Co-Treatment with Sulforaphane and Nano-Metformin Molecules Accelerates Apoptosis in HER2+ Breast Cancer Cells by

A Keshandehghan1, S Nikkhah2, H Tahermansouri2

  • 1Department of Stem Cells and Regenerative Medicine, Division of Medical Biotechnology, National Institute of Genetic Engineering and Biotechnology, Tehran, Iran.

Nutrition and Cancer
|September 3, 2019
PubMed

Insights

Sulforaphane (SLFN) and metformin (MTFN) combination therapy effectively reduces breast cancer cell viability, particularly in HER2-expressing cells. This synergy enhances cell death by targeting cancer stem cell signaling pathways.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • HER2-positive breast cancer remains a significant clinical challenge.
  • Sulforaphane (SLFN) and metformin (MTFN) show individual anti-cancer properties.
  • Investigating combination therapies can reveal synergistic effects.

Purpose of the Study:

  • To evaluate the combined efficacy of SLFN and MTFN on breast cancer cell lines with varying HER2 levels.
  • To elucidate the molecular mechanisms underlying the synergistic effects of SLFN-MTFN co-treatment.
  • To determine the correlation between HER2 expression and treatment response.

Main Methods:

  • Utilized breast cancer cell lines (MCF-10, MCF-7, BT-474) with differential HER2 expression.
  • Administered SLFN, MTFN, Nano-MTFN, and their combinations.
  • Performed RT-PCR to analyze gene expression changes (BCL-2, SRC, WNT1, β-catenin, CD44, BAX).
  • Assessed apoptosis using cell co-staining.

Main Results:

  • SLFN and MTFN co-treatment, especially with Nano-MTFN, significantly reduced cell viability and increased apoptosis.
  • Treatment efficacy correlated directly with HER2 expression levels.
  • Gene expression analysis revealed decreased BCL-2, SRC, WNT1, β-catenin, and CD44, with increased BAX.
  • Cell death was inversely correlated with cancer stem cell (CSC) signaling genes and CD44.

Conclusions:

  • SLFN and MTFN exhibit collaborative and differential effects in reducing breast cancer cell viability.
  • MTFN enhances SLFN's effectiveness by targeting pathways downstream of HER2 and crucial for CSC signaling.
  • The combination therapy holds promise for HER2-positive breast cancers, particularly those with stem cell characteristics.

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