关于三氧化二砷（As2O3）联合药物治疗肝癌的研究进展

实验与临床研究已证实,As2O3能有效治疗急性早幼粒细胞性白血病（APL）。在此基础上．As2O3抗肝癌作用的研究报告日益增多。研究表明As2O3的抗肝癌效力呈剂量一时间效应关系,但作用时间越长及药物浓度越大,As2O3的毒副作用越大。为实现As2O3低毒高效的抗肿瘤目的,联合用药引起关注。本文通过查阅94年至今国内外有关As2O3药物联合治疗肝癌的文献,对As2O3联合药物治疗肝癌予以综述。     

survivin 基因在化疗药物诱导的 喉鳞癌Hep- 2 细胞凋亡中的作用

目的：探讨survivin基因在化疗药物三氧化二砷（As2O3）和顺铂（DDP）诱导的喉鳞癌（Hep-2）细胞凋亡中的作用。方法：用Hep-2细胞株进行培养传代,以不同浓度的As2O3和DDP作用于Hep-2细胞,MTT观察As2O3和DPP对Hep-2细胞生长的抑制情况,TUNEL法检测细胞凋亡数量,用RT-PCR方法检测survlvin基因的表达。结果：As2O3和DDP对Hep-2细胞的生长均有抑制作用,具有时间-剂量依赖性,化疗药物组细胞凋亡率和survivin基因表达抑制率高于对照组。结论：在As2O3和DPP诱导的Hep-2细胞凋亡中survivin基因表达被抑制,survivin基因可能在DPP和As2O3抗肿瘤中发挥重要作用。     

三氧化二砷对K562细胞凋亡的诱导及生长抑制作用的研究

目的：研究三氧化二砷(As2O3)对人红白血病细胞株K562的生长抑制和凋亡诱导作用。方法：以As2O3作为耐药逆转剂,用台盼兰排染法,噻唑兰(MTT)还原法,Hoechst 33342和PI荧光染色法,流式细胞仪技术和荧光分光光度法,观察了不同浓度的As2O3(0．2—5．0μmol/L)对人红白血病细胞株K562的生长抑制和凋亡诱导作用。结果：As2O3对K562细胞具有明显生长抑制和凋亡诱导作用,其作用强度在一定范围内均具药物浓度和时间依赖性。结论：As2O3主要以诱导肿瘤细胞凋亡而表现其毒性作用。     

三氧化二砷对系统性红斑狼疮患者外周血淋巴细胞凋亡和IL-10分泌的影响

目的观察不同浓度三氧化二砷（As2O3）对活动期系统性红斑狼疮（SLE）患者外周血淋巴细胞凋亡及白介素10（IL-10）分泌的影响。方法收集15例未曾用过激素及免疫抑制剂治疗并排除其它类型的自身免疫性疾病及感染性疾病的初诊SLE患者和同期15例健康体检者（健康对照组）的外周血,分别于不同浓度As2O3干预培养后12h和24h采用VnnexinV＼PI染色定量分析外周血淋巴细胞凋亡率,采用酶联免疫吸附法（ELISA）检测培养上清液中IL-10的含量。结果SLE组患者和健康对照组在不同As2O3浓度下12h和24h的凋亡率均增加（P〈0．05）;不同浓度As2O3诱导SLE患者在12h和24h淋巴细胞凋亡率明显高于健康对照组（P〈0．05）;且随As2O3干预浓度的增加,两组外周血淋巴细胞凋亡率均增加（P〈0．05）。SLE组患者外周血淋巴细胞在体外培养后分泌IL-10水平明显高于健康对照组（P〈0．05）,且As2O3能显著抑制其分泌,As2O3对健康对照组无影响（P〉0．05）。结论As2O3能诱导外周血淋巴细胞凋亡,并且具有时间和浓度依赖性,提示As2O3通过引起淋巴细胞凋亡发挥治疗作用;As2O3抑制SLE患者外周血淋巴细胞分泌IL-10可能是其发挥治疗作用的重要机制之一。     

三氧化二砷对胶质瘤U251细胞侵袭迁移和MMP2表达的影响

目的:研究三氧化二砷(As2O3)在体外对胶质瘤U251细胞侵袭迁移及金属基质蛋白酶2(MMP2)表达的影响。方法:采用台盼兰法(MTT法)观察As2O3对U251细胞粘附能力的影响;Transwell侵袭小室测定法检测As2O3对U251细胞侵袭能力的影响;明胶酶谱实验和逆转录-聚合酶链反应(RT-PCR)方法观察As2O3对金属基质蛋白酶2(Matrix metalloproteinase2,MMP2)在U251细胞中表达的影响。结果:As2O3能够降低U251细胞粘附能力,Transwell实验中药物处理组穿膜细胞数明显低于对照组(P<0.01),As2O3不但降低MMP2前体蛋白的表达,而且影响其mRNA的表达。结论:As2O3能够有效抑制胶质瘤U251细胞的侵袭迁移,其作用机制可能与As2O3下调胶质瘤U251细胞中MMP2的表达有关。     

三氧化二砷对胶质瘤U251细胞侵袭迁移和MMP2表达的影响

目的:研究三氧化二砷(As2O3)在体外对胶质瘤U251细胞侵袭迁移及金属基质蛋白酶2(MMP2)表达的影响.方法:采用台盼兰法(MTT法)观察As2O3对U251细胞粘附能力的影响;Transwell侵袭小室测定法检测As2O3对U251细胞侵袭能力的影响;明胶酶谱实验和逆转录-聚合酶链反应(RT-PCR)方法观察As2O3对金属基质蛋白酶2(Matrix metalloproteinase2,MMP2)在U251细胞中表达的影响.结果:As2O3能够降低U251细胞粘附能力,Transwell实验中药物处理组穿膜细胞数明显低于对照组(P＜0.01),As2O3不但降低MMP2前体蛋白的表达,而且影响其mRNA的表达.结论:As2O3能够有效抑制胶质瘤U251细胞的侵袭迁移,其作用机制可能与As2O3下调胶质瘤U251细胞中MMP2的表达有关.     

Ghrelin联合三氧化二砷对骨髓间充质干细胞增殖与成骨分化的影响

该文主要探究Ghrelin对三氧化二砷(As2O3)导致的骨髓间充质干细胞(BMSCs)增殖和成骨分化的影响。BMSCs设为对照组、As2O3组、Ghrelin组和联合(As2O3+Ghrelin)组。MTT法检测细胞增殖能力;成骨诱导的第7天和第14天,Real-time PCR及Western blot分别检测成骨相关因子OPN、ALP、RUNX2的mRNA及蛋白表达;第21天,茜素红染色分析钙盐沉积情况。结果显示,细胞增殖能力Ghrelin组>对照组>联合组>As2O3组。与对照组比,As2O3组各因子表达均显著下调(P<0.05),Ghrelin组第14天OPN蛋白表达无显著变化,其余因子均上调(P<0.05);联合组与As2O3组比,第14天OPN基因表达和第7天ALP蛋白表达无显著差异,其余均显著上调(P<0.05)。钙盐沉积:Ghrelin组>对照组>联合组>As2O3组。提示0.5μmol/L As2O3抑制BMSCs增殖和成骨分化,600 ng/mL Ghrelin增强细胞增殖和成骨分化;且Ghrelin能减弱As2O3导致的BMSCs增殖和成骨分化抑制作用。     

三氧化二砷对鼻咽癌细胞Cx43表达的影响

目的:探讨三氧化二砷(As2O3)抑制鼻咽癌的作用机制。方法:采用流式细胞仪(FCM)、激光扫描共聚焦显微镜(LSCM)和荧光技术,检测人鼻咽癌细胞株(CNE1)经As2O3诱导后细胞连接蛋白43(Cx43)表达的变化。结果:FCM显示,经过浓度为4μmol L的As2O3处理后,其Cx43阳性细胞计数率明显升高,与未经As2O3处理和经2μmol L的As2O3处理的CNE1比较,其差异具有非常显著性意义(p<0.01);LSCM图像观察到,经4μmol LAs2O3处理后,标记Cx43的绿色荧光显著增强,集中分布于细胞膜。结论:较高剂量浓度的As2O3能提高鼻咽癌细胞Cx43的表达率,升高细胞膜Cx43的含量。As2O3抑制鼻咽癌细胞生长的作用机制之一,是通过恢复细胞间隙连接通讯功能来实现的。     

大黄素提高HeLa细胞对三氧化二砷促凋亡敏感性的研究

活性氧(reactive oxygen species,ROS)在三氧化二砷(arsenic trioxide,As2O3)诱导肿瘤细胞凋亡中扮演重要角色。本研究用一种天然蒽醌类物质——大黄素(emodin)作为提高HeLa细胞ROS水平的手段,考察其对As2O3促凋亡敏感性的影响,并探究可能涉及的信号传导机制。结果显示大黄素10μmol／L提高ROS并增加了HeLa细胞在As2O32μmol／L作用下的凋亡率,对正常成纤维细胞却无影响。该联合作用可以促进HeLa细胞线粒体跨膜电位降低;抑制转录因子NF-κB激活。本研究提示：大黄素通过提高ROS介导凋亡信号传导的增强和生存信号传导的抑制,增加HeLa细胞对As2O3促凋亡的敏感性。     

三氧化二砷对心肌细胞膜延迟整流钾通道蛋白表达的影响研究

目的:观察不同剂量的三氧化二砷(arsenic trioxide,As2O3)对心肌细胞膜上延迟整流钾电流蛋白表达的影响。方法:将豚鼠随机分为4组:正常对照组、As2O3小剂量组(0.4 mg/kg)、中剂量组(0.8 mg/kg)、大剂量组(1.6 mg/kg),给药后不同时间间隔记录心电图,测量QT间期和RR间期,计算QTc的值的变化,同时应用荧光免疫组化技术检测心肌延迟整流钾通道IKr、IKs通道蛋白的表达量。结果:1在不同剂量的As2O3作用下,0.8 mg/kg和1.6 mg/kg As2O3组的豚鼠QTc明显延长,并且这种延长作用与给药剂量和时间密切相关。在2 h的观察时间内,0.8 mg/kg和1.6 mg/kg As2O3分别使QTc从对照组的324±7 ms延长到368±11 ms(P0.01)和388±11 ms(P0.01)。2大剂量组豚鼠心肌缓慢型延迟整流钾通道Kv LQT1和GPERG蛋白表达与对照组相比显著降低(P0.01)。结论:As2O3对豚鼠心肌QT间期有明显延长效果,其机制可能与降低Kv LQT1和GPERG蛋白的表达,影响了钾通道的功能有关。     

Arsenic trioxide induces gallbladder carcinoma cell apoptosis via downregulation of Bcl-2

Gallbladder carcinoma (GBC), an aggressive and mostly lethal malignancy, is known to be resistant to a number of apoptotic stimuli. Here, we report for the first time the pro-apoptosis role of arsenic trioxide (As2O3) in gallbladder carcinoma and identify the contribution of Bcl-2 in the As2O3-induced apoptosis. The treatment of As2O3 in gallbladder carcinoma cells could induce apoptosis in a dose-dependent manner and downregulate the expression of anti-apoptotic protein Bcl-2 at mRNA level. Moreover, Bcl-2 overexpression could protect gallbladder carcinoma cells from As2O3-induced apoptosis, indicating the contribution of Bcl-2 in As2O3-induced apoptosis. Taken together, these results suggest that arsenic trioxide induces gallbladder carcinoma cell apoptosis via downregulation of Bcl-2, which may have important therapeutic implications in gallbladder carcinoma patients.     

三氧化二砷诱导CNE1凋亡及其对细胞周期的影响

目的 研究三氧化二砷对人鼻咽癌CNE1细胞凋亡及其细胞周期的影响。方法 应用形态学观察、原位末端标记法(TUNEL)、流式细胞术等方法对三氧化二砷诱导的鼻咽癌细胞CNE1进行检测和观察。结果 一定浓度三氧化二砷能诱导CNE1细胞凋亡,凋亡细胞具有典型的凋亡形态特征,TUNEL原位检测有典型凋亡细胞,流式细胞仪检测有凋亡峰,G2／M期比例升高,呈一定的剂量效应关系。结论 三氧化二砷能诱导人鼻咽癌CNE1细胞株凋亡及阻止细胞周期进展的作用。     

Endoplasmic reticulum stress mediates the arsenic trioxide-induced apoptosis in human hepatocellular carcinoma cells

Arsenic trioxide has been proven to trigger apoptosis in human hepatocellular carcinoma cells. Endoplasmic reticulum stress has been known to be involved in apoptosis through the induction of CCAAT/enhancer-binding protein homologous protein. However, it is unknown whether endoplasmic reticulum stress mediates arsenic trioxide-induced apoptosis in human hepatocellular carcinoma cells. Our data showed that arsenic trioxide significantly induced apoptosis in human hepatocellular carcinoma cells. Furthermore, arsenic trioxide triggered endoplasmic reticulum stress, as indicated by endoplasmic reticulum dilation, upregulation of glucose-regulated protein 78 and CCAAT/enhancer-binding protein homologous protein. We further found that 4-phenylbutyric acid, an inhibitor of endoplasmic reticulum stress, alleviated arsenic trioxide-induced expression of CCAAT/enhancer-binding protein homologous protein. More important, knockdown of CCAAT/enhancer-binding protein homologous protein by siRNA or inhibition of endoplasmic reticulum stress by 4-phenylbutyric acid alleviated apoptosis induced by arsenic trioxide. Consequently, our results suggested that arsenic trioxide could induce endoplasmic reticulum stress-mediated apoptosis in hepatocellular carcinoma cells, and that CCAAT/enhancer-binding protein homologous protein might play an important role in this process.     

Effect of arsenic trioxide on human hepatocellular carcinoma HepG2 cells: inhibition of proliferation and induction of apoptosis

Arsenic trioxide (As(2)O(3)), a major ingredient of Traditional Chinese Medicine (TCM), is found to be an effective anticancer drug in acute promyelocytic leukemia (APL). The present study explored the use of As(2)O(3) on human hepatocellular carcinoma by in vitro study. The study showed that the clinically achievable concentration of As(2)O(3), i.e. 2 microM, inhibited the cell proliferation of human hepatocellular carcinoma cell line, HepG2, in a time-dependent manner. The mechanistic study showed that 2 microM of As(2)O(3) acted through induction of apoptosis in which caspase-3 was activated. The results also suggested that mitochondria did not take part in As(2)O(3)-induced apoptosis.     

三氧化二砷对视网膜色素上皮细胞增殖的影响

视网膜色素上皮细胞(retinal pigment epithelial cell,RPE)在维护视网膜正常生理功能方面具有极其重要的作用。研究发现,视网膜色素上皮细胞是增殖性玻璃体视网膜疾病(proliferative vitreous retinopathy,PVR)发生发展的主要细胞,而其增殖与细胞内调控信息失调密切相关。多项研究成果表明,三氧化二砷(As2O3)已经被用于医药几千年。其在白血病治疗的使用早在一个世纪以前就有所描述。As2O3在医学上的作用有着悠久的历史。然而,在最近的几个世纪它几乎被遗忘在西方医学。三氧化二砷在白血病、肿瘤的基础研究与临床治疗中已取得较大进展,引起广泛关注,但在眼科领域的研究才刚刚起步.增殖性视网膜疾病的发病日趋严重,已经成为全球性的重大负担,此病所导致的眼部并发症严重影响患者视功能及生活质量,因此,有必要就三氧化二砷对视网膜色素上皮细胞增殖的作用进行综述,以期为眼科疾病的防治研工作提供新的思路和策略。     

Regulatory effects of mammalian target of rapamycin-mediated signals in the generation of arsenic trioxide responses

Arsenic trioxide (As(2)O(3)) is a potent inducer of apoptosis of leukemic cells in vitro and in vivo, but the mechanisms that mediate such effects are not well understood. We provide evidence that the Akt kinase is phosphorylated/activated during treatment of leukemia cells with As(2)O(3), to regulate downstream engagement of mammalian target of rapamycin (mTOR) and its effectors. Using cells with targeted disruption of both the Akt1 and Akt2 genes, we found that induction of arsenic trioxide-dependent apoptosis is strongly enhanced in the absence of these kinases, suggesting that Akt1/Akt2 are activated in a negative feedback regulatory manner, to control generation of As(2)O(3) responses. Consistent with this, As(2)O(3)-dependent pro-apoptotic effects are enhanced in double knock-out cells for both isoforms of the p70 S6 kinase (S6k1/S6k2), a downstream effector of Akt and mTOR. On the other hand, As(2)O(3)-dependent induction of apoptosis is diminished in cells with targeted disruption of TSC2, a negative upstream effector of mTOR. In studies using primary hematopoietic progenitors from patients with acute myeloid leukemia, we found that pharmacological inhibition of mTOR enhances the suppressive effects of arsenic trioxide on leukemic progenitor colony formation. Moreover, short interfering RNA-mediated inhibition of expression of the negative downstream effector, translational repressor 4E-BP1, partially reverses the effects of As(2)O(3). Altogether, these data provide evidence for a key regulatory role of the Akt/mTOR pathway in the generation of the effects of As(2)O(3), and suggest that targeting this signaling cascade may provide a novel therapeutic approach to enhance the anti-leukemic properties of As(2)O(3).     

Arsenic trioxide inhibits neuroblastoma growth in vivo and promotes apoptotic cell death in vitro

Recent clinical studies have shown that inorganic arsenic trioxide (As(2)O(3)) at low concentrations induces complete remission with minimal toxicity in patients with refractory acute promyelocytic leukemia (APL). Preclinical studies suggest that As(2)O(3) induces apoptosis and possibly differentiation in APL cells. Like APL cells, neuroblastoma (NB) cells are thought to be arrested at an early stage of differentiation, and cells of highly malignant tumors fail to undergo spontaneous maturation. Both APL and NB cells can respond with differentiation to retinoic acid (RA) treatment in vitro and probably also in vivo. For that reason we investigated the effect of As(2)O(3) alone and in combination with RA on NB cell lines. In vitro, the number of viable NB cells was reduced at As(2)O(3) concentrations around 1 microM after 72 h exposure. The IC50 in six different cell lines treated for 3 days was in the 1.5 to 5 microM concentration interval, the most sensitive being SK-N-BE(2) cells derived from a chemotherapy resistant tumor. The combined treatment with RA (1 and 3 microM) showed no consistent additional effect with regard to induced cell death. The effect of As(2)O(3) on NB cell number involved As(2)O(3)-induced apoptotic pathways (decreased expression of Bcl-2 and stimulation of caspase-3 activity) with no clear evidence of induced differentiation. The in vivo effect of As(2)O(3) on NB growth was also investigated in nude mice bearing tumors of xenografted NB cells. Although tumor growth was reduced by As(2)O(3) treatment, complete remission was not achieved at the concentrations tested. We suggest that As(2)O(3), in combination with existing treatment modalities, might be a treatment approach for high risk NB patients.     

Intracellular GSH level is a factor in As4.1 juxtaglomerular cell death by arsenic trioxide

Arsenic trioxide has been known to regulate many biological functions such as cell proliferation, apoptosis, differentiation, and angiogenesis in various cell lines. We investigated the involvement of GSH and ROS such as H(2)O(2) and O(2)(*-) in the death of As4.1 cells by arsenic trioxide. The intracellular ROS levels were changed depending on the concentration and length of incubation with arsenic trioxide. The intracellular O(2)(*-) level was significantly increased at all the concentrations tested. Arsenic trioxide reduced the intracellular GSH content. Treatment of Tiron, ROS scavenger decreased the levels of ROS in 10 microM arsenic trioxide-treated cells. Another ROS scavenger, Tempol did not decrease ROS levels in arsenic trioxide-treated cells, but slightly recovered the depleted GSH content and reduced the level of apoptosis in these cells. Exogenous SOD and catalase did not reduce the level of ROS, but did decrease the level of O(2)(*-). Both of them inhibited GSH depletion and apoptosis in arsenic trioxide-treated cells. In addition, ROS scavengers, SOD and catalase did not alter the accumulation of cells in the S phase induced by arsenic trioxide. Furthermore, JNK inhibitor rescued some cells from arsenic trioxide-induced apoptosis, and this inhibitor decreased the levels of O(2)(*-) and reduced the GSH depletion in these cells. In summary, we have demonstrated that arsenic trioxide potently generates ROS, especially O(2)(*-), in As4.1 juxtaglomerular cells, and Tempol, SOD, catalase, and JNK inhibitor partially rescued cells from arsenic trioxide-induced apoptosis through the up-regulation of intracellular GSH levels.     

A conserved Asn in TM7 of the thyrotropin receptor is a common requirement for activation by both mutations and its natural agonist

Arsenic trioxide (As2O3) inhibits cell growth and induces apoptosis in certain types of cancer cells including acute promyelocytic leukemia, prostate and ovarian carcinomas, but its effect on response of tumor cells to ionizing radiation has never been explored before. Here we demonstrate that As2O3 can sensitize human cervical cancer cells to ionizing radiation both in vitro and in vivo. As2O3 in combination with ionizing radiation have a synergistic effect in decreasing clonogenic survival and in the regression of established human cervical tumor xenografts. Pretreatment of the cells with As2O3 also synergistically enhanced radiation-induced apoptosis. Apoptosis of the cells by combined treatment of As2O3 and radiation was associated with reactive oxygen species generation and loss of mitochondrial membrane potential, resulting in the activation of caspase-9 and caspase-3. The combined treatment also resulted in an increased G2/M cell cycle distribution at the concentration of As2O3 which did not alter cell cycle when applied alone. These results indicate that As2O3 can synergistically enhance radiosensitivity of human cervix carcinoma cells in vitro and in vivo, suggesting a potential clinical applicability of combination treatment of As2O3 and ionizing radiation in cancer therapies.