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Dihydroartemisinin improves the efficiency of chemotherapeutics in lung carcinomas in vivo and inhibits murine Lewis lung carcinoma cell line growth in vitro

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Abstract

Purpose

Dihydroartemisinin (DHA), a semi-synthetic derivative of artemisinin, has exhibited the strongest antimalarial activity among the derivatives of artemisinin. There is growing evidence that DHA has some impact against tumors. Our purpose was to evaluate in vitro antitumoral properties of DHA in the murine Lewis lung carcinoma (LLC) cell line. At the same time, we observed the therapeutic effect of DHA combined with cyclophosphamide (CTX) in the LLC and combined with cisplatin (CDDP) in the human non-small cell lung cancer A549 xenotransplanted carcinoma in vivo.

Methods

Cytotoxicity was measured by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide method, apoptosis was measured by AO/EB double staining and flow cytometry. The expression of vascular endothelial growth factor (VEGF) receptor KDR/flk-1 was analyzed by western blotting and RT-PCR. In vivo activity of DHA combined with CTX or CDDP was assayed through tumor growth and metastasis.

Results

Dihydroartemisinin exhibited high anti-cancer activity in LLC cell line. DHA also induced apoptosis of LLC cells and influenced the expression of VEGF receptor KDR/flk-1. Furthermore, in both tumor xenografts, a greater degree of growth inhibition was achieved when DHA and chemotherapeutics were used in combination. The affection by DHA combined CTX on LLC tumor metastasis was significant.

Conclusions

Dihydroartemisinin is a potent compound against LLC cell line in vitro. In vivo, the combination strategy of DHA and chemotherapeutics holds promise for the treatment of relatively large and rapidly growing lung cancers.

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References

  1. Parkin DM, Bray F, Ferlay J, Pisani P (2005) Global cancer statistics, 2002. CA Cancer J Clin 55:74–108

    Article  PubMed  Google Scholar 

  2. Zhang F, Zhang T, Gu Z-P et al (2008) Enhancement of radiosensitivity by roscovitine pretreatment in human non-small cell lung cancer A549 cells. J Radiat Res 49:541–548

    Article  CAS  PubMed  Google Scholar 

  3. Citron ML (2004) Dose density in adjuvant chemotherapy for breast cancer. Cancer Invest 22:555–568

    Article  CAS  PubMed  Google Scholar 

  4. Grinshtein N, Ventresca M, Margl R et al (2009) High-dose chemotherapy augments the efficacy of recombinant adenovirus vaccines and improves the therapeutic outcome. Cancer Gene Ther 16:338–350

    Article  CAS  PubMed  Google Scholar 

  5. Morota M, Gomi K, Kozuka T et al (2009) Late toxicity after definitive concurrent chemoradiotherapy for thoracic esophageal carcinoma. Int J Radiat Oncol Biol Phys 75:122–128

    PubMed  Google Scholar 

  6. Suna H-X, Peng X-Y (2008) Protective effect of triterpenoid fractions from the rhizomes of Astilbe chinensis on cyclophosphamide-induced toxicity in tumor-bearing mice. J Ethnopharmacol 119:312–317

    Article  Google Scholar 

  7. Vincent MD, Dranitsaris G (2009) The price function of toxicity. Lancet Oncol 10:299–303

    Article  PubMed  Google Scholar 

  8. Meshnick SR (2002) Artemisinin: mechanisms of action, resistance and toxicity. Int J Parasitol 32:1655–1660

    Article  CAS  PubMed  Google Scholar 

  9. O’Neill PM, Posner GH (2004) A medicinal chemistry perspective on artemisinin and related endoperoxides. J Med Chem 47:2945–2964

    Article  PubMed  Google Scholar 

  10. Efferth T, Dunstan H, Sauerbrey A et al (2001) The anti-malarial artesunate is also active against cancer. Int J Oncol 18:767–773

    CAS  PubMed  Google Scholar 

  11. Lai H, Singh NP (2001) Selective toxicity of dihydroartemisinin and holotransferrin toward human breast cancer cells. Life Sci 70:49–56

    Article  PubMed  Google Scholar 

  12. Chen H-H, Zhou H-J, Wang W-Q et al (2004) Antimalarial dihydroartemisinin also inhibits angiogenesis. Cancer Chemother Pharmacol 53:423–432

    Article  CAS  PubMed  Google Scholar 

  13. Zhou H-J, Wang W-Q, Wu G-D et al (2007) Artesunate inhibits angiogenesis and downregulates vascular endothelial growth factor expression in chronic myeloid leukemia K562 cells. Vasc Pharmacol 47:131–138

    Article  CAS  Google Scholar 

  14. Carmeliet P, Ferreira V, Breier G et al (1996) Abnormal blood vessel development and lethality in embryos lacking a single VEGF allele. Nature 380:435–439

    Article  CAS  PubMed  Google Scholar 

  15. Folkman J (1995) Angiogenesis in cancer, vascular, rheumatoid and other disease. Nat Med 1:27–31

    Article  CAS  PubMed  Google Scholar 

  16. Kvanta A (1995) Expression and regulation of vascular endothelial growth factor in choroidal fibroblasts. Curr Eye Res 14:1015–1020

    Article  CAS  PubMed  Google Scholar 

  17. Shibuya M, Ito N, Claesson-Welsh L (1999) Structure and function of VEGF receptor-1 and -2. Curr Top Microbiol Immunol 237:59–83

    CAS  PubMed  Google Scholar 

  18. Seetharam L, Gotoh N, Maru Y et al (1995) A unique signal transduction from FLT tyrosine kinase, a receptor for vascular endothelial growth factor VEGF. Oncogene 10:135–147

    CAS  PubMed  Google Scholar 

  19. Waltenberger J, Claesson-Welsh L, Siegbahn A et al (1994) Different signal transduction properties of KDR and Flt-1, two receptors for vascular endothelial growth factor. J Biol Chem 269:26988–26995

    CAS  PubMed  Google Scholar 

  20. Takahashi T, Yamaguchi S, Chida K, Shibuya M (2001) A single auto-phosphorylation site on KDR/Flk-1 is essential for VEGF-A-dependent activation of PLC-gamma and DNA synthesis in vascular endothelial cells. EMBO J 20:2768–2778

    Article  CAS  PubMed  Google Scholar 

  21. Terman BI, Dougher-Vermazen M et al (1992) Identification of the KDR tyrosine kinase as a receptor for vascular endothelial cell growth factor. Biochem Biophys Res Commun 187:1579–1586

    Article  CAS  PubMed  Google Scholar 

  22. Millauer B, Wizigmann Voos S, Schnurch H et al (1993) High affinity VEGF binding and developmental expression suggest Flk-1 as a major regulator of vasculogenesis and angiogenesis. Cell 72:835–846

    Article  CAS  PubMed  Google Scholar 

  23. Miyamoto N, de Kozak Y, Normand N et al (2008) PIGF-1 and VEGFR-1 pathway regulation of the external epithelial hemato-ocular barrier. A model for retinal edema. Ophthalmic Res 40:203–207

    Article  CAS  PubMed  Google Scholar 

  24. Cury PR, de Araujo VC, Canavez F et al (2007) The effect of epidermal growth factor on matrix metalloproteinases and tissue inhibitors of metalloproteinase gene expression in cultured human gingival fibroblasts. Arch Oral Biol 52:585–590

    Article  CAS  PubMed  Google Scholar 

  25. Lee EO, Lee HJ, Hwang HS et al (2006) Potent inhibition of Lewis lung cancer growth by heyneanol A from the roots of Vitis amurensis through apoptotic and anti-angiogenic activities. Carcinogenesis 27:2059–2069

    Article  CAS  PubMed  Google Scholar 

  26. Lee J, Zhou H-J, Wu X-H (2006) Dihydroartemisinin downregulates vascular endothelial growth factor expression and induces apoptosis in chronic myeloid leukemia K562 cells. Cancer Chemother Pharmacol 57:213–220

    Article  CAS  PubMed  Google Scholar 

  27. Wu X-H, Zhou H-J, Lee J (2006) Dihydroartemisinin inhibits angiogenesis induced by multiple myeloma RPMI8226 cells under hypoxic conditions via downregulation of vascular endothelial growth factor expression and suppression of vascular endothelial growth factor secretion. Anti-Cancer Drugs 17:839–848

    Article  CAS  PubMed  Google Scholar 

  28. Risau W (1997) Mechanisms of angiogenesis. Nature 386:671–674

    Article  CAS  PubMed  Google Scholar 

  29. Carmeliet P (2000) Mechanisms of angiogenesis and arteriogenesis. Nature Med 6:389–395

    Article  CAS  PubMed  Google Scholar 

  30. Chen HH, Zhou HJ, Wu GD et al (2004) Inhibitory effects of artesunate on angiogenesis and on expressions of vascular endothelial growth factor and VEGF receptor KDR/flk-1. Pharmacology 71:1–9

    Article  CAS  PubMed  Google Scholar 

  31. Yancopoulos GD, Davis S, Gale NW et al (2000) Vascular-specific growth factors and blood vessel formation. Nature 407:242–248

    Article  CAS  PubMed  Google Scholar 

  32. Gerber H-P, McMurtrey A, Kowalski J et al (1998) VEGF regulates endothelial cell survival by the PI3-kinase/Akt signal transduction pathway. Requirement for Flk-1/KDR activation. J Biol Chem 273:30336–30343

    Article  CAS  PubMed  Google Scholar 

  33. Zhou H-J, Wang Z, Li A (2008) Dihydroartemisinin induces apoptosis in human leukemia cells HL60 via downregulation of transferrin receptor expression. Anticancer Drugs 9:247–255

    Article  Google Scholar 

  34. Rello S, Stockert JC, Moreno V et al (2005) Morphological criteria to distinguish cell death induced by apoptotic and necrotic treatments. Apoptosis 10:201–208

    Article  CAS  PubMed  Google Scholar 

  35. Quinn TP, Soifer SJ, Ramer K et al (2001) Receptor for vascular endothelial growth factor that stimulates endothelial apoptosis. Cancer Res 61:8629–8637

    CAS  PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported in part by a grant from the Zhejiang Provincial Science and Technology Program (No. 2008C23067) and by funds for scientific research from Health Bureau of Zhejiang Province (No. 2008W10923), China.

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Correspondence to Hui-Jun Zhou.

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Zhou, HJ., Zhang, JL., Li, A. et al. Dihydroartemisinin improves the efficiency of chemotherapeutics in lung carcinomas in vivo and inhibits murine Lewis lung carcinoma cell line growth in vitro. Cancer Chemother Pharmacol 66, 21–29 (2010). https://doi.org/10.1007/s00280-009-1129-z

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  • DOI: https://doi.org/10.1007/s00280-009-1129-z

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