索拉菲尼联合阿霉素对人肝癌细胞株HepG2的抑制作用

目的：探讨索拉非尼（Sorafenib）和阿霉素（adriamycin）联合用药对肝癌细胞株nepG2的作用及可能的机制。方法：以不同浓度索拉非尼和不同浓度阿霉素分别组成单药组和索拉非尼＋阿霉素联合用药组作用于HepG2细胞,MTT法检测增殖抑制率、流式细胞仪分析细胞周期和凋亡率。结果：索拉非尼、阿霉素单药与联用均能抑制HepG2细胞增殖,呈剂量依赖效应,两药联用有协同效应（P〈0.01）。索拉非尼、阿霉素单药与联用均能诱导HepG2细胞凋亡,并以联合组更为明显,与对照组比较有显著的统计学意义（P〈0.01）。索拉非尼及阿霉素单药作用均可使细胞周期阻滞于G0-G1期,联合用药组G0/Gl期细胞比率低于索拉非尼及阿霉素单药组,S期细胞比率高于单药组;阿霉素能抑制HepG2细胞Survivin mRNA表达诱导细胞的凋亡。结论：索拉非尼与阿霉素联合作用于人肝癌HepG2细胞具有协同作用,其机制可能是通过多途径共同抑制HepG2细胞增殖及诱导细胞凋亡。     

索拉非尼联合顺铂对胃癌SGC7901细胞的抑制作用

目的:探讨索拉非尼联合顺铂(DDP)对胃癌SGC7901细胞的抑制作用以及可能的分子机制.方法:选取人胃癌细胞株SGC7901,用索拉非尼和DDP单药或联合作用于细胞,观察最佳抑制效果.MTT法检测索拉非尼、DDP及两药联用对胃癌SGC7901细胞的增殖抑制作用并计算半数抑制浓度(IC50);用流式细胞仪检测细胞凋亡;用Western blot观察ERK及pERK蛋白的表达.结果:MTT检测结果显示胃癌SGC7901细胞经索拉非尼、DDP单独处理以及两者联合处理后,在不同浓度均能出现细胞生长抑制作用,并且其抑制作用呈时间-剂量依赖效应.与单药组相比,联合作用组对细胞的抑制率明显增高,表现为协同作用(P＜0.05).流式细胞仪检测凋亡的结果显示,经药物处理后细胞凋亡率均较空白对照组升高,两药联合作用的凋亡率要明显高于单药组.单药组及联合用药组对SGC7901细胞ERK的表达无明显影响,但是pERK在单用索拉非尼及联合用药组的表达则降低,以联合用药组尤甚.结论:索拉非尼联合顺铂对胃癌SGC7901细胞有增殖抑制及促凋亡的作用,两药联合表现为协同作用,其机制可能与细胞增殖通路Raf/MEK/ERK的机制有关.     

格列卫与多西紫杉醇联合对人乳腺癌细胞株MCF-7及其裸鼠移植瘤的作用

目的：探讨分子靶向药物格列卫与多西紫杉醇联合对人乳腺癌细胞株MCF-7的凋亡及其裸鼠皮下移植瘤生长的影响。方法：采用流式细胞检测仪检测MCF-7细胞在格列卫与多西紫杉醇单独处理及共同处理条件下的凋亡率;建立人乳腺癌细胞株MCF-7裸鼠皮下移植瘤模型,观察格列卫与多西紫杉醇单独治疗组及联合治疗组移植瘤的生长,计算抑瘤率。结果：MCF-7细胞在格列卫与多西紫杉醇共同处理条件下的凋亡率（50.86%）远高于多西紫杉醇单独处理（22.06%）及同剂量格列卫组单独处理（8.13%）条件下的凋亡率;高剂量多西紫杉醇与格列卫联合组肿瘤质量与单独多西紫杉醇组比较,差异虽然没有显著性,但联合组抑瘤率高达99.55%,高于多西紫杉醇组（97.43%）,q值为1.014;中剂量多西紫杉醇与格列卫联合组肿瘤质量与单独多西紫杉醇组比较,差异有高度显著性,联合组抑瘤率达96.53%,高于多西紫杉醇组（92.01%）,q值为1.02;低剂量多西紫杉醇与格列卫联合组肿瘤质量与单独多西紫杉醇组比较,差异有高度显著性,联合组抑瘤率达68.20%,高于多西紫杉醇组（58.40%）,q值为1.004。结论：格列卫与凋亡诱导剂多西紫杉醇共同处理MCF—7细胞能达到协同诱导凋亡的效果;高、中、低剂量的多西紫杉醇与格列卫联合对人乳腺癌细胞株MCF-7裸鼠移植瘤增殖的抑制具有相加作用。     

伊立替康联合去甲斑蝥素对人胃癌细胞作用的考察及协同作用机制研究

研究了伊立替康(CPT-11)联合去甲斑蝥素(NCTD)对人胃癌细胞BGC-823增殖的影响及协同作用机制.分别利用CPT-11 30、60、90、120、150μmol/L,NCTD 30、60、90、120、150μmol/L和两药按上述浓度1∶1联用,以及两药上述浓度完全交叉组合作用BGC-823细胞24、48和72 h,并且以不同序贯方式作用BGC-823细胞24 h.MTT法检测BGC-823细胞的增殖,采用中效原理评价两药联合作用;流式细胞术测定CPT-11 60μmol/L、NCTD 60μmol/L和联合用药(60∶60)μmol/L,以及不同序贯方式作用BGC-823细胞24 h后细胞周期及凋亡的情况;Western blot法检测CPT-11 30、60μmol/L,NCTD 30,60μmol/L和联合用药(30∶30,60∶60)μmol/L作用BGC-823细胞24 h后Pdcd4和p53蛋白表达水平.结果显示:CPT-11及NCTD联合用药比单独用药对细胞增殖的抑制作用增强,IC50明显减小(P0.05),单独使用CPT-11或NCTD作用24、48和72 h时的IC50分别是联合使用时的2.83、3.15、2.19倍以及2.66、3.11、2.45倍,并且两药联合用药具有协同作用效应;两药合用24 h时先给CPT-11方案抑制作用优于先给NCTD方案,且优于同时给药方案(P0.05);CPT-11 60μmol/L作用24 h引起BGC-823细胞S和G2-M期阻滞(P0.01),NCTD 60μmol/L作用24 h引起细胞G2-M期阻滞(P0.05),并诱导细胞凋亡(P0.05),联合用药(60∶60)μmol/L作用24 h,主要引起细胞G2-M期阻滞(P0.01),与先给NCTD 6h方案及同时给药相比,先给CPT-11 6h方案主要引起细胞S期阻滞增加(P0.05)以及细胞凋亡增加;CPT-11 30、60μmol/L作用12 h后Pdcd4上调表达,p53下调表达(P0.05),NCTD 30、60μmol/L作用12 h后Pdcd4下调表达,p53上调表达(P0.05),联合用药(30∶30,60∶60)μmol/L作用24 h后Pdcd4及p53蛋白表达均上调(P0.05).上述结果表明:CPT-11联合NCTD对人胃癌BGC-823细胞有协同抑制作用,其机制主要是诱导细胞G2-M期阻滞,并与抑癌基因蛋白Pdcd4及p53上调表达有关;两种药物联用时序贯次序对联合作用有影响,先给CPT-11方案要优于先给NCTD方案及同时给药方案,其机制主要是引起S期阻滞增加以及细胞凋亡增加;抑癌基因蛋白Pdcd4与p53之间可能存在负调控关系.     

百里香酚的抗肿瘤作用

目的：观察百里香酚对体外培养的肝癌细胞的抑制作用。方法：体外培养人肝癌细胞（Bel-7402）,采用MTT法、AO/EB荧光染色法观察百里香酚对人肝癌细胞Bel-7402的作用。结果：百里香酚可显著抑制Bel-7402细胞的生长;经百里香酚作用后,肝癌细胞在显微镜形态明显改变。结论：百里香酚能抑制肝癌Bel-7402细胞生长。     

TRAIL联合多西紫杉醇诱导喉鳞癌Hep-2细胞凋亡的实验研究

目的：观察肿瘤坏死因子相关凋亡诱导配体（TRAIL）联合多西紫杉醇应用于人喉鳞癌Hep-2细胞生长的抑制增殖和诱导凋亡作用。方法：实验分四组,1组对照组,2组为应用TRAIL组,3组单独应用多西紫杉醇,4组联合应用TRAIL及多西紫杉醇。分别应用MTT、流式细胞仪检测细胞凋亡率,倒置显微镜观察细胞的形态学改变。结果：TRAIL与多西紫杉醇联合作用于Hep-2细胞,能显著增强对Hep-2细胞的杀伤、抑制增殖及诱导凋亡作用,其联合应用的凋亡抑制率明显高于单独应用TRAIL组和多西紫杉醇组（P〈0．05）。结论：TRAIL与多西紫杉醇联用能显著提高对喉鳞癌Hep-2细胞的生长抑制和诱导凋亡作用。     

甘草次酸-顺铂复合物的制备及其对人肝癌Bel-7402细胞的抗癌活性研究北大核心CSCD

以天然活性成分18β-甘草次酸和抗癌药顺铂为原料,经缩合制备甘草次酸-顺铂（GA-Pt）复合物;利用人肝癌细胞株Bel-7402做体外模型,用MTT法观察GA-Pt对癌细胞增殖的抑制活性。发现目标化合物对肝癌Bel-7402细胞的增殖显明显的抑制活性,浓度在5∽400μg/mL范围内,对肿瘤细胞增殖的抑制率可达29.31%∽92.25%。此结果显示,肝癌Bel-7402细胞对甘草次酸顺铂类复合物具有较好的敏感性;甘草次酸与顺铂的偶合可提高顺铂的抗癌活性,这可能是产生抗癌协同及化疗增敏作用的结果。此结果对新型肝靶向抗癌候选药物的筛选奠定了一定的基础。     

头孢他啶联合阿米卡星对多重耐药的鲍曼不动杆菌的体外抗菌作用分析

目的了解头孢他啶与阿米卡星联合对鲍曼不动杆菌体外药敏试验效果,探索多药耐药的临床用药新途径。方法采用微量肉汤稀释法、棋盘法分别测定头孢他啶、阿米卡星两药单独及两种不同浓度药物组合时对临床分离的24株多重耐药的鲍曼不动杆菌最低抑菌浓度(MIC),计算部分抑菌浓度(FIC)指数,应用FIC指数来计算及判读两种抗菌药物联用对多重耐药的鲍曼不动杆菌体外抗菌作用的效果。结果头孢他啶与阿米卡星联合应用,能显著降低各自的MIC值,分别有75%的菌株表现为协同作用,20.8%的菌株表现为相加作用,有4.2%发生无关作用,没有拮抗作用发生。结论对多重耐药的鲍曼不动杆菌的感染,可使用头孢他啶与阿米卡星进行联合治疗。     

克霉唑阴道片与乳杆菌制剂联合及序贯治疗重度外阴阴道假丝酵母菌病疗效

目的探讨克霉唑阴道片与阴道乳杆菌活菌制剂定君生联合及序贯应用治疗重度外阴阴道假丝酵母菌病(SVVC)的有效性及复发情况。方法选取中国人民解放军中部战区总医院2017年3月至2019年6月收治的240例SVVC患者,采用简单随机化分组方法(随机数字表法以及随机数余数分组法),分为序贯组(采用克霉唑阴道片先行治疗随后序贯应用乳杆菌制剂)、联合组(克霉唑阴道片与乳杆菌制剂同时联合用药)及单纯用药组(仅应用克霉唑阴道片治疗)各80例。3组患者均在治疗开始后第14~21天进行第1次复查,第28~35天进行第2次复查,观察2次复查后的乳杆菌分级、有效率及复发率。结果第1次复查时,序贯组及联合组患者阴道内乳杆菌数量较单纯用药组均显著增加(P=0.001);序贯组、联合组、单纯用药组有效率分别为78.8%、85.0%、63.8%,序贯组与联合组差异无统计学意义(P=0.305),该2组与单纯用药组比较差异均有统计学意义(P=0.036,P=0.002)。第2次复查时3组患者阴道内乳杆菌数量差异无统计学意义(P=0.895),序贯组、联合组、单纯用药组有效率分别为67.5%、66.3%、48.8%,序贯组与联合组差异无统计学意义(P=0.867),该2组与单纯用药组比较差异均有统计学意义(P=0.016,P=0.025)。序贯组、联合组、单纯用药组复发率分别为14.3%、22.1%、23.5%,序贯组明显低于联合组及单纯用药组(P=0.033)。结论克霉唑阴道片与乳杆菌制剂联合及序贯用药治疗SVVC均可达到更高的有效率,序贯用药在降低复发率方面效果更佳。     

88例卵巢上皮性癌行ATP-TCA体外药敏试验结果分析

该研究是探讨三磷酸腺苷生物荧光肿瘤抗癌药物药敏性分析实验（ATP-TCA）在卵巢癌患者化疗中的应用。研究选取88例卵巢上皮性癌新鲜组织行ATP-TCA体外药敏试验,分析结果、计算各种化疗药物敏感性,并与48例对照组患者进行临床近期有效率的比较。结果显示,在体外药敏试验敏感性最强的单药为紫杉醇（51.9%）,敏感性强弱依次为：紫杉醇〉卡铂〉顺铂〉吉西他滨〉拓泊替康〉多西他赛〉依托泊苷〉环磷酰胺〉博来霉素,联合用药方案敏感性较单药增加。药敏组患者临床近期有效率（85.23%）高于对照（68.75%）。ATP-TCA是一种有效的抗癌药物敏感性分析实验,可为卵巢癌患者临床化疗提供个体化的指导方案。     

黄连提取物对α-葡萄糖苷酶抑制作用研究

利用体外α-葡萄糖苷酶抑制模型对黄连不同部位提取物进行活性评价,并与阳性对照Acarbose比较,发现黄连不同部位均有一定的α-葡萄糖苷酶抑制活性.其中,黄连根茎乙酸乙酯提取物的抑制活性最高(IC_(50)=20.72 μg/mL),黄连种子石油醚部位(IC_(50)=40.86 μg/mL)和黄连叶石油醚部位(IC_(50)=62.85 μg/mL)的活性次之.3个部位的提取物活性均远大于阳性对照Acarbose(IC_(50)=1081,27 μg/mL).不同部位比较,根茎对α-葡萄糖苷酶抑制活性最好,这3种提取物抑制活性均比阳性对照高;同一部位不同提取物比较,石油醚和甲醇提取物α-葡萄糖苷酶抑制活性一般要高于乙酸乙酯提取物.     

五种苦苣苔科植物α-葡萄糖苷酶抑制活性研究

利用体外α-葡萄糖苷酶抑制模型对5种苦苣苔科植物进行活性评价,并与阳性对照Acarbose进行比较,发现5种植物不同部位均有一定的α-葡萄糖苷酶抑制活性。其中,牛耳岩白菜石油醚部位的抑制活性最高(IC50=26.19μg/mL,活性均远大于阳性对照Acarbose(IC50=1081.27μg/mL)。不同植物比较,牛耳岩白菜的α-葡萄糖苷酶抑制活性最好,其3种不同溶剂提取物与Acarbose相比均有很高抑制活性;对牛耳岩白菜提取物的α-葡萄糖苷酶抑制动力学研究结果表明,石油醚和乙酸乙酯提取物对α-葡萄糖苷酶抑制作用属于非竞争性抑制类型,Ki值分别为4.24和40.04μg/mL。正丁醇提取物则属于竞争性抑制类型(Ki=205.48μg/mL)     

Sorafenib enhances proteasome inhibitor-mediated cytotoxicity via inhibition of unfolded protein response and keratin phosphorylation

Hepatocellular carcinoma (HCC) is highly resistant to conventional systemic therapies and prognosis for advanced HCC patients remains poor. Recent studies of the molecular mechanisms responsible for tumor initiation and progression have identified several potential molecular targets in HCC. Sorafenib is a multi-kinase inhibitor shown to have survival benefits in advanced HCC. It acts by inhibiting the serine/threonine kinases and the receptor type tyrosine kinases. In preclinical experiments sorafenib had anti-proliferative activity in hepatoma cells and it reduced tumor angiogenesis and increased apoptosis. Here, we demonstrate for the first time that the cytotoxic mechanisms of sorafenib include its inhibitory effects on protein ubiquitination, unfolded protein response (UPR) and keratin phosphorylation in response to endoplasmic reticulum (ER) stress. Moreover, we show that combined treatment with sorafenib and proteasome inhibitors (PIs) synergistically induced a marked increase in cell death in hepatoma- and hepatocyte-derived cells. These observations may open the way to potentially interesting treatment combinations that may augment the effect of sorafenib, possibly including drugs that promote ER stress. Because sorafenib blocked the cellular defense mechanisms against hepatotoxic injury not only in hepatoma cells but also in hepatocyte-derived cells, we must be careful to avoid severe liver injury.     

Immune modulation of effector CD4+ and regulatory T cell function by sorafenib in patients with hepatocellular carcinoma

Hepatocellular carcinoma (HCC) is a difficult to treat cancer characterized by poor tumor immunity with only one approved systemic drug, sorafenib. If novel combination treatments are to be developed with immunological agents, the effects of sorafenib on tumor immunity are important to understand. In this study, we investigate the impact of sorafenib on the CD4+CD25? effector T cells (Teff) and CD4+CD25+ regulatory T cells (Tregs) from patients with HCC. We isolated Teff and Treg from peripheral mononuclear cells of HCC patients to determine immune reactivity by thymidine incorporation, ELISA and flow cytometry. Teff cultured alone or with Treg were supplemented with different concentrations of sorafenib. The effects of sorafenib on Teff responses were dose-dependent. Pharmacologic doses of sorafenib decreased Teff activation by down regulating CD25 surface expression. In contrast, sub-pharmacologic concentrations of sorafenib resulted in Teff activation. These low doses of sorafenib in the Teff cultures led to a significant increase in Teff proliferation, IL2 secretion and up-regulation of CD25 expression on the cell surface. In addition, low doses of sorafenib in the suppression Teff/Treg cocultures restored Teff responses by eliminating Treg suppression. The loss of Treg suppressive function correlated with an increase in IL2 and IL6 secretion. Our findings show that sub-pharmacologic doses of sorafenib impact subsets of T cells differently, selectively increasing Teff activation while blocking Treg function. In conclusion, this study describes novel immune activating properties of low doses of sorafenib by promoting immune responsiveness in patients with HCC.     

Inhibition of pMAPK14 Overcomes Resistance to Sorafenib in Hepatoma Cells with Hepatitis B Virus

Hepatitis B virus (HBV) targets the liver and is a major driver for liver cancer. Clinical data suggest that HBV infection is associated with reduced response to treatment with the multi-kinase inhibitor sorafenib, the first available molecularly targeted anti-hepatocellular carcinoma (HCC) drug. Given that Raf is one of the major targets of sorafenib, we investigated the activation state of the Raf-Mek-Erk pathway in the presence of HBV and in response to sorafenib. Here we show that hepatoma cells with replicating HBV are less susceptible to sorafenib inhibitory effect as compared to cells in which HBV expression is suppressed. However, although HBV replication is associated with increased level of pErk, its blockade only modestly augments sorafenib effect. In contrast, the phosphorylated form of the pro-oncogenic Mitogen-Activated Protein Kinase 14 (pMAPK14), a protein kinase that was recently linked to sorafenib resistance, is induced in sorafenib-treated hepatoma cells in association with HBV X protein expression. Knocking down pMAPK14 results in augmentation of the therapeutic efficacy of sorafenib and largely alleviates resistance to sorafenib in the presence of HBV. Thus, this study suggests that HBV promotes HCC resistance to sorafenib. Combining pMAPK14 inhibitors with sorafenib may be beneficial in patients with HBV-associated HCC.     

Discovery of new 3-methylquinoxalines as potential anti-cancer agents and apoptosis inducers targeting VEGFR-2: design,synthesis, and in silico studies

There is an urgent need to design new anticancer agents that can prevent cancer cell proliferation even with minimal side effects. Accordingly, two new series of 3-methylquinoxalin-2(1H)-one and 3-methylquinoxaline-2-thiol derivatives were designed to act as VEGFR-2 inhibitors. The designed derivatives were synthesised and evaluated in vitro as cytotoxic agents against two human cancer cell lines namely, HepG-2 and MCF-7. Also, the synthesised derivatives were assessed for their VEGFR-2inhibitory effect. The most promising member 11e were further investigated to reach a valuable insight about its apoptotic effect through cell cycle and apoptosis analyses. Moreover, deep investigations were carried out for compound 11e using western-plot analyses to detect its effect against some apoptotic and apoptotic parameters including caspase-9, caspase-3, BAX, and Bcl-2. Many in silico investigations including docking, ADMET, toxicity studies were performed to predict binding affinity, pharmacokinetic, drug likeness, and toxicity of the synthesised compounds. The results revealed that compounds 11e, 11g, 12e, 12g, and 12k exhibited promising cytotoxic activities (IC₅₀ range is 2.1 − 9.8 µM), comparing to sorafenib (IC₅₀ = 3.4 and 2.2 µM against MCF-7 and HepG2, respectively). Moreover, 11b, 11f, 11g, 12e, 12f, 12g, and 12k showed the highest VEGFR-2 inhibitory activities (IC₅₀ range is 2.9 − 5.4 µM), comparing to sorafenib (IC₅₀ = 3.07 nM). Additionally, compound 11e had good potential to arrest the HepG2 cell growth at G2/M phase and to induce apoptosis by 49.14% compared to the control cells (9.71%). As well, such compound showed a significant increase in the level of caspase-3 (2.34-fold), caspase-9 (2.34-fold), and BAX (3.14-fold), and a significant decrease in Bcl-2 level (3.13-fold). For in silico studies, the synthesised compounds showed binding mode similar to that of the reference compound (sorafenib).     

新疆盐生植物对α-葡萄糖苷酶抑制活性的研究

对10种新疆盐生植物提取物的α-葡萄糖苷酶抑制活性进行初步研究.在10种盐生植物的70%乙醇提取物中,大叶补血草的α-葡萄糖苷酶抑制活性较高,IC_(50)值为1.77 mg/mL;水提取物中,琵琶柴、多枝柽柳、花花柴的α-葡萄糖苷酶抑制活性较高,IC_(50)值分别为2.53、1.21、1.52 mg/mL.本文选取的10种新疆盐生植物中部分植物提取物具有一定的抑制α-葡萄糖苷酶活性.     

Distinct Behaviour of Sorafenib in Experimental Cachexia-Inducing Tumours: The Role of STAT3

The presence of a tumour is very often associated with wasting in the host, affecting both skeletal muscle and adipose tissue. In the present study we used sorafenib, a multi-kinase inhibitor with anti-tumour activity, in order to investigate the effects of chemotherapy on wasting. Three different experimental mouse tumour models were included: C26 colon carcinoma, B16 melanoma and Lewis lung carcinoma (LLC). The results obtained clearly show that sorafenib was effective in reducing tumour growth in LLC and B16 models, while it had no effect on C26. Interestingly, sorafenib treatment reduced the signs of muscle wasting and improved the physical activity in the LLC model and also in the C26, despite the absence of antineoplastic action in the latter. Our results discard a role for IL-6 in the action of sorafenib since the drug did not affect the levels of this cytokine. Conversely, sorafenib seems to act by influencing both STAT3 and ERK activity at muscle level, leading to reduced accumulation of Pax7 and atrogin-1. Sorafenib may interfere with muscle wasting by decreasing the activation of these signal transduction pathways.