دورية أكاديمية

The anti-fibrotic agent pirfenidone synergizes with cisplatin in killing tumor cells and cancer-associated fibroblasts.

التفاصيل البيبلوغرافية
العنوان: The anti-fibrotic agent pirfenidone synergizes with cisplatin in killing tumor cells and cancer-associated fibroblasts.
المؤلفون: Mediavilla-Varela, Melanie, Boateng, Kingsley, Noyes, David, Antonia, Scott J.
المصدر: BMC Cancer; 3/2/2016, Vol. 16, p1-9, 9p, 6 Graphs
مصطلحات موضوعية: CISPLATIN, TUMOR treatment, FIBROBLASTS, PULMONARY fibrosis treatment, LUNG cancer, NON-small-cell lung carcinoma, THERAPEUTICS, ANIMAL experimentation, ANTINEOPLASTIC agents, APOPTOSIS, BIOLOGICAL models, CELL lines, CELL physiology, COMPARATIVE studies, DRUG synergism, GROWTH factors, RESEARCH methodology, MEDICAL cooperation, PYRIDINE, RESEARCH, RESEARCH funding, TISSUE culture, TUMORS, EVALUATION research, PHARMACODYNAMICS
مستخلص: Background: Anti-fibrotic drugs such as pirfenidone have been developed for the treatment of idiopathic pulmonary fibrosis. Because activated fibroblasts in inflammatory conditions have similar characteristics as cancer-associated fibroblasts (CAFs) and CAFs contribute actively to the malignant phenotype, we believe that anti-fibrotic drugs have the potential to be repurposed as anti-cancer drugs.Methods: The effects of pirfenidone alone and in combination with cisplatin on human patient-derived CAF cell lines and non-small cell lung cancer (NSCLC) cell lines were examined. The impact on cell death in vitro as well as tumor growth in a mouse model was determined. Annexin V/PI staining and Western blot analysis were used to characterize cell death. Synergy was assessed with the combination index method using Calcusyn software.Results: Pirfenidone alone induced apoptotic cell death in lung CAFs at a high concentration (1.5 mg/mL). However, co-culture in vitro experiments and co-implantation in vivo experiments showed that the combination of low doses of cisplatin (10 μM) and low doses of pirfenidone (0.5 mg/mL), in both CAFs and tumors, lead to increased cell death and decreased tumor progression, respectively. Furthermore, the combination of cisplatin and pirfenidone in NSCLC cells (A549 and H157 cells) leads to increased apoptosis and synergistic cell death.Conclusions: Our studies reveal for the first time that the combination of cisplatin and pirfenidone is active in preclinical models of NSCLC and therefore may be a new therapeutic approach in this disease. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:14712407
DOI:10.1186/s12885-016-2162-z