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Drug Combination Details

General Information of the Combination (ID: C55665)
Name Thymoquinone   NP Info  + Cisplatin   Drug Info 
Structure +
Disease
Lung cancer [ICD-11: 2C25]
Investigative [1]
Ovarian cancer [ICD-11: 2C73]
Investigative [2]
Lip/oral cavity/pharynx neoplasm [ICD-11: 2B6E]
Investigative [3]
Stomach cancer [ICD-11: 2B72]
Investigative [4]
Hepatocellular carcinoma [ICD-11: 2C12]
Investigative [5]
    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
Down-regulation Expression ABCB1  Molecule Info 
Pathway MAP
Up-regulation Expression AIFM1  Molecule Info 
Pathway MAP
Down-regulation Expression AKT1  Molecule Info 
Pathway MAP
Up-regulation Expression BAX  Molecule Info 
Pathway MAP
Down-regulation Expression BCL-2  Molecule Info 
Pathway MAP
Up-regulation Expression CASP3  Molecule Info 
Pathway MAP
Down-regulation Expression CASP3  Molecule Info 
Pathway MAP
Up-regulation Expression CASP9  Molecule Info 
Pathway MAP
Down-regulation Expression CASP9  Molecule Info 
Pathway MAP
Down-regulation Expression CCND1  Molecule Info 
Pathway MAP
Up-regulation Expression PTEN  Molecule Info 
Pathway MAP
                    Biological
                    Regulation
Up-regulation Cytochrome c release
                    In-vitro Model SGC-7901 CVCL_0520 Human gastric cancer Homo sapiens
HGC-27 CVCL_1279 Gastric carcinoma Homo sapiens
MGC-803 CVCL_5334 Gastric mucinous adenocarcinoma Homo sapiens
                    In-vivo Model Harvested GC cells were washed in serum-free DMEM, suspended in 100 uL PBS, and implanted subcutaneously into the dorsal area of the nude mice.
                    Experimental
                    Result(s)
TQ significantly augments cisplatin-induced anti-tumor effects on gastric cancer both in vitro and in vivo, through inhibiting PI3K/AKT signaling pathway, activating the mitochondrial pathway, and down-regulating P-glycoprotein by up-regulating PTEN gene.
                    Experiment 2 Reporting the Effect of This Combination [2]
                    Molecule(s)
                    Regulation
Up-regulation Expression BAX  Molecule Info 
Pathway MAP
Up-regulation Expression CASP3  Molecule Info 
Pathway MAP
Up-regulation Expression COL11A2  Molecule Info 
Pathway MAP
Up-regulation Phosphorylation H2AFX  Molecule Info 
Pathway MAP
Down-regulation Expression MIB1  Molecule Info 
Pathway MAP
Down-regulation Expression MKI67  Molecule Info 
Pathway MAP
Down-regulation Expression p105  Molecule Info 
Pathway MAP
Down-regulation Expression PCNA  Molecule Info 
Pathway MAP
                    In-vitro Model OVCAR-3 CVCL_0465 Ovarian serous adenocarcinoma Homo sapiens
NCI-ADR-RES CVCL_1452 Ovarian cancer Homo sapiens
ID8-NGL Ovarian cancer Rattus norvegicus
                    In-vivo Model Wild-type C57BL/6 mice were injected intra-peritoneally (IP) with 1* 107 ID8-NGL cells suspended in 200 ul sterile PBS.
                    Experimental
                    Result(s)
Thymoquinone enhances cisplatin-response through direct tumor effects in a syngeneic mouse model of ovarian cancer.
                    Experiment 3 Reporting the Effect of This Combination [3]
                    Molecule(s)
                    Regulation
Down-regulation Expression BCL-2  Molecule Info 
Pathway MAP
Up-regulation Expression CASP9  Molecule Info 
Pathway MAP
Up-regulation Expression TP53  Molecule Info 
Pathway MAP
                    In-vitro Model UM-SCC-14C CVCL_7721 Mouth squamous cell carcinoma Homo sapiens
OEC Healthy Homo sapiens
                    Experimental
                    Result(s)
Equitoxic combination of TQ and CDDP showed additive to synergistic interaction against both UMSCC-14C and OEC cells.
                    Experiment 4 Reporting the Effect of This Combination [5]
                    Molecule(s)
                    Regulation
Up-regulation Expression CASP3  Molecule Info 
Pathway MAP
Down-regulation Expression DDIT3  Molecule Info 
Pathway MAP
Up-regulation Expression HSPA5  Molecule Info 
Pathway MAP
Down-regulation Expression TRIM26  Molecule Info 
Pathway MAP
                    In-vivo Model The mice modle was established by diethylnitrosamine/carbon tetrachloride-induced liver tumorigenesis in adult male Wistar albino rats.
                    Experimental
                    Result(s)
Thymoquinone potentiated the anticancer effect of cisplatin on hepatic tumorigenesis by modulating tissue oxidative stress and endoplasmic GRP78/CHOP signaling.
                    Experiment 5 Reporting the Effect of This Combination [6]
                    Molecule(s)
                    Regulation
Up-regulation Expression CASP3  Molecule Info 
Pathway MAP
Up-regulation Expression COL11A2  Molecule Info 
Pathway MAP
                    In-vitro Model Hep-G2 CVCL_0027 Hepatocellular carcinoma Homo sapiens
SMMC-7721 CVCL_0534 Hepatocellular carcinoma Homo sapiens
Hep 3B2.1-7 CVCL_0326 Childhood hepatocellular carcinoma Homo sapiens
L-02 CVCL_6926 Ovarian cancer Homo sapiens
                    Experimental
                    Result(s)
TQ synergistically improves the anti-cancer activity of DDP, and loss of p53 sensitizes HCC cells to TQ-induced apoptosis.
                    Experiment 6 Reporting the Effect of This Combination [1]
                    Molecule(s)
                    Regulation
Down-regulation Expression p105  Molecule Info 
Pathway MAP
                    In-vitro Model NCI-H460 CVCL_0459 Lung large cell carcinoma Homo sapiens
NCI-H146 CVCL_1473 Lung small cell carcinoma Homo sapiens
                    In-vivo Model Xenografts were obtained by injecting NCI-H460 2*106 cells subcutaneously into the right flank of each female SCID mice (age 5-6 weeks old).
                    Experimental
                    Result(s)
Thymoquinone combined with cisplatin showed synergistic anticancer activity by down-regulating NF-kappaB.
    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
Down-regulation Expression p105  Molecule Info 
Pathway MAP
                    In-vitro Model NCI-H460 CVCL_0459 Lung large cell carcinoma Homo sapiens
NCI-H146 CVCL_1473 Lung small cell carcinoma Homo sapiens
                    In-vivo Model Xenografts were obtained by injecting NCI-H460 2 * 106 cells subcutaneously into the right flank of each mouse.
                    Experimental
                    Result(s)
Combination of TQ and CDDP was well tolerated and significantly reduced tumor volume and tumor weight without additional toxicity to the mice.
References
Reference 1 Thymoquinone and cisplatin as a therapeutic combination in lung cancer: In vitro and in vivo. J Exp Clin Cancer Res. 2010 Jul 1;29(1):87.
Reference 2 Thymoquinone enhances cisplatin-response through direct tumor effects in a syngeneic mouse model of ovarian cancer. J Ovarian Res. 2015 Jul 28;8:46.
Reference 3 Cytotoxicity of thymoquinone alone or in combination with cisplatin (CDDP) against oral squamous cell carcinoma in vitro. Sci Rep. 2017 Oct 13;7(1):13131.
Reference 4 Enhancing conventional chemotherapy drug cisplatin-induced anti-tumor effects on human gastric cancer cells both in vitro and in vivo by Thymoquinone targeting PTEN gene. Oncotarget. 2017 Sep 8;8(49):85926-85939.
Reference 5 Thymoquinone Potentiated the Anticancer Effect of Cisplatin on Hepatic Tumorigenesis by Modulating Tissue Oxidative Stress and Endoplasmic GRP78/CHOP Signaling. Nutr Cancer. 2021 Feb 3;1-10.
Reference 6 Thymoquinone Selectively Induces Hepatocellular Carcinoma Cell Apoptosis in Synergism With Clinical Therapeutics and Dependence of p53 Status. Front Pharmacol. 2020 Sep 15;11:555283.
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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