Abstract

Here, we provide the possibility of a novel chemotherapeutic agent against gastric cancer cells, comprising the combination of 5-fluorouracil (5-FU) and a mitochondria-targeting self-assembly peptide, which is a phenylalanine dipeptide with triphenyl phosphonium (Mito-FF). The anticancer effects and mechanisms of 5-FU and Mito-FF, individually or in combination, were compared through both in vitro and in vivo models of gastric cancer. Our experiments consistently demonstrated that the 5-FU and Mito-FF combination therapy was superior to monotherapy with either, as manifested by both higher reduction of proliferation as well as an induction of apoptotic cell death. Interestingly, we found that combining 5-FU with Mito-FF leads to a significant increase of reactive oxygen species (ROS) and reduction of antioxidant enzymes in gastric cancer cells. Moreover, the inhibition of ROS abrogated the pro-apoptotic effects of combination therapy, suggesting that enhanced oxidative stress could be the principal mechanism of the action of combination therapy. We conclude that the combination of 5-FU and Mito-FF exerts potent antineoplastic activity against gastric cancer cells, primarily by promoting ROS generation and suppressing the activities of antioxidant enzymes.

Highlights

  • The lack of anticancer chemotherapeutic agents is a fundamental issue faced while treating advanced gastric cancer

  • We first compared cell viability according to mono- and combination therapy using 5-fluorouracil (5-FU) and Mito-FF in both human primary stomach epithelial cells and adeonocarcinoma gastric (AGS) cells

  • We aimed to determine whether the combination of 5-FU and Mito-FF has superior anticancer effects against gastric cancer over individual monotherapies in terms of inducing apoptotic cell death and promoting oxidative stress

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Summary

Introduction

The lack of anticancer chemotherapeutic agents is a fundamental issue faced while treating advanced gastric cancer. Therapeutic failure to effectively eradicate gastric cancer cells is mostly caused by the development of drug resistance. Overcoming drug resistance depends, to a considerable extent, on finding a way to evade these genetic surveillance mechanisms of tumor cells. Mitochondrion is one of the distinguished structures unique to eukaryotic cells. It principally serves as an energy source, enabling numerous functions of the cell. Though mitochondria are a part of the cell, they were previously independent organisms unrelated to the genetic mechanisms of the host cells. It is worthwhile to consider targeting mitochondria with the purpose of evading the surveillance of a tumor’s genetic mechanisms that culminate in drug resistance

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