Fu-Zheng-Jie-Du Ointment Enhances the Therapeutic Efficacy of 5-fluoropyrimidine by Inhibiting TIE2-expressing Monocyte/macrophage-mediated Angiogenesis in a Mouse Gastric Cancer Model
Background: Most cases of gastric cancer (GC), which is one of the most common cancers in China, are diagnosed at an advanced stage. The first-line treatments for GC include 5-fluoropyrimidine (5-FU)-based chemotherapy. However, the cancer cells may develop 5-FU resistance. The inhibition of angiogenesis can be an alternative therapeutic strategy for GC. Recent studies have demonstrated that TIE2-expressing monocytes/macrophages (TEMs), a subtype of tumor-associated macrophages (TAMs), exhibit profound pro-angiogenic activity. The herbs used in traditional Chinese medicine can be a potential source of anti-cancer agents and can improve the therapeutic efficacy of chemotherapy drugs. In this study, the role of TEMs in the synergistic anti-cancer effects of Fu-Zheng-Jie-Du ointment (FZJD) and 5-FU was evaluated.
Methods: The migration of TEMs was evaluated using the transwell assay. Tube formation assay and quantitative real-time polymerase chain reaction analysis were used to determine the pro-angiogenic activity of TEMs. Tumor-bearing mouse model and immunohistofluorescence stain were used to evaluate the anti-tumor effect of FZJD and the underlying mechanism.
Results: FZJD inhibited the migration and pro-angiogenic activity of TEMs. Additionally, tumor growth in the mice co-treated with FZJD and 5-FU was lower than that in the mice treated with FZJD or 5-FU. Immunohistofluorescence stain revealed that the migration of TEMs was not inhibited upon treatment with FZJD alone or in combination with 5-FU. Moreover, treatment with FZJD did not decrease the endothelial cell population. In contrast, the treatment combination of FZJD and 5-FU markedly decreased the endothelial cell population.
Conclusions: FZJD improves the anti-cancer efficacy of 5-FU through the inhibition of TEM-mediated angiogenesis.
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Posted 17 Sep, 2020
Fu-Zheng-Jie-Du Ointment Enhances the Therapeutic Efficacy of 5-fluoropyrimidine by Inhibiting TIE2-expressing Monocyte/macrophage-mediated Angiogenesis in a Mouse Gastric Cancer Model
Posted 17 Sep, 2020
Background: Most cases of gastric cancer (GC), which is one of the most common cancers in China, are diagnosed at an advanced stage. The first-line treatments for GC include 5-fluoropyrimidine (5-FU)-based chemotherapy. However, the cancer cells may develop 5-FU resistance. The inhibition of angiogenesis can be an alternative therapeutic strategy for GC. Recent studies have demonstrated that TIE2-expressing monocytes/macrophages (TEMs), a subtype of tumor-associated macrophages (TAMs), exhibit profound pro-angiogenic activity. The herbs used in traditional Chinese medicine can be a potential source of anti-cancer agents and can improve the therapeutic efficacy of chemotherapy drugs. In this study, the role of TEMs in the synergistic anti-cancer effects of Fu-Zheng-Jie-Du ointment (FZJD) and 5-FU was evaluated.
Methods: The migration of TEMs was evaluated using the transwell assay. Tube formation assay and quantitative real-time polymerase chain reaction analysis were used to determine the pro-angiogenic activity of TEMs. Tumor-bearing mouse model and immunohistofluorescence stain were used to evaluate the anti-tumor effect of FZJD and the underlying mechanism.
Results: FZJD inhibited the migration and pro-angiogenic activity of TEMs. Additionally, tumor growth in the mice co-treated with FZJD and 5-FU was lower than that in the mice treated with FZJD or 5-FU. Immunohistofluorescence stain revealed that the migration of TEMs was not inhibited upon treatment with FZJD alone or in combination with 5-FU. Moreover, treatment with FZJD did not decrease the endothelial cell population. In contrast, the treatment combination of FZJD and 5-FU markedly decreased the endothelial cell population.
Conclusions: FZJD improves the anti-cancer efficacy of 5-FU through the inhibition of TEM-mediated angiogenesis.
Figure 1
Figure 2
Figure 3
Figure 4