1. Enhancing the Therapeutic Efficacy of Gefitinib in Human Non-Small-Cell Lung Cancer through Drug Combination
- Author
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Jian-Hua Gong, Meng-Ran Zhang, Xiujun Liu, Jian Xu, Hao Cai, Yue Du, and Yue-Xuan Wang
- Subjects
Lung Neoplasms ,Pharmaceutical Science ,Apoptosis ,Mice, SCID ,02 engineering and technology ,medicine.disease_cause ,030226 pharmacology & pharmacy ,chemistry.chemical_compound ,0302 clinical medicine ,Mice, Inbred NOD ,Carcinoma, Non-Small-Cell Lung ,Antineoplastic Combined Chemotherapy Protocols ,Drug Discovery ,Epidermal growth factor receptor ,Mice, Inbred BALB C ,biology ,Cell Cycle ,Drug Synergism ,Gefitinib ,021001 nanoscience & nanotechnology ,ErbB Receptors ,Drug Combinations ,Molecular Medicine ,Female ,Growth inhibition ,0210 nano-technology ,Signal Transduction ,medicine.drug ,Combination therapy ,Mice, Nude ,03 medical and health sciences ,Cell Line, Tumor ,Pancreatic cancer ,medicine ,Animals ,Humans ,Lung cancer ,Protein Kinase Inhibitors ,Cell Proliferation ,Tumor microenvironment ,business.industry ,medicine.disease ,respiratory tract diseases ,chemistry ,Drug Resistance, Neoplasm ,Cancer research ,biology.protein ,Carcinogenesis ,business - Abstract
The interaction between tumor cells and the tumor microenvironment (TME) significantly influences tumorigenesis, so TME-targeted therapy has attracted widespread attention. We have previously demonstrated that the combination of dipyridamole, bestatin, and dexamethasone (DBD mix, DBDx) is effective against heterogeneous human pancreatic cancer and hepatocellular carcinoma in mouse xenograft models. To further expand the therapeutic potential of this drug combination, herein, we investigated the antitumor efficacy and the underlying mechanism of DBDx and the combination of DBDx and gefitinib in different mouse xenograft models of human non-small-cell lung cancer (NSCLC). Three human cancer cell lines H460, PG, and A431 were used to determine the apoptosis and growth inhibition induced by DBDx, gefitinib, and their combinations. Changes in epidermal growth factor receptor (EGFR) signaling pathway-related proteins were analyzed following treatment using western blotting. In vitro, DBDx strongly inhibited the proliferation of tumor cells, whereas the combined treatment exhibited a significant synergistic effect. Compared with DBDx, the combination treatment further induced apoptosis and downregulated the expression of molecules associated with EGFR signaling pathway. In vivo, compared with DBDx alone, the combination treatment distinctly inhibited tumor growth in mouse xenograft models of human NSCLC. Overall, our results indicate that the combination of DBDx and gefitinib in the treatment of human NSCLC is very promising, which warrants further translational studies.
- Published
- 2021
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