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Drug Combination Details

General Information of the Combination (ID: C54915)
Name Triptolide   NP Info  + TNF-related apoptosis inducing ligand    Drug Info 
Structure +
Disease
Acute myeloid leukemia [ICD-11: 2A60]
Investigative [1]
Hepatocellular carcinoma [ICD-11: 2C12]
Investigative [2]
Renal cell carcinoma [ICD-11: 2C90]
Investigative [3]
Pancreatic cancer [ICD-11: 2C10]
Investigative [4]
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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 [5]
                    Molecule(s)
                    Regulation
Down-regulation Expression BID  Molecule Info 
Pathway MAP
Up-regulation Expression CASP8  Molecule Info 
Pathway MAP
Up-regulation Expression CASP9  Molecule Info 
Pathway MAP
Down-regulation Expression CFLAR  Molecule Info 
Pathway MAP
                    Biological
                    Regulation
Induction Cathepsin B release
                    In-vitro Model MIA PaCa-2 CVCL_0428 Pancreatic ductal adenocarcinoma Homo sapiens
S2-VP10 CVCL_F972 Pancreatic ductal adenocarcinoma Homo sapiens
                    Experimental
                    Result(s)
Triptolide sensitizes pancreatic cancer cells to TRAIL-induced activation of the death receptor pathway.
                    Experiment 2 Reporting the Effect of This Combination [6]
                    Molecule(s)
                    Regulation
Up-regulation Expression BID  Molecule Info 
Pathway MAP
Up-regulation Expression CASP8  Molecule Info 
Pathway MAP
                    Biological
                    Regulation
Up-regulation Cytochrome c release
                    In-vitro Model HuCC-A1 CVCL_M255 Intrahepatic cholangiocarcinoma Homo sapiens
KKU-100 CVCL_3996 Hilar cholangiocarcinoma Homo sapiens
KKU-M139 CVCL_M259 Intrahepatic cholangiocarcinoma Homo sapiens
KKU-213C CVCL_M260 Cholangiocarcinoma Homo sapiens
KKU-213B CVCL_M264 Cholangiocarcinoma Homo sapiens
HubCCA-1 Cholangiocarcinoma Homo sapiens
                    Experimental
                    Result(s)
The combination of TRAIL and triptolide could enhance susceptibility to TRAIL-induced apoptotic killing in these TRAIL-resistant CCA cells.
                    Experiment 3 Reporting the Effect of This Combination [2]
                    Molecule(s)
                    Regulation
Up-regulation Expression CASP3  Molecule Info 
Pathway MAP
Up-regulation Expression COL11A2  Molecule Info 
Pathway MAP
Down-regulation Expression XIAP  Molecule Info 
Pathway MAP
                    In-vitro Model SK-ChA-1 CVCL_6952 Cholangiocarcinoma Homo sapiens
                    Experimental
                    Result(s)
TRAIL and triptolide in combination decreased cell viability and enhanced apoptosis.
                    Experiment 4 Reporting the Effect of This Combination [4]
                    Molecule(s)
                    Regulation
Up-regulation Expression CDK2  Molecule Info 
Pathway MAP
Up-regulation Expression IFI27  Molecule Info 
Pathway MAP
Down-regulation Expression PUM1  Molecule Info 
Pathway MAP
                    In-vitro Model MIA PaCa-2 CVCL_0428 Pancreatic ductal adenocarcinoma Homo sapiens
PANC-1 CVCL_0480 Pancreatic ductal adenocarcinoma Homo sapiens
                    Experimental
                    Result(s)
TPL enhances TRAIL sensitivity of pancreatic cancer cells by activating autophagy via downregulation of PUM1.
                    Experiment 5 Reporting the Effect of This Combination [3]
                    Molecule(s)
                    Regulation
Down-regulation Expression HSPA4  Molecule Info 
Pathway MAP
                    In-vitro Model ACHN CVCL_1067 Papillary renal cell carcinoma Homo sapiens
A-498 CVCL_1056 Renal cell carcinoma Homo sapiens
Caki-1 CVCL_0234 Clear cell renal cell carcinoma Homo sapiens
769-P CVCL_1050 Renal cell carcinoma Homo sapiens
786-O CVCL_1051 Renal cell carcinoma Homo sapiens
                    Experimental
                    Result(s)
Triptolide sensitizes RCC cells to TRAIL-induced apoptosis through altered TRAIL death receptor and heat shock protein expression.
    β. Reversing Drug Resistance by This Combination
                 Reversing Drug Resistance     Click to Show/Hide
                    Experiment 1 Reporting the Effect of This Combination [7]
                    Molecule(s)
                    Regulation
Up-regulation Activity CASP3  Molecule Info 
Pathway MAP
Up-regulation Activity CASP9  Molecule Info 
Pathway MAP
                    In-vitro Model MIA-PaCa CVCL_0428 Pancreatic ductal adenocarcinoma Homo sapiens
PANC-1 CVCL_0480 Pancreatic ductal adenocarcinoma Homo sapiens
                    Experimental
                    Result(s)
Combined therapy with triptolide and TRAIL significantly decreased the cell viability in all the cell lines and increased apoptotic cell death as a result of caspase-3 and caspase-9 activation.
                    Experiment 2 Reporting the Effect of This Combination [1]
                    Molecule(s)
                    Regulation
Up-regulation Expression TRAIL-R2  Molecule Info 
Pathway MAP
Down-regulation Expression XIAP  Molecule Info 
Pathway MAP
                    In-vitro Model OCI-AML-3 CVCL_1844 Adult acute myeloid leukemia Homo sapiens
U-937 CVCL_0007 Adult acute monocytic leukemia Homo sapiens
                    Experimental
                    Result(s)
Triptolide sensitizes AML cells to TRAIL-induced apoptosis via decrease of XIAP and p53-mediated increase of DR5.
References
Reference 1 Triptolide sensitizes AML cells to TRAIL-induced apoptosis via decrease of XIAP and p53-mediated increase of DR5. Blood. 2008 Apr 1;111(7):3742-50.
Reference 2 Triptolide and TRAIL combination enhances apoptosis in cholangiocarcinoma. J Surg Res. 2010 Oct;163(2):244-9.
Reference 3 Triptolide enhances the tumoricidal activity of TRAIL against renal cell carcinoma. FEBS J. 2015 Dec;282(24):4747-4765.
Reference 4 Triptolide enhances TRAIL sensitivity of pancreatic cancer cells by activating autophagy via downregulation of PUM1. Phytomedicine. 2019 Sep;62:152953.
Reference 5 Triptolide sensitizes pancreatic cancer cells to TRAIL-induced activation of the death receptor pathway. Cancer Lett. 2014 Jun 28;348(1-2):156-66.
Reference 6 Triptolide sensitizes resistant cholangiocarcinoma cells to TRAIL-induced apoptosis. Anticancer Res. Jan-Feb 2006;26(1A):259-65.
Reference 7 TRAIL and triptolide: an effective combination that induces apoptosis in pancreatic cancer cells. J Gastrointest Surg. 2010 Feb;14(2):252-60.
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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