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June 1, 2026Open Access

Supplementary File.

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Key result

The synergistic combination of Valproic acid and Zebularine inhibited colon cell proliferation and increased KLF4 expression by 2-fold in SW480 cells and 22-fold in DLD-1 cells.

Why the study?

Colorectal cancer is a leading cause of global mortality driven by abnormal regulation of oncogenes and deactivation of tumor suppressor genes, necessitating effective drugs targeting these genes.

Population

Early-stage (SW480) and late-stage (DLD-1) colon cancer cells

Comparison

Valproic acid and Zebularine combined vs independent doses

Design

In-vitro preclinical study

Authors

JKJeyalakshmi KandhaveluUniversity of the WitwatersrandKSKumar SubramanianUniversity of the WitwatersrandNMNatanya MoodleyUniversity of the Witwatersrand

Discussion

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Implication

Hypothesis-generating for VPA+ZEB in colorectal cancer; leaves open clinical translation pending trials.

Structured PICO

P
Population
Early-stage colon cells (SW480 cells) and late-stage colon cells (DLD-1 cells)
I
Intervention
Valproic acid (VPA) and Zebularine (ZEB) combination
C
Comparator
Independent doses of VPA and ZEB
O
Outcome
Expression of Krüppel-like factor 4 (KLF4) and CTNNB1 (β-catenin), and cell proliferationsurrogate

The combination of VPA and ZEB shows potential as an anti-colon cancer agent by modulating KLF4 and CTNNB1 expression in vitro.

Cite This Study

Kandhavelu et al. (2026) studied Colorectal cancer. Valproic acid (VPA) and Zebularine (ZEB) vs. Independent doses was evaluated on Cell proliferation and expression of KLF4 and CTNNB1. The synergistic combination of Valproic acid and Zebularine inhibited colon cell proliferation and increased KLF4 expression by 2-fold in SW480 cells and 22-fold in DLD-1 cells.

synapsesocial.com/papers/6a6563d7d8f85b2777d78175https://doi.org/10.1371/journal.pone.0348215.s001

Topics

Molecular Mechanisms of Cardiac Remodeling
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Combinatorial drug repurposing of Valproic acid and Zebularine regulates Krüppel-like factor 4 and β-catenin expression in colon cancer cells2026 · 1 citations
  2. 2Zebularine Boosts Imatinib Efficacy in Cells of Colorectal Cancer via Wnt‐Survivin‐P‐Glycoprotein Pathway2026
  3. 3Valproic acid improves the efficacy of oxaliplatin/fluoropyrimidine-based chemotherapy by targeting cancer stem cell via β-Catenin modulation in colorectal cancer2025 · 11 citations
  4. 4Abstract 7600: Synergy of ZEN3694 and VIP152 for dual transcriptional targeting of BET and CDK9 in patient derived organoid models of pancreatic cancer2024
  5. 5Network Pharmacology, Molecular Docking, and Wnt Signaling-Associated Gene Expression Modulation Effects of New Anti-Colorectal Cancer Agents2026