Objective To compare lung cancer A549 cell inhibition treated by zoledronic acid different schedule combined with cisplatin.Methods According to different schedule of drug treatment,lung cancer A549 cells were divided into 4 groups (drug concentrations of zoledronic acid and cisplatin were 1.560 0,0.312 5 mg/L):(1) A group (control group):A549 cells were cultured,no drug treatment; (2) B group (simultaneously treated group):zoledronic acid and cisplatin were added simultaneously; (3) C group (cisplatin + zoledronic acid group):cells were incubated with cisplatin for 24 h followed by with zoledronic acid for 24 h; (4) D group (zoledronic acid + cisplatin group):cells were incubated with zoledronic acid for 24 h followed by with cisplatin.Methyl thiazol tetrazolium (MTT) assay and annexin V/ propidium iodide (PI) double staining were used to examine each groups A549 cells proliferation and apoptosis respectively.Real-time fluorescent quantitative polymerase chain reaction (FQ-PCR) was applied to detected mRNA expression of mediator of DNA damage checkpoint protein 1 (MDC1),excision repair cross complementation group 1 (ERCC1) and receptor-associated protein 80 (RAP80) in A549 cells.Results Inhibition rates of A,B,C,D groups A549 cells were 0%,(39.16±4.94)%,(46.94 ±3.45) %,(38.43 ± 4.84) %,respectively.Rates of B,C,D groups were significantly higher than that of A group (all P < 0.05),Rates of B,D group were significantly lower than that of C group (all P < 0.05) ; Apoptosis rates of each group were (0.53 ±0.15)%,(32.3 ±0.50)%,(36.53 ±0.31)%,(29.33 ± 2.48) %,respectively.Rates of B,C,D groups were significantly higher than that of A group (all P < 0.05).Rates ofB,D group were significantly lower than that of C group (all P<0.05); MDC1 and RAP80 gene expressions of B,C,D groups (0.374 ± 0.022 and 1.127 ± 0.018,0.320 ± 0.023 and 1.036 ±0.027,0.416 ±0.016 and 1.181 ±0.041,respectively) were significantly lower than that of A group (0.677 ±0.028 and 1.548 ±0.038) (all P <0.05),Expressions of B,D group were significantly higher than that of C group (all P < 0.05) ; Expressions of ERCC1 mRNA had no significantly difference (all P > 0.05).Conclusion Zoledronic acid combined with cisplatin can inhibit lung cancer A549 cells proliferation and induce cells apoptosis synergistically with schedule-dependent.The most remarkable effect was found in cells treated with cisplatin followed by with zoledronic acid.The downregulated expression of MDC 1 and RAP80 may be involved in the mechanism. Key words: Cisplatin ; Zoledronic acid ; A549 cell; Mediator of DNA damage checkpoint protein 1 ; Excision repair cross complementation group 1 ; Receptor-associated protein 80
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