Helminth-derived molecules improve 5-fluorouracil treatment on experimental colon tumorigenesis - 29/05/24
, Daniela Medina-Reyes a, Cuauhtémoc A. Sánchez-Barrera a, Karen V. Fernández-Muñoz a, b, Verónica García-Castillo a, Jorge L. Ledesma-Torres a, Marisol I. González-González a, José L. Reyes a, Carlos Pérez-Plascencia a, c, Miriam Rodríguez-Sosa a, Felipe Vaca-Paniagua a, d, Marco A. Meraz b, Luis I. Terrazas a, d, ⁎ 
Abstract |
Colorectal cancer (CRC) is one of the most prevalent fatal neoplasias worldwide. Despite efforts to improve the early diagnosis of CRC, the mortality rate of patients is still nearly 50%. The primary treatment strategy for CRC is surgery, which may be accompanied by chemotherapy and radiotherapy. The conventional and first-line chemotherapeutic agent utilized is 5-fluorouracil (5FU). However, it has low efficiency. Combination treatment with leucovorin and oxaliplatin or irinotecan improves the effectiveness of 5FU therapy. Unfortunately, most patients develop drug resistance, leading to disease progression. Here, we evaluated the effect of a potential alternative adjuvant treatment for 5FU, helminth-derived Taenia crassiceps (TcES) molecules, on treating advanced colitis-associated colon cancer. The use of TcES enhanced the effects of 5FU on established colonic tumors by downregulating the expression of the immunoregulatory cytokines, Il-10 and Tgf-β, and proinflammatory cytokines, Tnf-α and Il-17a, and reducing the levels of molecular markers associated with malignancy, cyclin D1, and Ki67, both involved in apoptosis inhibition and the signaling pathway of β-catenin. TcES+5FU therapy promoted NK cell recruitment and the release of Granzyme B1 at the tumor site, consequently inducing tumor cell death. Additionally, it restored P53 activity which relates to decreased Mdm2 expression. In vitro assays with human colon cancer cell lines showed that therapy with TcES+5FU significantly reduced cell proliferation and migration by modulating the P53 and P21 signaling pathways. Our findings demonstrate, for the first time in vivo, that helminth-derived excreted/secreted products may potentiate the effect of 5FU on established colon tumors.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | Molecules from T. Crassiceps improve the 5FU activity in CAC model. |
• | TcES down regulates proliferation and malignancy markers Ki67 and Cyclin D1. |
• | Granzyme B1 is upregulated in TcES+5FU treatment. |
• | Combinatory effect TcES+5FU improve apoptosis through up-regulation P53. |
Keywords : Colorectal cancer, Chemotherapy, 5-Fluorouracil, Helminths, Taenia Crassiceps, Chemosensitizer therapy
Plan
Vol 175
Article 116628- juin 2024 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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