Original Article

Methotrexate and 5-aminoimidazole-4-carboxamide riboside exert synergistic anticancer action against human breast cancer and hepatocellular carcinoma

Xiao-liang Cheng, Tian-yan Zhou, Bo Li, Meng-yao Li, Liang Li, Zai-quan Li, Wei Lu
DOI: 10.1038/aps.2013.16

Abstract

Xiao-liang CHENG1, 4, Tian-yan ZHOU1, 2, Bo LI3, Meng-yao LI2, Liang LI1, 2, Zai-quan LI3, *, Wei LU1, 2, *
1State Key Laboratory of Natural and Biomimetic Drugs, Peking University Health Science Center, Beijing 100191, China; 2Department of Pharmaceutics, School of Pharmaceutical Sciences, Peking University Health Science Center, Beijing 100191, China; 3Department of Radiation Medicine, School of Basic Medical Sciences, Peking University Health Science Center, Beijing 100191, China; 4Department of Pharmacy, the First Affiliated Hospital of Medical College, Xi-an Jiaotong University, Xi-an 710061, China

Aim: To investigate the influences of methotrexate (MTX) on the anticancer actions and pharmacokinetics of 5-aminoimidazole-4-carboxamide riboside (AICA riboside) in human breast cancer and hepatocellular carcinoma.
Methods: Human breast cancer cell line MCF-7 and human hepatocellular carcinoma cell line HepG2 were examined. The cell proliferation was assessed using a sulforhodamine B assay. Western blotting and radioactivity assays were used to analyze the phosphorylation of AMPK. The DNA synthesis was analyzed with BrdU incorporation. Nude mice bearing MCF-7 cell xenografts were used to for in vivo study. MTX (50 mg/kg, ip, per week) and AICA riboside (200 mg/kg, ip, every other day) were administered the animals for 2 weeks. The concentrations of AICA riboside and its active metabolite AICA ribotide in the plasma and tumors were measured with HPLC.

Results: Synergistic cytotoxicity in vitro was observed with MTX (0.1, 0.5, and 1 μmol/L) combined with AICA riboside (0.25–1 mmol/L) in MCF-7 cells, and with MTX (0.5 and 1 μmol/L) combined with AICA riboside (0.5 and 1 mmol/L) in HepG2 cells. MTX (1 μmol/L) significantly enhanced the AICA riboside-induced AMPK activation and BrdU incorporation in both MCF-7 and HepG2 cells. Co-treatment with MTX and AICA riboside exerted more potent inhibition on the tumor growth in nude mice than either drug alone. After injection of AICA riboside (200 mg/kg, iv) in nude mice bearing MCF-7 xenografts, MTX (50 mg/kg, iv) significantly increased the concentrations of AICA riboside and its active metabolite AICA ribotide in tumors.

Conclusion: MTX and AICA riboside exert synergistic anticancer action against MCF-7 and HepG2 cells in vitro and in vivo. MTX increases the concentration of AICA riboside and its active metabolite AICA ribotide in tumors in vivo.


Keywords: methotrexate; 5-aminoimidazole-4-carboxamide riboside; antitumor agents; human breast cancer; human hepatocellular carcinoma; drug synergism; pharmacokinetics; AMP-activated protein kinase; DNA synthesis

This work was supported by the Innovation Team of Ministry of Education, China (No BMU20110263E).
* To whom correspondence should be addressed.
E-mail luwei_pk@bjmu.edu.cn (Wei LU); lizaiquan@bjmu.edu.cn (Zai-quan LI)
Received 2012-11-23 Accepted 2013-02-17
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