帕博西尼和厄洛替尼联合治疗结直肠癌的协同抑制作用及其机制探究
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南京医科大学

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Combination of palbociclib and erlotinib exhibits synergistic antitumor effect in colorectal cancer
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Nanjing Medical University

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    摘要:

    目的:评估帕博西尼(palbociclib)单独或联合EGFR抑制剂厄洛替尼(erlotinib)治疗结直肠癌(CRC)的有效性。方法:采用Alamar blue法和克隆形成实验检测palbociclib单独或联合erlotinib对CRC细胞系增殖的影响;采用DNA含量定量法检测细胞周期分布变化;通过β-半乳糖苷酶和DCFH-DA染色检测细胞衰老和ROS积累的情况;Western blot分析相关蛋白表达水平;在CRC患者来源异种移植(PDX)模型中的检测联合治疗的临床疗效。结果:Palbociclib单独治疗有效抑制CRC细胞增殖,诱导细胞G1期阻滞、细胞衰老和胞内ROS积累。Palbociclib和erlotinib联合治疗CRC具有协同作用,Erlotinib进一步增强palbociclib对CRC的多种抑制效应和多信号通路抑制。在CRC患者来源的异种移植(PDX)模型中显示出了良好的协同抑制作用。结论:Palbociclib联合erlotinib在体外和体内能够协同抑制结直肠癌的生长活性。

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    Objective: To evaluate the efficacy of palbociclib alone or in combination with the EGFR inhibitor erlotinib in the treatment of colorectal cancer (CRC). Methods: Alamar bule method and clone formation assay were used to detect the effects of palbociclib alone or in combination with erlotinib on the proliferation of CRC cell lines. Cell cycle distribution was determined by DNA content. Cell senescence and ROS accumulation were detected by β-galactosidase and DCFH-DA staining. The expression levels of related proteins were analyzed by Western blot and their clinical efficacies were evaluated in CRC patient-derived xenograft (PDX) models. Results: Palbociclib inhibits CRC cell proliferation, induce G1 cell arrest, cell senescence and intracellular ROS accumulation effectively. Combination of palbociclib and erlotinib exhibits synergistic effects on CRC, and erlotinib further enhances the multiple inhibitory effects and multi-signaling pathway inhibition of palbociclib on CRC. Synergistic inhibition was also shown in CRC PDX models.

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  • 收稿日期:2021-04-22
  • 最后修改日期:2021-05-08
  • 录用日期:2021-09-01
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