Thymoquinone Enhances Paclitaxel Anti-Breast Cancer Activity via Inhibiting Tumor-Associated Stem Cells Despite Apparent Mathematical Antagonism

Thymoquinone (TQ) has shown substantial evidence for its anticancer effects. Using human breast cancer cells, we evaluated the chemomodulatory effect of TQ on paclitaxel (PTX). TQ showed weak cytotoxic properties against MCF-7 and T47D breast cancer cells with IC<sub>50</sub> values of 6...

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Main Authors: Hanan A. Bashmail, Aliaa A. Alamoudi, Abdulwahab Noorwali, Gehan A. Hegazy, Ghada M. Ajabnoor, Ahmed M. Al-Abd
Format: Article
Language:English
Published: MDPI AG 2020-01-01
Series:Molecules
Subjects:
Online Access:https://www.mdpi.com/1420-3049/25/2/426
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author Hanan A. Bashmail
Aliaa A. Alamoudi
Abdulwahab Noorwali
Gehan A. Hegazy
Ghada M. Ajabnoor
Ahmed M. Al-Abd
author_facet Hanan A. Bashmail
Aliaa A. Alamoudi
Abdulwahab Noorwali
Gehan A. Hegazy
Ghada M. Ajabnoor
Ahmed M. Al-Abd
author_sort Hanan A. Bashmail
collection DOAJ
description Thymoquinone (TQ) has shown substantial evidence for its anticancer effects. Using human breast cancer cells, we evaluated the chemomodulatory effect of TQ on paclitaxel (PTX). TQ showed weak cytotoxic properties against MCF-7 and T47D breast cancer cells with IC<sub>50</sub> values of 64.93 &#177; 14 &#181;M and 165 &#177; 2 &#181;M, respectively. Combining TQ with PTX showed apparent antagonism, increasing the IC<sub>50</sub> values of PTX from 0.2 &#177; 0.07 &#181;M to 0.7 &#177; 0.01 &#181;M and from 0.1 &#177; 0.01 &#181;M to 0.15 &#177; 0.02 &#181;M in MCF-7 and T47D cells, respectively. Combination index analysis showed antagonism in both cell lines with CI values of 4.6 and 1.6, respectively. However, resistance fractions to PTX within MCF-7 and T47D cells (42.3 &#177; 1.4% and 41.9 &#177; 1.1%, respectively) were completely depleted by combination with TQ. TQ minimally affected the cell cycle, with moderate accumulation of cells in the S-phase. However, a significant increase in Pre-G phase cells was observed due to PTX alone and PTX combination with TQ. To dissect this increase in the Pre-G phase, apoptosis, necrosis, and autophagy were assessed by flowcytometry. TQ significantly increased the percent of apoptotic/necrotic cell death in T47D cells after combination with paclitaxel. On the other hand, TQ significantly induced autophagy in MCF-7 cells. Furthermore, TQ was found to significantly decrease breast cancer-associated stem cell clone (CD44+/CD24-cell) in both MCF-7 and T47D cells. This was mirrored by the downregulation of TWIST-1 gene and overexpression of SNAIL-1 and SNAIL-2 genes. TQ therefore possesses potential chemomodulatory effects to PTX when studied in breast cancer cells via enhancing PTX induced cell death including autophagy. In addition, TQ depletes breast cancer-associated stem cells and sensitizes breast cancer cells to PTX killing effects.
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spelling doaj.art-fbbce9abd75c4cc498b14b0af352bff02022-12-22T01:07:32ZengMDPI AGMolecules1420-30492020-01-0125242610.3390/molecules25020426molecules25020426Thymoquinone Enhances Paclitaxel Anti-Breast Cancer Activity via Inhibiting Tumor-Associated Stem Cells Despite Apparent Mathematical AntagonismHanan A. Bashmail0Aliaa A. Alamoudi1Abdulwahab Noorwali2Gehan A. Hegazy3Ghada M. Ajabnoor4Ahmed M. Al-Abd5Department of Clinical Biochemistry, Faculty of Medicine, King Abdulaziz University, Jeddah 21589, Saudi ArabiaDepartment of Clinical Biochemistry, Faculty of Medicine, King Abdulaziz University, Jeddah 21589, Saudi ArabiaDepartment of Clinical Biochemistry, Faculty of Medicine, King Abdulaziz University, Jeddah 21589, Saudi ArabiaDepartment of Clinical Biochemistry, Faculty of Medicine, King Abdulaziz University, Jeddah 21589, Saudi ArabiaDepartment of Clinical Biochemistry, Faculty of Medicine, King Abdulaziz University, Jeddah 21589, Saudi ArabiaDepartment of Pharmaceutical Sciences, College of Pharmacy, Gulf Medical University, Ajman 4184, UAEThymoquinone (TQ) has shown substantial evidence for its anticancer effects. Using human breast cancer cells, we evaluated the chemomodulatory effect of TQ on paclitaxel (PTX). TQ showed weak cytotoxic properties against MCF-7 and T47D breast cancer cells with IC<sub>50</sub> values of 64.93 &#177; 14 &#181;M and 165 &#177; 2 &#181;M, respectively. Combining TQ with PTX showed apparent antagonism, increasing the IC<sub>50</sub> values of PTX from 0.2 &#177; 0.07 &#181;M to 0.7 &#177; 0.01 &#181;M and from 0.1 &#177; 0.01 &#181;M to 0.15 &#177; 0.02 &#181;M in MCF-7 and T47D cells, respectively. Combination index analysis showed antagonism in both cell lines with CI values of 4.6 and 1.6, respectively. However, resistance fractions to PTX within MCF-7 and T47D cells (42.3 &#177; 1.4% and 41.9 &#177; 1.1%, respectively) were completely depleted by combination with TQ. TQ minimally affected the cell cycle, with moderate accumulation of cells in the S-phase. However, a significant increase in Pre-G phase cells was observed due to PTX alone and PTX combination with TQ. To dissect this increase in the Pre-G phase, apoptosis, necrosis, and autophagy were assessed by flowcytometry. TQ significantly increased the percent of apoptotic/necrotic cell death in T47D cells after combination with paclitaxel. On the other hand, TQ significantly induced autophagy in MCF-7 cells. Furthermore, TQ was found to significantly decrease breast cancer-associated stem cell clone (CD44+/CD24-cell) in both MCF-7 and T47D cells. This was mirrored by the downregulation of TWIST-1 gene and overexpression of SNAIL-1 and SNAIL-2 genes. TQ therefore possesses potential chemomodulatory effects to PTX when studied in breast cancer cells via enhancing PTX induced cell death including autophagy. In addition, TQ depletes breast cancer-associated stem cells and sensitizes breast cancer cells to PTX killing effects.https://www.mdpi.com/1420-3049/25/2/426paclitaxelthymoquinoneapoptosisautophagytumor-associated stem cells
spellingShingle Hanan A. Bashmail
Aliaa A. Alamoudi
Abdulwahab Noorwali
Gehan A. Hegazy
Ghada M. Ajabnoor
Ahmed M. Al-Abd
Thymoquinone Enhances Paclitaxel Anti-Breast Cancer Activity via Inhibiting Tumor-Associated Stem Cells Despite Apparent Mathematical Antagonism
Molecules
paclitaxel
thymoquinone
apoptosis
autophagy
tumor-associated stem cells
title Thymoquinone Enhances Paclitaxel Anti-Breast Cancer Activity via Inhibiting Tumor-Associated Stem Cells Despite Apparent Mathematical Antagonism
title_full Thymoquinone Enhances Paclitaxel Anti-Breast Cancer Activity via Inhibiting Tumor-Associated Stem Cells Despite Apparent Mathematical Antagonism
title_fullStr Thymoquinone Enhances Paclitaxel Anti-Breast Cancer Activity via Inhibiting Tumor-Associated Stem Cells Despite Apparent Mathematical Antagonism
title_full_unstemmed Thymoquinone Enhances Paclitaxel Anti-Breast Cancer Activity via Inhibiting Tumor-Associated Stem Cells Despite Apparent Mathematical Antagonism
title_short Thymoquinone Enhances Paclitaxel Anti-Breast Cancer Activity via Inhibiting Tumor-Associated Stem Cells Despite Apparent Mathematical Antagonism
title_sort thymoquinone enhances paclitaxel anti breast cancer activity via inhibiting tumor associated stem cells despite apparent mathematical antagonism
topic paclitaxel
thymoquinone
apoptosis
autophagy
tumor-associated stem cells
url https://www.mdpi.com/1420-3049/25/2/426
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