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عضویت

جستجوی مقالات مرتبط با کلیدواژه "fluorouracil" در نشریات گروه "پزشکی"

  • Khadijeh Ramezani Aliakbari, Seyed Amir Jalali, Maedeh Alinejad, Mahmood Jeddi Tehrani, Mahdi Shabani *
    Background

     Myeloid Derived Suppressor Cells (MDSCs) are capable of inhibiting both innate and adaptive immune responses and accumulate in the microenvironment of breast tumors. Hence, MDSC depletion by chemotherapeutic agents can improve clinical efficacy of cancer immunotherapy. The effects of 5-FU and doxorubicin agents on MDSC reduction in 4T1 breast cancer murine model were evaluated.

    Methods

     5×105 of 4T1 tumor cells were injected into mammary fat pad of BALB/c female mice. Tumor bearing mice were randomly divided into 4 groups: PBS receiving control group, doxorubicin receiving groups at doses of 2.5 and 5 mg/kg, and 5-FU receiving group at dose of 50 mg/kg. Doxorubicin and 5-FU agents were intraperitoneally administrated at three doses with 5-day intervals and five doses for three times a week, respectively. Then, on day 20 post tumor cells injection, spleens and tumors were isolated to determine frequency of CD11b+ Gr1+ MDSCs by flow cytometry analysis.

    Results

     5-FU was able to reduce significantly both splenic and interatumoral MDSCs comparing to control group (p=0.0276 and p=0.0067, respectively). Also, Doxorubicin treatment at dose of 50 mg/kg was associated to a significant reduction of splenic MDSCs in comparison to untreated group (p=0.0382). However, only 5-FU injection led to inhibit notably tumor growth in comparison to control group (p=0.0139).

    Conclusion

     Findings show that 5-FU has inhibitory effects on MDSCs and tumor growth in 4T1 tumor model. So, more investigations are needed to study combination of 5-FU with immune based approaches to enhance the efficacy of cancer therapies.

    Keywords: Breast Cancer, Fluorouracil, Immunotherapy, Mammary Neoplasm, Tumor Microenvironment, Treatment Outcome
  • Basheer Kadhum Kharmeet, Mohammad Khalaj-Kondori*, Mohammadali Hosseinpour Feizi, Jafar Hajavi
    Background

    Pro-inflammatory cytokines play critical roles in cancer pathobiology and have been considered potential targets for cancer management and therapy. Understanding the impact of cancer therapeutics such as 5-fluorouracil (5-FU) on their expression might shed light on development of novel combinational therapies. This study aimed to  encapsulate 5-FU into PLGA  and evaluate their effects on the expression of pro-inflammatory genes IL-9, IL-17-A, IL-23, and IFN-γ in the HT-29 cells.

    Methods

    PLGA-5-FU NPs were constructed and characterized by Dynamic Light Scattering (DLS) and Atomic Force Microscopy (AFM). The cytotoxicity was evaluated by MTT test and, the IC50 was identified. HT-29 cells were treated with different concentrations of the PLGA-5-FU NPs for 48 hours and, gene expression levels were analyzed by qRT-PCR.

    Results

    DLS and AFM analysis revealed that the prepared PLGA-5-FU NPs were negatively charged spherical-shaped particles with a mean size of 215.9 ± 43.3 nm. PLGA-5-FU NPs impacted the viability of HT-29 cells in a dose- and time-dependent manner. The qRT-PCR results revealed a dose-dependent decrease in the expression of IL-9, IL-17A, IL-23 and IFN-γ genes, and their expressions were significantly different in both 10 and 20 µg/mL treated groups compared to the control. However, although the treatment of HT-29 cells with 20 µg/mL free 5-FU resulted in decreased expression of the studied genes, the differences were not statistically significant compared to the control group.

    Conclusions

    PLGA-5-FU NPs significantly suppressed expression of the IL-9, IL-17A, IL-23 and IFN-γ genes, and the encapsulation of 5-FU into PLGA improved considerably impact of the 5-FU on the HT-29 cells.

    Keywords: Cancer Therapy, Colorectal Cancer, Fluorouracil, Polylactic Acid-Polyglycolic Acid Copolymer (PLGA), Pro-Inflammatory Cytokine
  • Xianke Lin, Jiajia Pan, Hammza Hamoudi, Jiren Yu *
    Objective (s)

    5-Fluorouracil (5-FU) is currently the main drug used in chemotherapy for gastric cancer (GC). The main clinical problems of 5-FU therapy are insensitivity and acquired resistance to 5-FU. The mechanism of GC cell resistance to 5-FU is currently unknown.

    Materials and Methods

    This study employed next-generation sequencing (NGS) to analyze the differentially expressed genes (DEGs) in chemotherapy-sensitive and non-sensitive GC tissues. In addition, a bioinformatics analysis was conducted using the GC dataset of GEO, and further validated and explored through in vitro experiments.

    Results

    Thyroid adenoma-associated gene (THADA) was highly expressed in GC tissues from chemotherapy-sensitive patients and was an independent prognostic factor in GC patients receiving postoperative 5-FU adjuvant chemotherapy. Notably, heightened THADA expression in GC cells was associated with the down-regulation of autophagy-related proteins (LC-3, ATG13, ULK1, and TFEB). Furthermore, the PI3K/AKT/mTOR signaling pathway and mTORC1 signaling pathway were remarkably increased in patients with elevated THADA expression. THADA expression was associated with mTOR, the core protein of the mTOR signaling pathway, and related proteins involved in regulating the mTORC1 signaling pathway (mLST8, RHEB, and TSC2). THADA exhibited inhibitory effects on autophagy and augmented the sensitivity of GC cells to 5-FU through the PI3K/AKT/mTOR signaling pathway.

    Conclusion

    The findings suggest that THADA may be involved in the regulatory mechanism of GC cell sensitivity to 5-FU. Consequently, the detection of THADA in tumor tissues may bring clinical benefits, specifically for 5-FU-related chemotherapy administered to GC patients with elevated THADA expression.

    Keywords: Autophagy, Fluorouracil, Human, Stomach Neoplasms THADA protein, TOR Serine-Threonine- Kinases
  • مصطفی داود نتاج، محسن وکیلی صادقی*، نغمه ضیایی امیری، مجید نبی پور، همت قلی نیا آهنگر
    زمینه

    سمیت قلبی ناشی از فلوروپیریمیدین ها یک عارضه ناشایع اما بالقوه کشنده است.فراوانی آن در مطالعات قبلی 6/1 تا 19درصد بوده است. اما آمار دقیقی در ایران وجود ندارد. هدف این مطالعه تعیین میزان عوارض قلبی انفوزیون 5-فلویوراوراسیل است.

    روش کار

    این مطالعه آینده نگر در بیماران مبتلا به کانسرهای گوارشی که بیمارستان روحانی بابل تحت شیمی درمانی با رژیم های حاوی انفوزیون 24 ساعته 5-FU قرار گرفتند، انجام شد. بیماران با سابقه رادیوتراپی به قفسه سینه یا اپی گاستر یا ابتلا به بیماری کووید 19 در 6 هفته گذشته از مطالعه خارج شدند. هر بیمار در 2 دوره شیمی درمانی بررسی شد. در صورت بروز عارضه، بررسی های قلبی شامل معاینه، نوار قلب، اکوکاردیوگرافی و در صورت لزوم آنژیوگرافی عروق کرونر انجام شد. توصیف و تحلیل اطلاعات به وسیله نرم افزار SPSS نسخه 26 و با استفاده از شاخص های توصیفی و آزمون آماری دقیق فیشر در سطح معناداری 0/05 و کمتر انجام پذیرفت.

    یافته ها

    در شصت و یک بیمار، 122 دوره شیمی درمانی بررسی شد. سرطان زمینه ای در 32 بیمار، کانسر کولورکتال و در24 نفر، کانسر معده بود. در یازده دوره شیمی درمانی، تعداد هشت بیمار (13/11%) دچار عارضه قلبی شدند که شامل 7 مورد درد قفسه سینه و یک مورد هریک از عوارض انفارکتوس میوکارد، برادیکاردی، ادم ریوی حاد و پریکاردیت بوده است. چهار بیمار از 8 بیمار فقط در اولین نوبت، یک نفر فقط در دومین و سه بیمار در هر دو نوبت شیمی درمانی دچار عوارض شدند (0/004=P). میزان بروز عوارض در بیماران بدون سابقه بیماری قلبی 8/7 درصد و در بیماران با سابقه بیماری قلبی 26/7درصد (0/073=P)، در بیماران غیرسیگاری 10 درصد و در افراد سیگاری 30 درصد (0/084=P)، در بیماران غیردیابتی 10/6 درصد و در افراد دیابتی 21/4 درصد (0/294=P) گزارش شده است.

    نتیجه گیری

     عوارض قلبی در تزریق 24 ساعته داروی 5-فلویوراوراسیل شایع است. بیماری که یک بار دچار عارضه قلبی شود، احتمال بیشتری برای بروز عارضه در سیکل های بعدی دارد.

    پیامدهای عملی:

      از آنجاکه عارضه قلبی انفوزیون 24 ساعته فلویوراوراسیل، مخصوصا در بیماران با سابقه بیماری قلبی شایع است، مونیتورینگ قلبی این بیماران در طی بستری توصیه می شود.

    کلید واژگان: فلوروئوراسیل, شیمی درمانی, سرطان, عوارض قلبی
    Mostafa Davoodnataj, Mohsen Vakili Sadeghi*, Naghmeh Zieaie Amiri, Majid Nabipour, Hemmat Gholinia Ahangar
    Background

    Cardiotoxicity caused by fluoropyrimidines is an uncommon but potentially fatal complication. Its frequency has been 1.6 to 19% in previous studies. But there are no accurate statistics in Iran. The aim of this study was to determine the rate of cardiac complications of 5-fluorouracil (5-FU) infusion.

    Methods

    This prospective study was conducted in patients with gastrointestinal cancers who underwent chemotherapy with regimens containing 24-hour infusion of 5-FU at Rohani Hospital of Babol. Patients with a history of radiation therapy to the chest or epigastrium or suffering from COVID-19 disease in the last 6 weeks were excluded from the study. Each patient was examined in 2 cycles of chemotherapy. In case of complications, cardiac examinations including examination, electrocardiogram, echocardiography and if necessary, coronary angiography were done. Data analysis was done with SPSS 26 software using descriptive indices and Fisher exact test (significance≤0.05).

    Results

     In sixty one patients, 122 courses of chemotherapy were evaluated. Underlying cancer was colorectal cancer in 32 patients, stomach cancer in people. Eight patients (13.11%) had cardiac complication, in eleven chemotherapy cycles, included 7 cases of chest pain and one case of each of complications of myocardial infarction, pulmonary edema and pericarditis. Four out of 8 patients suffered from complications only in the first round, one only in the second round and three patients in both rounds of chemotherapy (P=0.004).The incidence rate of complications in patients without a history of heart disease was 8.7% and in patients with a history of heart disease 26.7%(P=0.073), in non-smokers 10% and in smokers 30%(P=0.084). It was 10.6% in non-diabetic patients and 21.4% in diabetic patients (P=0.294).

    Conclusion

     Cardiac complications are common in 24-hour injection of 5-fluorouracil. A patient who has a heart complication once, might have a higher probability of having a complication in the next cycles.

    Practical Implications:

    Due to the high prevalence of cardiac complications of 24-hour floururacil infusion, especially in patients with a history of heart disease, careful cardiac monitoring during hospitalization is recommended.

    Keywords: Fluorouracil, Chemotherapy, Neoplasms, Cardiotoxicity
  • فرشته سیرجانی، خدیجه شاهرخ آبادی*، جواد بهارآرا
    هدف

    سرطان پانکراس یکی از کشنده ترین سرطان های مربوط به سیستم دستگاه گوارش در جهان محسوب می شود. با توجه به افزایش مقاومت سلول های سرطانی به شیمی درمانی و عوارض جانبی آن، نیاز به داروهایی با عوارض جانبی کمتر و همچنین دارای منشا طبیعی احساس می شود. 

    روش ها

    در این تحقیق تجربی به بررسی اثر هارمین و استفاده توام آن با فلورویوراسیل برای القای آپوپتوز در سلول های سرطانی پانکراس، رده سلولی AsPC-1 پرداخته شد. برای مطالعه اثرات سایتوتوکسیک از روش رنگ سنجی و سمیت سلولی برای بررسی تعیین نوع مرگ سلولی از روش رنگ آمیزی (4,6-Diamidino-2-phenylindole dihydrocholoride) DAPI  و تست   Annexin V/ PI (Annexin-V Propidium Iodide) استفاده شد. میزان بیان ژن های آپوپتوزی P53, BAX, Caspase-3 و Caspase-9 با روش Real time-PCR اندازه گیری شد. داده ها با روش آماری (آزمون واریانس یک طرفه آنووا) در سطح معناداری 0/05

    یافته ها

     یافته های حاصل از روش MTT نشان داد کاربرد توام هارمین با غلظت 20 میکروگرم بر میلی لیتر و فلورویوراسیل با دز 10 میکروگرم بر میلی لیتر سبب کاهش رشد (05/IC50, P<0) رده AsPC-1 شد. نتایج به دست آمده از رنگ آمیزی DAPI و تست انکسین القای آپوپتوز را در نمونه های تحت آزمایش نشان داد. همچنین نتایج تست ریل تایم نیز نشان داد بیان ژن های ،P53 کاسپاز 3،BAX  و کاسپاز 9 در گروه های آزمایش نسبت به گروه کنترل افزایش معنادار است.

    نتیجه گیری

    نتایج نشان داد کاربرد هم زمان هارمین و فلورویوراسیل به دلیل داشتن سیتوتوکسیسیته بالا باعث القای آپوپتوز در سلول های سرطانی پانکراس و کاهش غلظت مصرفی داروی شیمی درمانی می شود. بنابراین می توان آن را به عنوان کاندیدایی جهت همراهی با داروی سرطان پیشنهاد کرد.

    کلید واژگان: سرطان پانکراس, هارمین, فلورویوراسیل, کاسپاز
    Fereshte Sirjani, Khadije Shahrokhabadi*, Javad Baharara
    Objective

    Pancreatic cancer is one of the deadliest cancers related to the digestive system in the world. Due to the increasing resistance of cancer cells to chemotherapy and its side effects, there is a need for drugs with fewer side effects and natural origin. In this study, the effect of harmine combined with fluorouracil on apoptosis induction in pancreatic cancer cells (AsPC-1) and the expression of apoptotic genes was investigated.

    Methods

    In this experimental study, MTT assay was used to study the cytotoxic effects. Annexin V/propidium iodide test and DAPI staining method were used to determine the type of cell death. The expression of apoptotic genes (P53, Bax, Caspase-3, and Caspase-9) was measured by real-time PCR. The data were analyzed using one-way ANOVA in SPSS software, version 16. The significance level was set at 0.05.

    Results

    The results of MTT assay showed that the use of harmine at 20 μg/mL concentration combined with 10 μg/mL fluorouracil significantly reduced the growth (IC50) of AsPC-1 cells. The results of DAPI staining and annexin V/propidium iodide test showed the induction of apoptosis in treated samples. In addition, the results of real-time PCR showed that the expression of BAX, P53, Caspase-3 and Caspase-9 genes increased in the treated groups compared to the control group.

    Conclusion

    The combined use of harmine and fluorouracil can induce apoptosis in pancreatic cancer cells due to high cytotoxicity and reduce the concentration of chemotherapy drugs. Therefore, this method can be used along with other treatment methods for pancreatic cancer.

    Keywords: Pancreatic Neoplasms, Harmine, Fluorouracil, Caspases
  • Maryam Ashjaran, Mirzaagha Babazadeh *, Abolfazl Akbarzadeh, Soodabeh Davaran, Roya Salehi
    Background
    Today, increasing attention is being paid to the application of biocompatible polymers as drug carriers with low cytotoxicity in drug delivery systems to enhance the therapeutic effects of anticancer agents.
    Materials and Methods
    In this study, a biocompatible synthetic polymer (grafted on graphene oxide), composed of N-isopropylacrylamide and 1-vinyl-2-pyrrolidone with L-lysine segments (Lys/PNIPAM-PVP/GO), was developed as a nano-vehicle for the drug. This platform was used for the delivery of fluorouracil (FU) to A549 human lung cancer cells. The superior characteristics of the platform included low-cost precursors, easy synthesis, and the presence of many functional groups for loading drugs. To determine and compare the cytotoxic effects of free FU and its formulated form on the A549 cells, MTT assay was performed; the results showed no significant toxicity difference between the two treated groups (free and formulated FU).
    For further evaluations, cellular uptake assays were performed via fluorescence microscopy and flow cytometry.
    Results
    Both analyses revealed the low internalization of nano-vehicle into the A549 cells, with 4.31% and 8.75% cellular uptakes in the first two and four hours of treatment. Therefore, the low penetration rate reduced the toxicity of drug-loaded nano-vehicle.
    Conclusion
    Finally, DAPI staining and Annexin V-FITC staining were performed as complementary techniques to determine cell apoptosis
    Keywords: Graphene oxide, drug carrier, Fluorouracil, A549 cell line, Lung cancer
  • Mehdi Hadjianfar*, Dariush Semnani, Jaleh Varshosaz, Sajad Mohammadi, Sayed Pedram Rezazadeh Tehrani
    Purpose

    5-Fluorouracil (5FU) and Fe3O4 nanoparticles were encapsulated in core-shellpolycaprolactone (PCL)/chitosan (CS) nanofibers as a multi-mode anticancer system to studydrug release sustainability. The structure of the core-shell drug delivery system was alsooptimized according to drug release behavior by artificial intelligence.

    Methods

    The core-shell nanofibers were electrospun by a coaxial syringe. Artificial neuralnetwork (ANN) was used for function approximation to estimate release parameters. A geneticalgorithm was then used for optimizing the structure. Chemical assay of the optimized samplewas performed by Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD),and energy-dispersive X-ray spectroscopy (EDX). vibration sample magnetometer (VSM) testwas conducted to measure the real amount of loaded magnetic nanoparticles. HepG2 cellcytotoxicity was studied and the results for the optimized samples with and without Fe3O4 after72 hours were reported.

    Results

    Feeding ratio of sheath to core and the amount of CS, Fe3O4, and 5FU had a statisticaleffect on nanofibers diameters, which were 300-450 nm. The drug loading efficiency of thesenanofibers was 65-86%. ANN estimated the release parameters with an error of 10%. Thetemperature increased about 5.6°C in the alternative magnetic field (AMF) of 216 kA.m-1~300kHz and 4.8°C in the AMF of 154 kA.m-1~400 kHz after 20 minutes. HepG2 cell cytotoxicityfor the optimized samples with and without Fe3O4 after 72 hours were 39.7% and 38.8%,respectively.

    Conclusion

    Since this core-shell drug release system was more sustainable compared to theblend structure despite the low half-life of 5FU, it is suggested to utilize it as post-surgicalimplants for various cancer treatments such as liver or colorectal cancer in the future. Thissystem is capable of providing chemotherapy and hyperthermia simultaneously.

    Keywords: Nanofibers, Drug delivery systems, Artificial intelligence, Fluorouracil, Chitosan, Magnetic field therapy
  • محمد مطهری نیا، مهدیه صادق پور*، منیر شالبافان
    مقدمه

    داروها عمدتا توسط پروتیین های پلاسما ازجمله آلبومین سرم انسانی در بدن انسان به بافت های هدف منتقل می شوند. با استفاده از روش های شبیه سازی مانند داکینگ مولکولی می توان اطلاعات کاربردی درباره مولفه های ترمودینامیکی داروها و پایداری آنها به دست آورد.

    مواد و روش ها

    در این پژوهش، بررسی های داکینگ مولکولی آلبومین سرم انسانی با داروی ضدسرطان فلورواوراسیل انجام شد. بار جزیی روی اتم های پروتیین آلبومین سرم و اتم های داروی فلورواوراسیل محاسبه گردید. جستجوی بهترین پیکربندی نیز با استفاده از Lamarckian genetic algorithm صورت پذیرفت. ابعاد grid maps  در حدود 40*40*40 انگستروم با فاصله 375/0 انگستروم انتخاب شد. تعداد genetic algorithm و تعداد بررسی ها به ترتیب در حدود 100 و 5/2 میلیون تنطیم گردید. در پایان بهترین پیکربندی برهمکنش انجام شده با کمترین مقدار انرژی آزاد انتخاب شد. به منظور مشاهده داکینگ انجام شده از نرم افزارهای گرافیکی Ligplot   و VMD استفاده گردید.

    یافته ها

     در بهترین نمونه، فلورواوراسیل قادر است با پروتیین آلبومین سرم انسانی HSA چهار پیوند هیدروژنی از طریق اتم های نیتروژن و اکسیژن با دو آمینواسید تیروزین، یک آمینواسید هیستیدین و یک آمینواسید آرژنین ارتباط برقرار می کند. برآورد انرژی های آزاد اتصال (kcal/ mol) برای بهترین نمونه برابر با 1/5- است. مقادیر منفی انرژی آزاد گیبس (ΔG°) نشان دهنده یک فرایند خودبه خودی است و مقدار ثابت اتصال (Ka ≈ 109 L • mol-1) بیانگر توزیع زیستی مطلوب دارو با پلاسمای خون است.

    بحث و نتیجه گیری

     بررسی داکینگ مدل های پیشنهادی نشان می دهد که فلورواوراسیل دارای حلقه ای آلیفاتیک است و دارای بخش های هیدروفوب است و به همین علت، توانایی بالایی در تشکیل برهمکنش های هیدروفوب با آمینواسیدهای اصلی در جایگاه فعال پروتیین سرم آلبومین دارد.

    کلید واژگان: آلبومین سرم انسانی, داکینگ مولکولی, داروی ضدسرطان, فلورواوراسیل, ثابت اتصال, انرژی آزاد اتصال
    Mohammad Motaharinia, Mahdieh Sadeghpour*, Monir Shalbafan
    Introduction

    Drugs are mainly delivered to the target tissues by plasma proteins, such as human serum albumin, in the human body. Practical information about the thermodynamic parameters of drugs and their stability can be obtained using simulation methods, such as molecular docking.

    Material & Methods

    This study, investigated the molecular docking of human serum albumin with fluorouracil anticancer drug. Moreover, partial charges on serum albumin protein atoms and fluorouracil atoms were calculated in this study. The best configuration was also searched using the Lamarckian genetic algorithm. The dimensions of the grid maps were selected to be about 40 * 40 * 40 angstroms with a distance of 0.375 angstroms. The number of genetic algorithms and the number of studies were adjusted to about 100 and 2.5 million, respectively. In the end, the best performed interaction configurations with the least amount of free energy were selected. Ligplot and VMD graphic software were used to view the performed docking.

    Findings

    In the best model, fluorouracil is able to bind to the human serum albumin protein HSA four hydrogen bonds via nitrogen and oxygen atoms with two amino acids tyrosine, one amino acid histidine and one amino acid arginine. The estimation of the free bond energies (kcal/mol) for the best model was -5.1. Negative Gibbs free energy values (ΔG °) indicated a spontaneous process, and a constant binding value (Ka ≈ 109 L • mol-1) demonstrated the optimal biological distribution of the drug in the blood plasma.

    Discussion & Conclusion

    The docking study of the proposed models shows that fluorouracil has an aliphatic ring and hydrophobic fractions and therefore it has a high ability to form hydrophobic interactions with major amino acids at the active site of serum albumin protein.

    Keywords: Anti-cancer drug, Binding constant, Fluorouracil, Gibbs free energy, Human serum albumin
  • Sarah Rahbar, Sajad Shafiekhani, Armin Allahverdi, Arezoo Jamali, Nasim Kheshtchin, Maryam Ajami, Zahra Mirsanei, Sima Habibi, Bahador Makkiabadi, Jamshid Hadjati, Amir Jafari *

    This study is designed to present an agent-based model (ABM) to simulate the interactions between tumor cells and the immune system in the melanoma model. The Myeloid-derived Suppressor Cells (MDSCs) and dendritic cells (DCs) are considered in this model as immunosuppressive and antigen-presenting agents respectively. The animal experiment was performed on 68 B16F10 melanoma tumor-bearing C57BL/6 female mice to collect dynamic data for ABM implementation and validation. Animals were divided into 4 groups; group 1 was control (no treatment) while groups 2 and 3 were treated with DC vaccine and low-dose 5- fluorouracil (5-FU) respectively and group 4 was treated with both DC Vaccine and low-dose of 5-FU. The tumor growth rate, number of MDSC, and presence of CD8+/CD107a+ T cells in the tumor microenvironment were evaluated in each group. Firstly, the tumor cells, the effector immune cells, DCs, and the MDSCs have been considered as the agents of the ABM model and their interaction methods have been extracted from the literature and implemented in the model. Then, the model parameters were estimated by the dynamic data collected from animal experiments.  To validate the ABM model, the simulation results were compared with the real data. The results show that the dynamics of the model agents can mimic the relations among considered immune system components to an emergent outcome compatible with real data. The simplicity of the proposed model can help to understand the results of the combinational therapy and make this model a useful tool for studying different scenarios and assessing the combinational results. Determining the role of each component helps to find critical times during tumor progression and change the tumor and immune system balance in favor of the immune system.

    Keywords: Fluorouracil, Melanoma, Myeloid-derived suppressor cells, Tumor microenvironment
  • Sunil Srivastava, Aditya Patil, Chaitra Prakash, Hiranmayi Kumari
    Background
    Despite the myriad options available, there is no universally accepted treatment for keloids. This study has compared intralesional triamcinolone acetonide, 5-fluorouracil, and their combination in treatment of keloids.
    Methods
    In this randomized parallel group study, 60 patients were enrolled and randomly allocated to three groups. Patients received intralesional injections of triamcinolone acetonide (TAC) in Group TAC, 5-fluorouracil (5FU) in Group 5FU and a combination in Group T every 3 weeks till 24 weeks or till the keloid resolved.
    Results
    There was a reduction in all parameters at every successive assessment in all three groups. Improvement in terms of height, vascularity and pliability was fastest with 5FU, TAC and T group, respectively, which was statistically significant. Decrease in pigmentation was significantly faster with T. Reduction in pruritus, however, was significantly faster with 5FU than the other groups, but the difference in reduction of pain among the three groups was not significant. Telangiectasias and skin atrophy were seen most commonly in TAC group, while skin ulceration was a common problem in 5FU group.
    Conclusion
    TAC, 5FU and their combination are all effective in keloid scars. A combination of TAC seems to offer the balanced benefit of faster and more efficacious response with lesser adverse effects when compared to individual drugs.
    Keywords: Keloid, Triamcinolone, Fluorouracil
  • Ehsan Ahmadi, Komail Sadrjavadi, Ghobad Mohammadi, Ali Fattahi *
    The objective of this study was to develop a novel bacterially-triggered micro-particular system of de-esterified tragacanth (DET) in combination with Eudragit S-100 coated capsules for colon drug delivery of 5-fluorouracil (5-FU) using microemulsion method. The loading study was conducted at different drug-to-polymer ratios and cross-linker concentrations. The maximum loading efficiency was achieved, 44.1% at 1:5 drug-to-polymer ratio and 0.7% cross-linker concentration. The FTIR results also confirmed the encapsulation of 5-FU in microspheres.
    The release profile was dependent on the cross-linker concentration, environmental pH, and presence of pectinase enzyme. Microspheres inserted into Eudragit S-100 coated capsules released less than 5% of the drug at stomach and small intestine pH levels, whereas 70% of the drug was released at colon pH levels, and about 25% of the drug did not release unless in the presence of pectinase enzyme. To omit burst release, microspheres were washed with water, and the release became pH independent, and was just achieved in the presence of pectinase enzyme. 5-FU loaded microspheres with an IC50 value of 80 µg/mL were as effective as the free drug on HT-29. Generally, the results demonstrated that drug-loaded microspheres inserted into Eudragit S-100 coated capsules can be effective for colon-targeted delivery.
    Keywords: De, esterified tragacanth, Microsphere, Micro emulsion, Eudragit S, 100, 5, Fluorouracil
  • صدیقه یوسفی، عباس پاکدل، حمیدرضا ثامنی، وحید سمنانی، نسرین خان محمدی، احمدرضا بندگی *
    هدف
    شیمی درمانی یکی از روش های درمانی سرطان کولون می باشد. 5 -فلورواوراسیل (5-Fluorouracil، 5-FU) به مدت چندین دهه است که به عنوان داروی مرسوم سرطان کولون مورد استفاده قرار می گیرد. کریسین یک فلاونوئید طبیعی است و در مطالعات in vivo و in vitro، رشد سرطان را، بدون ایجاد هر گونه سمیت و عوارض جانبی نامطلوب بر سلول های طبیعی مهار کرده است. این مطالعه جهت ارزیابی اثرات کریسین در ترکیب با 5-FU بر روی موش های سرطانی شده با آزوکسی متان (Azoxymethane، AOM) طراحی گردید.
    مواد و روش ها
    در این مطالعه تعداد 42 سر موش سوری Balb/C نر بالغ با وزن 18-15 گرم به طور تصادفی به 7 گروه، تقسیم شدند: 1) گروه کنترل سالم، 2) گروه کنترل سرطانی، 3) گروه 5-FU، 4) گروه کریسین (Chrysin) با دوز 50mg/kg ، 5) گروه کریسین با دوز mg/kg 100، 6) گروه کریسین با دوز mg/kg 50 و 5-FU، 7) گروه کریسین با دوز mg/kg 100 و 5-FU. در گروه 2 تا 7 با تزریق داخل صفاقی mg/kg 10 آزوکسی متان (AOM) و دکستران سدیم سولفات،(DSS-Dextran sodium sulfate) 5/1% در آب آشامیدنی، سرطان کولون ایجاد شد. درمان با کریسین در دوزهای mg/kg 100، 50 و 5-FU به صورت داخل صفاقی انجام شد. بعد از کشتن موش ها بررسی هیستوپاتولوژی (شامل؛ هایپرپلازی، دیسپلازی، کارسینوما و تعداد کانون کریپت های نابه جا، ACF) در ناحیه دیستال روده بزرگ مورد ارزیابی قرار گرفت.
    یافته ها
    ضایعات پاتولوژیک (هایپرپلازی، دیسپلازی و کارسینوما) و تعداد کانون کریپت های نابه جا (aberrant crypt foci ACF) در تمام گروه های درمانی نسبت به گروه کنترل سرطانی کم تر بود (0/05p<). مقایسه بین گروه ها نشان داد که تعداد ACFها با تعداد ضایعات پاتولوژیک متناسب است. تعداد ACFها در گروه های درمان ترکیبی کریسین با 5-FU نسبت به گروه های درمان شده با کریسین و 5-FU به تنهایی، کاهش معناداری داشت (0/05p<).
    نتیجه گیری
    کریسین دارای اثر هم افزایی با 5-FU در کاهش تعداد کریپت های نابه جا می باشد. کریسین می تواند به عنوان یک عامل ضد سرطان در ترکیب با سایر داروهای ضد سرطان در دسترس مانند 5-FU مورد توجه قرار گیرد.
    کلید واژگان: سرطان کولون, آزوکسی متان, کریسین, فلورواوراسیل, درمان ترکیبی
    Sedighe Yosefi, Abbas Pakdel, Hamidreza Sameni, Vahid Semnani, Nasrin Khanmohammadi, Ahmadreza Bandegi *
    Introduction
    Chemotherapy is one of the procedures in colon cancer treatment. 5–Fluorouracil (5-FU), a conventional drug for colon cancer treatment is used for several decades. Chrysin is a natural flavonoid that inhibits the growth of cancer cells. In vivo and also in vitro studies have showed that Chrysin does not have any toxic side effects on normal cells. This study was designed to evaluate the effects of Chrysin in combination with 5-FU on azoxymethane (AOM) - induced colon cancer in mice.
    Materials And Methods
    In this study 42 male balb/c mice weighing 15-18 g, were used. Mice were divided into seven groups: 1) Health control, 2) Cancer Control, 3) 5-FU, 4) Chrysin with dose of 50 mg/kg, 5) Chrysin with dose of 100 mg/kg, 6) Chrysin with dose of 50 mg/kg plus 5-FU, 7) Chrysin with dose of 100 mg/kg plus 5-FU. Colon cancer was induced by i.p. infusion of AOM (10mg/kg) and (Dextran sodium sulfate) DSS (1.5%) in the drinking water for one week. All rats were sacrificed for evaluation of histopathology (hyperplasia, dysplasia, carcinoma and the number of aberrant crypt foci ,ACF) in distal region of large intestine.
    Results
    Pathological lesions (hyperplasia, dysplasia and carcinoma) and the number of aberrant crypt foci (ACF) was lower in all treatment groups compared to the cancer control group (p
    Conclusion
    Chrysin has a synergistic effect with 5-FU in reducing the number of ACFs. Chrysin can be considered as an anti-cancer agent in combination with other anti-cancer drugs available, such as 5-FU
    Keywords: Colon Cancer, Azoxymethan, Chrysin, Fluorouracil, Combination Therapy
  • Samideh Khoei, Roghayeh Poorabdollahi, Ahmad Mostaar, Fariborz Faeghi
    Objective
    This study intended to observe the effects of methoxyamine (Mx) on cytotoxic effects and DNA damage caused by 5-Fluorouracil (5-FU) in combination with gamma radiation in a human colon cancer cell line, HT29.
    Materials And Methods
    In this experimental study, HT29 cells were cultured as a monolayer and treated with different concentrations of 5-FU along with 1 mM Mx for 24 hours. Next, the cells were irradiated with 2 Gy gamma radiation. After the treatments, we assessed for DNA damage, cytotoxicity, and viability by alkaline comet, clonogenic survival, and trypan blue dye exclusion assays.
    Results
    Cytotoxicity and DNA damage increased with increasing 5-FU concentration. The 1 mM Mx concentration had no significant effect on cytotoxicity and DNA damage from 5-FU; however, it increased the cytotoxic and genotoxic effects of different concentrations of 5-FU when used in combination with 2 Gy gamma radiation.
    Conclusion
    Mx combined with 5-FU enhanced the radiosensitivity of colon cancer cells.
    Keywords: 5, Fluorouracil, Methoxyamine, Radiation, Comet Assay, Colon Cancer
  • Amir Mehdizadeh, Morteza Bonyadi, Masoud Darabi, Reza Rahbarghazi, Soheila Montazersaheb, Kobra Velaei, Maghsood Shaaker, Mohammad-Hossein Somi*
    Introduction
    Cancer cells are critically correlated with lipid molecules, particularly fatty acids, as structural blocks for membrane building, energy sources, and related signaling molecules. Therefore, cancer progression is in direct correlation with fatty acid metabolism. The aim of this study was to investigate the potential effects of common chemotherapeutic agents on the lipid metabolism of hepatocellular carcinoma (HCC) and colorectal cancer (CRC) cells, with a focus on alterations in cellular fatty acid contents.
    Methods
    Human HepG2 and SW480 cell lines as HCC and CRC cells were respectively cultured in RPMI-1640 medium supplemented with non-toxic doses of 5-fluorouracil and doxorubicin for 72 hours. Oil Red O dye was used to estimate intracellular lipid vacuole intensity. Fatty acid analysis of isolated membrane phospholipids and cytoplasmic triglycerides (TG) was performed by gas-liquid chromatography (GLC) technique.
    Results
    Oil red O staining represented significantly higher lipid accumulation and density in cancer cells after exposure to the chemotherapeutic agents as compared to non-treated control cells. Doxorubicin and 5-fluorouracil treatment promoted the channeling of saturated fatty acids (SFAs) from phospholipids to triglyceride pool in both HepG2 (.91% and .50%, P
    Conclusion
    Our data showed that common chemotherapeutic agents of HCC and CRC can induce significant changes in cellular lipid accumulation and distribution of fatty acids through producing highly saturated and unsaturated lipid droplets and membrane lipids, respectively. These metabolic side effects may be associated with gastrointestinal cancers treatment failure.
    Keywords: Chemotherapy, Doxorubicin, Fatty acids, Fluorouracil, Lipid droplets
  • Najmeh Showraki, Maryam Mardani, Masoumeh Emamghoreishi, Azadeh Andishe, Tadbir, Alireza Aram, Peiman Mehriar, Mahmoud Omidi, Masood Sepehrimanesh, Omid Koohi, Hosseinabadi, Nader Tanideh
    Statement of the Problem: Oral mucositis (OM) is a common side effect of anti-cancer drugs and needs significant attention for its prevention.
    Purpose
    This study aimed to evaluate the healing effects of olive leaf extract on 5-fluorouracil-induced OM in golden hamster.
    Materials And Method
    OM was induced in 63 male golden hamsters by the combination of 5-fluorouracil injections (days 0, 5 and 10) and the abrasion of the cheek pouch (days 3 and 4). On day 12, hamsters were received topical olive leaf extract ointment, base of ointment, or no treatment (control) for 5 days. Histopathology evaluations, blood examinations, and tissue malondialdehyde level measurement were performed 1, 3 and 5 days after treatments.
    Results
    Histopathology score and tissue malondialdehyde level were significantly lower in olive leaf extract treated group in comparison with control and base groups (p= 0.000). Significant decreases in white blood cell, hemoglobin, hematocrit , and mean corpuscular volume and an increase in mean corpuscular hemoglobin concentration were observed in olive leaf extract treated group in comparison with control and base groups (p
    Conclusion
    Our findings demonstrated that daily application of olive leaf extract ointment had healing effect on 5-fluorouracil induced OM in hamsters. Moreover, the beneficial effect of olive leaf extract on OM might be due to its antioxidant and anti-inflammatory properties.
    Keywords: 5, fluorouracil, Anti, inflammatory, Antioxidant, Olive Leaf, Oral Mucositis
  • Hodjatollah Shahbazian, Sasan Razmjoo, Shoale Arvandi, Seyed Mohammad Hosseini, Mehran Hoseinzadeh, Ahmad Ahmadzadeh Deilamani, Fatemeh Mohammadian*
    Background
    The optimal protocol for administration of 5-fluorouracil (5-FU) in chemotherapy of colorectal cancer is unknown..
    Objectives
    We compared treatment outcomes of short-time infusion of 5-FU (8-hour infusion) with 22-hour infusion, in chemotherapy management of colorectal cancer..
    Patients and
    Methods
    A retrospective study was conducted on colon cancer patients, who have been treated for at least 24 weeks with the FOLFOX regimen (5-FU, leucovorin, and oxaliplatin). Patients who had received infusion of 5-FU, either over 8 hours (5-FU 8h) or over 22 hours (5-FU 22h) were selected. The study endpoints were 3 and 5 years disease free survival and overall survival..
    Results
    A total of 58 patients, in the 5-FU 8h, and 50 patients, in the 5-FU 22h groups, were studied. Based on the intention-to-treat analysis, there was a lower overall mortality (44% vs. 22.4%, P = 0.023) and lower overall relapse (46% vs. 18.9%, P = 0.004), as well as a higher 3 years disease free survival (81% vs. 58%, P = 0.011) in the 5-FU 8h, compared with 5-FU 22h group. The Log Rank test showed a difference between the two groups, for disease free survival (P = 0.008), as well as overall survival (P = 0.014), confirmed by Cox Regression analysis: hazard ratio [95% CI] = 0.365 [0.160 to 0.833] and 0.286 [0.100 to 0.817], respectively..
    Conclusions
    We found better outcomes for the colon cancer patients, who had received infusion of 5-FU 8h, compared with 5-FU 22h, in the FOLFOX chemotherapy. These findings should be tested in prospective clinical trials..
    Keywords: Fluorouracil, Folfox Protocol, Chemotherapy, Colorectal Neoplasms
  • Ebrahim Eftekhar, Hajar Jaberi, Fakhraddin Naghibalhossaini*
    Understanding the mechanism of tumor resistance is critical for cancer therapy. In this study, we investigated the effect of carcinoembryonic antigen (CEA) overexpression on UV-and 5-fluorouracil (5-FU)-induced apoptosis and autophagy in colorectal cancer cells. We used histone deacetylase (HDAC) inhibitor, NaB and DNA demethylating agent, 5- azacytidine (5-AZA) to induce CEA expression in HT29/219 and SW742 colorectal cancer cell lines. MTT assay was used to measure IC50 value of the cells exposed to graded concentrations of 5- FU with either 0.1 mM NaB or 1 μM 5-AZA for 72 h . Using CHO- and SW742-CEA transfectants, we also investigated the effect of CEA expression on UV- and 5-FU-induced apoptosis and autophagy. Treatment of HT29/219 cell line with NaB and 5-AZA increased CEA expression by 29% and 31%, respectively. Compared with control cells, the IC50 value for 5-FU of NaB and 5-AZA-treated cells increased by 40% and 57%, respectively. Treatment of SW742 cells with NaB or 5-AZA increased neither CEA expression nor the IC50 value for 5-FU. In comparison to parental cells, CEA expression also significantly protected transfected cells against UV-induced apoptosis. Decreased proportions of autophagy and apoptosis were also observed in 5-FU treated SW742- and CHO-CEA transfectants. We conclude that CEA expression can effectively protect colorectal cancer cells against radiation and drug-induced apoptosis and autophagy.
    Keywords: Carcinoembryonic antigen (CEA), colorectal cancer, 5, fluorouracil, apoptosis, autophagy
  • پریسا زرگر، اسماعیل غنی، فریده جلالی مشایخی، ابراهیم افتخار *
    زمینه و هدف
    درصد کمی از بیماران مبتلا به سرطان کولورکتال (CRC) به داروی 5- فلورویوراسیل (5-FU)، به عنوان داروی شیمی درمانی رایج، پاسخ می دهند. در مطالعه حاضر با هدف طراحی و مطرح ساختن یک پروتکل شیمی درمانی جدید، تاثیر ترکیب هم زمان اکریفلاوین (ACF) با 5-FU برمیزان مرگ و میر سلول های CRC مورد مطالعه قرار گرفته است.
    مواد و روش ها
    از تست MTT برای ارزیابی اثر سیتوتوکسیک داروهای 5-FU و ACF بر رده های سلولی CRC (HCT116،LS174T و SW480) استفاده شد. سلول ها با غلظت های متفاوت آکریفلاین (07/0 تا 5 میکرومولار) یا 5-FU (5/0 تا 64 میکرومولار) برای 72 ساعت تیمار شدند و سپس درصد زنده ماندن سلول ها و IC50 داروها محاسبه شد. برای ارزیابی تاثیر داروی ACF بر خاصیت ضد سرطانی 5-FU، سلول ها با غلظت های متفاوت 5-FU و غلظت IC30 داروی ACF به صورت هم زمان تیمار شدند.
    یافته ها
    ACF و 5-FU یک اثر مهاری وابسته به دوز بر رشد سلول های رده CRC داشتند. سلول های LS174T بیشترین و سلول های SW480 کمترین حساسیت را در مقابل داروی ACR و 5-FU نشان دادند. تیمار هم زمان دو دارو نشان داد که در حضور ACF حساسیت سلول ها در مقابل 5-FU تغییر معنی داری نمی یابد(05/0p>).
    نتیجه گیری
    مطالعه حاضر نشان داد که داروی ACF بر هر سه رده سلول های CRC دارای اثر سیتوتوکسیک بوده و باعث مرگ و میر آن ها می شود. با این حال استفاده هم زمان از ACF و 5-FU نمی تواند خاصیت ضد سرطانی داروی 5-FU را بهبود بخشد.
    کلید واژگان: 5, فلوئورویوراسیل, اکریفلاوین, سرطان کولورکتال, شیمی درمانی
    Parsa Zargar, Esmaeel Ghani, Farideh Jalali Mashayekhi, Ebrahim Eftekhar*
    Background
    A small percent of patients with colorectal cancer (CRC) respond to 5-Fluorouracil (5-FU), as a first line of chemotherapy. In this study in, in order to design a new chemotherapy protocol, the effect of 5-FU and acriflavine (ACF) cotreatment on mortality rate of CRC cell lines was investigated.
    Materials And Methods
    Cytotoxicity of 5-FU and ACF against CRC cell lines (LS174T, SW480 and HCT116) was detected using MTT assay. Cells were treated with different concentrations of 5-FU (0.5-64 µM) or ACF (0.07-5 µM) for 72 hours and then cell viability and drugs IC50 was calculated. To assess the effect of ACF on anticancer activity of 5-FU, cells were cotreated with different concentrations of 5-FU and IC30 concentration of ACF.
    Results
    ACF and 5-FU suppress the viability of CRC cell lines in dose-dependent manner. 5-FU and ACF have most cytotoxic effect on LS174T and the lowest cytotoxic effect on SW480 cells. Cotreatment of ACF with 5-FU could not significantly change the sensitivity of cells against 5-FU (p>0.05).
    Conclusion
    In this study, the fatal and cytotoxic effect of ACF on three CRC cell lines was shown. However, cotreatment of ACF with 5-FU could not improve the anticancer activity of 5-FU.
    Keywords: 5, fluorouracil, Acriflavine, Colorectal cancer, Chemotherapy
  • Afshin Namdar, Hamid Reza Mirzaei*, Farhad Jadidi, Niaragh, Mahboubeh Ashourpour
    Background
    Melanoma progression and metastasis is suggested to be mediated by increased accumulation of myeloid derived suppressor cells. Various chemotherapeutic drugs such as 5-Fluorouracil in single low concentration have the capacity, at least in part, to reverse tumor progression by reducing myeloid derived suppressor cells-mediated immunosuppression.
    Objective
    To assess whether multiple low doses of 5-fluorouracil could repress myeloid derived suppressor cells in low frequency and, in turn, could enhance anti-tumor responses and promote a more prolonged survival in a murine melanoma model.
    Methods
    Fifty milligram per kilogram body weight dose of 5-Flourouracil was administered intraperitoneally 4 times with 3-day intervals to C57BL/6 mice after B16 melanoma tumor models were established. The frequency and suppressive functions of myeloid derived suppressor cells and induction of anti-tumor CD8+ T cells as well as tumor growth and survival were evaluated in drug treated and untreated mice.
    Results
    Our results demonstrated that this therapeutic strategy increases the overall mice survival (p≤0.01) and induces melanoma-specific CD8+T cell immunity (p≤0.01) by reducing the frequency of myeloid derived suppressor cells (p≤0.01) as well as their immune suppressive functions (p≤0.05).
    Conclusion
    Altogether, our data suggest that 5-fluorouracil in multiple low regimens might be used to overcome tumor immunosuppression and improve the efficacy and outcome of anti-tumor immune responses in a mouse model.
    Keywords: 5, Fluorouracil, Melanoma, Myeloid Derived Suppressor Cells
  • Si Zhang, Zhaolian Lu, Hongmei Liang, Ximei Fu, Yan Zhang, Xin Liu, Genshu Bao, Tao Jing, Xuan Wang, Meng Wang, Julong Wu, Gen Chen
    Background
    5-Fluorouracil could lead to a decline in fertility in Caenorhabditis elegans. The aim of this study was to describe the mechanisms underlying such an altered fertility phenotype and to illustrate the specific genes and path-ways that are involved in the related phenotypic changes in C. elegans.
    Methods
    We isolated total RNA from the samples and used a new method called Digital Gene Expression (DGE), which can rapidly identify genes with altered transcript levels. The random genes were confirmed by real-time RT-PCR.
    Results
    We analyzed the results of two methods to draw conclusions based on a comparison between C. elegans and other harmful parasites. Compared with controls, 1147 genes were up-regulated, and 1067 were down-regulated. Overall, 101 up-regulated genes had a log2 ratio higher than 8, whereas the log2 ratio of 141 down-regulated genes was higher than 8. After mapping to the reference database, 4 pathways were confirmed to be involved in this phe-nomenon, with statistically significant participation from 19 genes.
    Conclusion
    For the first time, the transcript sequence of 5-Fu-treated worms and controls was detected. We found that 4 possible pathways, i.e., ECM-receptor interaction pathway, TGF-beta signaling pathway, Focal adhesion and Hypertrophic cardiomyopathy, may be involved in the number decline in the embryos of C. elegans. Specifically, the ECM-receptor interaction pathway and Focal adhesion may be very important pathways that alter the reproduction of C. elegans.
    Keywords: Caenorhabditis elegans, 5, Fluorouracil, Digital gene expression
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