Combination of Fish Oil and Selenium Enhances Anticancer Efficacy and Targets Multiple Signaling Pathways in
Chih-Hung Guo1,2, Simon Hsia2, Chieh-Han Chung1,2
1Micronutrition and Biomedical Nutrition Laboratories, Institute of Biomedical Nutrition, Hung-Kuang University, Taichung 433, Taiwan.
Abstract:
Fish oil (FO) and selenium (Se) possess antiangiogenic potential in malignant tumors. This study aimed to determine whether combination of FO and Se enhanced treatment efficacy of low-dose antiangiogenic agent Avastin (bevacizumab) in a dose-dependent manner and targeted multiple signaling pathways in triple-negative breast cancer (TNBC)-bearing mice. Randomized into five groups, mice received treatment with either physiological saline (control), Avastin alone, or Avastin in combination with low, medium, and high doses of FO/Se. The target signaling molecules for anticancer were determined either by measuring protein or mRNA expression. Avastin-treated mice receiving FO/Se showed lower tumor growth and metastasis than did mice treated with Avastin alone. Combination-treated mice exhibited lower expressions in multiple proangiogenic (growth) factors and their membrane receptors, and altered cytoplasmic signaling molecules (PI3K-PTEN-AKT-TSC-mTOR-p70S6K-4EBP1, Ras-Raf-MEK-ERK, c-Src-JAK2-STAT3-TMEPAI-Smad, LKB1-AMPK, and GSK3β/β-catenin). Dose-dependent inhibition of down-stream targets including epithelial-to-mesenchymal transition transcription factors, nuclear cyclin and cyclin-dependent kinases, cancer stem cell markers, heat shock protein (HSP-90), hypoxia-inducible factors (HIF-1α/-2α), matrix metalloprotease (MMP-9), and increased apoptosis were observed. These results suggest that combination treatment with FO and Se increases the therapeutic efficacy of Avastin against TNBC in a dose-dependent manner through multiple signaling pathways in membrane, cytoplasmic, and nucleic targets.
Insights
Fish oil and selenium enhance Avastin treatment for triple-negative breast cancer (TNBC) by reducing tumor growth and metastasis. This combination therapy targets multiple cancer-promoting signaling pathways in a dose-dependent manner.
Area of Science:
- Oncology
- Pharmacology
- Biochemistry
Background:
- Fish oil (FO) and selenium (Se) exhibit antiangiogenic properties relevant to cancer therapy.
- Triple-negative breast cancer (TNBC) remains a challenging malignancy with limited targeted treatment options.
- Avastin (bevacizumab) is an antiangiogenic agent used in cancer treatment.
Purpose of the Study:
- To investigate the combined efficacy of fish oil (FO) and selenium (Se) with low-dose Avastin (bevacizumab) in a triple-negative breast cancer (TNBC) mouse model.
- To determine if the combination treatment enhances therapeutic effects in a dose-dependent manner.
- To elucidate the multiple signaling pathways targeted by the combination therapy.
Main Methods:
- Mice bearing TNBC were randomized into five groups: control, Avastin alone, and Avastin with low, medium, or high doses of FO/Se.
- Tumor growth and metastasis were assessed.
- Protein and mRNA expression of key signaling molecules, including those involved in angiogenesis, cytoplasmic signaling, and downstream targets, were measured.
Main Results:
- Combination treatment with FO/Se and Avastin significantly reduced tumor growth and metastasis compared to Avastin alone.
- Dose-dependent inhibition of proangiogenic factors, cytoplasmic signaling pathways (e.g., PI3K/AKT, Ras/ERK, STAT3), and downstream targets was observed.
- Key targets affected include EMT factors, cell cycle regulators, cancer stem cell markers, HSP-90, HIFs, MMP-9, and apoptosis induction.
Conclusions:
- Combination therapy of fish oil and selenium with Avastin demonstrates enhanced therapeutic efficacy against TNBC in a dose-dependent manner.
- The treatment effectively targets multiple signaling pathways involved in tumor growth, angiogenesis, metastasis, and cell survival.
- This combination strategy offers a promising approach for improving TNBC treatment outcomes.
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