Antitumorigenic Effect of Tramadol and Synergistic Effect With Doxorubicin in Human Breast Cancer Cells
BackgroundBreast cancer in women is one of the leading causes of cancer mortality worldwide, and curative therapy is the main focus of clinical treatment. Anesthetic-analgesic techniques might alter stress responses and immunity and thereby influence outcomes in cancer patients. This study investiga...
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Frontiers Media S.A.
2022-01-01
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Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.811716/full |
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author | Yi-Hsuan Huang Sung-How Sue Zih-Syuan Wu Shih-Ming Huang Shih-Yu Lee Zhi-Fu Wu Zhi-Fu Wu Zhi-Fu Wu Zhi-Fu Wu |
author_facet | Yi-Hsuan Huang Sung-How Sue Zih-Syuan Wu Shih-Ming Huang Shih-Yu Lee Zhi-Fu Wu Zhi-Fu Wu Zhi-Fu Wu Zhi-Fu Wu |
author_sort | Yi-Hsuan Huang |
collection | DOAJ |
description | BackgroundBreast cancer in women is one of the leading causes of cancer mortality worldwide, and curative therapy is the main focus of clinical treatment. Anesthetic-analgesic techniques might alter stress responses and immunity and thereby influence outcomes in cancer patients. This study investigated the effect of tramadol on breast cancer progression and metastasis.MethodsThe effects of tramadol on two different subtypes of human breast adenocarcinoma cell lines, MDA-MB-231 and MCF-7, were studied with regard to cell growth, migration, colony formation and invasion and normoxic or hypoxic microenvironment for the expression of hypoxia-inducible factor-1α, reactive oxygen species, epithelial-mesenchymal transition related and cyclin-related proteins. The co-administration of tramadol and doxorubicin was studied to determine whether the effective doxorubicin dose might be reduced in combination with tramadol.ResultsThe results showed that tramadol inhibited cell growth at concentrations more than 0.5 and more than 1.0 mg/mL in MDA-MB-231 and MCF-7 cells, respectively. Additionally, cell migration, colony formation and invasion were inhibited in a dose-dependent manner by tramadol in both cell lines. The combination of tramadol and doxorubicin induced synergistic effects in MDA-MD-231 cells and, with specific dosage combinations in MCF-7 cells.ConclusionsTramadol may regulate epithelial-mesenchymal transition and possess cytotoxic effects in breast cancer cells. Tramadol inhibits the progression of breast cancer cells and might be a candidate for combination therapy, especially for triple-negative breast cancer, and is a promising treatment strategy for breast cancer. |
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language | English |
last_indexed | 2024-04-11T18:11:09Z |
publishDate | 2022-01-01 |
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series | Frontiers in Oncology |
spelling | doaj.art-bc1d3c94a71f44c78facdf553259f3af2022-12-22T04:10:08ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-01-011210.3389/fonc.2022.811716811716Antitumorigenic Effect of Tramadol and Synergistic Effect With Doxorubicin in Human Breast Cancer CellsYi-Hsuan Huang0Sung-How Sue1Zih-Syuan Wu2Shih-Ming Huang3Shih-Yu Lee4Zhi-Fu Wu5Zhi-Fu Wu6Zhi-Fu Wu7Zhi-Fu Wu8Department of Anesthesiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDepartment of Cardiovascular Surgery, Hsinchu Mackay Memorial Hospital, Hsinchu, TaiwanDepartment of Biochemistry, National Defense Medical Center, Taipei, TaiwanDepartment of Biochemistry, National Defense Medical Center, Taipei, TaiwanGraduate Institute of Aerospace and Undersea Medicine, National Defense Medical Center, Taipei, TaiwanDepartment of Anesthesiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, TaiwanDepartment of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, TaiwanDepartment of Anesthesiology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanCenter for Regional Anesthesia and Pain Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, TaiwanBackgroundBreast cancer in women is one of the leading causes of cancer mortality worldwide, and curative therapy is the main focus of clinical treatment. Anesthetic-analgesic techniques might alter stress responses and immunity and thereby influence outcomes in cancer patients. This study investigated the effect of tramadol on breast cancer progression and metastasis.MethodsThe effects of tramadol on two different subtypes of human breast adenocarcinoma cell lines, MDA-MB-231 and MCF-7, were studied with regard to cell growth, migration, colony formation and invasion and normoxic or hypoxic microenvironment for the expression of hypoxia-inducible factor-1α, reactive oxygen species, epithelial-mesenchymal transition related and cyclin-related proteins. The co-administration of tramadol and doxorubicin was studied to determine whether the effective doxorubicin dose might be reduced in combination with tramadol.ResultsThe results showed that tramadol inhibited cell growth at concentrations more than 0.5 and more than 1.0 mg/mL in MDA-MB-231 and MCF-7 cells, respectively. Additionally, cell migration, colony formation and invasion were inhibited in a dose-dependent manner by tramadol in both cell lines. The combination of tramadol and doxorubicin induced synergistic effects in MDA-MD-231 cells and, with specific dosage combinations in MCF-7 cells.ConclusionsTramadol may regulate epithelial-mesenchymal transition and possess cytotoxic effects in breast cancer cells. Tramadol inhibits the progression of breast cancer cells and might be a candidate for combination therapy, especially for triple-negative breast cancer, and is a promising treatment strategy for breast cancer.https://www.frontiersin.org/articles/10.3389/fonc.2022.811716/fullbreast cancerdoxorubicinepithelial–mesenchymal transitionHIF-1αtramadol |
spellingShingle | Yi-Hsuan Huang Sung-How Sue Zih-Syuan Wu Shih-Ming Huang Shih-Yu Lee Zhi-Fu Wu Zhi-Fu Wu Zhi-Fu Wu Zhi-Fu Wu Antitumorigenic Effect of Tramadol and Synergistic Effect With Doxorubicin in Human Breast Cancer Cells Frontiers in Oncology breast cancer doxorubicin epithelial–mesenchymal transition HIF-1α tramadol |
title | Antitumorigenic Effect of Tramadol and Synergistic Effect With Doxorubicin in Human Breast Cancer Cells |
title_full | Antitumorigenic Effect of Tramadol and Synergistic Effect With Doxorubicin in Human Breast Cancer Cells |
title_fullStr | Antitumorigenic Effect of Tramadol and Synergistic Effect With Doxorubicin in Human Breast Cancer Cells |
title_full_unstemmed | Antitumorigenic Effect of Tramadol and Synergistic Effect With Doxorubicin in Human Breast Cancer Cells |
title_short | Antitumorigenic Effect of Tramadol and Synergistic Effect With Doxorubicin in Human Breast Cancer Cells |
title_sort | antitumorigenic effect of tramadol and synergistic effect with doxorubicin in human breast cancer cells |
topic | breast cancer doxorubicin epithelial–mesenchymal transition HIF-1α tramadol |
url | https://www.frontiersin.org/articles/10.3389/fonc.2022.811716/full |
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