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Table 2 The combination therapy by apigenin and other chemodrugs

From: Apigenin in cancer therapy: anti-cancer effects and mechanisms of action

Cotreatment partner

Tumor type

Cell lines (concentration)

Combination effects

Mechanisms

Citations

IFNγ

Cervical cancer

HeLa and SiHa (10 μM)

Enhance the anticancer activity

Targeting cyclin-dependent kinase 1

[114]

Paclitaxel

Ovarian cancer

SKOV3 (40 μM)

Overcome taxol resistance

Downregulation of Axl and Tyro3 RTKs expression

[100]

Cisplatin

Multiple tumor types

HeLa, A549, HCT 116, H1299, and MCF-7 (30 µM)

Enhances the cisplatin cytotoxic effect

Increased DNA damage in a p53-dependent manner

[116]

Prostate cancer stem cells

PC3 and CSCs (15 μM)

Enhance anticancer effects

Suppressed PI3K/AKT activation and protein expression of NF-κB

[117]

Laryngeal carcinoma

Hep-2 (40 μM)

Enhance the sensitivity to cisplatin

Inhibition of GLUT-1 and p-AKT

[119]

Solid Ehrlich carcinoma

Swiss male albino mice, intraperitoneally (100 mg/kg)

Enhanced anti-cancer effect

Increased Beclin-1, caspases 3, 9 and JNK activities and decreased Mcl-1

[44]

5-Fluorouracil (5-FU)

Hepatocellular carcinoma

SK-Hep-1 and BEL-7402 (4 μM)

Enhanced anticancer activity

Inhibition of ROS-mediated drug resistance and decreased Bcl-2 expression and loss of ΔΨm

[120]

Pancreatic cancer

BxPC-3 (13 μM)

Potentiate anti-proliferative effect

Decreased nuclear GSK-3β and NF-κB p65

[121]

Doxorubicin and etoposide

Leukaemia

CCRF-CEM and Jurkat (10 μM)

Enhancing cell cytotoxicity

Increased DNA damage

[122]

TRAIL

Non-small cell lung cancer

A549 and H1299 (20 μM)

Enhance anti-tumor activity

Upregulated DR4/DR5 expression in a p53-dependent manner

[26]

Anaplastic thyroid carcinoma

8505C and CAL62 (40 μM)

Potentiates synergistic cytotoxicity

Reduced Bcl-2 and inactivation of ERK

[125]

Prostate cancer

DU145 (20 μM)

Enhancing cell apoptosis

Targeting adenine nucleotide translocase-2

[124]

ABT-263

Colon cancer

HCT116 and DLD1 (20 µM)

Enhance cell apoptosis

Inhibition of AKT and ERK signaling and Mcl-1 and upregulation of Bim

[24]

miR-433-5p knockdown

Glioma stem cell

CD133-positive GSCs (20 μM)

Enhance cell apoptosis

Changes in Bax/Bcl-2 ratio, increased cytochrome c level, Apaf-1 induction, and caspase-3 activation

[126]

miR-138

Neuroblastoma

SK-N-DZ and SK-N-BE2 (100 μM)

Enhance cell apoptosis inhibition of cell viability

Increased Bax/Bcl-2 ratio and caspase-3,8

[127]

4-Hydroxy-2-nonenal (4-HNE)

The rat adrenal pheochromocytoma

PC12 (20 μM)

Attenuate 4-HNE-mediated cell death

Restore 4-HNE-induced ER homeostasis through modulating of UPR, Nrf2-ARE and MAPK pathways

[128]