| 摘要: | 
			 
		     | 目的探讨汉防己甲素(Tet)联合阿霉素(DOX)体外逆转耐药型前列腺癌(DU145/DOX)细胞耐药的可行性及潜在机制。方法采用经典的DOX浓度梯度诱导法制备DU145/DOX细胞,然后采用3-(4,5-二甲基噻唑-2)-2,5-二苯基四氮唑溴盐(MTT)法测定Tet干预对DU145/DOX细胞生长抑制的作用,凋亡试剂盒测定联合用药对耐药细胞凋亡诱导的影响,流式细胞仪和荧光分光光度计分别测定Tet对DOX和荧光探针罗丹明123(R123)被DU145/DOX细胞摄取行为,Pgp-GloTM分析系统测定Tet对P-糖蛋白(P-gp)ATP酶活性的影响,Westernblot法测定Tet对耐药细胞膜上P-gp蛋白表达的影响,RT-PCR法测定Tet对DU145/DOX细胞MDR1mRNA表达的影响。结果Tet组、DOX组、DOX+Tet(1/5)组对DU145/DOX细胞的半数抑制浓度(IC50,以COX浓度计算)分别为(7.16±0.54)、(1.62±0.09)、(0.37±0.03)滋M,Tet能明显增强DOX的抗肿瘤作用。DOX+Tet(1/5)组诱导DU145/DOX细胞凋亡率是DOX组的2.1倍。Tet的参与能明显提高DU145/DOX细胞内DOX和R123的累积量,其机制可能与Tet刺激细胞内P-gpATP酶活性、降低细胞膜上P-gp蛋白表达有关。Tet可能通过降低耐药基因表达的机制,联合DOX提高对DU145/DOX细胞杀伤作用。结论Tet与DOX体外联合使用具有逆转DU145/DOX细胞耐药的潜力,作用机制可能涉及刺激耐药泵酶活性、降低耐药蛋白表达量、下调MDR1mRNA表达等。 | 
			
	         
				| 关键词:  汉防己甲素  阿霉素  DU145 细胞  逆转耐药  机制 | 
			 
                | DOI:10.12056/j.issn.1006-2785.2018.40.13.2017-2709 | 
            
                | 分类号: | 
			 
             
                | 基金项目: | 
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                | Combination of tetrandrine with doxorubicin reverses drug resistance of prostate carcinoma DU145/DOX cells and its molecular mechanisms | 
           
			
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                | Department of Anesthesiology,shulan(hangzhou) Hospital | 
		   
             
                | Abstract: | 
			
                | Objective To investigate the effect of combination of tetrandrine (Tet) with doxorubicin (DOX) on drug resistance of prostate carcinoma DU145/DOX cells and its molecular mechanisms. Methods Drug resistant prostate cancer DU145/DOX cells were induced, and treated with Tet, DOX or Tet+DOX, respectively. The cell growth was assayed by MTT method, cells apoptosis was determined with AnnexinV-PE/7-AAD kit, the intracellular accumulation of DOX and R123 was tested by flow cytometry and fluorospectrophotometer, the P-gp ATPase activity and P-gp expression were detected by Pgp-GloTM Assay Systems and Western blot method, respectively, the expression of MDR1 mRNA was detected by RT-PCR.
Results   The IC50  of Tet, DOX and Tet+DOX against DU145/DOX cells were(7.16±0.54), (1.62 ±0.09) and (0.37 ±0.03)滋M,
respectively. The apoptosis induction ratio of DU145/DOX cells treated with Tet+DOX was 2.1-folded of DOX group. The intracellular accumulation of DOX and R123 increased significantly in the presence of Tet. The P-gp ATPase activity was elevated, the expression P-gp and MDR1 mRNA was down-regulated in DU145/DOX cells after Tet treatment. Conclusion The combination of Tet with DOX can reverse drug resistance of DU145/DOX cells in vitro, which is associated with the effects of Tet in interfering P-gp function and suppressing MDR1 mRNA expression. | 
	       
                | Key words:  Tetrandrine Doxorubicin DU145 cells Resistance reversal Mechanism |