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2014 ; 14
(ä): 431
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Combination treatment with doxorubicin and gamitrinib synergistically augments
anticancer activity through enhanced activation of Bim
#MMPMID24927938
Park HK
; Lee JE
; Lim J
; Jo DE
; Park SA
; Suh PG
; Kang BH
BMC Cancer
2014[Jun]; 14
(ä): 431
PMID24927938
show ga
BACKGROUND: A common approach to cancer therapy in clinical practice is the
combination of several drugs to boost the anticancer activity of available drugs
while suppressing their unwanted side effects. In this regard, we examined the
efficacy of combination treatment with the widely-used genotoxic drug doxorubicin
and the mitochondriotoxic Hsp90 inhibitor gamitrinib to exploit disparate stress
signaling pathways for cancer therapy. METHODS: The cytotoxicity of the drugs as
single agents or in combination against several cancer cell types was analyzed by
MTT assay and the synergism of the drug combination was evaluated by calculating
the combination index. To understand the molecular mechanism of the drug
synergism, stress signaling pathways were analyzed after drug combination. Two
xenograft models with breast and prostate cancer cells were used to evaluate
anticancer activity of the drug combination in vivo. Cardiotoxicity was assessed
by tissue histology and serum creatine phosphokinase concentration. RESULTS:
Gamitrinib sensitized various human cancer cells to doxorubicin treatment, and
combination treatment with the two drugs synergistically increased apoptosis. The
cytotoxicity of the drug combination involved activation and mitochondrial
accumulation of the proapoptotic Bcl-2 family member Bim. Activation of Bim was
associated with increased expression of the proapoptotic transcription factor
C/EBP-homologous protein and enhanced activation of the stress kinase c-Jun
N-terminal kinase. Combined drug treatment with doxorubicin and gamitrinib
dramatically reduced in vivo tumor growth in prostate and breast xenograft models
without increasing cardiotoxicity. CONCLUSIONS: The drug combination showed
synergistic anticancer activities toward various cancer cells without aggravating
the cardiotoxic side effects of doxorubicin, suggesting that the full therapeutic
potential of doxorubicin can be unleashed through combination with gamitrinib.