Objective To detect the effects of LCL161 combined with docetaxel on the proliferation and apoptosis of human breast cancer MCF-7 cells and to explore its mechanism. Methods CCK-8 ( Cell counting kit-8 ) was used to detect the proliferation inhibition effect of various concentrations of LCL161 (1-5 jjimol/L) on the human breast cancer MCF- 7 cells. MCF-7 cells were divided into four groups : the LCL161 group which was added with 2 jjimol/L LCL161,docetaxel group with 0. 6 mg/L docetaxel, LCL161 combined with docetaxel group with 0. 6 mg/L docetaxel and 2 |jLmol/L LCL161, and the control group with a drug-free medium. CCK-8 was used to detect the cell viability. The colony cloning ability of ach group was detected by cell colony cloning assay. The apoptosis of each group was observed by Hoechst33258 staining. The apoptosis rate of each group was measured by flow cytometry. Western blotting was used to detect the changes of apop- tosis-related protein cellular inhibitor of apoptosis protein 1/2 ( cIAPl/2) and necroptosis protein RIP1. Results The relative cell viability rates of the LCL161 group, docetaxel group, LCL161 combined with docetaxel group, and control group were 86. 84% ±3. 83%,81. 29% ±6.71%,46. 91% ±4. 76%,and 92. 77% ±2. 18%,and the number of colonies was 117 ±14,95 ±9,61 ±12,and 132 ±7,respectivelyï¼› no significant difference was found between the LCL161 group and the control group ( P > 0. 05 ) , and significant difference was found between the rest groups ( all P < 0. 05 ) . In the LCL161 group, the cell membrane permeability increased, with chromatin condensation and some existed nuclear fragmentation. The nuclei of the docetaxel group and control group were lightly stained,the nucleus morphology was elliptical,and the cell membrane was relatively intact. The number of cells in the LCL161 combined with docetaxel group was significantly decreased ,with fragmented nucleus, and some nuclear disintegration. The apoptosis rates of the LCL161 group, docetaxel group, LCL161 combined with docetaxel group, and control group were 15. 16% ±2.26%,21.42% 土 1. 17%,34. 38% ±3.27%,and 5. 18% ±0. 89%,respectivelyï¼› no significant difference was found between the LCL161 group and the control group ( P > 0. 05 ),and significant difference was found between the rest groups ( all P <0. 05). The relative expression levels of cIAPl protein in the LCL161 group, docetaxel group, LCL161 combined with docetaxel group, and control group were 0.41 ± 0. 09,0. 29 ± 0. 11,0. 11 ± 0. 04,and 0. 62 ±0. 17. The relative expression levels of cIAP2 protein in the LCL161 group, docetaxel group, LCL161 combined with docetaxel group, and control group were 0. 86 ±0. 11,0. 77 ± 0. 15,0. 51 ±0. 12,and 0. 98 ± 0. 01,respectively; no significant difference was found between the LCL161 group and the control group ( P > 0. 05 ),and significant difference was found between the rest groups ( all P < 0. 05 ) . The relative expression levels of RIP1 protein in the LCL161 group, docetaxel group, LCL161 combined with docetaxel group and control group were 1.97 ±0.22,1.84 ±0. 19,3. 17 ±0.26,and 1.00 ±0.07; no significant difference was found between the LCL161 group and the control group ( P > 0. 05 ),and significant difference was found between the rest groups ( all P <0.05). Conclusion LCL161 combined with docetaxel can inhibit the proliferation and promote apoptosis of breast cancer cells ï¼› LCL161 combined with docetaxel can induce the apoptosis of breast cancer cells by down-regulating apoptosis inhibi tory protein and up-regulating the expression of necroptosis protein to exert its anti-tumor effect. [ABSTRACT FROM AUTHOR]