Diclofenac Potentiates Sorafenib-Based Treatments of Hepatocellular Carcinoma by Enhancing Oxidative Stress.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_E909B94F23CF
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Diclofenac Potentiates Sorafenib-Based Treatments of Hepatocellular Carcinoma by Enhancing Oxidative Stress.
Journal
Cancers
Author(s)
Duval A.P., Troquier L., de Souza Silva O., Demartines N., Dormond O.
ISSN
2072-6694 (Print)
ISSN-L
2072-6694
Publication state
Published
Issued date
27/09/2019
Peer-reviewed
Oui
Volume
11
Number
10
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
Sorafenib is the first developed systemic treatment for advanced forms of hepatocellular carcinoma, which constitutes the most frequent form of primary liver cancers and is a major global health burden. Although statistically significant, the positive effect of sorafenib on median survival remains modest, highlighting the need to develop novel therapeutic approaches. In this report, we introduce diclofenac, a nonsteroidal anti-inflammatory drug, as a potent catalyzer of sorafenib anticancer efficacy. Treatment of three different hepatocellular cancer cells (Huh-7, HepG2, and PLC-PRF-5) with sorafenib (5 µM, 24 h) and diclofenac (100 µM, 24 h) significantly increased cancer cell death compared to sorafenib or diclofenac alone. Anti-oxidant compounds, including N-acetyl-cysteine and ascorbic acid, reversed the deleterious effects of diclofenac/sorafenib co-therapy, suggesting that the generation of toxic levels of oxidative stress was responsible for cell death. Accordingly, whereas diclofenac increased production of mitochondrial oxygen reactive species, sorafenib decreased concentrations of glutathione. We further show that tumor burden was significantly diminished in mice bearing tumor xenografts following sorafenib/diclofenac co-therapy when compared to sorafenib or diclofenac alone. Taken together, these results highlight the anticancer benefits of sorafenib/diclofenac co-therapy in hepatocellular carcinoma. They further indicate that combining sorafenib with compounds that increase oxidative stress represents a valuable treatment strategy in hepatocellular carcinoma.
Keywords
cell death, co-therapy, diclofenac, hepatocellular carcinoma, oxidative stress, sorafenib
Pubmed
Web of science
Open Access
Yes
Create date
02/10/2019 16:46
Last modification date
30/04/2021 7:15
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