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Article

Sorafenib and TRAIL have synergistic effect on hepatocellular carcinoma

  • Authors:
    • Keiichiro Nojiri
    • Kazushi Sugimoto
    • Katsuya Shiraki
    • Masahiko Tameda
    • Yuuji Inagaki
    • Suguru Ogura
    • Chika Kasai
    • Satoko Kusagawa
    • Misao Yoneda
    • Norihiko Yamamoto
    • Yoshiyuki Takei
    • Tsutomu Nobori
    • Masaaki Ito
  • View Affiliations / Copyright

    Affiliations: First Department of Internal Medicine, Mie University School of Medicine, Tsu, Japan, Department of Gastroenterology, Mie University School of Medicine, Tsu, Japan, Department of Molecular and Laboratory Medicine, Mie University School of Medicine, Tsu, Japan
  • Pages: 101-108
    |
    Published online on: October 24, 2012
       https://doi.org/10.3892/ijo.2012.1676
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Abstract

A multi-kinase inhibitor, sorafenib, was recently approved and is currently recommended for the treatment of advanced hepatocellular carcinoma (HCC). However, HCC treatment outcomes are still poor and necessitate improvement. Therefore, we investigated the influence of sorafenib in combination with each of cytotoxic chemotherapy agents, hypoxia or tumor necrosis factor (TNF)-related apoptosis‑inducing ligand (TRAIL), on cytotoxicity to determine which is the better adjuvant. Additive cytotoxicity of sorafenib to chemotherapy agents, hypoxia and TRAIL, to HCC cells was assessed using cell viability assay. Intracellular levels of anti-apoptotic proteins were determined using western blot analysis. Activation of Wnt/β-catenin signaling was assessed using a luciferase reporter gene assay. Sorafenib significantly and synergistically enhanced the cytotoxicity of TRAIL to HCC cells and 4',6-diamidino-2-phenylindole (DAPI) staining showed increased apoptosis among cells treated with sorafenib and TRAIL. This augmentation in cytotoxicity was derived from sorafenib-mediated downregulation of anti-apoptotic proteins. However, sorafenib did not enhance the cytotoxicity of chemotherapy agents (cisplatin, 5-FU or doxorubicin) or hypoxic treatment to HCC. Moreover, hypoxic treatment induced Wnt/β-catenin signaling activation. Our data showed that in combination TRAIL and sorafenib had a synergistic cytokilling effect on HCC cells and that this effect derived from sorafenib-mediated downregulation of anti-apoptotic proteins.
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Copy and paste a formatted citation
Spandidos Publications style
Nojiri K, Sugimoto K, Shiraki K, Tameda M, Inagaki Y, Ogura S, Kasai C, Kusagawa S, Yoneda M, Yamamoto N, Yamamoto N, et al: Sorafenib and TRAIL have synergistic effect on hepatocellular carcinoma. Int J Oncol 42: 101-108, 2013.
APA
Nojiri, K., Sugimoto, K., Shiraki, K., Tameda, M., Inagaki, Y., Ogura, S. ... Ito, M. (2013). Sorafenib and TRAIL have synergistic effect on hepatocellular carcinoma. International Journal of Oncology, 42, 101-108. https://doi.org/10.3892/ijo.2012.1676
MLA
Nojiri, K., Sugimoto, K., Shiraki, K., Tameda, M., Inagaki, Y., Ogura, S., Kasai, C., Kusagawa, S., Yoneda, M., Yamamoto, N., Takei, Y., Nobori, T., Ito, M."Sorafenib and TRAIL have synergistic effect on hepatocellular carcinoma". International Journal of Oncology 42.1 (2013): 101-108.
Chicago
Nojiri, K., Sugimoto, K., Shiraki, K., Tameda, M., Inagaki, Y., Ogura, S., Kasai, C., Kusagawa, S., Yoneda, M., Yamamoto, N., Takei, Y., Nobori, T., Ito, M."Sorafenib and TRAIL have synergistic effect on hepatocellular carcinoma". International Journal of Oncology 42, no. 1 (2013): 101-108. https://doi.org/10.3892/ijo.2012.1676
Copy and paste a formatted citation
x
Spandidos Publications style
Nojiri K, Sugimoto K, Shiraki K, Tameda M, Inagaki Y, Ogura S, Kasai C, Kusagawa S, Yoneda M, Yamamoto N, Yamamoto N, et al: Sorafenib and TRAIL have synergistic effect on hepatocellular carcinoma. Int J Oncol 42: 101-108, 2013.
APA
Nojiri, K., Sugimoto, K., Shiraki, K., Tameda, M., Inagaki, Y., Ogura, S. ... Ito, M. (2013). Sorafenib and TRAIL have synergistic effect on hepatocellular carcinoma. International Journal of Oncology, 42, 101-108. https://doi.org/10.3892/ijo.2012.1676
MLA
Nojiri, K., Sugimoto, K., Shiraki, K., Tameda, M., Inagaki, Y., Ogura, S., Kasai, C., Kusagawa, S., Yoneda, M., Yamamoto, N., Takei, Y., Nobori, T., Ito, M."Sorafenib and TRAIL have synergistic effect on hepatocellular carcinoma". International Journal of Oncology 42.1 (2013): 101-108.
Chicago
Nojiri, K., Sugimoto, K., Shiraki, K., Tameda, M., Inagaki, Y., Ogura, S., Kasai, C., Kusagawa, S., Yoneda, M., Yamamoto, N., Takei, Y., Nobori, T., Ito, M."Sorafenib and TRAIL have synergistic effect on hepatocellular carcinoma". International Journal of Oncology 42, no. 1 (2013): 101-108. https://doi.org/10.3892/ijo.2012.1676
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