1. Olsalazine pretreatment augments chemosensitivity of gemcitabine in hepatocellular carcinoma.
- Author
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Sharma, Ayush, Chhipa, Abu Sufiyan, Verma, Srashti, Parikh, Palak, and Patel, Snehal
- Subjects
ASPARTATE aminotransferase ,GEMCITABINE ,BIOMARKERS ,BINDING energy ,LACTATE dehydrogenase ,HEPATOCELLULAR carcinoma - Abstract
The present study was carried out to evaluate the effects of olsalazine pretreatment in the potentiation of chemosensitivity of gemcitabine for the treatment of hepatocellular carcinoma (HCC). In silico molecular docking was performed to analyze the interactions of olsalazine and gemcitabine with DNMT1 and DNA, respectively, using the AutoDock tools 1.5.6. Cytotoxicity of olsalazine, gemcitabine, and combination was measured on human HePG2 cells using MTT assay. Anti‐tumor effects of the combination were assessed using animal model of N‐nitrosodiethylamine and carbon tetrachloride‐induced HCC. Treatment was initiated from 8th week of induction to 11th week and changes in body weight, liver weight (absolute and relative), and survival rate were measured. Following treatment, blood samples were collected for estimation of serum biochemistry. Blood serum was used for the estimation of inflammatory cytokines: tumor necrosis factor‐α (TNF‐α), interleukin‐6 (IL‐6), C‐reactive protein [CRP], lactate dehydrogenase (LDH), and P53 levels. Oxidative stress markers were measured in liver tissue homogenates. Histopathology and immunohistochemistry (IHC) were performed on liver sections to detect the morphological changes and P53 expression. Docking analysis revealed the interactions between olsalazine and DNMT1 with a binding energy score of −5.34 and gemcitabine and DNA with a binding energy score of −5.93. Olsalazine pretreatment potentiated the anticancer effects of gemcitabine in cell line study. In the groups receiving olsalazine pretreatment showed significant reductions in relative liver weight and improved survival rate. Serum biochemical markers: serum glutamate pyruvate transaminase, serum glutamic oxaloacetic transaminase, alkaline phosphatase, and bilirubin revealed improved liver functions. Olsalazine pretreatment also reduced the levels of inflammatory markers: CRP, LDH, TNF‐α, and IL‐6 and oxidative stress markers dose dependently. Histopathology and IHC showed improved liver morphology with potentiated induction of P53 upon olsalazine pretreatment in combination with gemcitabine. In conclusion, sequential combination of olsalazine and gemcitabine improved the treatment outcomes during the progression of HCC. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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