PMID- 25270341 OWN - NLM STAT- MEDLINE DCOM- 20150619 LR - 20141022 IS - 1791-3004 (Electronic) IS - 1791-2997 (Linking) VI - 10 IP - 6 DP - 2014 Dec TI - Inhibition of the p38 MAPK pathway sensitizes human gastric cells to doxorubicin treatment in vitro and in vivo. PG - 3275-81 LID - 10.3892/mmr.2014.2598 [doi] AB - Gastric cancer is the second most common cause of cancer-related deaths worldwide. Doxorubicin-based chemotherapeutic regimes have been the mainstay of systemic treatment for disseminated gastric cancer for numerous years. However, the ef fi cacy of doxorubicin is severely limited due to chemoresistance. Chemoresistance is a tightly regulated process, under the control of numerous signal transduction pathways. Amongst these, the mitogen-activated protein kinase (MAPK) pathway has received much attention. This study assessed whether the p38 MAPK pathway is involved in doxorubicin resistance in gastric cancer cells. Doxorubicin alone or combined with the p38 MAPK pathway inhibitor SB203580 was used to treat gastric cancer cells (SGC7901 and BGC823 lines). The effect of doxorubicin on the growth and apoptosis of gastric cancer cells in the presence or absence of SB203580 was investigated by western blot analysis, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, Hoechst staining, Annexin V-FITC/propidium iodide staining followed by fl ow cytometry analysis, and the terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling (TUNEL) assay. Next, the effects of doxorubicin and SB203580, on the sensitivity of BGC-823 cells were assessed in a tumor xenograft model. The results showed that the p38 MAPK inhibitor significantly increases gastric cancer cell sensitivity to doxorubicin. Doxorubicin in combination with SB203580 significantly reduced cell viability (P<0.01) and increased cell death (P<0.01), which may be associated with the inactivation of the p38 MAPK signaling pathway, followed by the induced expression of the pro-apoptotic protein Bax and a concomitant decrease in Bcl-2 expression. These findings suggest that p38 MAPK is involved in gastric cancer cell survival, and that the inhibition of p38 MAPK signaling can reduce the tolerance of gastric cancer cells to doxorubicin treatment. FAU - Tan, Wei AU - Tan W AD - Department of Gastroenterology, Wuhan University, Renmin Hospital, Wuhan, Hubei 430060, P.R. China. FAU - Yu, Hong-Gang AU - Yu HG AD - Institute for Gastroenterology and Hepatology, Wuhan University Medical School, Wuhan, Hubei 430060, P.R. China. FAU - Luo, He-Sheng AU - Luo HS AD - Institute for Gastroenterology and Hepatology, Wuhan University Medical School, Wuhan, Hubei 430060, P.R. China. LA - eng PT - Journal Article DEP - 20140925 PL - Greece TA - Mol Med Rep JT - Molecular medicine reports JID - 101475259 RN - 0 (BAX protein, human) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (bcl-2-Associated X Protein) RN - 80168379AG (Doxorubicin) RN - EC 2.7.11.24 (p38 Mitogen-Activated Protein Kinases) SB - IM MH - Apoptosis/drug effects MH - Cell Death/drug effects MH - Cell Line, Tumor MH - Cell Survival/drug effects MH - Doxorubicin/*pharmacology MH - Humans MH - Proto-Oncogene Proteins c-bcl-2/metabolism MH - Signal Transduction/*drug effects MH - Stomach Neoplasms/*drug therapy/metabolism MH - bcl-2-Associated X Protein/metabolism MH - p38 Mitogen-Activated Protein Kinases/*metabolism EDAT- 2014/10/02 06:00 MHDA- 2015/06/20 06:00 CRDT- 2014/10/02 06:00 PHST- 2013/10/23 00:00 [received] PHST- 2014/05/15 00:00 [accepted] PHST- 2014/10/02 06:00 [entrez] PHST- 2014/10/02 06:00 [pubmed] PHST- 2015/06/20 06:00 [medline] AID - 10.3892/mmr.2014.2598 [doi] PST - ppublish SO - Mol Med Rep. 2014 Dec;10(6):3275-81. doi: 10.3892/mmr.2014.2598. Epub 2014 Sep 25.