PMID- 32407876 OWN - NLM STAT- MEDLINE DCOM- 20210312 LR - 20210312 IS - 1879-3177 (Electronic) IS - 0887-2333 (Linking) VI - 67 DP - 2020 Sep TI - Cetuximab enhances oridonin-induced apoptosis through mitochondrial pathway and endoplasmic reticulum stress in laryngeal squamous cell carcinoma cells. PG - 104885 LID - S0887-2333(20)30070-9 [pii] LID - 10.1016/j.tiv.2020.104885 [doi] AB - Cetuximab plus oridonin showed a synergistic way to kill laryngeal squamous cell carcinoma (LSCC), as been reported previously. The present work further mechanistically extended action of the synergistic effects of combination treatment. Firstly, two LSCC cells displayed higher sensitivity to oridonin, whereas both low EGFR expression tumor cells and EGFR knockdown LSCC cells were less sensitive to oridonin. Next, cetuximab/oridonin significantly enhanced the mitochondrial apoptosis through NF-kappaB. Meanwhile, PI3K/Akt and JAK2/STAT3 pathways are associated with the nucleus translocation of NF-kappaB by combination treatment. Additionally, cetuximab enhanced oridonin-promoted ER stress-related apoptosis. Interestingly, both ER stress and mitochondrial apoptosis by combination treatment are abrogated by ROS scavenger. Furthermore, oridonin/cetuximab induced ROS production after 1.5 h, followed by G2/M arrest and apoptosis, indicating that ROS generation might be an early and key event. Taken together, cetuximab enhances oridonin-induced ER stress and mitochondrial apoptotic pathway, which contributes to the synergistic antitumor effects of cetuximab/oridonin. CI - Copyright (c) 2020. Published by Elsevier Ltd. FAU - Kang, Ning AU - Kang N AD - School of Integrative Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, PR China. FAU - Cao, Shijie AU - Cao S AD - Tianjin State Key Laboratory of Modern Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, PR China. FAU - Jiang, Benke AU - Jiang B AD - School of Integrative Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, PR China; Faculty of Life Sciences and Biological Pharmacy, Shenyang Pharmaceutical University, Shenyang 110016, PR China. FAU - Zhang, Qiang AU - Zhang Q AD - School of Integrative Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, PR China. FAU - Donkor, Paul Owusu AU - Donkor PO AD - School of Pharmacy, University of Ghana, Korle Bu, Accra, P.O. Box 52, Ghana. FAU - Zhu, Yan AU - Zhu Y AD - Tianjin State Key Laboratory of Modern Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, PR China. FAU - Qiu, Feng AU - Qiu F AD - School of Chinese Materia Medica, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, PR China. Electronic address: fengqiu20070118@163.com. FAU - Gao, Xiumei AU - Gao X AD - Tianjin State Key Laboratory of Modern Chinese Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, PR China. Electronic address: gaoxiumei@tjutcm.edu.cn. LA - eng PT - Journal Article DEP - 20200512 PL - England TA - Toxicol In Vitro JT - Toxicology in vitro : an international journal published in association with BIBRA JID - 8712158 RN - 0 (Antineoplastic Agents, Immunological) RN - 0 (Diterpenes, Kaurane) RN - 0 (RNA, Small Interfering) RN - 0 (Reactive Oxygen Species) RN - 0APJ98UCLQ (oridonin) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - PQX0D8J21J (Cetuximab) SB - IM MH - Antineoplastic Agents, Immunological/*pharmacology MH - Apoptosis/drug effects MH - Carcinoma, Squamous Cell/*drug therapy MH - Cell Line, Tumor MH - Cetuximab/*pharmacology MH - Diterpenes, Kaurane/*pharmacology MH - Drug Synergism MH - Endoplasmic Reticulum Stress/drug effects MH - ErbB Receptors/genetics MH - Humans MH - Laryngeal Neoplasms/*drug therapy MH - Membrane Potential, Mitochondrial/drug effects MH - Mitochondria/drug effects/physiology MH - RNA, Small Interfering/genetics MH - Reactive Oxygen Species/metabolism OTO - NOTNLM OT - Cetuximab OT - ER stress OT - Laryngeal squamous cell carcinoma cells OT - Mitochondrial pathway OT - Oridonin OT - Synergistic apoptosis COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2020/05/15 06:00 MHDA- 2021/03/13 06:00 CRDT- 2020/05/15 06:00 PHST- 2020/01/22 00:00 [received] PHST- 2020/05/08 00:00 [revised] PHST- 2020/05/09 00:00 [accepted] PHST- 2020/05/15 06:00 [pubmed] PHST- 2021/03/13 06:00 [medline] PHST- 2020/05/15 06:00 [entrez] AID - S0887-2333(20)30070-9 [pii] AID - 10.1016/j.tiv.2020.104885 [doi] PST - ppublish SO - Toxicol In Vitro. 2020 Sep;67:104885. doi: 10.1016/j.tiv.2020.104885. Epub 2020 May 12.