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Drug Combination Details

General Information of the Combination (ID: C23550)
Name Flavopiridol   NP Info  + Depsipeptide   Drug Info 
Structure +
Disease
Lung cancer [ICD-11: 2C25]
Phase 1 [1]
Pleural mesothelioma [ICD-11: 2C26]
Phase 1 [1]
Oral cavity/oesophagus/stomach in situ carcinoma [ICD-11: 2E60]
Phase 1 [1]
Thymoma [ICD-11: 2C27]
Phase 1 [1]
Mediastinum cancer [ICD-11: 2C28]
Phase 1 [1]
Esophageal cancer [ICD-11: 2B70]
Investigative [2]
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Combinatorial Therapeutic Effect(s) Validated Clinically or Experimentally
    α. Enhancing Drug Efficacy by This Combination
                 Augmenting Drug Sensitivity     Click to Show/Hide
                    Experiment 1 Reporting the Effect of This Combination [3]
                    Molecule(s)
                    Regulation
Down-regulation Expression c-RAF  Molecule Info 
Pathway MAP
Down-regulation Expression CCNA1  Molecule Info 
Pathway MAP
Down-regulation Expression CCNB1  Molecule Info 
Pathway MAP
Down-regulation Expression CDKN1A  Molecule Info 
Pathway MAP
Down-regulation Expression EGFR  Molecule Info 
Pathway MAP
Down-regulation Expression HER2  Molecule Info 
Pathway MAP
Down-regulation Phosphorylation RB1  Molecule Info 
Pathway MAP
                    In-vitro Model NCI-H513 CVCL_A570 Malignant pleural mesothelioma Homo sapiens
NCI-H28 CVCL_1555 Pleural sarcomatoid mesothelioma Homo sapiens
NCI-H2373 CVCL_A533 Pleural sarcomatoid mesothelioma Homo sapiens
NCI-H2052 CVCL_1518 Pleural sarcomatoid mesothelioma Homo sapiens
REN CVCL_M202 Pleural malignant mesothelioma Homo sapiens
                    Experimental
                    Result(s)
Flavopiridol abrogates depsipeptide-mediated induction of p21 expression, in part, via inhibition of protein kinase C signaling and markedly potentiates the cytotoxic effects of depsipeptide in MPM cells.
                    Experiment 2 Reporting the Effect of This Combination [2]
                    Molecule(s)
                    Regulation
Up-regulation Activity CASP9  Molecule Info 
Pathway MAP
                    Biological
                    Regulation
Induction Loss of mitochondrial membrane potential
                    In-vitro Model NCI-H322 CVCL_1556 Lung adenocarcinoma Homo sapiens
NCI-H460 CVCL_0459 Lung large cell carcinoma Homo sapiens
TE-12 CVCL_1762 Esophageal squamous cell carcinoma Homo sapiens
TE-13 CVCL_4463 Esophageal squamous cell carcinoma Homo sapiens
                    Experimental
                    Result(s)
The depsipeptide plus flavopiridol combination exhibits powerful and selective cytocidal activity against cancer but not normal cells. Apoptosis induced by this combination is mediated by the mitochondria-dependent death pathway.
References
Reference 1 ClinicalTrials.gov (NCT00094978) Depsipeptide/Flavopiridol Infusion for Cancers of the Lungs, Esophagus, Pleura, Thymus or Mediastinum U.S. National Institutes of Health.
Reference 2 Enhancement of depsipeptide-mediated apoptosis of lung or esophageal cancer cells by flavopiridol: activation of the mitochondria-dependent death-signaling pathway. J Thorac Cardiovasc Surg. 2003 May;125(5):1132-42.
Reference 3 Abrogation of p21 expression by flavopiridol enhances depsipeptide-mediated apoptosis in malignant pleural mesothelioma cells. Clin Cancer Res. 2004 Mar 1;10(5):1813-25.
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Cite NPCDR
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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