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Drug Combination Details

General Information of the Combination (ID: C06862)
Name Schisandrol B   NP Info  + Doxorubicin   Drug Info 
Structure +
Disease
Healthy individual [ICD-11: N.A.]
Investigative [1]
Cardiomyopathy [ICD-11: BC43]
Investigative [2]
Breast cancer [ICD-11: 2C60]
Investigative [3]
Ovarian cancer [ICD-11: 2C73]
Investigative [3]
Hepatocellular carcinoma [ICD-11: 2C12]
Investigative [3]
Lung cancer [ICD-11: 2C25]
Investigative [4]
    Click to Show/Hide the Whole Disease Information of This Combination
Combinatorial Therapeutic Effect(s) Validated Clinically or Experimentally
    α. Enhancing Drug Efficacy by This Combination
                 Achieving Therapeutic Synergy     Click to Show/Hide
                    Experiment 1 Reporting the Effect of This Combination [4]
                    Molecule(s)
                    Regulation
Up-regulation Expression CDH1  Molecule Info 
Pathway MAP
Down-regulation Expression MMP-9  Molecule Info 
Pathway MAP
Down-regulation Expression VEGFA  Molecule Info 
Pathway MAP
Down-regulation Expression VIM  Molecule Info 
Pathway MAP
                    In-vitro Model A-549 CVCL_0023 Lung adenocarcinoma Homo sapiens
                    In-vivo Model About 1.5 * 106 human A549 tumor cells suspended in 200 ul RPMI-1640 were injected into the right forelimb of BALB/c nude mice to establish the tumor-bearing mice model.
                    Experimental
                    Result(s)
Schisandrin B can not only enhanced the cytotoxicity of doxorubicin, but also inhibited the invasion and metastasis of tumors in an all-round way.
    β. Decreasing Adverse Drug Reaction by This Combination
                 Decreasing Adverse Drug Reaction     Click to Show/Hide
                    Experiment 1 Reporting the Effect of This Combination [1]
                    Molecule(s)
                    Regulation
Down-regulation Expression ABCB1  Molecule Info 
Pathway MAP
Down-regulation Expression MSH3  Molecule Info 
Pathway MAP
                    In-vivo Model Male ICR mice (18-22 g) and male Sprague-Dawley rats (300-350 g) were used in this study.
                    Experimental
                    Result(s)
Schisandrin B prevents doxorubicin-induced cardiotoxicity via enhancing glutathione redox cycling.
                    Experiment 2 Reporting the Effect of This Combination [5]
                    Molecule(s)
                    Regulation
Up-regulation Cleavage CASP9  Molecule Info 
Pathway MAP
                    In-vitro Model SMMC-7721 CVCL_0534 Hepatocellular carcinoma Homo sapiens
MCF-7 CVCL_0031 Invasive breast carcinoma Homo sapiens
                    Experimental
                    Result(s)
Sch B may bring benefit to clinical chemotherapy by reducing significantly the cumulative doses of DOX and its associated cardiotoxicities.
                    Experiment 3 Reporting the Effect of This Combination [2]
                    Molecule(s)
                    Regulation
Down-regulation Expression NOX5  Molecule Info 
Pathway MAP
Down-regulation Phosphorylation TP53  Molecule Info 
Pathway MAP
                    In-vivo Model Male C57BL/6 JAX mice (10-12 weeks) were used to produce subacute Dox injury in mice.
                    Experimental
                    Result(s)
Schisandrin B prevents doxorubicin induced cardiac dysfunction by modulation of DNA damage, oxidative stress and inflammation through inhibition of MAPK/p53 signaling.
                    Experiment 4 Reporting the Effect of This Combination [6]
                    In-vitro Model CCRF S-180 II CVCL_2874 Mouse fibrosarcoma Mus musculus
4T1 CVCL_0125 Malignant neoplasms Mus musculus
                    In-vivo Model Balb/c mice were inoculated subcutaneously with 2*106 4T1 cells/0.2 ml PBS or S180 cells/0.2 ml PBS.
                    Experimental
                    Result(s)
Sch B is capable of protecting Dox-induced chronic cardiotoxicity and enhancing its anticancer activity.
    γ. Reversing Drug Resistance by This Combination
                 Reversing Drug Resistance     Click to Show/Hide
                    Experiment 1 Reporting the Effect of This Combination [3]
                    Molecule(s)
                    Regulation
Down-regulation Expression ABCB1  Molecule Info 
Pathway MAP
Down-regulation Expression BIRC5  Molecule Info 
Pathway MAP
                    In-vitro Model MCF-7 CVCL_0031 Invasive breast carcinoma Homo sapiens
A2780 CVCL_0134 Ovarian endometrioid adenocarcinoma Homo sapiens
                    Experimental
                    Result(s)
Schisandrin B reverses doxorubicin resistance through inhibiting P-glycoprotein and promoting proteasome-mediated degradation of survivin.
References
Reference 1 Schisandrin B prevents doxorubicin-induced cardiotoxicity via enhancing glutathione redox cycling. Clin Cancer Res. 2007 Nov 15;13(22 Pt 1):6753-60.
Reference 2 Schisandrin B prevents doxorubicin induced cardiac dysfunction by modulation of DNA damage, oxidative stress and inflammation through inhibition of MAPK/p53 signaling. PLoS One. 2015 Mar 5;10(3):e0119214.
Reference 3 Schisandrin B reverses doxorubicin resistance through inhibiting P-glycoprotein and promoting proteasome-mediated degradation of survivin. Sci Rep. 2017 Aug 21;7(1):8419.
Reference 4 Enhanced antitumour efficacy of functionalized doxorubicin plus schisandrin B co-delivery liposomes via inhibiting epithelial-mesenchymal transition. J Liposome Res. 2021 Jun;31(2):113-129.
Reference 5 Schisandrin B enhances doxorubicin-induced apoptosis of cancer cells but not normal cells. Biochem Pharmacol. 2006 Feb 28;71(5):584-95.
Reference 6 Schisandrin B prevents doxorubicin-induced chronic cardiotoxicity and enhances its anticancer activity in vivo. PLoS One. 2011;6(12):e28335.
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Cite NPCDR
Visitor Map
Correspondence

X. N. Sun, Y. T. Zhang, Y. Zhou, X. C. Lian, L. L. Yan, T. Pan, T. Jin, H. Xie, Z. M. Liang, W. Q. Qiu, J. X. Wang, Z. R. Li, F. Zhu*, X. B. Sui*. NPCDR: natural product-based drug combination and its disease-specific molecular regulation. Nucleic Acids Research. 50(D1): 1324-1333 (2020). PMID: 34664659

Prof. Feng ZHU  (zhufeng@zju.edu.cn)

College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, China


Prof. Xinbing SUI  (hzzju@hznu.edu.cn)

School of Pharmacy and Department of Medical Oncology, the Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China