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    Reversal Effect of Saikosaponin A and Saikosaponin B on Doxorubicin-resistant Breast Cancer Cells and its Mechanism

    Dan Wang1, Duochun Ji1, Danni Wu1, Like Wang1, Chunyan Yu1, Chun Li1, Xiaodong Gai1 Corresponding author

    1. 1College of Basic Medicine, Beihua University, Jilin City, Jilin, China.

    CORRESPONDENCE

    Xiaodong Gai

    College of Basic Medicine, Beihua University, Jilin City, Jilin 132013, China.

    bhdxgaixiaodong@126.com

    Received: 13-11-2022; Accepted: 28-02-2023.

    Volume 19, Issue 3 · pp. 700–708 · PUBLISHED 2023 · DOI: 10.1177/09731296231171217

    View on Pharmacogn. Mag. original site ↗

    ABSTRACT

    Background: One of the key factors limiting the effectiveness of chemotherapy treatment for malignancies is multidrug resistance (MDR). The MDR phenotype is related to P-glycoprotein (P-gp) expression and function. The main triterpenoid saponins generated from Bupleurum chinense DC (BCDC), saikosaponin A (SSa), has been found to have anti-tumor potential. Saikosaponin B (SSb) has the potential for utility in combination with anticancer drugs as the secondary saikosaponins. Objective: In this study, we looked into the impact of SSa and SSb on doxorubicin (Dox)-resistant breast cancer cells and its underlying mechanisms. Materials and Methods: Dox-resistant breast cancer cells (MCF-7ADR) and MCF-7 cells were used in the study. The experimental cells were divided into a different concentration SSa administration group, a different concentration SSb administration group, and a control group, and the related biochemical parameters of MCF-7 and MCF-7ADR cells were detected. Results: We discovered that SSa and SSb both suppressed MCF-7 and MCF-7ADR cell proliferation in a dose-dependent manner. Additionally, SSa at 2.5 and 5.0 μg/mL and SSb at 3.0 and 7.0 μg/mL could significantly enhance the cytotoxicity of Dox and reverse MDR in MCF-7ADR cells. The combination of Dox and SSa or SSb induced obvious synergistic effects. SSa and SSb could increase the sensitivity of MCF-7ADR cells to Dox by decreasing P-gp expression, increasing intracellular accumulation, and delaying the drug efflux of rhodamine 123 (Rh123, a P-gp substrate). Additionally, SSa and SSb both induced G1-phase arrest in MCF-7ADR cells in the presence of Dox. Conclusion: According to the study, SSa and SSb may be novel MDR reversal medicines for breast cancer chemotherapy and have significant therapeutic significance for MDR during tumor therapy.

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      Wang, D., Ji, D., Wu, D., Wang, L., Yu, C., Li, C., & Gai, X. (2023). Reversal Effect of Saikosaponin A and Saikosaponin B on Doxorubicin-resistant Breast Cancer Cells and its Mechanism. Pharmacognosy Magazine, 19(3), 700–708. https://doi.org/10.1177/09731296231171217