findings may indicate that down-regulation of
VEGF and MMP-9 genes is directly related to angiogenesis and
metastasis.