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    Title: OSU-2S/Sorafenib Synergistic Antitumor Combination against Hepatocellular Carcinoma: The Role of PKC delta/p53
    Authors: Omari, Hany A.
    Tolba, Mai F.
    Hung, Jui-Hsiang
    Al-Tel, Taleb H.
    Contributors: Sharjah Institute for Medical Research and College of Pharmacy, University of Sharjah
    Department of Pharmacology and Toxicology, Faculty of Pharmacy, Beni-Suef University
    Department of Pharmacology and Toxicology, Faculty of Pharmacy, Ain Shams University
    School of Pharmacy, Chapman University, Irvine
    Department of Biotechnology, Chia Nan University of Pharmacy and Science
    Keywords: OSU-2S
    sorafenib
    hepatocellular carcinoma
    cancer resistance
    PKCδ
    Date: 2016-11
    Issue Date: 2018-03-09 14:25:00 (UTC+8)
    Publisher: Frontiers Media Sa
    Abstract: Background: Sorafenib (Nexavar®) is an FDA-approved systemic therapy for advanced hepatocellular carcinoma (HCC). However, the low efficacy and adverse effects at high doses limit the clinical application of sorafenib and strongly recommend its combination with other agents aiming at ameliorating its drawbacks. OSU-2S, a PKCδ activator, was selected as a potential candidate anticancer agent to be combined with sorafenib to promote the anti-cancer activity through synergistic interaction.

    Methods: The antitumor effects of sorafenib, OSU-2S and their combination were assessed by MTT assay, caspase activation, Western blotting, migration/invasion assays in four different HCC cell lines. The synergistic interactions were determined by Calcusyn analysis. PKCδ knockdown was used to elucidate the role of PKCδ activation as a mechanism for the synergy. The knockdown/over-expression of p53 was used to explain the differential sensitivity of HCC cell lines to sorafenib and/or OSU-2S.

    Results: OSU-2S synergistically enhanced the anti-proliferative effects of sorafenib in the four used HCC cell lines with combination indices <1. This effect was accompanied by parallel increases in caspase 3/7 activity, PARP cleavage, PKCδ activation and inhibition of HCC cell migration/invasion. In addition, PKCδ knockdown abolished the synergy between sorafenib and OSU-2S. Furthermore, p53 restoration in Hep3B cells through the over-expression rendered them more sensitive to both agents while p53 knockdown from HepG2 cells increased their resistance to both agents.

    Conclusion: OSU-2S augments the anti-proliferative effect of sorafenib in HCC cell lines, in part, through the activation of PKCδ. The p53 status in HCC cells predicts their sensitivity toward both sorafenib and OSU-2S. The proposed combination represents a therapeutically relevant approach that can lead to a new HCC therapeutic protocol.
    Relation: Frontiers In Pharmacology, v.7, 463
    p53
    Appears in Collections:[Dept. of Biotechnology (including master's program)] Periodical Articles

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