PMID- 26151622 OWN - NLM STAT- MEDLINE DCOM- 20160624 LR - 20221207 IS - 1791-3004 (Electronic) IS - 1791-2997 (Linking) VI - 12 IP - 4 DP - 2015 Oct TI - 1‑O‑acetylbritannilactone combined with gemcitabine elicits growth inhibition and apoptosis in A549 human non‑small cell lung cancer cells. PG - 5568-72 LID - 10.3892/mmr.2015.4042 [doi] AB - Non‑small‑cell lung cancer (NSCLC) accounts for ~85% of all lung cancer cases, with a 5‑year survival rate of <15%. 1‑O‑acetylbritannilactone (ABL), a natural chemical component obtained from inula britannica, a Chinese traditional medicine, has been demonstrated to have anticancer activity. In the present study, the antiproliferative and proapoptotic abilities of ABL alone or in combination with gemcitabine in a human NSCLC cell line were investigated. A549 cells were treated in vitro with ABL, gemcitabine, and a combination of ABL and gemcitabine for 72 h. The results demonstrated that ABL and gemcitabine inhibited cell growth and induced apoptosis of A549 cells. These effects were more potent following the combination of ABL and gemcitabine treatment than either agent alone. Furthermore, the signal transduction analysis revealed nuclear factor (NF)‑kappaB expression was significantly decreased by ABL and the combination treatment. The inhibitor nuclear factor kappaBalpha (IkappaBalpha) and Bax levels were upregulated whereas Bcl‑2 was substantially downregulated following treatment. The present findings suggest that ABL combined with gemcitabine elicits potent apoptosis of lung cancer cells and therefore, ABL has the potential to be developed as a chemotherapeutic agent. FAU - Wang, Feng AU - Wang F AD - Department of Thoracic Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200011, P.R. China. FAU - Li, Hong AU - Li H AD - Department of Emergency, Shanghai Chest Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200011, P.R. China. FAU - Qiao, Jian-Ou AU - Qiao JO AD - Department of Respiratory Medicine, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai 200011, P.R. China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150703 PL - Greece TA - Mol Med Rep JT - Molecular medicine reports JID - 101475259 RN - 0 (Antineoplastic Agents) RN - 0 (BAX protein, human) RN - 0 (BCL2 protein, human) RN - 0 (Drug Combinations) RN - 0 (I-kappa B Proteins) RN - 0 (Lactones) RN - 0 (NF-kappa B) RN - 0 (NFKBIA protein, human) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (acetylbritannilatone) RN - 0 (bcl-2-Associated X Protein) RN - 0W860991D6 (Deoxycytidine) RN - 139874-52-5 (NF-KappaB Inhibitor alpha) RN - 0 (Gemcitabine) SB - IM MH - Antineoplastic Agents/*pharmacology MH - Apoptosis/drug effects MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Deoxycytidine/*analogs & derivatives/pharmacology MH - Drug Combinations MH - Drug Synergism MH - Epithelial Cells/*drug effects/metabolism/pathology MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - I-kappa B Proteins/agonists/genetics/metabolism MH - Lactones/*pharmacology MH - NF-KappaB Inhibitor alpha MH - NF-kappa B/antagonists & inhibitors/genetics/metabolism MH - Proto-Oncogene Proteins c-bcl-2/antagonists & inhibitors/genetics/metabolism MH - Respiratory Mucosa/drug effects/metabolism/pathology MH - Signal Transduction MH - bcl-2-Associated X Protein/agonists/genetics/metabolism MH - Gemcitabine EDAT- 2015/07/08 06:00 MHDA- 2016/06/25 06:00 CRDT- 2015/07/08 06:00 PHST- 2013/11/09 00:00 [received] PHST- 2014/06/17 00:00 [accepted] PHST- 2015/07/08 06:00 [entrez] PHST- 2015/07/08 06:00 [pubmed] PHST- 2016/06/25 06:00 [medline] AID - 10.3892/mmr.2015.4042 [doi] PST - ppublish SO - Mol Med Rep. 2015 Oct;12(4):5568-72. doi: 10.3892/mmr.2015.4042. Epub 2015 Jul 3.