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Drug Combination Details

General Information of the Combination (ID: C49649)
Name Curcumin   NP Info  + Cisplatin   Drug Info 
Structure +
Disease
Metastatic lymph node neoplasm [ICD-11: 2D60]
Investigative [1]
Lung cancer [ICD-11: 2C25]
Investigative [2]
Laryngeal cancer [ICD-11: 2C23]
Investigative [3]
Breast cancer [ICD-11: 2C60]
Investigative [4]
Colorectal cancer [ICD-11: 2B91]
Investigative [5]
Head and neck cancer [ICD-11: 2D42]
Investigative [6]
    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 [7]
                    Molecule(s)
                    Regulation
Down-regulation Expression BAALC  Molecule Info 
Pathway MAP
Down-regulation Expression NANOG  Molecule Info 
Pathway MAP
Down-regulation Expression SOX2  Molecule Info 
Pathway MAP
                    Biological
                    Regulation
Induction Cell cycle arrest in G2/M phase
                    In-vitro Model A-549 CVCL_0023 Lung adenocarcinoma Homo sapiens
NCI-H2170 CVCL_1535 Lung squamous cell carcinoma Homo sapiens
                    Experimental
                    Result(s)
Curcumin significantly suppressed colonies formation and shrank the spheroids in CSC subpopulations when combined with cisplatin.This effect also was manifested by the down-regulation of SOX2, NANOG, and KLF4.
                 Augmenting Drug Sensitivity     Click to Show/Hide
                    Experiment 1 Reporting the Effect of This Combination [3]
                    Molecule(s)
                    Regulation
Down-regulation Expression ABCG2  Molecule Info 
Pathway MAP
                    In-vitro Model HEp-2 CVCL_1906 Laryngeal carcinoma Homo sapiens
                    Experimental
                    Result(s)
Curcumin enhances the effectiveness of cisplatin by suppressing CD133 + cancer stem cells in laryngeal carcinoma treatment.
                    Experiment 2 Reporting the Effect of This Combination [8]
                    Molecule(s)
                    Regulation
Up-regulation Expression APAF1  Molecule Info 
Pathway MAP
Down-regulation Expression CCND1  Molecule Info 
Pathway MAP
Up-regulation Expression CDKN1A  Molecule Info 
Pathway MAP
                    In-vitro Model A-549 CVCL_0023 Lung adenocarcinoma Homo sapiens
NCI-H2170 CVCL_1535 Lung squamous cell carcinoma Homo sapiens
                    Experimental
                    Result(s)
Curcumin enhanced the inhibitory effects of cisplatin on the highly migratory CD166+/EpCAM+ subpopulation. combined treatments induced cell cycle arrest, therefore triggering CSC growth inhibition via the intrinsic apoptotic pathway.
                    Experiment 3 Reporting the Effect of This Combination [9]
                    Molecule(s)
                    Regulation
Down-regulation Expression BCL-2  Molecule Info 
Pathway MAP
                    Biological
                    Regulation
Induction ROS generation
                    In-vitro Model NCI-H460 CVCL_0459 Lung large cell carcinoma Homo sapiens
                    Experimental
                    Result(s)
Co-treatment of the cells with curcumin and cisplatin resulted in increased apoptosis and reversal of Bcl-2-mediated cisplatin resistance. The mechanism by which curcumin down-regulates Bcl-2 and sensitizes cells to cisplatin-induced apoptosis involves proteasomal degradation of Bcl-2.
                    Experiment 4 Reporting the Effect of This Combination [6]
                    Molecule(s)
                    Regulation
Up-regulation Expression CDKN1A  Molecule Info 
Pathway MAP
                    Biological
                    Regulation
Induction Cell cycle arrest in G2/M phase
                    In-vitro Model PE/CA-PJ49 CVCL_2681 Tongue squamous cell carcinoma Homo sapiens
                    Experimental
                    Result(s)
Curcumin acts against proliferation and sustain the effects of cisplatin by the induction of cell cycle arrest, amplification of DNA damage and contributing to cancer cell destruction by increasing the apoptotic process. Curcumin amplified the expression of P21 in tumor cells and might contribute to increasing the sensitivity to cisplatin.
                    Experiment 5 Reporting the Effect of This Combination [10]
                    Molecule(s)
                    Regulation
Up-regulation Expression CLU  Molecule Info 
Pathway MAP
                    Biological
                    Regulation
Up-regulation ROS generation
                    In-vitro Model HEp-2 CVCL_1906 Laryngeal carcinoma Homo sapiens
                    Experimental
                    Result(s)
Cisplatin-induced increases in mitochondrial ROS and cell death levels in Hep2 cells were further enhanced through the increase of TRPM2 activation with the effect of curcumin treatment.
                    Experiment 6 Reporting the Effect of This Combination [4]
                    Molecule(s)
                    Regulation
Down-regulation Phosphorylation ERK1  Molecule Info 
Pathway MAP
Down-regulation Expression FEN1  Molecule Info 
Pathway MAP
                    In-vitro Model MCF-7 CVCL_0031 Invasive breast carcinoma Homo sapiens
BT-474 CVCL_0179 Invasive breast carcinoma Homo sapiens
MDA-MB-231 CVCL_0062 Breast adenocarcinoma Homo sapiens
                    In-vivo Model The nude mice were anesthetized through isoflurane inhalation, and 1*107 MCF-7 cells suspending in 0.1 mL PBS was injected subcutaneously into the right axillary of each mouse.
                    Experimental
                    Result(s)
Curcumin sensitizes breast cancer cells to cisplatin through FEN1 down-regulation. Inhibiting ERK phosphorylation stimulated the chemosensitizing effect of curcumin to cisplatin by targeting FEN1.
                    Experiment 7 Reporting the Effect of This Combination [1]
                    Molecule(s)
                    Regulation
Down-regulation Expression IKKB  Molecule Info 
Pathway MAP
Down-regulation Expression NFKBIA  Molecule Info 
Pathway MAP
                    In-vitro Model CAL-27 CVCL_1107 Tongue squamous cell carcinoma Homo sapiens
UM-SCC-1 CVCL_7707 Mouth squamous cell carcinoma Homo sapiens
                    In-vivo Model Five-week-old female athymic nude mice (nu/nu) were injected with 2*106 cells in the right flank to form xenograft tumors.
                    Experimental
                    Result(s)
Introduction of curcumin and suboptimal concentrations of cisplatin showed a significant suppressive effect compared with treatment with either agent alone.
                    Experiment 8 Reporting the Effect of This Combination [11]
                    Molecule(s)
                    Regulation
Down-regulation Expression NOX5  Molecule Info 
Pathway MAP
                    In-vitro Model HONE-1 CVCL_8706 Nasopharyngeal carcinoma Homo sapiens
                    Experimental
                    Result(s)
Curcumin enhances cisplatin sensitivity by suppressing NOX5 expression in human epithelial cancer.
                    Experiment 9 Reporting the Effect of This Combination [12]
                    Molecule(s)
                    Regulation
Up-regulation Expression SLC31A1  Molecule Info 
Pathway MAP
                    In-vitro Model A-549 CVCL_0023 Lung adenocarcinoma Homo sapiens
NCI-H1299 CVCL_0060 Lung large cell carcinoma Homo sapiens
NCI-H460 CVCL_0459 Lung large cell carcinoma Homo sapiens
                    In-vivo Model A549 cells or shCTR1 A549 cells were resuspended in ice cold serum-free medium (SFM) at 1*107/mL. The cells were mixed with equal volume of Matrigel. The cells (1*106/mouse) were implanted subcutaneously in the right flank near the rear leg of the mice under ketamine-xylazine anesthesia.
                    Experimental
                    Result(s)
Curcumin treatment enhances the binding of Sp1 to CTR1 and Sp1 promoters, thus induces CTR1 expression and chemosensitization to cisplatin treatment. This process is regulated by the Cu-Sp1-CTR1 regulatory loop and CTR1-dependent.
                    Experiment 10 Reporting the Effect of This Combination [13]
                    Biological
                    Regulation
Down-regulation FANCD2 monoubiquitination
                    In-vitro Model A-549 CVCL_0023 Lung adenocarcinoma Homo sapiens
                    Experimental
                    Result(s)
By suppressing the FA/BRCA pathway DNA repair, curcumin potentiates DDP-induced proliferation inhibitory effect and apoptosis in A549/DDP cell.
    β. Decreasing Adverse Drug Reaction by This Combination
                 Decreasing Adverse Drug Reaction     Click to Show/Hide
                    Experiment 1 Reporting the Effect of This Combination [14]
                    Molecule(s)
                    Regulation
Down-regulation Expression BDNF  Molecule Info 
Pathway MAP
Up-regulation Expression PPAR-gamma  Molecule Info 
Pathway MAP
                    In-vivo Model Female Sprague-Dawley rats at the age of 8 weeks weighing 160-180 g were used in this study.
                    Experimental
                    Result(s)
Curcumin ameliorated cisplatin-induced nephrotoxicity and improved its anticancer activity in DMBA induced breast cancer in female Sprague-Dawley rats.
    γ. Reversing Drug Resistance by This Combination
                 Reversing Drug Resistance     Click to Show/Hide
                    Experiment 1 Reporting the Effect of This Combination [2]
                    Molecule(s)
                    Regulation
Up-regulation Activity CASP3  Molecule Info 
Pathway MAP
Down-regulation Expression HIF-1A  Molecule Info 
Pathway MAP
                    In-vitro Model A-549 CVCL_0023 Lung adenocarcinoma Homo sapiens
                    Experimental
                    Result(s)
Combined curcumin and DDP treatment markedly inhibited A549/DDP cells proliferation, reversed cisplatin resistance and triggered apoptotic death by promoting HIF-1alpha degradation and activating caspase-3, respectively.
                    Experiment 2 Reporting the Effect of This Combination [5]
                    In-vitro Model HCT 8 CVCL_2478 Colon adenocarcinoma Homo sapiens
                    In-vivo Model HCT8/DDP cells (1*106) transfected with lenti-KCNQ1OT1 or lenti-NC were suspended in Matrigel matrix and subcutaneously injected into the back of male six-week-old nude mice.
                    Experimental
                    Result(s)
KCNQ1OT1 aggravated cisplatin resistance in CRC cells via the miR-497/Bcl-2 axis.
References
Reference 1 Curcumin enhances the effect of cisplatin in suppression of head and neck squamous cell carcinoma via inhibition of IKKbeta protein of the NFkappaB pathway. Mol Cancer Ther. 2010 Oct;9(10):2665-75.
Reference 2 Curcumin reverses cis-platin resistance and promotes human lung adenocarcinoma A549/DDP cell apoptosis through HIF-1alpha and caspase-3 mechanisms. Phytomedicine. 2012 Jun 15;19(8-9):779-87.
Reference 3 Curcumin enhances the effectiveness of cisplatin by suppressing CD133 + cancer stem cells in laryngeal carcinoma treatment. Exp Ther Med. 2013 Nov;6(5):1317-1321.
Reference 4 Curcumin increases breast cancer cell sensitivity to cisplatin by decreasing FEN1 expression. Oncotarget. 2018 Jan 10;9(13):11268-11278.
Reference 5 LncRNA KCNQ1OT1 is a key factor in the reversal effect of curcumin on cisplatin resistance in the colorectal cancer cells. Mol Cell Biochem. 2020 Aug 5.
Reference 6 The Effect of Resveratrol or Curcumin on Head and Neck Cancer Cells Sensitivity to the Cytotoxic Effects of Cisplatin. Nutrients. 2020 Aug 26;12(9):2596.
Reference 7 Synergistic Roles of Curcumin in Sensitising the Cisplatin Effect on a Cancer Stem Cell-Like Population Derived from Non-Small Cell Lung Cancer Cell Lines. Molecules. 2021 Feb 18;26(4):1056.
Reference 8 Curcumin improves the efficacy of cisplatin by targeting cancer stem-like cells through p21 and cyclin D1-mediated tumour cell inhibition in non-small cell lung cancer cell lines. Oncol Rep. 2016 Jan;35(1):13-25.
Reference 9 Curcumin sensitizes lung cancer cells to cisplatin-induced apoptosis through superoxide anion-mediated Bcl-2 degradation. Cancer Invest. 2009 Jul;27(6):624-35.
Reference 10 Curcumin enhances cisplatin-induced human laryngeal squamous cancer cell death through activation of TRPM2 channel and mitochondrial oxidative stress. Sci Rep. 2019 Nov 28;9(1):17784.
Reference 11 Curcumin enhances cisplatin sensitivity by suppressing NADPH oxidase 5 expression in human epithelial cancer. Oncol Lett. 2019 Aug;18(2):2132-2139.
Reference 12 Curcumin enhances cisplatin sensitivity of human NSCLC cell lines through influencing Cu-Sp1-CTR1 regulatory loop. Phytomedicine. 2018 Sep 15;48:51-61.
Reference 13 Curcumin reverses cisplatin resistance in cisplatin-resistant lung caner cells by inhibiting FA/BRCA pathway. Tumour Biol. 2015 May;36(5):3591-9.
Reference 14 Curcumin Ameliorates Cisplatin-Induced Nephrotoxicity and Potentiates Its Anticancer Activity in SD Rats: Potential Role of Curcumin in Breast Cancer Chemotherapy. Front Pharmacol. 2017 Apr 4;8:132.
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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