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257257

Molecular Effects of Targeting Multidrug Resistance of Doxorubicin Treated Breast Cancer Cells Using the Calcium Channel Blocker Nimodipine

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Biochemistry

Abstract

Background/Aim: Multidrug resistance (MDR) is the leading cause of treatment failure in breast cancer patients treated with doxorubicin DOX). Previous indicated that some calcium channel blockers could reverse multidrug resistance. Therefore, we aimed to investigate the potential of nimodipine (a calcium channel blocker drug) in sensitizing breast cancer cells to DOX and elucidate the underlying molecular mechanisms. Methods: we examined the effects of DOX alone or in combination with nimodipine (NMD) on the viability of the MCF-7 cells using MTT assay, cell cycle by flow cytometry, and the expression of the MDR‐related gene (MDR1) and cell cycle/survival gene (Bcl‐2) and the pro-apoptotic gene (Bax) by quantitative reverse transcription polymerase chain reaction. Results: we found that adding NMD to DOX potentiated its antiproliferation effect. The value of the combination index (CI) of NMD/DOX was less than 1 indicating a synergistic effect. Combined DOX/NMD treatment also caused G1 arrest and potentiated apoptosis more than DOX‐single treatment. At the molecular levels, NMD/DOX treatment downregulated the mRNA of MDR1 and Bcl‐2; while upregulated the Bax gene compared with DOX alone. Conclusion: the results confirmed the potential of NMD in sensitizing Breast cancer to DOX by targeting MDR1 and suppressing the Bcl‐2 gene while upregulating the Bax gene. Additionally, NMD could be repurposed to reduce the therapeutic doses of DOX as indicated by the dose reduction index (DRI) and subsequently decrease its side effects (especially cardiotoxicity), along with decreasing the chemoresistance of breast cancer cells to DOX treatment.

DOI

10.21608/ejchem.2022.155714.6731

Keywords

apoptosis, calcium channel blocker, Cell cycle, CHEMORESISTANCE, Doxorubicin, Nimodipine

Authors

First Name

Salma Z.

Last Name

Khafagy

MiddleName

-

Affiliation

Molecular Biology Department, Genetic Engineering and Biotechnology Institute, University of Sadat City, Sadat City, Egypt, Medical Laboratory Department, Faculty of Applied Medical Sciences, October 6 University, Cairo, Egypt

Email

-

City

-

Orcid

-

First Name

Hanan M

Last Name

El Henfay

MiddleName

-

Affiliation

Molecular Biology Department, Genetic Engineering and Biotechnology Institute, University of Sadat City, Sadat City, Egypt

Email

-

City

-

Orcid

-

First Name

Mahmoud

Last Name

Lotfy

MiddleName

-

Affiliation

Molecular Biology Department, Genetic Engineering and Biotechnology Institute, University of Sadat City, Sadat City, Egypt

Email

-

City

-

Orcid

-

First Name

Mohammed F.

Last Name

Elshal

MiddleName

-

Affiliation

Molecular Biology Department, Genetic Engineering and Biotechnology Institute, University of Sadat City, Sadat City, Egypt

Email

mohamed.elshal@gebri.usc.edu.eg

City

-

Orcid

-

Volume

65

Article Issue

13

Related Issue

37459

Issue Date

2022-12-01

Receive Date

2022-08-11

Publish Date

2022-12-01

Print ISSN

0449-2285

Online ISSN

2357-0245

Link

https://ejchem.journals.ekb.eg/article_257257.html

Detail API

https://ejchem.journals.ekb.eg/service?article_code=257257

Order

257,257

Type

Original Article

Type Code

297

Publication Type

Journal

Publication Title

Egyptian Journal of Chemistry

Publication Link

https://ejchem.journals.ekb.eg/

MainTitle

Molecular Effects of Targeting Multidrug Resistance of Doxorubicin Treated Breast Cancer Cells Using the Calcium Channel Blocker Nimodipine

Details

Type

Article

Created At

22 Jan 2023