Melatonin in Combination with Albendazole or Albendazole Sulfoxide Produces a Synergistic Cytotoxicity against Malignant Glioma Cells through Autophagy and Apoptosis

Glioblastoma is the most aggressive and lethal brain tumor in adults, presenting diffuse brain infiltration, necrosis, and drug resistance. Although new drugs have been approved for recurrent patients, the median survival rate is two years; therefore, new alternatives to treat these patients are req...

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Main Authors: Miguel Hernández-Cerón, Víctor Chavarria, Camilo Ríos, Benjamin Pineda, Francisca Palomares-Alonso, Irma Susana Rojas-Tomé, Helgi Jung-Cook
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/13/6/869
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author Miguel Hernández-Cerón
Víctor Chavarria
Camilo Ríos
Benjamin Pineda
Francisca Palomares-Alonso
Irma Susana Rojas-Tomé
Helgi Jung-Cook
author_facet Miguel Hernández-Cerón
Víctor Chavarria
Camilo Ríos
Benjamin Pineda
Francisca Palomares-Alonso
Irma Susana Rojas-Tomé
Helgi Jung-Cook
author_sort Miguel Hernández-Cerón
collection DOAJ
description Glioblastoma is the most aggressive and lethal brain tumor in adults, presenting diffuse brain infiltration, necrosis, and drug resistance. Although new drugs have been approved for recurrent patients, the median survival rate is two years; therefore, new alternatives to treat these patients are required. Previous studies have reported the anticancer activity of albendazole, its active metabolite albendazole sulfoxide, and melatonin; therefore, the present study was performed to evaluate if the combination of melatonin with albendazole or with albendazole sulfoxide induces an additive or synergistic cytotoxic effect on C6 and RG2 rat glioma cells, as well as on U87 human glioblastoma cells. Drug interaction was determined by the Chou–Talalay method. We evaluated the mechanism of cell death by flow cytometry, immunofluorescence, and crystal violet staining. The cytotoxicity of the combinations was mainly synergistic. The combined treatments induced significantly more apoptotic and autophagic cell death on the glioma cell lines. Additionally, albendazole and albendazole sulfoxide inhibited proliferation independently of melatonin. Our data justify continuing with the evaluation of this proposal since the combinations could be a potential strategy to aid in the treatment of glioblastoma.
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spelling doaj.art-ed8c54b4f0c24fb78c195d98f76af8ed2023-11-18T09:35:41ZengMDPI AGBrain Sciences2076-34252023-05-0113686910.3390/brainsci13060869Melatonin in Combination with Albendazole or Albendazole Sulfoxide Produces a Synergistic Cytotoxicity against Malignant Glioma Cells through Autophagy and ApoptosisMiguel Hernández-Cerón0Víctor Chavarria1Camilo Ríos2Benjamin Pineda3Francisca Palomares-Alonso4Irma Susana Rojas-Tomé5Helgi Jung-Cook6Doctorate in Biological and Health Sciences, Universidad Autónoma Metropolitana, Mexico City 04960, MexicoNeuroimmunology and Neuro-Oncology Unit, Instituto Nacional de Neurología y Neurocirugía (INNN), Mexico City 14269, MexicoDoctorate in Biological and Health Sciences, Universidad Autónoma Metropolitana, Mexico City 04960, MexicoNeuroimmunology and Neuro-Oncology Unit, Instituto Nacional de Neurología y Neurocirugía (INNN), Mexico City 14269, MexicoNeuropsycopharmacology Lab, Instituto Nacional de Neurología y Neurocirugía, Mexico City 14269, MexicoNeuropsycopharmacology Lab, Instituto Nacional de Neurología y Neurocirugía, Mexico City 14269, MexicoPharmacy Department, Universidad Nacional Autónoma de México, Mexico City 04510, MexicoGlioblastoma is the most aggressive and lethal brain tumor in adults, presenting diffuse brain infiltration, necrosis, and drug resistance. Although new drugs have been approved for recurrent patients, the median survival rate is two years; therefore, new alternatives to treat these patients are required. Previous studies have reported the anticancer activity of albendazole, its active metabolite albendazole sulfoxide, and melatonin; therefore, the present study was performed to evaluate if the combination of melatonin with albendazole or with albendazole sulfoxide induces an additive or synergistic cytotoxic effect on C6 and RG2 rat glioma cells, as well as on U87 human glioblastoma cells. Drug interaction was determined by the Chou–Talalay method. We evaluated the mechanism of cell death by flow cytometry, immunofluorescence, and crystal violet staining. The cytotoxicity of the combinations was mainly synergistic. The combined treatments induced significantly more apoptotic and autophagic cell death on the glioma cell lines. Additionally, albendazole and albendazole sulfoxide inhibited proliferation independently of melatonin. Our data justify continuing with the evaluation of this proposal since the combinations could be a potential strategy to aid in the treatment of glioblastoma.https://www.mdpi.com/2076-3425/13/6/869glioblastomamelatoninalbendazolealbendazole sulfoxidesynergism
spellingShingle Miguel Hernández-Cerón
Víctor Chavarria
Camilo Ríos
Benjamin Pineda
Francisca Palomares-Alonso
Irma Susana Rojas-Tomé
Helgi Jung-Cook
Melatonin in Combination with Albendazole or Albendazole Sulfoxide Produces a Synergistic Cytotoxicity against Malignant Glioma Cells through Autophagy and Apoptosis
Brain Sciences
glioblastoma
melatonin
albendazole
albendazole sulfoxide
synergism
title Melatonin in Combination with Albendazole or Albendazole Sulfoxide Produces a Synergistic Cytotoxicity against Malignant Glioma Cells through Autophagy and Apoptosis
title_full Melatonin in Combination with Albendazole or Albendazole Sulfoxide Produces a Synergistic Cytotoxicity against Malignant Glioma Cells through Autophagy and Apoptosis
title_fullStr Melatonin in Combination with Albendazole or Albendazole Sulfoxide Produces a Synergistic Cytotoxicity against Malignant Glioma Cells through Autophagy and Apoptosis
title_full_unstemmed Melatonin in Combination with Albendazole or Albendazole Sulfoxide Produces a Synergistic Cytotoxicity against Malignant Glioma Cells through Autophagy and Apoptosis
title_short Melatonin in Combination with Albendazole or Albendazole Sulfoxide Produces a Synergistic Cytotoxicity against Malignant Glioma Cells through Autophagy and Apoptosis
title_sort melatonin in combination with albendazole or albendazole sulfoxide produces a synergistic cytotoxicity against malignant glioma cells through autophagy and apoptosis
topic glioblastoma
melatonin
albendazole
albendazole sulfoxide
synergism
url https://www.mdpi.com/2076-3425/13/6/869
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