AI Article Synopsis

  • Current treatments for pancreatic cancer have limited effectiveness, prompting a study on the combined use of sorafenib and gemcitabine to enhance patient outcomes.
  • The research involved experimenting with pancreatic cancer cells to assess how the drugs work together, looking into factors like cell growth, programmed cell death (apoptosis), and specific molecular changes.
  • Results showed that the combination of sorafenib and gemcitabine significantly inhibited cell proliferation and increased apoptosis, indicating a stronger therapeutic effect compared to either drug alone.

Article Abstract

Background: Current treatments have a modest impact on survival of pancreatic cancer patients and this study investigates the interaction between sorafenib and gemcitabine and the molecular pharmacodynamics of this combination.

Methods: The pancreatic cancer cells were treated with sorafenib and gemcitabine, alone or in combination. The effects of treatments were evaluated on cell proliferation, cell cycle, apoptosis, phosphorylation of Akt, c-Kit, ERK and VEGFR2, and expression of genes related to drug activity.

Results: Gemcitabine and sorafenib synergistically interacted on the inhibition of cell proliferation, and assessment of apoptosis demonstrated that drug associations increased the apoptotic index. Sorafenib reduced c-Kit, ERK and VEGFR2 activation and on the other hand, gemcitabine inhibited Akt phosphorylation. Moreover, quantitative PCR showed that sorafenib modulated the expression of genes related to gemcitabine activity, while gemcitabine induced the expression of RKIP.

Conclusion: These data demonstrate that gemcitabine and sorafenib combination displays a synergistic effect in pancreatic cancer cells.

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http://dx.doi.org/10.1159/000320031DOI Listing

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