Generic placeholder image

Anti-Cancer Agents in Medicinal Chemistry

Editor-in-Chief

ISSN (Print): 1871-5206
ISSN (Online): 1875-5992

Research Article

A Study on the Effect and Mechanism of Xiaoaiping (XAP) Injection and S-1 Combination Therapy in Inhibiting the Invasion and Metastasis of Human GC Cells

Author(s): Peiyu Wen, Haibo Wang, Tengyang Ni, Xiaojun Dai, Zewen Chu, Shuang Ma, Liangliang Xiang, Zhen Zhou, Yayun Qian, Masataka Sunagawa and Yanqing Liu*

Volume 21, Issue 8, 2021

Published on: 18 September, 2020

Page: [1037 - 1046] Pages: 10

DOI: 10.2174/1871520620666200918100422

Price: $65

conference banner
Abstract

Background: This study aimed to determine the effect and mechanism of Xiaoaiping (XAP) injection combined with S-1 in inhibiting the invasion and metastasis of human GC cells.

Methods: BGC-823 and MGC-803 cells were incubated in vitro, and the effects of treatment on the cytotoxicity and proliferation of BGC-823 and MGC-803 cells were evaluated by MTT assay. Cell adhesion tests and Transwell assays were used to detect the effects of Xiaoaiping injection combined with S-1 on the metastatic ability of BGC-823 and MGC-803 cells. The expression of VEGF, Metalloproteinases (MMPs) and proteins related to the Epithelial-Mesenchymal Transition (EMT) were detected by Western blotting. Meanwhile, a tumour model was established in nude mice, and the effect of XAP combined with S-1 on BGC-823 cells in vivo was studied.

Results: Compared with the single drug group, the combination of XAP with S-1 increased the inhibition rate (P<0.05). The adhesion test showed that the combination group significantly inhibited the adhesion of BGC-823 and MGC-803 cells (P<0.05). The combination of XAP with S-1 reduced the migration and invasion potential of human GC BGC-823 and MGC-803 cells. Western blotting showed that the expression of VEGF, MMP-9, Ncadherin and vimentin was decreased and E-cadherin expression was increased in the combination group compared with these expression values in either the XAP or S-1 alone group (P<0.05). In vivo, we found that XAP combined with S-1 had a significant inhibitory effect on the growth of tumours compared with XAP or S-1 alone. Immunohistochemistry showed that XAP combined with S-1 was able to enhance the levels of E-cadherin and downregulate N-cadherin and vimentin.

Conclusion: The combination of XAP with S-1 can enhance the inhibitory effect of a single drug on proliferation, invasion and metastasis. The mechanism may be related to the decrease in the expression of VEGF and MMP-9 proteins and the effect on EMT.

Keywords: Xiaoaiping (XAP) injection, S-1, invasion and metastasis, GC, MMP-9, VEGF, Epithelial-Mesenchymal Transition (EMT).

Graphical Abstract
[1]
Karimi, P.; Islami, F.; Anandasabapathy, S.; Freedman, N.D.; Kamangar, F. Gastric cancer: Descriptive epidemiology, risk factors, screening, and prevention. Cancer Epidemiol. Biomarkers Prev., 2014, 23(5), 700-713.
[http://dx.doi.org/10.1158/1055-9965.EPI-13-1057] [PMID: 24618998]
[2]
Gong, X.; Zeng, Q.; Feng, Z.; Gao, S.; Lu, W.; Chen, W. The HPLC fingerprint and the content of the effective components of the seven active components were determined by HPLC fingerprint and the content of the effective components of the seven active components. Ch. J. Lab. Sci., 2000, 15, 68-72.
[3]
Aqin, Z.; Cang, Z.; Liang, J. Determination of five phenolic acids in Xiaojieping injection by HPLC. Pharmaceut. Clin. Study, 2011, 19(6), 489-500.
[4]
Zhen, W.; Xu, Z. Determination of the content of chlorogenic acid in Xiaoshuping injection by HPLC. New World Med. Inform. Abstracts, 2013, 13(27), 130-135.
[5]
Min, C.; Li, Y.; Li, X. Determination of the Chinese medicinal materials and the elimination of cancer by HPLC A content of the clearance rattan in the flat sheet. Ch. J. Tradit. Ch. Med., 2013, 20(3), 55-57.
[6]
Zhu, C.X.; Liu, D.; Huang, P.; Jia, X.B. Study thought of multi-dimensional structure quality control of Xiaoaiping injection based on material basis component structure. Zhongguo Zhongyao Zazhi, 2013, 38(21), 3627-3631.
[PMID: 24494544]
[7]
Wang, P.L.; Sun, Z.; Lv, X.J. A homologues prediction strategy for comprehensive screening and characterization of C21, steroids from Xiao-ai-ping injection by using ultra high performance liquid chromatography coupled with high resolution hybrid quadrupole-orbitrap mass spectrometry. J. Pharm. Biomed. Anal., 2018, 148, 80-88.
[8]
Koumtebaye, E.; Nan, S.U.; Wan-Feng, H.U. Antitumor activity of Xiaoaiping injection on human GC SGC-7901 cells. Chin. J. Nat. Med., 2012, 10(5), 339-346.
[9]
Ruan, L.W.; Deng, Y.C. Study on effect of Xiaoaiping in enhancing efficacy of neoadjuvant chemotherapy for breast cancer and its mechanism. Zhongguo Zhongyao Zazhi, 2015, 40(4), 749-752.
[PMID: 26137702]
[10]
Shirasaka, T.; Shimamato, Y.; Ohshimo, H.; Yamaguchi, M.; Kato, T.; Yonekura, K.; Fukushima, M. Development of a novel form of an oral 5-fluorouracil derivative (S-1) directed to the potentiation of the tumor selective cytotoxicity of 5-fluorouracil by two biochemical modulators. Anticancer Drugs, 1996, 7(5), 548-557.
[http://dx.doi.org/10.1097/00001813-199607000-00010] [PMID: 8862723]
[11]
Ikeda, K.; Yoshisue, K.; Matsushima, E.; Nagayama, S.; Kobayashi, K.; Tyson, C.A.; Chiba, K.; Kawaguchi, Y. Bioactivation of tegafur to 5-fluorouracil is catalyzed by cytochrome P-450 2A6 in human liver microsomes in vitro. Clin. Cancer Res., 2000, 6(11), 4409-4415.
[PMID: 11106261]
[12]
Tatsumi, K.; Fukushima, M.; Shirasaka, T.; Fujii, S. Inhibitory effects of pyrimidine, barbituric acid and pyridine derivatives on 5-fluorouracil degradation in rat liver extracts. Jpn. J. Cancer Res., 1987, 78(7), 748-755.
[PMID: 3114201]
[13]
Shirasaka, T.; Shimamoto, Y.; Fukushima, M. Inhibition by oxonic acid of gastrointestinal toxicity of 5-fluorouracil without loss of its antitumor activity in rats. Cancer Res., 1993, 53(17), 4004-4009.
[PMID: 7689420]
[14]
Yamamoto, D.; Iwase, S.; Tsubota, Y.; Ariyoshi, K.; Kawaguchi, T.; Miyaji, T.; Sueoka, N.; Yamamoto, C.; Teramoto, S.; Odagiri, H.; Kitamura, K.; Nagumo, Y.; Yamaguchi, T. Randomized study of orally administered fluorinated pyrimidines (capecitabine versus S-1) in women with metastatic or recurrent breast cancer: Japan Breast Cancer Research Network 05 Trial. Cancer Chemother. Pharmacol., 2015, 75(6), 1183-1189.
[http://dx.doi.org/10.1007/s00280-015-2738-3] [PMID: 25862350]
[15]
Namikawa, T.; Maeda, H.; Kitagawa, H.; Oba, K.; Tsuji, A.; Yoshikawa, T.; Kobayashi, M.; Hanazaki, K. Treatment using oxaliplatin and S-1 adjuvant chemotherapy for pathological stage III gastric cancer: A multicenter phase II study (TOSA trial) protocol. BMC Cancer, 2018, 18(1), 186.
[http://dx.doi.org/10.1186/s12885-018-4109-z] [PMID: 29439671]
[16]
Liu, D.; Liang, X.C. New developments in the pharmacodynamics and pharmacokinetics of combination of Chinese medicine and Western medicine. Chin. J. Integr. Med., 2017, 23(4), 312-319.
[http://dx.doi.org/10.1007/s11655-016-2271-1] [PMID: 27921195]
[17]
Tang, Z.Y. Combination of traditional Chinese medicine and western medicine in the treatment of liver cancer, 2011.
[18]
Xingfei, Y.U. Study on application of new adjuvant chemotherapy based on combination of TCM and Western Medicine in treatment of breast cancer. Zhonghua Zhongyiyao Xuekan, 2017. [J]
[19]
Qian-Tong, D.; Xiao-Dong, Z.; Zhen, Y.U. Integrated Chinese and Western medical treatment on postoperative fatigue syndrome in patients with gastric cancer. Zhongguo Zhong Xi Yi Jie He Za Zhi, 2010, 30(10), 1036-1040.
[20]
Li, W.; Yang, Y.; Ouyang, Z. TCM injection, enhances the antigrowth effects of cisplatin on Lewis lung cancer cells through promoting the infiltration and function of CD8+ T lymphocytes. Evid.-. Based Complem. Altern. Med., 2013, 3879512
[21]
Shu-Min, W. The inhibitory effect of Xiaoaiping injection combined with octreotide on the expression of cytokines Th1/Th2 in H22 liver cancer in mice; Tumor, 2011.
[22]
Zheng, A.W.; Chen, Y.Q.; Fang, J.; Zhang, Y.L.; Jia, D.D. Xiaoaiping combined with cisplatin can inhibit proliferation and invasion and induce cell cycle arrest and apoptosis in human ovarian cancer cell lines. Biomed. Pharmacother., 2017, 89, 1172-1177.
[http://dx.doi.org/10.1016/j.biopha.2017.03.012] [PMID: 28320083]
[23]
Wang, F.H.; Shen, L.; Li, J. The Chinese Society of Clinical Oncology (CSCO): Clinical guidelines for the diagnosis and treatment of GC. Cancer Commun., 2019, 39, Article number 10.
[24]
Zhao, L.; Gu, F.; Ma, Y.J. Association between Slit/Robo signal pathway and the genesis, progression, invasion and metastasis of malignant tumors. Zhonghua Zhong Liu Za Zhi, 2012, 34(6), 405-408.
[PMID: 22967439]
[25]
Kim, D.H.; Xing, T.; Yang, Z.; Dudek, R.; Lu, Q.; Chen, Y.H. Epithelial mesenchymal transition in embryonic development, tissue repair and cancer: A comprehensive overview. J. Clin. Med., 2017, 7(1), 1.
[http://dx.doi.org/10.3390/jcm7010001] [PMID: 29271928]
[26]
Brabletz, T.; Kalluri, R.; Nieto, M.A.; Weinberg, R.A. EMT in cancer. Nat. Rev. Cancer, 2018, 18(2), 128-134.
[http://dx.doi.org/10.1038/nrc.2017.118] [PMID: 29326430]
[27]
Zhan, T.; Rindtorff, N.; Boutros, M. Wnt signaling in cancer. Oncogene, 2017, 36(11), 1461-1473.
[PMID: 27617575]
[28]
Pastushenko, I.; Brisebarre, A.; Sifrim, A.; Fioramonti, M.; Revenco, T.; Boumahdi, S.; Van Keymeulen, A.; Brown, D.; Moers, V.; Lemaire, S.; De Clercq, S.; Minguijón, E.; Balsat, C.; Sokolow, Y.; Dubois, C.; De Cock, F.; Scozzaro, S.; Sopena, F.; Lanas, A.; D’Haene, N.; Salmon, I.; Marine, J.C.; Voet, T.; Sotiropoulou, P.A.; Blanpain, C. Identification of the tumour transition states occurring during EMT. Nature, 2018, 556(7702), 463-468.
[http://dx.doi.org/10.1038/s41586-018-0040-3] [PMID: 29670281]
[29]
Zhang, J.; Chen, X.; Huang, K. Expression of FoxM1 and the EMT-associated protein E-cadherin in GC and its clinical significance. Oncol. Lett., 2016, 12(4), 2445-2450.
[30]
Cao, Q.H.; Liu, F.; Li, C.Z.; Liu, N.; Shu, M.; Lin, Y.; Ding, L.; Xue, L. Testes-specific protease 50 (TSP50) promotes invasion and metastasis by inducing EMT in gastric cancer. BMC Cancer, 2018, 18(1), 94.
[http://dx.doi.org/10.1186/s12885-018-4000-y] [PMID: 29361914]
[31]
Ma, D.M.; Luo, D.X.; Zhang, J. SDF-1/CXCR7 axis regulates the proliferation, invasion, adhesion, and angiogenesis of gastric cancer cells. World J. Surg. Oncol., 2016, 14(1), 256.
[http://dx.doi.org/10.1186/s12957-016-1009-z] [PMID: 27716367]
[32]
Li, X.; Wu, J.F. Recent developments in patent anti-cancer agents targeting the Matrix Metalloproteinases (MMPs). Rec. Pat. Anticancer Drug Discov., 2010, 5(2), 109-141.
[33]
Lv, Y.; Zhao, X.; Zhu, L.; Li, S.; Xiao, Q.; He, W.; Yin, L. Targeting intracellular MMPs efficiently inhibits tumor metastasis and angiogenesis. Theranostics, 2018, 8(10), 2830-2845.
[http://dx.doi.org/10.7150/thno.23209] [PMID: 29774078]
[34]
Li, Z.; Liu, Z.; Dong, S.; Zhang, J.; Tan, J.; Wang, Y.; Ge, C.; Li, R.; Xue, Y.; Li, M.; Wang, W.; Xiang, X.; Yang, J.; Ding, H.; Geng, T.; Yao, K.; Song, X. miR-506 Inhibits epithelial-to-mesenchymal transition and angiogenesis in gastric cancer. Am. J. Pathol., 2015, 185(9), 2412-2420.
[http://dx.doi.org/10.1016/j.ajpath.2015.05.017] [PMID: 26362716]
[35]
Macedo, F. GC and angiogenesis: Is VEGF a useful biomarker to assess progression and remission? J. Gastric Cancer, 2017, 17(1), 1-10.
[36]
Lin, T.; Xiao-dong, X. Graduat School. Therapy of integrated traditional Chinese and western medicine in treatment of hepatitis B virus reactivation in gastric cancer patients after chemotherapy journal of huaihai medicine 2016.
[37]
Gao, H.; Lan, X.; Li, S.; Xue, Y. Relationships of MMP-9, E-cadherin, and VEGF expression with clinicopathological features and response to chemosensitivity in gastric cancer. Tumour Biol., 2017, 39(5)1010428317698368
[http://dx.doi.org/10.1177/1010428317698368] [PMID: 28459196]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy