Related Experiment Video
Updated: Jun 12, 2026

Tumor Treating Field Therapy in Combination with Bevacizumab for the Treatment of Recurrent Glioblastoma
Published on: October 27, 2014
Anti-tumour activity of fotemustine and protons in combination with bevacizumab
Lela B Korićanac1, Jelena J Zakula, Ivan M Petrović
1Vinca Institute of Nuclear Sciences, Belgrade, Serbia.
Background:
Metastatic melanoma is one of the most aggressive tumours and is also very resistant to current therapeutic approaches. The aim of this investigation was the in vitro study of the anti-proliferative effects of fotemustine (FM; 100 and 250 microM), bevacizumab (5 microg/ml) and proton irradiation (12 and 16 Gy) on resistant HTB140 human melanoma cells.
Methods:
Viability was estimated by sulphorhodamine B assay, while cell proliferation was analyzed by 5-bromo-2-deoxyuridine assay. Cell cycle distribution and apoptosis were examined using flow cytometry.
Results:
Cell viability and proliferation were reduced after all applied treatments. The level of apoptosis significantly increased after treatment with FM, protons or a combination of all agents, while the apoptotic index ranged from 1.2 to 9.2. Proton irradiation, as well as combined treatment with bevacizumab and protons or 100 microM FM, bevacizumab and protons, have reduced melanoma cell proliferation through the induction of G1 phase arrest. Single FM (250 microM) or bevacizumab treatment and their combination, as well as the joint application of these 2 agents with protons, reduced cell proliferation and provoked G2 phase accumulation.
Conclusion:
The analyzed treatments reduced cell viability and proliferation, triggered G1 or G2 cell cycle phase accumulation and stimulated apoptotic cell death.
Insights
Fotemustine, bevacizumab, and proton irradiation reduce aggressive melanoma cell viability and proliferation. These treatments induce apoptosis and G1 or G2 cell cycle arrest, offering potential therapeutic strategies for resistant melanoma.
Area of Science:
- Oncology
- Radiation Oncology
- Pharmacology
Background:
- Metastatic melanoma is an aggressive cancer with high therapeutic resistance.
- Current treatments for melanoma have limited efficacy against resistant cell lines.
- HTB140 human melanoma cells exhibit resistance to conventional therapies.
Purpose of the Study:
- To investigate the in vitro anti-proliferative effects of fotemustine (FM), bevacizumab, and proton irradiation on resistant human melanoma cells.
- To evaluate the impact of these agents, individually and in combination, on melanoma cell viability, proliferation, apoptosis, and cell cycle distribution.
Main Methods:
- In vitro study utilizing HTB140 human melanoma cells.
- Sulforhodamine B assay for cell viability assessment.
- 5-bromo-2-deoxyuridine assay for cell proliferation analysis.
- Flow cytometry for cell cycle distribution and apoptosis examination.
Main Results:
- All tested treatments (fotemustine, bevacizumab, proton irradiation) significantly reduced melanoma cell viability and proliferation.
- Apoptosis levels increased notably with fotemustine, proton irradiation, or combination treatments.
- Proton irradiation and specific combinations induced G1 phase arrest, while other treatments led to G2 phase accumulation.
Conclusions:
- Fotemustine, bevacizumab, and proton irradiation demonstrate anti-proliferative effects on resistant melanoma cells.
- These therapeutic agents induce cell cycle arrest (G1 or G2) and stimulate apoptotic cell death.
- The combination of these treatments shows potential for managing aggressive and resistant melanoma.
More Related Videos
Related Concept Videos
Tumor Immunotherapy
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Treatment Resistent Cancers
Cancer Vaccines
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
Treatment Resistant Cancers
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...

