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Drug Combination Details

General Information of the Combination (ID: C95252)
Name Curcumin   NP Info  + Doxorubicin   Drug Info 
Structure +
Disease
Prostate cancer [ICD-11: 2C82]
Investigative [1]
Ovarian cancer [ICD-11: 2C73]
Investigative [2]
Adrenocortical carcinoma [ICD-11: 2D11]
Investigative [3]
Breast cancer [ICD-11: 2C60]
Investigative [4]
Stomach cancer [ICD-11: 2B72]
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
                 Augmenting Drug Sensitivity     Click to Show/Hide
                    Experiment 1 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
                    In-vitro Model AGS CVCL_0139 Gastric adenocarcinoma Homo sapiens
                    Experimental
                    Result(s)
Dox-Cur combination therapy exerts more profound apoptotic and anticancer effects on the AGS cell line than curcumin or doxorubicin monotherapy.
                    Experiment 2 Reporting the Effect of This Combination [1]
                    Molecule(s)
                    Regulation
Up-regulation Expression CDKN1A  Molecule Info 
Pathway MAP
Down-regulation Activity p105  Molecule Info 
Pathway MAP
                    Biological
                    Regulation
Induction Cell cycle arrest in G1 phase
                    In-vitro Model PC-3 CVCL_0035 Prostate carcinoma Homo sapiens
DU145 CVCL_0105 Prostate carcinoma Homo sapiens
                    Experimental
                    Result(s)
Curcumin enhances cytotoxicity of doxorubicin in prostate cancer cells by inducing p21(WAF1/CIP1) and C/EBPbeta expressions and suppressing NF-kappaB activation.
                    Experiment 3 Reporting the Effect of This Combination [2]
                    In-vitro Model M5076 CVCL_3997 Mouse ovarian histiocytic sarcoma Mus musculus
                    In-vivo Model M5076 ovarian sarcoma cells (1.0*106 cells/animal) were transplanted i.p. into C57BL/6 mice.
                    Experimental
                    Result(s)
While DOX alone did not decrease tumor weight, the combination of DOX and curcumin significantly reduced tumor weight. The combined curcumin enhanced apoptosis by DOX, decreased cell viability and suppressed activation of caspase-3, -8, and -9 compared to DOX alone.
    β. Reversing Drug Resistance by This Combination
                 Reversing Drug Resistance     Click to Show/Hide
                    Experiment 1 Reporting the Effect of This Combination [4]
                    Molecule(s)
                    Regulation
Down-regulation Activity ABCB4  Molecule Info 
Pathway MAP
                    Biological
                    Regulation
Down-regulation ABCB4-mediated doxorubicin transport
                    In-vitro Model MCF-7 CVCL_0031 Invasive breast carcinoma Homo sapiens
MDA-MB-231 CVCL_0062 Breast adenocarcinoma Homo sapiens
MDCK-II CVCL_0424 Healthy Canis lupus familiaris
                    Experimental
                    Result(s)
Curcumin reversed doxorubicin resistance in human breast cancer MCF 7/DOX and MDA MB231/DOX cells by inhibiting the ATPase activity of ABCB4.
References
Reference 1 Curcumin enhances cytotoxicity of chemotherapeutic agents in prostate cancer cells by inducing p21(WAF1/CIP1) and C/EBPbeta expressions and suppressing NF-kappaB activation. Prostate. 2002 May 15;51(3):211-8.
Reference 2 Beneficial effects of curcumin on antitumor activity and adverse reactions of doxorubicin. Int J Pharm. 2012 Aug 1;432(1-2):42-9.
Reference 3 Combined effects of curcumin and doxorubicin on cell death and cell migration of SH-SY5Y human neuroblastoma cells. In Vitro Cell Dev Biol Anim. 2018 Oct;54(9):629-639.
Reference 4 Curcumin reverses doxorubicin resistance via inhibition the efflux function of ABCB4 in doxorubicin?resistant breast cancer cells. Mol Med Rep. 2019 Jun;19(6):5162-5168.
Reference 5 Enhanced anticancer potency of doxorubicin in combination with curcumin in gastric adenocarcinoma. J Biochem Mol Toxicol. 2020 Jun;34(6):e22486.
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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