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Salinomycin and Sulforaphane Exerted Synergistic Antiproliferative and Proapoptotic Effects on Colorectal Cancer
Fang Liu1,2, Rong-Bin Lv3, Yan Liu4
1Department of Geriatric Gastroenterology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250012, People's Republic of China.
Background:
Both salinomycin (SAL) and sulforaphane (SFN) exert their antitumorigenic effects in various types of cancer We investigated whether combining salinomycin (SAL, an antibiotic ionophore) with sulforaphane (SFN, a phytochemical) exerted synergistic antiproliferative and proapoptotic activities in colorectal cancer (CRC) cells in vitro and in vivo by evaluating the proliferative and apoptotic responses of two CRC cell lines.
Materials And Methods:
The combination index (CI) was calculated using the Chou-Talalay method, and the effects of the synergistic combination (CI<1) of lower doses of SAL and SFN were selected for further studies. Anti-tumor effect of the combination of SAL and SFN was tested both in vitro and in vivo.
Results:
Cotreatment effectively inhibited proliferation, migration and invasion and enhanced apoptosis. The xenograft model also showed similar results. Furthermore, we evaluated the molecular mechanism behind SAL- and SFN-mediated CRC cell apoptosis. The combination treatment induced apoptosis in Caco-2 and CX-1 cells by inhibiting the PI3K/Akt pathway, which increased the expression of the tumor suppressor protein p53. The treatment also decreased the expression of the survival protein Bcl-2 and increased the expression of the proapoptotic protein Bax, which increased the Bax/Bcl-2 ratio, as well as enhanced poly ADP-ribose polymerase (PARP) cleavage. Upon inhibiting the PI3K/Akt pathway with LY294002 prior to cotreatment, we detected enhanced PARP cleavage compared to that in the cotreatment only group.
Conclusion:
We investigated whether the combination of SAL and SFN had antiproliferative and proapoptotic effects in CRC cells both in vitro and in vivo. Cotreatment also significantly decreased migration and invasion compared to that of the control and SAL or SFN monotherapies. This novel combination of SAL and SFN might provide a potential strategy to treat CRC.
Insights
Combining salinomycin (SAL) and sulforaphane (SFN) shows synergistic effects against colorectal cancer (CRC) by inhibiting proliferation and inducing apoptosis. This novel combination may offer a new therapeutic strategy for CRC treatment.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Salinomycin (SAL) and sulforaphane (SFN) have demonstrated antitumorigenic properties in various cancers.
- Colorectal cancer (CRC) remains a significant health concern, necessitating novel therapeutic approaches.
Purpose of the Study:
- To investigate the synergistic antiproliferative and proapoptotic effects of combining SAL and SFN in CRC cells.
- To evaluate the efficacy of this combination in vitro and in vivo models of CRC.
Main Methods:
- Synergistic effects were assessed using the Chou-Talalay method to calculate the combination index (CI).
- In vitro studies involved evaluating proliferation, migration, invasion, and apoptosis in CRC cell lines.
- In vivo efficacy was tested using a xenograft model.
Main Results:
- The combination of SAL and SFN significantly inhibited CRC cell proliferation, migration, and invasion while enhancing apoptosis.
- Molecular analysis revealed that the combination treatment induced apoptosis by inhibiting the PI3K/Akt pathway, upregulating p53 and Bax, downregulating Bcl-2, and increasing the Bax/Bcl-2 ratio.
- Enhanced poly ADP-ribose polymerase (PARP) cleavage was observed, indicating increased apoptosis, particularly when the PI3K/Akt pathway was pre-inhibited.
Conclusions:
- The combination of SAL and SFN exhibits potent antiproliferative and proapoptotic activities against CRC cells.
- This synergistic combination demonstrated superior efficacy compared to monotherapies in reducing tumor growth, migration, and invasion.
- The findings suggest that the SAL-SFN combination represents a promising novel therapeutic strategy for colorectal cancer treatment.
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