Key result
The combination of alpha-tomatine (1 mg/kg) and doxorubicin (2 mg/kg) significantly prolonged the survival of mice bearing solid Ehrlich tumours compared to untreated controls (p<0.01).
Why the study?
Does alpha-tomatine alone or in combination with doxorubicin reduce tumour growth and improve survival in a mouse model of mammary adenocarcinoma?
Does alpha-tomatine alone or in combination with doxorubicin reduce tumour growth and improve survival in a mouse model of mammary adenocarcinoma?
p-value: p=<0.01
Alpha-tomatine demonstrates dose-dependent anticancer activity and synergizes with doxorubicin to prolong survival in a mouse model of mammary adenocarcinoma.
Hypothesis-generating for alpha-tomatine in solid tumours; clinical translation requires prospective human trials.
AIM: To evaluate the anticancer effect of alpha-tomatine (i.p.) either alone or in combination with doxorubicin (i.v.) in a mouse tumour model. METHODS: We studied the effect of repeated alpha-tomatine (0.1 - 9 mg/kg) and/or doxorubicin (2 mg/kg) on the growth and mitotic activity of the solid Ehrlich tumour in vivo, as well as on the survival of the tumour-bearing mice. RESULTS: Monotherapy with alpha-tomatine had a significant dose-dependent anticancer effect which peaked at 1 mg/kg. This was shown by both slowed tumour growth and reduced tumour cell proliferation. We also provide the first evidence that the combination alpha-tomatine (1 mg/kg) and doxorubicin (2 mg/kg) had a synergistic effect and significantly prolonged the survival of the mice. Neither alpha-tomatine nor doxorubicin influenced the infiltration of tumours with CD3+ lymphocytes; nor were we able to find an in vivo modulation of the key molecules of two regulatory pathways reported in vitro as the principal anti-cancer mechanisms of alpha-tomatine, i.e. iNOS and phosphorylated ERK2. However, alpha-tomatine still led to intracellular DNA inhibition and protein synthesis in Ehrlich tumour cells in a short-term culture ex vivo with IC50 values of 8.7 and 6.6 µM. CONCLUSIONS: The results suggest that ΤΟΜ, especially in combination with doxorubicin, may be a promising agent for the treatment of malignant solid tumours. Despite growing knowledge of the mechanisms of ΤΟΜ action in cancer cells, most aspects remain unclear. Parallel organ toxicity, especially potential liver effects, requires careful attention when performing in vivo studies in the future.
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Tomšík et al. (2013) studied Solid Ehrlich tumour (mammary adenocarcinoma) (n=208). alpha-tomatine and doxorubicin vs. Saline was evaluated on Overall survival (p=<0.01). The combination of alpha-tomatine (1 mg/kg) and doxorubicin (2 mg/kg) significantly prolonged the survival of mice bearing solid Ehrlich tumours compared to untreated controls (p<0.01).
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