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The extracts of Astragalus membranaceus enhance chemosensitivity and reduce tumor indoleamine 2, 3-dioxygenase expression.

Abstract
Astragalus membranaceus has been shown to possess anti-inflammation and antitumor properties. Several studies have indicated that extracts of Astragalus membranaceus (PG2) have growth inhibitory effects on tumor. However, the effect of PG2 on enhancing the chemotherapy, modulating tumor immune escape and their mechanism of action is unknown and need further investigation. Connexin (Cx) 43 is ubiquitous in cells and involved in facilitating the passage of chemotherapeutic drugs to bystander tumor cells. The indoleamine 2, 3-dioxygenase (IDO) depletes tryptophan, reduces the active T cell number and destroys immune surveillance. Herein, we provide evidence that the treatment of PG2 induced Cx43 expression, decreases IDO expression and enhances the distribution of chemotherapeutic drug. However, the effects of combination therapy (PG2 plus cisplatin) in animal models significantly retarded tumor growth and prolonged the survival. We believe that the information provided in this study may aid in the design of future therapy of PG2, suggest suitable combinations with chemotherapies.
AuthorsNaphichaya Phacharapiyangkul, Li-Hsien Wu, Wei-Ya Lee, Yi-Hsuan Kuo, Yueh-Jung Wu, Huei-Pu Liou, Yung-En Tsai, Che-Hsin Lee
JournalInternational journal of medical sciences (Int J Med Sci) Vol. 16 Issue 8 Pg. 1107-1115 ( 2019) ISSN: 1449-1907 [Electronic] Australia
PMID31523173 (Publication Type: Journal Article)
Chemical References
  • Antineoplastic Agents, Phytogenic
  • Connexin 43
  • Enzyme Inhibitors
  • GJA1 protein, mouse
  • Indoleamine-Pyrrole 2,3,-Dioxygenase
  • Plant Extracts
  • Cisplatin
Topics
  • Animals
  • Antineoplastic Agents, Phytogenic (administration & dosage, pharmacology)
  • Antineoplastic Combined Chemotherapy Protocols (pharmacology)
  • Astragalus propinquus (chemistry)
  • Cell Death (drug effects)
  • Cell Line, Tumor
  • Cisplatin (administration & dosage)
  • Connexin 43 (metabolism)
  • Drug Screening Assays, Antitumor
  • Enzyme Inhibitors (pharmacology)
  • Humans
  • Indoleamine-Pyrrole 2,3,-Dioxygenase (antagonists & inhibitors, metabolism)
  • Mice, Inbred C57BL
  • Plant Extracts (administration & dosage, pharmacology)
  • T-Lymphocytes (drug effects, immunology, pathology)
  • Xenograft Model Antitumor Assays

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