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Marinho AD, Lucena da Silva E, Jullyanne de Sousa Portilho A, Lacerda Brasil de Oliveira L, Cintra Austregésilo Bezerra E, Maria Dias Nogueira B, Leitão-Araújo M, Lúcia Machado-Alves M, Correa Neto C, Seabra Ferreira R, de Fátima Aquino Moreira-Nunes C, Elisabete Amaral de Moraes M, Jorge RJB, Montenegro RC. Three snake venoms from Bothrops genus induced apoptosis and cell cycle arrest in K562 human leukemic cell line. Toxicon 2024; 238:107547. [PMID: 38065258 DOI: 10.1016/j.toxicon.2023.107547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Revised: 11/22/2023] [Accepted: 11/29/2023] [Indexed: 01/15/2024]
Abstract
Cancer is indisputably one of the leading causes of death worldwide. Snake venoms are a potential source of bioactive compounds, complex mixtures constituted mainly of proteins and peptides with several pharmacological possibilities, including the potential to inhibit tumoral cell growth. In the present study, it was evaluated the antitumor effect of crude venom of Bothrops erythromelas (BeV), Bothrops jararaca (from Southern and Southeastern- BjsV and BjsdV, respectively) and Bothrops alternatus (BaV) in in vitro Chronic myeloid leukemia (CML) cancer cell line model. After 24 h of cell exposure to 10 and 50 μg/mL, BjsV, BjsdV, and BaV exerted a decrease in cell viability in both concentrations. BeV was not cytotoxic and, therefore wasn't chosen for further mechanism of action investigation. Furthermore, morphological alterations show modification typical of apoptosis. Also, was observes a significant cell cycle arrest in the S phase by BjsdV and BaV treatment. Flow cytometry evidenced the involvement of changes in the cell membrane permeability and the mitochondrial function by BjsV and BjsdV, corroborating with the triggering of the apoptotic pathway by the venom administration. BjsV, BjsdV, and BaV also led to extensive DNA damage and were shown to modulate the gene expression of transcripts related to the cell cycle progression and suppress the expression of the BCR-ABL1 oncogene. Altogether, these findings suggest that the venoms trigger the apoptosis pathway due to mitochondrial damage and cell cycle arrest, with modulation of intracellular pathways important for CML progression. Thus, indicating the pharmacological potential of these venoms in the development of new antitumoral compounds.
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Affiliation(s)
- Aline D Marinho
- Department of Physiology and Pharmacology, School of Medicine, Federal University of Ceara, Coronel Nunes de Melo St., 1127, 60.430-275, Fortaleza, CE, Brazil; Pharmacogenetics Laboratory, Drug Research and Development Center (NPDM), Federal University of Ceara, Coronel Nunes de Melo St., 1000, 60.430-275, Fortaleza, CE, Brazil.
| | - Emerson Lucena da Silva
- Pharmacogenetics Laboratory, Drug Research and Development Center (NPDM), Federal University of Ceara, Coronel Nunes de Melo St., 1000, 60.430-275, Fortaleza, CE, Brazil
| | - Adrhyann Jullyanne de Sousa Portilho
- Pharmacogenetics Laboratory, Drug Research and Development Center (NPDM), Federal University of Ceara, Coronel Nunes de Melo St., 1000, 60.430-275, Fortaleza, CE, Brazil
| | - Laís Lacerda Brasil de Oliveira
- Pharmacogenetics Laboratory, Drug Research and Development Center (NPDM), Federal University of Ceara, Coronel Nunes de Melo St., 1000, 60.430-275, Fortaleza, CE, Brazil
| | - Emanuel Cintra Austregésilo Bezerra
- Pharmacogenetics Laboratory, Drug Research and Development Center (NPDM), Federal University of Ceara, Coronel Nunes de Melo St., 1000, 60.430-275, Fortaleza, CE, Brazil
| | - Beatriz Maria Dias Nogueira
- Pharmacogenetics Laboratory, Drug Research and Development Center (NPDM), Federal University of Ceara, Coronel Nunes de Melo St., 1000, 60.430-275, Fortaleza, CE, Brazil
| | - Moema Leitão-Araújo
- Fundação Zoobotânica do Rio Grande do Sul, Museu de Ciências Naturais, Núcleo Regional de Ofiologia de Porto Alegre, Dr. Salvador França St., 1427, 90690-000, Porto Alegre, RS, Brazil
| | - Maria Lúcia Machado-Alves
- Fundação Zoobotânica do Rio Grande do Sul, Museu de Ciências Naturais, Núcleo Regional de Ofiologia de Porto Alegre, Dr. Salvador França St., 1427, 90690-000, Porto Alegre, RS, Brazil
| | - Carlos Correa Neto
- Instituto Vital Brazil, Maestro José Botelho St., 64, 24230-410, Niterói, RJ, Brazil; Instituto de Bioquímica Médica Leopoldo de Meis, Instituto Nacional de Biologia Estrutural e Bioimagem, Universidade Federal do Rio de Janeiro, César Pernetta St., 1573-1675, 21941-902, Rio de Janeiro-RJ, Brazil
| | - Rui Seabra Ferreira
- Center for the Study of Venoms and Venomous Animals, Fazenda Experimental Lageado, São Paulo State University, José Barbosa de Barros St., 1780, 18610-307, Botucatu, SP, Brazil
| | - Caroline de Fátima Aquino Moreira-Nunes
- Pharmacogenetics Laboratory, Drug Research and Development Center (NPDM), Federal University of Ceara, Coronel Nunes de Melo St., 1000, 60.430-275, Fortaleza, CE, Brazil
| | - Maria Elisabete Amaral de Moraes
- Department of Physiology and Pharmacology, School of Medicine, Federal University of Ceara, Coronel Nunes de Melo St., 1127, 60.430-275, Fortaleza, CE, Brazil; Pharmacogenetics Laboratory, Drug Research and Development Center (NPDM), Federal University of Ceara, Coronel Nunes de Melo St., 1000, 60.430-275, Fortaleza, CE, Brazil
| | - Roberta J B Jorge
- Department of Physiology and Pharmacology, School of Medicine, Federal University of Ceara, Coronel Nunes de Melo St., 1127, 60.430-275, Fortaleza, CE, Brazil
| | - Raquel C Montenegro
- Department of Physiology and Pharmacology, School of Medicine, Federal University of Ceara, Coronel Nunes de Melo St., 1127, 60.430-275, Fortaleza, CE, Brazil; Pharmacogenetics Laboratory, Drug Research and Development Center (NPDM), Federal University of Ceara, Coronel Nunes de Melo St., 1000, 60.430-275, Fortaleza, CE, Brazil.
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Michelon I, Vilbert M, Marinho AD, Castro CER, Dacoregio MI, Stecca C, Soares LR, Batista MV, Braga S, Saeed A, Cavalcante L. Trastuzumab deruxtecan in human epidermal growth factor receptor 2-positive breast cancer brain metastases: a systematic review and meta-analysis. ESMO Open 2024; 9:102233. [PMID: 38320430 PMCID: PMC10937193 DOI: 10.1016/j.esmoop.2024.102233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 11/16/2023] [Accepted: 12/22/2023] [Indexed: 02/08/2024] Open
Abstract
BACKGROUND Trastuzumab deruxtecan (T-DXd) has shown promising results in patients with breast cancer brain metastases (BCBMs). We conducted a systematic review and meta-analysis to evaluate the effectiveness and safety of T-DXd in the human epidermal growth factor receptor 2 (HER2)-positive BCBM population. PATIENTS AND METHODS We searched PubMed, Embase, and Cochrane Library databases as well as American Society of Clinical Oncology (ASCO), European Society for Medical Oncology (ESMO), and San Antonio Breast Cancer Symposium (SABCS) websites for clinical trials (CTs) and observational studies evaluating T-DXd in patients with HER2-positive BCBM. Heterogeneity was assessed with I2 statistics. Random effects models were used for all statistical analyses, which were carried out using R software (version 4.2.2). RESULTS Ten studies were included, six CTs (n = 189) and four observational studies (n = 130), with a total of 319 patients. The median progression-free survival was 15 months [95% confidence interval (CI) 13.9-16.1 months]. The objective response rate (ORR) was 61% (95% CI 52% to 70%), and the intracranial (IC)-ORR was 61% (95% CI 54% to 69%). No significant differences in ORR and IC-ORR were observed between CTs and observational studies (P = 0.31 and 0.58, respectively). The clinical benefit rate (CBR) was 80% (95% CI 52% to 94%), and the IC-CBR was 70% (95% CI 54% to 82%). The ORR was 68% (95% CI 57% to 77%) in the subgroup of patients with stable BMs and 60% (95% CI 48%-72%) in patients with active BM, with no significant difference between groups (P = 0.35). CONCLUSIONS Our systematic review and meta-analysis supports the IC activity of T-DXd in patients with stable BM and active BM. TRIAL REGISTRATION International Prospective Register of Systematic Reviews (PROSPERO) under the protocol number CRD42023422589.
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Affiliation(s)
- I Michelon
- Department of Medicine, Catholic University of Pelotas, Pelotas, Brazil
| | - M Vilbert
- Department of Medicine, Division of Hematology and Oncology, UPMC Hillman Cancer Center, University of Pittsburgh, Pittsburgh, USA.
| | - A D Marinho
- Department of Medicine, Federal University of the State of Rio de Janeiro, Rio de Janeiro
| | - C E R Castro
- Department of Medicine, University of Brasilia, Brasilia
| | - M I Dacoregio
- Department of Medicine, University of Centro Oeste, Guarapuava
| | - C Stecca
- Department of Medicine, Parana Oncology Center, Curitiba
| | - L R Soares
- Department of Medicine, Federal University of Goiás, Goiania, Brazil
| | - M V Batista
- Medical Oncology Department, Hospital Prof. Doctor Fernando Fonseca, Amadora; Haematology and Oncology Department, CUF Oncology, Sintra, Portugal
| | - S Braga
- Medical Oncology Department, Hospital Prof. Doctor Fernando Fonseca, Amadora; Haematology and Oncology Department, CUF Oncology, Sintra, Portugal
| | - A Saeed
- Department of Medicine, Division of Hematology & Oncology, University of Pittsburgh Medical Center (UPMC), Pittsburgh
| | - L Cavalcante
- Department of Medical Oncology and Hematology, University of Virginia Comprehensive Cancer Center, Charlottesville, USA.
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Júnior FAN, Jorge ARC, Marinho AD, Silveira JADM, Alves NTQ, Costa PHS, E Silva PLB, Chaves-Filho AJM, Lima DB, Sampaio TL, Morais GBD, Evangelista JSAM, Martins AMC, Júnior RSF, Macedo DS, Jorge RJB, Monteiro HSA. Bothrops alternatus Snake Venom Induces Cytokine Expression and Oxidative Stress on Renal Function. Curr Top Med Chem 2019; 19:2058-2068. [PMID: 31400266 DOI: 10.2174/1568026619666190809100319] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Revised: 05/21/2019] [Accepted: 06/05/2019] [Indexed: 12/15/2022]
Abstract
BACKGROUND Envenomation caused by Bothrops alternatus is common in Southern Brazil. Acute Kidney Injury occurs after Bothrops snakebite and more information is necessaryrequired to understand its mechanism. OBJECTIVE The objective was to evaluate the effect of Bothrops alternatus venom (BaV) on renal cells and rat isolated kidney function. METHODS Wistar rats (n = 6, weighing 260-320 g) were perfused with a Krebs-Henseleit solution containing 6 g 100 mL-1 of bovine serum albumin. After 30 minutes, the kidneys were perfused with BaV to a final concentration of 1 and 3 μgmL-1; and subsequently were evaluated for Perfusion Pressure (PP), Renal Vascular Resistance (RVR), Urinary Flow (UF), Glomerular Filtration Rate (GFR), and percentage of electrolyte tubular transport. Renal histological analysis, cytokine release, oxidative stress and cytotoxicity in renal proximal tubular cells were assessed. RESULTS BaV reduced PP, RVR, GFR, UF, total and proximal sodium transport (%TNa+), and chloride (%TCl-) in the isolated kidney perfusion model. Histological analysis of perfused kidneys disclosed the presence of proteinaceous material in the glomeruli and renal tubules, vacuolar tubular epithelial cell degeneration, Bowman's capsule degeneration, swelling of glomerular epithelial cells, glomerular atrophy and degeneration, and the presence of intratubular protein. Cytokine release (TNF-α, IL-1β, IL-10) and oxidative stress were increased in the kidneys. The viability of LLC-MK2 cells (IC50: 221.3 μg/mL) was decreased by BaV and necrosis was involved in cell death. CONCLUSION These findings indicate that BaV modifies functional parameters in an isolated perfused kidney model and has cytotoxic effects on renal lineage cells.
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Affiliation(s)
- F A Nogueira Júnior
- Department of Physiology and Pharmacology, Faculdade de Medicina, Universidade Federal do Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - A R Coelho Jorge
- Department of Physiology and Pharmacology, Faculdade de Medicina, Universidade Federal do Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - A D Marinho
- Department of Physiology and Pharmacology, Faculdade de Medicina, Universidade Federal do Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - J A de Moraes Silveira
- Department of Physiology and Pharmacology, Faculdade de Medicina, Universidade Federal do Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - N T Queiroz Alves
- Department of Physiology and Pharmacology, Faculdade de Medicina, Universidade Federal do Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - P H Sá Costa
- Department of Physiology and Pharmacology, Faculdade de Medicina, Universidade Federal do Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - P L Braga E Silva
- Department of Physiology and Pharmacology, Faculdade de Medicina, Universidade Federal do Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - A J Maia Chaves-Filho
- Department of Physiology and Pharmacology, Faculdade de Medicina, Universidade Federal do Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - D B Lima
- Department of Clinical and Toxicological Analyses, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil
| | - T L Sampaio
- Department of Clinical and Toxicological Analyses, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil
| | - G B de Morais
- Faculdade de Medicina Veterinária. Universidade Estadual do Ceará, Fortaleza, Ceará, Brazil
| | | | - A M Costa Martins
- Department of Clinical and Toxicological Analyses, Universidade Federal do Ceará, Fortaleza, Ceará, Brazil
| | - R S Ferreira Júnior
- Centro de Estudos de Venenos e Animais Peçonhentos - CEVAP, Universidade Estadual Paulista, Botucatu, São Paulo, Brazil
| | - D S Macedo
- Department of Physiology and Pharmacology, Faculdade de Medicina, Universidade Federal do Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - R J Bezerra Jorge
- Department of Physiology and Pharmacology, Faculdade de Medicina, Universidade Federal do Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - H S Azul Monteiro
- Department of Physiology and Pharmacology, Faculdade de Medicina, Universidade Federal do Ceará, 60430-270, Fortaleza, Ceará, Brazil
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Marinho AD, Morais ICO, Lima DB, Jorge ARC, Jorge RJB, Menezes RRPPB, Mello CP, Pereira GJS, Silveira JAM, Toyama MH, Orzáez M, Martins AMC, Monteiro HSA. Bothropoides pauloensis venom effects on isolated perfused kidney and cultured renal tubular epithelial cells. Toxicon 2015; 108:126-33. [PMID: 26410111 DOI: 10.1016/j.toxicon.2015.09.031] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2015] [Revised: 09/16/2015] [Accepted: 09/21/2015] [Indexed: 12/18/2022]
Abstract
Snake envenomation (Bothrops genus) is common in tropical countries and acute kidney injury is one of the complications observed in Bothrops snakebite with relevant morbidity and mortality. Here, we showed that Bothropoides pauloensis venom (BpV) decreased cell viability (IC50 of 7.5 μg/mL). Flow cytometry with annexin V and propidium iodide showed that cell death occurred predominantly by apoptosis and late apoptosis, through caspases 3 and 7 activation, mitochondrial membrane potential collapse and ROS overproduction. BpV reduced perfusion pressure, renal vascular resistance, urinary flow, glomerular filtration rate, percentage of sodium, chloride or potassium tubular transportation. These findings demonstrated that BpV cytotoxicity on renal epithelial cells might be responsible for the nephrotoxicity observed in isolated kidney.
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Affiliation(s)
- Aline D Marinho
- Department of Physiology and Pharmacology, School of Medicine, Federal University of Ceará, 60430-270, Fortaleza, Ceará, Brazil.
| | - Isabel C O Morais
- Department of Physiology and Pharmacology, School of Medicine, Federal University of Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - Dânya B Lima
- Department of Clinical and Toxicological Analysis, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | - Antônio R C Jorge
- Department of Physiology and Pharmacology, School of Medicine, Federal University of Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - Roberta J B Jorge
- Department of Physiology and Pharmacology, School of Medicine, Federal University of Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - Ramon R P P B Menezes
- Department of Physiology and Pharmacology, School of Medicine, Federal University of Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - Clarissa P Mello
- Department of Clinical and Toxicological Analysis, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | - Gustavo J S Pereira
- Department of Pharmacology, Federal University of São Paulo (UNIFESP/EPM), São Paulo, Brazil
| | - João A M Silveira
- Department of Physiology and Pharmacology, School of Medicine, Federal University of Ceará, 60430-270, Fortaleza, Ceará, Brazil
| | - Marcos H Toyama
- São Vicente Unit, Paulista Coastal Campus, São Paulo State University (UNESP), São Paulo, Brazil
| | - Mar Orzáez
- Department of Medicinal Chemistry, Centro de Investigación Príncipe Felipe, Valencia, Spain
| | - Alice M C Martins
- Department of Clinical and Toxicological Analysis, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | - Helena S A Monteiro
- Department of Physiology and Pharmacology, School of Medicine, Federal University of Ceará, 60430-270, Fortaleza, Ceará, Brazil
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Torres MCM, Jorge RJB, Ximenes RM, Alves NTQ, Santos JVDA, Marinho AD, Monteiro HSA, Toyama MH, Braz-Filho R, Silveira ER, Pessoa ODL. Solanidane and iminosolanidane alkaloids from Solanum campaniforme. Phytochemistry 2013; 96:457-64. [PMID: 24075572 DOI: 10.1016/j.phytochem.2013.09.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2013] [Revised: 08/22/2013] [Accepted: 09/05/2013] [Indexed: 05/25/2023]
Abstract
From the leaves of Solanum campaniforme (Solanaceae), eight solanidane alkaloids were isolated, four of which contain a p-hydroxyphenylethylamine unit. Their structures were established as: 22β,23β-epoxy-solanida-1,4-dien-3-one; 22α,23α-epoxy-10-epi-solanida-1,4,9-trien-3-one; 22α,23α-epoxy-solanida-4-en-3-one; 22β,23β-epoxy-solanida-4-en-3-one; (E)-N-[8'(4-hydroxyphenyl)ethyl]-22α,23α-epoxy-solanida-1,4,9-trien-3-imine; (E)-N-[8'(4-hydroxyphenyl)ethyl]-22α,23α-epoxy-solanida-1,4-dien-3-imine; (Z)-N-[8'(4-hydroxyphenyl)ethyl]-22α,23α-epoxy-solanida-1,4,9-trien-3-imine and (Z)-N-[8'(4-hydroxyphenyl)ethyl]-22α,23α-epoxy-solanida-1,4-dien-3-imine. All structures were determined using spectroscopic techniques, such as 1D and 2D NMR, and HRESIMS. The cytotoxicity and the antiophidic activities of the alkaloids were evaluated. The alkaloids did not show any cytotoxicity, but inhibited the main toxic actions of Bothrops pauloensis venom.
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Affiliation(s)
- Maria Conceição M Torres
- Departamento de Química Orgânica e Inorgânica, Universidade Federal do Ceará, 12.200, Fortaleza-CE 60.021-970, Brazil
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