The synergistic anti-proliferative effect of the combination of diosmin and BEZ-235 (dactolisib) on the HCT-116 colorectal cancer cell line occurs through inhibition of the PI3K/Akt/mTOR/NF-κB axis

One of the most lethal malignancies worldwide is colorectal cancer (CRC). Alterations in various signalling pathways, including PI3K-mTOR and NF-κB, have been reported in CRC with subsequent dysregulation of proliferation, apoptosis, angiogenesis and, questionably, autophagy processes. BEZ-235 (dact...

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Veröffentlicht in:Molecular biology reports 2020-03, Vol.47 (3), p.2217-2230
Hauptverfasser: Helmy, Maged. W., Ghoneim, Asser I., Katary, Mohamed A., Elmahdy, Rana K.
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creator Helmy, Maged. W.
Ghoneim, Asser I.
Katary, Mohamed A.
Elmahdy, Rana K.
description One of the most lethal malignancies worldwide is colorectal cancer (CRC). Alterations in various signalling pathways, including PI3K-mTOR and NF-κB, have been reported in CRC with subsequent dysregulation of proliferation, apoptosis, angiogenesis and, questionably, autophagy processes. BEZ-235 (dactolisib) is a dual PI3K-mTOR inhibitor with potent anti-tumour activity. However, the observed toxicity of BEZ-235 necessitated the termination of its clinical trials. Hence, we aimed to evaluate the potential long-lasting anti-carcinogenic effects of adding diosmin (DIO, a natural NF-κB inhibitor) to BEZ-235 in HCT-116 CRC cells. The median inhibitory concentrations (IC50s) of BEZ-235 and/or DIO were evaluated in the HCT-116 CRC cell line. Caspase-3 activity was assessed colorimetrically, and p-Akt, NF-κB, CD1, VEGF and LC3B levels were assessed by ELISA. Additionally, LC3-II and P62 gene expression were assessed using qRT-PCR. The observed CIs (combination indices) and DRIs (dose reduction indices) confirmed the synergistic effect of DIO and BEZ-235. Co-administration of both drugs either in combination-1 (1 μM for BEZ-235, 250 μM for DIO) or in combination-2 (0.51 μM for BEZ-235 + 101.99 μM for DIO) inhibited the PI3K/Akt/mTOR/NF-κB axis, leading to the induction of apoptosis (via active caspase-3), and the inhibition of proliferation marker (CD1), angiogenesis marker (VEGF), autophagy protein (LC3B) and altered effects on LC3-II and P62 gene expression. Our results reveal the synergistic chemotherapeutic effects of DIO combined with BEZ-235 in the HCT-116 CRC cell line and encourage future preclinical and clinical studies of this combination with reduced BEZ-235 concentrations to avoid its reported toxicity. Graphic abstract
doi_str_mv 10.1007/s11033-020-05327-4
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W. ; Ghoneim, Asser I. ; Katary, Mohamed A. ; Elmahdy, Rana K.</creator><creatorcontrib>Helmy, Maged. W. ; Ghoneim, Asser I. ; Katary, Mohamed A. ; Elmahdy, Rana K.</creatorcontrib><description>One of the most lethal malignancies worldwide is colorectal cancer (CRC). Alterations in various signalling pathways, including PI3K-mTOR and NF-κB, have been reported in CRC with subsequent dysregulation of proliferation, apoptosis, angiogenesis and, questionably, autophagy processes. BEZ-235 (dactolisib) is a dual PI3K-mTOR inhibitor with potent anti-tumour activity. However, the observed toxicity of BEZ-235 necessitated the termination of its clinical trials. Hence, we aimed to evaluate the potential long-lasting anti-carcinogenic effects of adding diosmin (DIO, a natural NF-κB inhibitor) to BEZ-235 in HCT-116 CRC cells. The median inhibitory concentrations (IC50s) of BEZ-235 and/or DIO were evaluated in the HCT-116 CRC cell line. Caspase-3 activity was assessed colorimetrically, and p-Akt, NF-κB, CD1, VEGF and LC3B levels were assessed by ELISA. Additionally, LC3-II and P62 gene expression were assessed using qRT-PCR. The observed CIs (combination indices) and DRIs (dose reduction indices) confirmed the synergistic effect of DIO and BEZ-235. Co-administration of both drugs either in combination-1 (1 μM for BEZ-235, 250 μM for DIO) or in combination-2 (0.51 μM for BEZ-235 + 101.99 μM for DIO) inhibited the PI3K/Akt/mTOR/NF-κB axis, leading to the induction of apoptosis (via active caspase-3), and the inhibition of proliferation marker (CD1), angiogenesis marker (VEGF), autophagy protein (LC3B) and altered effects on LC3-II and P62 gene expression. Our results reveal the synergistic chemotherapeutic effects of DIO combined with BEZ-235 in the HCT-116 CRC cell line and encourage future preclinical and clinical studies of this combination with reduced BEZ-235 concentrations to avoid its reported toxicity. Graphic abstract</description><identifier>ISSN: 0301-4851</identifier><identifier>EISSN: 1573-4978</identifier><identifier>DOI: 10.1007/s11033-020-05327-4</identifier><identifier>PMID: 32088816</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>1-Phosphatidylinositol 3-kinase ; AKT protein ; Angiogenesis ; Animal Anatomy ; Animal Biochemistry ; Apoptosis ; Autophagy ; Biomedical and Life Sciences ; Caspase-3 ; Cell Proliferation - drug effects ; Cell Survival - drug effects ; Clinical trials ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms ; Diosmin - pharmacology ; Dose-Response Relationship, Drug ; Drug Synergism ; Gene expression ; HCT116 Cells ; Histology ; Humans ; Imidazoles - pharmacology ; Life Sciences ; Morphology ; NF-kappa B - metabolism ; NF-κB protein ; Original Article ; Phagocytosis ; Phosphatidylinositol 3-Kinases - metabolism ; Phosphorylation ; Proto-Oncogene Proteins c-akt - metabolism ; Quinolines - pharmacology ; Signal transduction ; Signal Transduction - drug effects ; TOR protein ; TOR Serine-Threonine Kinases - metabolism ; Toxicity ; Tumors ; Vascular endothelial growth factor</subject><ispartof>Molecular biology reports, 2020-03, Vol.47 (3), p.2217-2230</ispartof><rights>Springer Nature B.V. 2020</rights><rights>Molecular Biology Reports is a copyright of Springer, (2020). 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W.</creatorcontrib><creatorcontrib>Ghoneim, Asser I.</creatorcontrib><creatorcontrib>Katary, Mohamed A.</creatorcontrib><creatorcontrib>Elmahdy, Rana K.</creatorcontrib><title>The synergistic anti-proliferative effect of the combination of diosmin and BEZ-235 (dactolisib) on the HCT-116 colorectal cancer cell line occurs through inhibition of the PI3K/Akt/mTOR/NF-κB axis</title><title>Molecular biology reports</title><addtitle>Mol Biol Rep</addtitle><addtitle>Mol Biol Rep</addtitle><description>One of the most lethal malignancies worldwide is colorectal cancer (CRC). Alterations in various signalling pathways, including PI3K-mTOR and NF-κB, have been reported in CRC with subsequent dysregulation of proliferation, apoptosis, angiogenesis and, questionably, autophagy processes. BEZ-235 (dactolisib) is a dual PI3K-mTOR inhibitor with potent anti-tumour activity. However, the observed toxicity of BEZ-235 necessitated the termination of its clinical trials. Hence, we aimed to evaluate the potential long-lasting anti-carcinogenic effects of adding diosmin (DIO, a natural NF-κB inhibitor) to BEZ-235 in HCT-116 CRC cells. The median inhibitory concentrations (IC50s) of BEZ-235 and/or DIO were evaluated in the HCT-116 CRC cell line. Caspase-3 activity was assessed colorimetrically, and p-Akt, NF-κB, CD1, VEGF and LC3B levels were assessed by ELISA. Additionally, LC3-II and P62 gene expression were assessed using qRT-PCR. The observed CIs (combination indices) and DRIs (dose reduction indices) confirmed the synergistic effect of DIO and BEZ-235. Co-administration of both drugs either in combination-1 (1 μM for BEZ-235, 250 μM for DIO) or in combination-2 (0.51 μM for BEZ-235 + 101.99 μM for DIO) inhibited the PI3K/Akt/mTOR/NF-κB axis, leading to the induction of apoptosis (via active caspase-3), and the inhibition of proliferation marker (CD1), angiogenesis marker (VEGF), autophagy protein (LC3B) and altered effects on LC3-II and P62 gene expression. Our results reveal the synergistic chemotherapeutic effects of DIO combined with BEZ-235 in the HCT-116 CRC cell line and encourage future preclinical and clinical studies of this combination with reduced BEZ-235 concentrations to avoid its reported toxicity. 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W.</au><au>Ghoneim, Asser I.</au><au>Katary, Mohamed A.</au><au>Elmahdy, Rana K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The synergistic anti-proliferative effect of the combination of diosmin and BEZ-235 (dactolisib) on the HCT-116 colorectal cancer cell line occurs through inhibition of the PI3K/Akt/mTOR/NF-κB axis</atitle><jtitle>Molecular biology reports</jtitle><stitle>Mol Biol Rep</stitle><addtitle>Mol Biol Rep</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>47</volume><issue>3</issue><spage>2217</spage><epage>2230</epage><pages>2217-2230</pages><issn>0301-4851</issn><eissn>1573-4978</eissn><abstract>One of the most lethal malignancies worldwide is colorectal cancer (CRC). Alterations in various signalling pathways, including PI3K-mTOR and NF-κB, have been reported in CRC with subsequent dysregulation of proliferation, apoptosis, angiogenesis and, questionably, autophagy processes. BEZ-235 (dactolisib) is a dual PI3K-mTOR inhibitor with potent anti-tumour activity. However, the observed toxicity of BEZ-235 necessitated the termination of its clinical trials. Hence, we aimed to evaluate the potential long-lasting anti-carcinogenic effects of adding diosmin (DIO, a natural NF-κB inhibitor) to BEZ-235 in HCT-116 CRC cells. The median inhibitory concentrations (IC50s) of BEZ-235 and/or DIO were evaluated in the HCT-116 CRC cell line. Caspase-3 activity was assessed colorimetrically, and p-Akt, NF-κB, CD1, VEGF and LC3B levels were assessed by ELISA. Additionally, LC3-II and P62 gene expression were assessed using qRT-PCR. The observed CIs (combination indices) and DRIs (dose reduction indices) confirmed the synergistic effect of DIO and BEZ-235. Co-administration of both drugs either in combination-1 (1 μM for BEZ-235, 250 μM for DIO) or in combination-2 (0.51 μM for BEZ-235 + 101.99 μM for DIO) inhibited the PI3K/Akt/mTOR/NF-κB axis, leading to the induction of apoptosis (via active caspase-3), and the inhibition of proliferation marker (CD1), angiogenesis marker (VEGF), autophagy protein (LC3B) and altered effects on LC3-II and P62 gene expression. Our results reveal the synergistic chemotherapeutic effects of DIO combined with BEZ-235 in the HCT-116 CRC cell line and encourage future preclinical and clinical studies of this combination with reduced BEZ-235 concentrations to avoid its reported toxicity. Graphic abstract</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>32088816</pmid><doi>10.1007/s11033-020-05327-4</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0003-0375-6762</orcidid></addata></record>
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subjects 1-Phosphatidylinositol 3-kinase
AKT protein
Angiogenesis
Animal Anatomy
Animal Biochemistry
Apoptosis
Autophagy
Biomedical and Life Sciences
Caspase-3
Cell Proliferation - drug effects
Cell Survival - drug effects
Clinical trials
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms
Diosmin - pharmacology
Dose-Response Relationship, Drug
Drug Synergism
Gene expression
HCT116 Cells
Histology
Humans
Imidazoles - pharmacology
Life Sciences
Morphology
NF-kappa B - metabolism
NF-κB protein
Original Article
Phagocytosis
Phosphatidylinositol 3-Kinases - metabolism
Phosphorylation
Proto-Oncogene Proteins c-akt - metabolism
Quinolines - pharmacology
Signal transduction
Signal Transduction - drug effects
TOR protein
TOR Serine-Threonine Kinases - metabolism
Toxicity
Tumors
Vascular endothelial growth factor
title The synergistic anti-proliferative effect of the combination of diosmin and BEZ-235 (dactolisib) on the HCT-116 colorectal cancer cell line occurs through inhibition of the PI3K/Akt/mTOR/NF-κB axis
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