eISSN: 1896-9151
ISSN: 1734-1922
Archives of Medical Science
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vol. 11

Basic research
Efficacy of low dose temozolomide in combination with bortezomib in U87 glioma cells: a flow cytometric analysis

Panagiotis J. Vlachostergios
Christos N. Papandreou

Arch Med Sci 2015; 11, 2: 307–310
Online publish date: 2013/08/12
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Introduction: Maximizing responses of malignant gliomas is hampered by resistance to temozolomide (TMZ). Increasing efficacy but not toxicity is a key issue when testing drug combinations. The antimyeloma agent bortezomib (BZ) has shown promising results in vitro and is currently being tested in glioblastoma (GBM) patients. In this study we investigate whether reduction of TMZ dosage is feasible without compromising the antitumor effect of TMZ-BZ combination.

Material and methods: U87 GBM cells were treated with increasing doses of TMZ (1, 10, 100, 1000 μM), BZ (0.001, 0.01, 0.1, 1) and the combination during a 48-hour period, and apoptotic or/and necrotic cell death was evaluated by flow cytometry.

Results: Bortezomib alone at a dose as low as 0.001 μM markedly induced cell death, particularly late apoptosis, to a level which was comparable with high TMZ dosage. For combination treatments, the dose of 0.1 μM BZ, which was more potent than the maximal dose of TMZ (1000 μM), was chosen to be added to increasing TMZ concentrations. The combination of 0.1 BZ μM BZ with low doses of TMZ (1, 10 μM) further increased the cell death rate in an additive manner, at levels higher than those induced by high doses of TMZ monotherapy (100, 1000 μM).

Conclusions: Efficacy of TMZ-BZ combination is feasible with low doses of TMZ in vitro.

temozolomide, bortezomib, glioma, U87, flow cytometry

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