17β-estradiol Enhances 5-Fluorouracil Anti-Cancer Activities in Colon Cancer Cell Lines

Background: 5-Fluorouracil (5-FU) represents one of the major constituents of chemotherapy combination regimens in colon cancer (CRC) treatments; however, this regimen is linked with severe adverse effects and chemoresistance. Thus, developing more efficient approaches for CRC is urgently needed to...

Full description

Bibliographic Details
Main Author: Amani A. Mahbub
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Medical Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3271/10/4/62
_version_ 1797456418165489664
author Amani A. Mahbub
author_facet Amani A. Mahbub
author_sort Amani A. Mahbub
collection DOAJ
description Background: 5-Fluorouracil (5-FU) represents one of the major constituents of chemotherapy combination regimens in colon cancer (CRC) treatments; however, this regimen is linked with severe adverse effects and chemoresistance. Thus, developing more efficient approaches for CRC is urgently needed to overcome these problems and improve the patient survival rate. Currently, 17β-estradiol (E2) has gained greater attention in colon carcinogenesis, significantly lowering the incidence of CRC in females at reproductive age compared with age-matched males. Aims: This study measured the effects of E2 and/or 5-FU single/dual therapies on cell cycle progression and apoptosis against human HT-29 female and SW480 male primary CRC cells versus their impact on SW620 male metastatic CRC cells. Methods: The HT-29, SW480, and SW620 cells were treated with IC<sub>50</sub> of E2 (10 nM) and 5-FU (50 μM), alone or combined (E+F), for 48 h before cell cycle and apoptosis analyses using flow cytometry. Results: The data here showed that E2 monotherapy has great potential to arrest the cell cycle and induce apoptosis in all the investigated colon cancer cells, with the most remarkable effects on metastatic cells (SW620). Most importantly, the dual therapy (E+F) has exerted anti-cancer activities in female (HT-29) and male (SW480) primary CRC cells by inducing apoptosis, which was preferentially provoked in the sub-G<sub>1</sub> phase. However, the dual treatment showed the smallest effect in SW620 metastatic cells. Conclusion: this is the first study that demonstrated that the anti-cancer actions of 17β-estradiol and 5-Fluorouracil dual therapy were superior to the monotherapies in female and male primary CRC cells; it is proposed that this treatment strategy could be promising for the early stages of CRC. At the same time, 17β-estradiol monotherapy could be a better approach for treating the metastatic forms of the disease. Nevertheless, additional investigations are still required to determine their precise therapeutic values in CRC.
first_indexed 2024-03-09T16:07:36Z
format Article
id doaj.art-ce8f3e4fa49d4d2380a1e777745be8c1
institution Directory Open Access Journal
issn 2076-3271
language English
last_indexed 2024-03-09T16:07:36Z
publishDate 2022-10-01
publisher MDPI AG
record_format Article
series Medical Sciences
spelling doaj.art-ce8f3e4fa49d4d2380a1e777745be8c12023-11-24T16:34:32ZengMDPI AGMedical Sciences2076-32712022-10-011046210.3390/medsci1004006217β-estradiol Enhances 5-Fluorouracil Anti-Cancer Activities in Colon Cancer Cell LinesAmani A. Mahbub0Laboratory Medicine Department, Faculty of Applied Medical Sciences, Umm Al-Qura University, P.O. Box 715, Makkah 21955, Saudi ArabiaBackground: 5-Fluorouracil (5-FU) represents one of the major constituents of chemotherapy combination regimens in colon cancer (CRC) treatments; however, this regimen is linked with severe adverse effects and chemoresistance. Thus, developing more efficient approaches for CRC is urgently needed to overcome these problems and improve the patient survival rate. Currently, 17β-estradiol (E2) has gained greater attention in colon carcinogenesis, significantly lowering the incidence of CRC in females at reproductive age compared with age-matched males. Aims: This study measured the effects of E2 and/or 5-FU single/dual therapies on cell cycle progression and apoptosis against human HT-29 female and SW480 male primary CRC cells versus their impact on SW620 male metastatic CRC cells. Methods: The HT-29, SW480, and SW620 cells were treated with IC<sub>50</sub> of E2 (10 nM) and 5-FU (50 μM), alone or combined (E+F), for 48 h before cell cycle and apoptosis analyses using flow cytometry. Results: The data here showed that E2 monotherapy has great potential to arrest the cell cycle and induce apoptosis in all the investigated colon cancer cells, with the most remarkable effects on metastatic cells (SW620). Most importantly, the dual therapy (E+F) has exerted anti-cancer activities in female (HT-29) and male (SW480) primary CRC cells by inducing apoptosis, which was preferentially provoked in the sub-G<sub>1</sub> phase. However, the dual treatment showed the smallest effect in SW620 metastatic cells. Conclusion: this is the first study that demonstrated that the anti-cancer actions of 17β-estradiol and 5-Fluorouracil dual therapy were superior to the monotherapies in female and male primary CRC cells; it is proposed that this treatment strategy could be promising for the early stages of CRC. At the same time, 17β-estradiol monotherapy could be a better approach for treating the metastatic forms of the disease. Nevertheless, additional investigations are still required to determine their precise therapeutic values in CRC.https://www.mdpi.com/2076-3271/10/4/62colon cancer cells17β-estradiol5-Fluorouracilcell cyclesub-G1 phaseapoptosis
spellingShingle Amani A. Mahbub
17β-estradiol Enhances 5-Fluorouracil Anti-Cancer Activities in Colon Cancer Cell Lines
Medical Sciences
colon cancer cells
17β-estradiol
5-Fluorouracil
cell cycle
sub-G1 phase
apoptosis
title 17β-estradiol Enhances 5-Fluorouracil Anti-Cancer Activities in Colon Cancer Cell Lines
title_full 17β-estradiol Enhances 5-Fluorouracil Anti-Cancer Activities in Colon Cancer Cell Lines
title_fullStr 17β-estradiol Enhances 5-Fluorouracil Anti-Cancer Activities in Colon Cancer Cell Lines
title_full_unstemmed 17β-estradiol Enhances 5-Fluorouracil Anti-Cancer Activities in Colon Cancer Cell Lines
title_short 17β-estradiol Enhances 5-Fluorouracil Anti-Cancer Activities in Colon Cancer Cell Lines
title_sort 17β estradiol enhances 5 fluorouracil anti cancer activities in colon cancer cell lines
topic colon cancer cells
17β-estradiol
5-Fluorouracil
cell cycle
sub-G1 phase
apoptosis
url https://www.mdpi.com/2076-3271/10/4/62
work_keys_str_mv AT amaniamahbub 17bestradiolenhances5fluorouracilanticanceractivitiesincoloncancercelllines