scholarly journals Combination Therapy of Navitoclax with Chemotherapeutic Agents in Solid Tumors and Blood Cancer: A Review of Current Evidence

Pharmaceutics ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 1353
Author(s):  
Nur Syahidah Nor Hisam ◽  
Azizah Ugusman ◽  
Nor Fadilah Rajab ◽  
Mohd Faizal Ahmad ◽  
Michael Fenech ◽  
...  

Combination therapy emerges as a fundamental scheme in cancer. Many targeted therapeutic agents are developed to be used with chemotherapy or radiation therapy to enhance drug efficacy and reduce toxicity effects. ABT-263, known as navitoclax, mimics the BH3-only proteins of the BCL-2 family and has a high affinity towards pro-survival BCL-2 family proteins (i.e., BCL-XL, BCL-2, BCL-W) to induce cell apoptosis effectively. A single navitoclax action potently ameliorates several tumor progressions, including blood and bone marrow cancer, as well as small cell lung carcinoma. Not only that, but navitoclax alone also therapeutically affects fibrotic disease. Nevertheless, outcomes from the clinical trial of a single navitoclax agent in patients with advanced and relapsed small cell lung cancer demonstrated a limited anti-cancer activity. This brings accumulating evidence of navitoclax to be used concomitantly with other chemotherapeutic agents in several solid and non-solid tumors that are therapeutically benefiting from navitoclax treatment in preclinical studies. Initially, we justify the anti-cancer role of navitoclax in combination therapy. Then, we evaluate the current evidence of navitoclax in combination with the chemotherapeutic agents comprehensively to indicate the primary regulator of this combination strategy in order to produce a therapeutic effect.

RSC Advances ◽  
2014 ◽  
Vol 4 (103) ◽  
pp. 59594-59602 ◽  
Author(s):  
K. Indrasena Reddy ◽  
C. Aruna ◽  
K. Sudhakar Babu ◽  
V. Vijayakumar ◽  
M. Manisha ◽  
...  

A novel class of benzo[d]oxazol-2(3H)-one derivatives has been synthesized and their in vitro cytotoxicity against human pancreatic adenocarcinoma and human non-small cell lung carcinoma cancer cell lines was evaluated.


1984 ◽  
Vol 70 (5) ◽  
pp. 433-437 ◽  
Author(s):  
Maria Teresa Nobile ◽  
Riccardo Rosso ◽  
Fulvio Brema ◽  
Angela Cinquegrana ◽  
Leonardo Santi

Cancers ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 430 ◽  
Author(s):  
Roberta Gualdani ◽  
Marie de Clippele ◽  
Ikram Ratbi ◽  
Philippe Gailly ◽  
Nicolas Tajeddine

Cisplatin (CDDP) is one of the principal chemotherapeutic agents used for the first-line treatment of many malignancies, including non-small cell lung carcinoma (NSCLC). Despite its use for over 40 years, its mechanism of action is not yet fully understood. Store-operated calcium entry (SOCE), the main pathway allowing Ca2+ entry in non-excitable cells, is involved in tumorogenesis, cancer progression and chemoresistance. It has become an attractive target in cancer treatment. In this study, we showed that siRNA-mediated depletion of stromal interaction molecule 1 (STIM1) and transient receptor potential channel 1 (TRPC1), two players of the store-operated calcium entry, dramatically reduced CDDP cytotoxicity in NSCLC cells. This was associated with an inhibition of the DNA damage response (DDR) triggered by CDDP. Moreover, STIM1 depletion also reduced CDDP-dependent oxidative stress. In parallel, SOCE activation induced Ca2+ entry into the mitochondria, a major source of reactive oxygen species (ROS) within the cell. This effect was highly decreased in STIM1-depleted cells. We then conclude that mitochondrial Ca2+ peak associated to the SOCE contributes to CDDP-induced ROS production, DDR and subsequent apoptosis. To the best of our knowledge, this is the first time that it is shown that Ca2+ signalling constitutes an initial step in CDDP-induced apoptosis.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Poulami Khan ◽  
Apoorva Bhattacharya ◽  
Debomita Sengupta ◽  
Shruti Banerjee ◽  
Arghya Adhikary ◽  
...  

AbstractConventional chemotherapeutic regimens are unable to prevent metastasis of non-small cell lung carcinoma (NSCLC) thereby leaving cancer incurable. Cancer stem cells (CSCs) are considered to be the origin of this therapeutic limitation. In the present study we report that the migration potential of NSCLCs is linked to its CSC content. While cisplatin alone fails to inhibit the migration of CSC-enriched NSCLC spheroids, in a combination with non-steroidal anti inflammatory drug (NSAID) aspirin retards the same. A search for the underlying mechanism revealed that aspirin pre-treatment abrogates p300 binding both at TATA-box and initiator (INR) regions of mTOR promoter of CSCs, thereby impeding RNA polymerase II binding at those sites and repressing mTOR gene transcription. As a consequence of mTOR down-regulation, Akt is deactivated via dephosphorylation at Ser473 residue thereby activating Gsk3β that in turn causes destabilization of Snail and β-catenin, thus reverting epithelial to mesenchymal transition (EMT). However, alone aspirin fails to hinder migration since it does not inhibit the Integrin/Fak pathway, which is highly activated in NSCLC stem cells. On the other hand, in aspirin pre-treated CSCs, cisplatin stalls migration by hindering the integrin pathway. These results signify the efficacy of aspirin in sensitizing NSCLC stem cells towards the anti-migration effect of cisplatin. Cumulatively, our findings raise the possibility that aspirin might emerge as a promising drug in combinatorial therapy with the existing chemotherapeutic agents that fail to impede migration of NSCLC stem cells otherwise. This may consequently lead to the advancement of remedial outcome for the metastatic NSCLCs.


2004 ◽  
Vol 22 (14_suppl) ◽  
pp. 7144-7144 ◽  
Author(s):  
P. H. Gumerlock ◽  
T. Kimura ◽  
W. S. Holland ◽  
C. D. D. Shih ◽  
P. N. Lara ◽  
...  

2015 ◽  
Vol 1 (2) ◽  
pp. 00028-2015 ◽  
Author(s):  
Roland Hubaux ◽  
Fabian Vandermeers ◽  
Jean-Philippe Cosse ◽  
Cecilia Crisanti ◽  
Veena Kapoor ◽  
...  

With 5-year survival rates below 5%, small cell lung carcinoma (SCLC) has very poor prognosis and requires improved therapies. Despite an excellent overall response to first-line therapy, relapses are frequent and further treatments are disappointing. The goal of the study was to improve second-line therapy of SCLC.The effect of chemotherapeutic agents was evaluated in cell lines (apoptosis, reactive oxygen species, and RNA and protein expression) and in mouse models (tumour development).We demonstrate here that valproic acid, a histone deacetylase inhibitor, improves the efficacy of a second-line regimen (vindesine, doxorubicin and cyclophosphamide) in SCLC cells and in mouse models.Transcriptomic profiling integrating microRNA and mRNA data identifies key signalling pathways in the response of SCLC cells to valproic acid, opening new prospects for improved therapies.


2004 ◽  
Vol 22 (14_suppl) ◽  
pp. 7144-7144 ◽  
Author(s):  
P. H. Gumerlock ◽  
T. Kimura ◽  
W. S. Holland ◽  
C. D. D. Shih ◽  
P. N. Lara ◽  
...  

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