Quercetin potentiates doxorubicin mediated antitumor effects against liver cancer through p53/Bcl-xl.

BACKGROUND: The dose-dependent toxicities of doxorubicin (DOX) limit its clinical applications, particularly in drug-resistant cancers, such as liver cancer. In this study, we investigated the role of quercetin on the antitumor effects of DOX on liver cancer cells and its ability to provide protecti...

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Main Authors: Guanyu Wang, Jiawei Zhang, Luying Liu, Sherven Sharma, Qinghua Dong
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2012-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3519886?pdf=render
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author Guanyu Wang
Jiawei Zhang
Luying Liu
Sherven Sharma
Qinghua Dong
author_facet Guanyu Wang
Jiawei Zhang
Luying Liu
Sherven Sharma
Qinghua Dong
author_sort Guanyu Wang
collection DOAJ
description BACKGROUND: The dose-dependent toxicities of doxorubicin (DOX) limit its clinical applications, particularly in drug-resistant cancers, such as liver cancer. In this study, we investigated the role of quercetin on the antitumor effects of DOX on liver cancer cells and its ability to provide protection against DOX-mediated liver damage in mice. METHODOLOGY AND RESULTS: The MTT and Annexin V/PI staining assay demonstrated that quercetin selectively sensitized DOX-induced cytotoxicity against liver cancer cells while protecting normal liver cells. The increase in DOX-mediated apoptosis in hepatoma cells by quercetin was p53-dependent and occurred by downregulating Bcl-xl expression. Z-VAD-fmk (caspase inhibitor), pifithrin-α (p53 inhibitor), or overexpressed Bcl-xl decreased the effects of quercetin on DOX-mediated apoptosis. The combined treatment of quercetin and DOX significantly reduced the growth of liver cancer xenografts in mice. Moreover, quercetin decreased the serum levels of alanine aminotransferase and aspartate aminotransferase that were increased in DOX-treated mice. Quercetin also reversed the DOX-induced pathological changes in mice livers. CONCLUSION AND SIGNIFICANCE: These results indicate that quercetin potentiated the antitumor effects of DOX on liver cancer cells while protecting normal liver cells. Therefore, the development of quercetin may be beneficial in a combined treatment with DOX for increased therapeutic efficacy against liver cancer.
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spelling doaj.art-f9c1ac4ba89c4c149f6198a719ace2b52022-12-22T02:51:18ZengPublic Library of Science (PLoS)PLoS ONE1932-62032012-01-01712e5176410.1371/journal.pone.0051764Quercetin potentiates doxorubicin mediated antitumor effects against liver cancer through p53/Bcl-xl.Guanyu WangJiawei ZhangLuying LiuSherven SharmaQinghua DongBACKGROUND: The dose-dependent toxicities of doxorubicin (DOX) limit its clinical applications, particularly in drug-resistant cancers, such as liver cancer. In this study, we investigated the role of quercetin on the antitumor effects of DOX on liver cancer cells and its ability to provide protection against DOX-mediated liver damage in mice. METHODOLOGY AND RESULTS: The MTT and Annexin V/PI staining assay demonstrated that quercetin selectively sensitized DOX-induced cytotoxicity against liver cancer cells while protecting normal liver cells. The increase in DOX-mediated apoptosis in hepatoma cells by quercetin was p53-dependent and occurred by downregulating Bcl-xl expression. Z-VAD-fmk (caspase inhibitor), pifithrin-α (p53 inhibitor), or overexpressed Bcl-xl decreased the effects of quercetin on DOX-mediated apoptosis. The combined treatment of quercetin and DOX significantly reduced the growth of liver cancer xenografts in mice. Moreover, quercetin decreased the serum levels of alanine aminotransferase and aspartate aminotransferase that were increased in DOX-treated mice. Quercetin also reversed the DOX-induced pathological changes in mice livers. CONCLUSION AND SIGNIFICANCE: These results indicate that quercetin potentiated the antitumor effects of DOX on liver cancer cells while protecting normal liver cells. Therefore, the development of quercetin may be beneficial in a combined treatment with DOX for increased therapeutic efficacy against liver cancer.http://europepmc.org/articles/PMC3519886?pdf=render
spellingShingle Guanyu Wang
Jiawei Zhang
Luying Liu
Sherven Sharma
Qinghua Dong
Quercetin potentiates doxorubicin mediated antitumor effects against liver cancer through p53/Bcl-xl.
PLoS ONE
title Quercetin potentiates doxorubicin mediated antitumor effects against liver cancer through p53/Bcl-xl.
title_full Quercetin potentiates doxorubicin mediated antitumor effects against liver cancer through p53/Bcl-xl.
title_fullStr Quercetin potentiates doxorubicin mediated antitumor effects against liver cancer through p53/Bcl-xl.
title_full_unstemmed Quercetin potentiates doxorubicin mediated antitumor effects against liver cancer through p53/Bcl-xl.
title_short Quercetin potentiates doxorubicin mediated antitumor effects against liver cancer through p53/Bcl-xl.
title_sort quercetin potentiates doxorubicin mediated antitumor effects against liver cancer through p53 bcl xl
url http://europepmc.org/articles/PMC3519886?pdf=render
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AT luyingliu quercetinpotentiatesdoxorubicinmediatedantitumoreffectsagainstlivercancerthroughp53bclxl
AT shervensharma quercetinpotentiatesdoxorubicinmediatedantitumoreffectsagainstlivercancerthroughp53bclxl
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