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Drug Combination Details

General Information of the Combination (ID: C49659)
Name Triptolide   NP Info  + Cisplatin   Drug Info 
Structure +
Disease
Urothelial cancer [ICD-11: 2C9Z]
Investigative [1]
Stomach cancer [ICD-11: 2B72]
Investigative [2]
Pancreatic cancer [ICD-11: 2C10]
Investigative [3]
Bladder cancer [ICD-11: 2C94]
Investigative [4]
Nasopharyngeal cancer [ICD-11: 2B6B]
Investigative [5]
Ovarian cancer [ICD-11: 2C73]
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 [6]
                    Molecule(s)
                    Regulation
Down-regulation Phosphorylation AKT1  Molecule Info 
Pathway MAP
                    In-vitro Model SK-OV-3 CVCL_0532 Ovarian serous cystadenocarcinoma Homo sapiens
                    In-vivo Model Animal model was constructed by injecting PBS containing 500,0000 SKOV3 /DDP cells in the BALB/c-nu nude mouse.
                    Experimental
                    Result(s)
Triptolide sensitizes cisplatin-resistant human epithelial ovarian cancer by inhibiting the phosphorylation of AKT.
                    Experiment 2 Reporting the Effect of This Combination [5]
                    Molecule(s)
                    Regulation
Up-regulation Expression BAX  Molecule Info 
Pathway MAP
Down-regulation Expression BCL-2  Molecule Info 
Pathway MAP
Up-regulation Expression CASP9  Molecule Info 
Pathway MAP
Down-regulation Expression MCL1  Molecule Info 
Pathway MAP
                    In-vitro Model HNE-1 CVCL_0308 Nasopharyngeal carcinoma Homo sapiens
                    Experimental
                    Result(s)
TPL could induce cell apoptosis and synergize with DDP by regulating ROS generation and mitochondrial pathways in HNE1/DDP cells.
                    Experiment 3 Reporting the Effect of This Combination [2]
                    Molecule(s)
                    Regulation
Up-regulation Expression CASP3  Molecule Info 
Pathway MAP
Up-regulation Expression CASP9  Molecule Info 
Pathway MAP
Down-regulation Expression PARP1  Molecule Info 
Pathway MAP
                    Biological
                    Regulation
Up-regulation Cytochrome c release
                    In-vitro Model SC-M1 CVCL_G299 Gastric carcinoma Homo sapiens
                    In-vivo Model SC-M1 cells (5*106 in 100 uL of 0.9% saline) were injected subcutaneously into the hind flank of 6-week-old SCID mice.
                    Experimental
                    Result(s)
Synergistic anticancer activity of triptolide combined with cisplatin enhances apoptosis in gastric cancer in vitro and in vivo.
                    Experiment 4 Reporting the Effect of This Combination [4]
                    Molecule(s)
                    Regulation
Up-regulation Expression CASP3  Molecule Info 
Pathway MAP
Up-regulation Expression CASP8  Molecule Info 
Pathway MAP
Up-regulation Expression CASP9  Molecule Info 
Pathway MAP
Up-regulation Expression CCND1  Molecule Info 
Pathway MAP
Up-regulation Expression CCNE1  Molecule Info 
Pathway MAP
Up-regulation Expression PARP1  Molecule Info 
Pathway MAP
                    Biological
                    Regulation
Up-regulation Cytochrome c release
                    In-vitro Model T24R2 Bladder carcinoma Homo sapiens
                    Experimental
                    Result(s)
Triptolide synergistically enhanced the antitumor effect of cisplatin in cisplatin resistant human bladder cancer cells.
                    Experiment 5 Reporting the Effect of This Combination [3]
                    Molecule(s)
                    Regulation
Down-regulation Expression HSP20  Molecule Info 
Pathway MAP
                    Biological
                    Regulation
Up-regulation Cytochrome c release
                    In-vitro Model PANC-1 CVCL_0480 Pancreatic ductal adenocarcinoma Homo sapiens
MIA PaCa-2 CVCL_0428 Pancreatic ductal adenocarcinoma Homo sapiens
                    In-vivo Model To produce a subcutaneous xenograft model, PANC-1 cells (5*106) were injected into the flanks of 6-week-old nude mice.
                    Experimental
                    Result(s)
The combined therapy of TPL and DDP triggers a synergic apoptosis via inhibiting HSP27 in human gemcitabine-resistant pancreatic carcinoma and has a strong potential to be developed into a new effective regimen for pancreatic cancer treatment.
    β. Reversing Drug Resistance by This Combination
                 Reversing Drug Resistance     Click to Show/Hide
                    Experiment 1 Reporting the Effect of This Combination [1]
                    Molecule(s)
                    Regulation
Up-regulation Expression BAX  Molecule Info 
Pathway MAP
Up-regulation Expression CASP3  Molecule Info 
Pathway MAP
Up-regulation Expression CASP9  Molecule Info 
Pathway MAP
Down-regulation Expression CDKN1A  Molecule Info 
Pathway MAP
Up-regulation Expression GSK-3B  Molecule Info 
Pathway MAP
Up-regulation Expression JNK1  Molecule Info 
Pathway MAP
Up-regulation Phosphorylation JUN  Molecule Info 
Pathway MAP
Up-regulation Expression TP53  Molecule Info 
Pathway MAP
                    In-vitro Model RT-112 CVCL_1670 Bladder carcinoma Homo sapiens
RT-4 CVCL_0036 Bladder carcinoma Homo sapiens
KK47 CVCL_8253 Bladder carcinoma Homo sapiens
TCCSUP CVCL_1738 Bladder carcinoma Homo sapiens
EJ CVCL_ZC18 B-cell lymphoma Homo sapiens
J82 CVCL_0359 Bladder carcinoma Homo sapiens
                    In-vivo Model To produce a subcutaneous xenograft model, RT112 cells (5*106) were injected into the subcutaneous tissue of pathogen-free 6-week-old BALB/cAJcl-nu/nu mice.
                    Experimental
                    Result(s)
Cancer-specific enhancement of CDDP-induced cytotoxicity with triptolide effectively overcome the resistance to a CDDP-based conventional chemotherapy as a treatment for urothelial cancer through an interaction of inactivated glycogen synthase kinase-3beta with p53.
References
Reference 1 Cancer-specific enhancement of cisplatin-induced cytotoxicity with triptolide through an interaction of inactivated glycogen synthase kinase-3beta with p53. Oncogene. 2008 Jul 31;27(33):4603-14.
Reference 2 Synergistic anticancer activity of triptolide combined with cisplatin enhances apoptosis in gastric cancer in vitro and in vivo. Cancer Lett. 2012 Jun 28;319(2):203-213.
Reference 3 Triptolide cooperates with Cisplatin to induce apoptosis in gemcitabine-resistant pancreatic cancer. Pancreas. 2012 Oct;41(7):1029-38.
Reference 4 Synergistic antitumor effect of triptolide and cisplatin in cisplatin resistant human bladder cancer cells. J Urol. 2015 Mar;193(3):1016-22.
Reference 5 Triptolide Induces Apoptosis and Synergizes with Cisplatin in Cisplatin-Resistant HNE1/DDP Nasopharyngeal Cancer Cells. Folia Biol (Praha). 2015;61(5):195-202.
Reference 6 Triptolide sensitizes cisplatin-resistant human epithelial ovarian cancer by inhibiting the phosphorylation of AKT. J Cancer. 2019 Jun 2;10(13):3012-3020.
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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