PMID- 23749887 OWN - NLM STAT- MEDLINE DCOM- 20130813 LR - 20211021 IS - 1791-7530 (Electronic) IS - 0250-7005 (Print) IS - 0250-7005 (Linking) VI - 33 IP - 6 DP - 2013 Jun TI - Acetaminophen enhances cisplatin- and paclitaxel-mediated cytotoxicity to SKOV3 human ovarian carcinoma. PG - 2391-400 AB - BACKGROUND: Ovarian cancer is commonly treated with cisplatin/paclitaxel but many tumors become resistant. Acetaminophen reduced glutathione and enhanced chemotherapy efficacy in hepatic cancer treatment. The objective of this study was to examine if acetaminophen enhances the cytotoxicity of cisplatin/paclitaxel in ovarian cancer. MATERIALS AND METHODS: SKOV3 human ovarian carcinoma cells in vitro and a subcutaneous tumor nude rat model were used and treated with cisplatin/paclitaxel with or without acetaminophen. RESULTS: In vitro, acetaminophen enhanced apoptosis induced by cisplatin and paclitaxel with similar effects on glutathione, reactive oxygen species and mitochondrial membrane potential, but different effects on nuclear factor erythroid 2-related factor 2 (NRF2) translocation. In vivo, acetaminophen was uniformly distributed in tissues and significantly reduced hepatic glutathione. Acetaminophen enhanced the cisplatin chemotherapeutic effect by reducing tumor recurrence. CONCLUSION: Our results suggest that acetaminophen as a chemoenhancing adjuvant could improve the efficacy of cisplatin and paclitaxel in treating patients with ovarian carcinoma and other tumor types. FAU - Wu, Ying-Jen Jeffrey AU - Wu YJ AD - Department of Neurology, Oregon Health and Sciences University, Portland, OR 97239, USA. FAU - Neuwelt, Alexander J AU - Neuwelt AJ FAU - Muldoon, Leslie L AU - Muldoon LL FAU - Neuwelt, Edward A AU - Neuwelt EA LA - eng GR - R01 NS053468/NS/NINDS NIH HHS/United States GR - CA137488/CA/NCI NIH HHS/United States GR - R37 NS044687/NS/NINDS NIH HHS/United States GR - NS44687/NS/NINDS NIH HHS/United States GR - NS053468/NS/NINDS NIH HHS/United States GR - R01 NS044687/NS/NINDS NIH HHS/United States GR - R01 CA137488/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - 0 (Antineoplastic Agents) RN - 0 (NF-E2-Related Factor 2) RN - 0 (NFE2L2 protein, human) RN - 0 (Reactive Oxygen Species) RN - 362O9ITL9D (Acetaminophen) RN - GAN16C9B8O (Glutathione) RN - P88XT4IS4D (Paclitaxel) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Acetaminophen/*pharmacology/therapeutic use MH - Animals MH - Antineoplastic Agents/pharmacology/therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/pharmacology/therapeutic use MH - Apoptosis/drug effects MH - Cell Line, Tumor MH - Cisplatin/*pharmacology/therapeutic use MH - Female MH - Glutathione/metabolism MH - Humans MH - Membrane Potential, Mitochondrial/drug effects MH - NF-E2-Related Factor 2/metabolism MH - Neoplasm Transplantation MH - Ovarian Neoplasms/*drug therapy MH - Paclitaxel/*pharmacology/therapeutic use MH - Rats MH - Rats, Nude MH - Reactive Oxygen Species MH - Xenograft Model Antitumor Assays PMC - PMC3709593 MID - NIHMS491221 OTO - NOTNLM OT - Acetaminophen OT - SKOV3 cells OT - chemo-enhancement OT - cisplatin OT - glutathione OT - ovarian cancer EDAT- 2013/06/12 06:00 MHDA- 2013/08/14 06:00 PMCR- 2014/06/01 CRDT- 2013/06/11 06:00 PHST- 2013/06/11 06:00 [entrez] PHST- 2013/06/12 06:00 [pubmed] PHST- 2013/08/14 06:00 [medline] PHST- 2014/06/01 00:00 [pmc-release] AID - 33/6/2391 [pii] PST - ppublish SO - Anticancer Res. 2013 Jun;33(6):2391-400.