The selective serotonin reuptake inhibitors enhance the cytotoxicity of sorafenib in hepatocellular carcinoma cells

The selective serotonin reuptake inhibitors enhance the cytotoxicity of sorafenib in hepatocellular carcinoma cells
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选择性5-羟色胺再摄取抑制剂增强索拉非尼对肝癌细胞的细胞毒性

DOI:
10.1097/cad.0000000000001067
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发表时间:
2021-03
期刊:
影响因子:
2.3
通讯作者:
Bi Feng
Bi Feng
中科院分区:
医学4区
文献类型:
--
作者:
Zhang Huan;Xu Huanji;Tang Qiulin;Bi Feng

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补充数字内容可在文本中找到。舍曲林和氟西汀是治疗抑郁症最常用的两种选择性5-羟色胺再摄取抑制剂(SSRI)。越来越多的证据表明SSRIs可以降低肝细胞癌(HCC)的风险,但其在HCC中的治疗效果尚未阐明。已有研究报道舍曲林和氟西汀通过抑制哺乳动物靶向雷帕霉素(mTOR)活性抑制胃癌、黑色素瘤和非小细胞肺癌的生长。在本研究中,我们发现舍曲林和氟西汀阻断蛋白激酶B(AKT)/mTOR通路,并抑制肝癌细胞在体外,异种移植和二乙基亚硝胺/四氯化碳(DEN/CCL 4)诱导的原代肝小鼠模型的生长。舍曲林和氟西汀可以协同索拉非尼,第一个批准的标准治疗晚期肝癌,抑制肝癌细胞的活力在体外和体内。此外,索拉非尼和SSRI的组合协同抑制AKT/mTOR通路的作用。这些结果揭示了SSRIs和索拉非尼联合治疗HCC的新疗效。
Supplemental Digital Content is available in the text. Sertraline and fluoxetine are the two most commonly used selective serotonin reuptake inhibitors (SSRIs) in the treatment of depression. Accumulating evidence has revealed that SSRIs can reduce the risk of hepatocellular carcinoma (HCC), but their therapeutic effects in HCC have not yet been elucidated. Previous studies have reported that sertraline and fluoxetine can suppress the growth of gastric carcinoma, melanoma and nonsmall cell lung cancers by inhibiting the mammalian target rapamycin (mTOR) activity. In this study, we found that sertraline and fluoxetine blocked the protein kinase B (AKT)/mTOR pathway and suppressed the growth of HCC cells in vitro, in xenografts and in diethylnitrosamine/carbon tetrachloride (DEN/CCL4)-induced primary liver mouse model. Sertraline and fluoxetine can synergize with sorafenib, the first approved standard therapy for advanced HCC, to inhibit the viability of HCC cells in vitro and in vivo. In addition, the combination of sorafenib and SSRIs synergistically inhibited the effects of the AKT/mTOR pathway. These results reveal novel therapeutic effects of a combination of SSRIs and sorafenib in HCC.
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发表时间: 2018-09-05
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