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Article

Synergistic antitumor activity of aspirin and erlotinib: Inhibition of p38 enhanced aspirin plus erlotinib‑induced suppression of metastasis and promoted cancer cell apoptosis

  • Authors:
    • Xiu Hu
    • Lin‑Wen Wu
    • Xu Weng
    • Neng‑Ming Lin
    • Chong Zhang
  • View Affiliations / Copyright

    Affiliations: School of Medicine, Zhejiang University City College, Hangzhou, Zhejiang 310015, P.R. China, Department of Clinical Pharmacology, Hangzhou First People's Hospital, Nanjing Medical University, Hangzhou, Zhejiang 310006, P.R. China
  • Pages: 2715-2724
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    Published online on: June 12, 2018
       https://doi.org/10.3892/ol.2018.8956
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Abstract

High‑dose erlotinib is effective for non‑small cell lung cancer patients with brain metastases. The aim of the present study was to investigate whether aspirin could increase the anti‑proliferative and anti‑metastatic effects of regular erlotinib treatment. The data demonstrated that combining aspirin with erlotinib significantly induced apoptosis and inhibited tumor cell proliferation in several human cancer types. Furthermore, aspirin plus erlotinib significantly induced the activation of E‑cadherin and suppression of p38. The data also indicated that the p38/E‑cadherin pathway may be involved in the apoptosis caused by the combination of aspirin and erlotinib. As p38 and E‑cadherin also serve a key role in epithelial‑to‑mesenchymal transition (EMT) and cancer metastasis, we hypothesized that the combination of aspirin and erlotinib may significantly inhibit tumor metastasis. First, aspirin plus erlotinib achieved potent inhibition of cancer cell migration and invasion, which are crucial for cancer metastasis. Next, the results demonstrated that aspirin plus erlotinib inhibited angiogenesis by suppressing endothelial cell migration and invasion. Moreover, it was confirmed that aspirin plus erlotinib exerted synergistic anti‑angiogenic effects. Finally, the synergistic anti‑proliferative and anti‑metastatic effects of the combination of aspirin with erlotinib were further validated in an A549 xenograft model in vivo. In conclusion, aspirin plus erlotinib may be an effective combination regimen for patients with metastatic cancer.
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Copy and paste a formatted citation
Spandidos Publications style
Hu X, Wu LW, Weng X, Lin NM and Zhang C: Synergistic antitumor activity of aspirin and erlotinib: Inhibition of p38 enhanced aspirin plus erlotinib‑induced suppression of metastasis and promoted cancer cell apoptosis. Oncol Lett 16: 2715-2724, 2018.
APA
Hu, X., Wu, L., Weng, X., Lin, N., & Zhang, C. (2018). Synergistic antitumor activity of aspirin and erlotinib: Inhibition of p38 enhanced aspirin plus erlotinib‑induced suppression of metastasis and promoted cancer cell apoptosis. Oncology Letters, 16, 2715-2724. https://doi.org/10.3892/ol.2018.8956
MLA
Hu, X., Wu, L., Weng, X., Lin, N., Zhang, C."Synergistic antitumor activity of aspirin and erlotinib: Inhibition of p38 enhanced aspirin plus erlotinib‑induced suppression of metastasis and promoted cancer cell apoptosis". Oncology Letters 16.2 (2018): 2715-2724.
Chicago
Hu, X., Wu, L., Weng, X., Lin, N., Zhang, C."Synergistic antitumor activity of aspirin and erlotinib: Inhibition of p38 enhanced aspirin plus erlotinib‑induced suppression of metastasis and promoted cancer cell apoptosis". Oncology Letters 16, no. 2 (2018): 2715-2724. https://doi.org/10.3892/ol.2018.8956
Copy and paste a formatted citation
x
Spandidos Publications style
Hu X, Wu LW, Weng X, Lin NM and Zhang C: Synergistic antitumor activity of aspirin and erlotinib: Inhibition of p38 enhanced aspirin plus erlotinib‑induced suppression of metastasis and promoted cancer cell apoptosis. Oncol Lett 16: 2715-2724, 2018.
APA
Hu, X., Wu, L., Weng, X., Lin, N., & Zhang, C. (2018). Synergistic antitumor activity of aspirin and erlotinib: Inhibition of p38 enhanced aspirin plus erlotinib‑induced suppression of metastasis and promoted cancer cell apoptosis. Oncology Letters, 16, 2715-2724. https://doi.org/10.3892/ol.2018.8956
MLA
Hu, X., Wu, L., Weng, X., Lin, N., Zhang, C."Synergistic antitumor activity of aspirin and erlotinib: Inhibition of p38 enhanced aspirin plus erlotinib‑induced suppression of metastasis and promoted cancer cell apoptosis". Oncology Letters 16.2 (2018): 2715-2724.
Chicago
Hu, X., Wu, L., Weng, X., Lin, N., Zhang, C."Synergistic antitumor activity of aspirin and erlotinib: Inhibition of p38 enhanced aspirin plus erlotinib‑induced suppression of metastasis and promoted cancer cell apoptosis". Oncology Letters 16, no. 2 (2018): 2715-2724. https://doi.org/10.3892/ol.2018.8956
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