在本實驗中,選用了786-O;von Hippel-Lindau (vHL) gene缺乏,由於vHL gene的缺乏,因此VEGF的表現會上升,導致這株細胞為高度轉移的細胞。我們利用MTT assays、modified Boyden chamber assay探討silibinin對786-O細胞的存活率以及侵襲轉移的能力,並且利用gelatin zymography與casein zymography assay 來探討分解細胞外基質的相關蛋白matrix metalloproteinase-2 (MMP-2)、matrix metalloproteinase-9 (MMP-9)、urokinase-type plasminogen activator (u-PA)的活性表現。在本實驗中發現silibinin並不會隨著濃度的上昇而影響786-O細胞的存活率,但是卻可以有效的抑制癌細胞侵襲和轉移的能力與MMP-2, MMP-9, u-PA的表現,也可明顯促進786-O細胞tissue inhibitor matrix metalloproteinase-2(TIMP-2)、plasminogen activator inhibitor-1 (PAI-1)之蛋白表現。進一步利用Western blot assay分析的結果發現silibinin會抑制MAPK pathway中的Erk1/2、p38的磷酸化,以及核內c-Jun、c-Fos與NF-kB的表達。在動物實驗中,發現在有處理silibinin的組別中,其腫瘤大小有明顯被抑制的效果。目前在臨床上有許多抗癌藥都使用於治療腎臟癌,但是腎臟癌很容易對藥物產生抗藥性。由於已經有文獻證實,silibinin可以提高卵巢癌對於taxol的敏感度。本實驗利用 silibinin作為加強低濃度的抗癌藥 (taxol、vinblastine、5-fluorouracil)誘導細胞凋亡的能力。由實驗結果證實,單獨處理 silibinin並不會影響786-O細胞的存活率,但是在分別合併低濃度抗癌藥(taxol、vinblastine、5-fluorouracil)之後,由結果發現細胞存活率有明顯的下降,其中以5-FU搭配silibinin處理細胞,可以降低10倍的劑量為最多,進而加強抗癌藥致細胞死亡之能力,而這樣合併處理方式對正常細胞 HEK-293則不具加強細胞凋亡的效果。綜合以上結果,silibinin在未來或許可以應用在預防腎臟癌轉移到其他組織器官,甚至用於加強抗癌藥來治療腎臟癌。
Loss of pVHL function, characteristic for clear-cell renal cell carcinoma (ccRCC), causes increased expression VEGF and HIF-1α. The VEGF and HIF-1α has intervene in the renal cell carcinoma angiogenesis and metastasis. In this study, we assayed the cell viability, cell invasion/migration, matrix metalloproteinases(MMPs) activity, and urokinase-plasminogen activator (u-PA) activity of 786-O cells with silibinin treatments by MTT assays, invasion/motility assays, gelatin、casein zymography. We found that silibinin relevant to inhibite the cell invasion/migration capacities and the activities of MMP-2, MMP-9 and u-PA in VHL-null 786-O ccRCC cells. without affecting cell viability. Besides, we showed that silibinin downregulated the protein of MMP-2, MMP-9 and u-PA, and also enhanced expression of TIMP-2 and PAI-1. A treatment with silibinin also led to a dose-dependent inhibition on the activation of ERK1/2, p38, NF-κB, c-Jun and c-Fos. In vivo, an anti-tumor study using nude mice (ICR nu/nu) xenograft model by a subcutaneous inoculation of 786-O cells was performed. The average tumor volume of treatment groups was lower than that of control group, statistically. In conclusion, silibinin may be a powerful candidate for a preventive agent against kindey cancer development and metastasis. On the other hand, we investigated the activity and toxicity of a combination of taxol, vinorelbine(VBL) and 5-fluorouracil(5-FU) in metastatic renal cancer. We found that silibinin with low concentration of anticancer drugs have the similar death rate of the high concentration. Among these anticancer drugs, 5-fluorouracil had a best effect upon inhibit the cell viability. These results suggest silibinin in combination with anticancer drugs may be a beneficial chemotherapeutic strategy. This review focuses on the chemistry and analogues of silibinin, multiple possible molecular mechanisms, in vitro as well as in vivo anti-cancer activities, and studies on human clinical trials.