Why the study?
The clinical application of 5-fluorouracil is often hindered by its cardiotoxic effects, and resveratrol has potential as an adjunct agent with dual anti-tumor and cardioprotective properties.
Does resveratrol combined with 5-fluorouracil improve anti-tumor efficacy and reduce cardiotoxicity in gastric cancer models?
Does resveratrol combined with 5-fluorouracil improve anti-tumor efficacy and reduce cardiotoxicity in gastric cancer models?
Resveratrol shows potential as an adjunct therapy to enhance the anti-tumor efficacy of 5-fluorouracil while protecting against its cardiotoxic effects in preclinical models.
Preclinical data on RES with 5-Fu in gastric cancer models remain hypothesis-generating; clinical trials needed before any therapeutic consideration.
The clinical application of 5-fluorouracil (5-Fu), a potent chemotherapeutic agent, is often hindered by its well-documented cardiotoxic effects. Nevertheless, natural polyphenolic compounds like resveratrol (RES), known for their dual anti-tumor and cardioprotective properties, are potential adjunct therapeutic agents. In this investigation, we examined the combined utilization of RES and 5-Fu for the inhibition of gastric cancer using both in vitro and in vivo models, as well as their combined impact on cardiac cytotoxicity. Our study revealed that the co-administration of RES and 5-Fu effectively suppressed MFC cell viability, migration, and invasion, while also reducing tumor weight and volume. Mechanistically, the combined treatment prompted p53-mediated apoptosis and autophagy, leading to a considerable anti-tumor effect. Notably, RES mitigated the heightened oxidative stress induced by 5-Fu in cardiomyocytes, suppressed p53 and Bax expression, and elevated Bcl-2 levels. This favorable influence enhanced primary cardiomyocyte viability, decreased apoptosis and autophagy, and mitigated 5-Fu-induced cardiotoxicity. In summary, our findings suggested that RES holds promise as an adjunct therapy to enhance the efficacy of gastric cancer treatment in combination with 5-Fu, while simultaneously mitigating cardiotoxicity.
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Liu et al. (2024) studied this question.
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