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Table 3 The most important anticancer synergistic effects of cucurbitacin B in combination with chemotherapeutic drugs

From: Cucurbitacins as potential anticancer agents: new insights on molecular mechanisms

Type of cancer

Type of chemotherapeutic agents combined with cucurbitacin B

Experimental model

Main results

Refs.

Breast cancer

Imatinib mesylate

In vitro

MCF-7 cells

Anticancer synergistic effects

↓cell proliferation ↑apoptosis

[86]

Gemcitabine docetaxel

In vitro

MDA-MB-231 cells

Synergistic effects

↓cell proliferation, ↑apoptosis

[87]

In vivo

mice

↓tumour volume

No signs of increased toxicity

Ionizing radiation

In vitro

4T1 cells

Blocks cancer cells in the G2/M phase

↑apoptosis, ↓cancer cells growth

↓p-STAT3, ↓c-Myc, ↓Bcl-2, ↓Bcl-xL, ↑caspase-9, ↑p21, ↑p53

[88]

Pancreatic cancer

SCH772984, an ERK inhibitor

In vitro

HPAC cells

↑apoptosis, ↓cancer cells growth

↓EGFR, ↓PI3K/Akt/mTOR, ↓STAT3, ↑Bim, ↓McL-1, ↓Bcl-2, ↓Bcl-xl, ↓survivin, ↑cucurbitacin B sensitivity

[89]

In vivo

mice

↓ tumour growth

Colorectal cancer

Gefitinib

In vitro

HT-29, HCT-116 cells

Cell cycle inhibition

↑apoptosis, ↓EGFR, ↓JAK/STAT

[90]

Imatinib mesylate

In vitro

SW480 cells

↓cell proliferation ↑apoptosis

↓MMP-2, ↑degradation of extracellular matrix

[86]

Ovarian cancer

Cisplatin

In vitro

A2780 cells

Cytotoxicity against the ovarian cancer cell line

[91]

Paclitaxel

In vitro

A2780/Taxol cells

Dose- and time-dependent cytotoxicity effect

↑G2/M phase arrest of the cell cycle, ↑p53, ↑p21, ↓Bcl-2, ↓caspase-3, ↓P-gp

[92]

Osteosarcoma

Methotrexate

In vitro

human osteosarcoma cells

↓AKT, ↓mTOR

[93]

  1. ↑ increase, ↓decrease, JAK: Janus kinase; McL-1: induced myeloid leukaemia cell differentiation protein 1; Bim: Bcl-2-like protein 11