Enhanced Antitumor and Anti-Metastasis Efficiency via Combined Treatment with Carvacrol and Doxorubicin
Hu-Hu Chen1,2, Xin Li2,3, Mohd Hijaz Mohd Sani2 and Siat Yee Fong2,4*
1Medical College, Longdong University, Qingyang 745700, Gansu, China
2Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Jalan UMS, Kota Kinabalu 88400, Sabah, Malaysia
3Department of Thyroid and Breast, Jingmen City People’s Hospital, Jingmen 448000, Hubei, China
4Borneo Medical and Health Research Centre, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Jalan UMS, Kota Kinabalu 88400, Sabah, Malaysia
Fig. 1.
Dose and time-dependent inhibition of MDA-MB-231 cell growth exposed to various concentrations of carvacrol (A) and Dox (B) for 24 and 48 h by CCK-8 assay. Data present mean±SD (n = 3).
Notes: * p < 0.05, ** p < 0.01, *** p < 0.001, vs. Control (concentration 0 µM), Dox, doxorubicin concentration groups.
Fig. 2.
Effect of carvacrol combined with Dox on cell viability (A) and colony formation (B) of MDA-MB-231 cells.
A, treatment for 24 h s, data present mean ± SD (n = 3); B, left: Representative images of colony-forming assay (200×); right: Data present mean ± SD (n = 3). Groups 1-8: 1. Control; 2. Dox 1 μM; 3. Dox 1 μM + CA 100 μM; 4. Dox 1 μM + CA 150 μM; 5. Dox 1 μM + CA 200 μM; 6. CA 100 μM; 7. CA 150 μM; 8. CA 200 μM. Dox, doxorubicin; CA, carvacrol; ap <0.05 vs. Control (without treatment); bp <0.05 vs. Dox alone; cp < 0.05 vs. Dox 1 µM + CA 100 µM.
Fig. 3.
Inhibition of MDA-MB-231 cell migration by Dox and carvacrol co-treatment for 24 h assessed by wound healing assay (A) and Transwell invasion assay (B).
Notes: (A) Representative images of wound healing at 0 h and 24 h of Dox and carvacrol co-treatment (100×), Mobility percentage relative to the Control (cells without treatment); (B) Representative image of invaded cells (200×), quantitative analysis of invaded cells in three randomly selected fields; ap < 0.05 vs control; bp < 0.05 vs Dox alone, cp < 0.05 vs Dox 1µM + CA 100 µM. Dox, Doxorubicin; CA, carvacrol. Groups 1-5: 1. Control; 2. Dox 1 μM; 3. Dox 1 μM + CA 100 μM; 4. Dox 1 μM + CA 150 μM; 5. Dox 1 μM + CA 200 μM.
Fig. 4.
Carvacrol combined with Dox induce cell cycle arrest in MDA-MB-231 cells. After treatment for 24 h, cell cycle analysis was conducted by flow cytometry via propidium iodide staining. (A) Representative flow-cytometric profiles of cell cycle distribution. (B) Percentages of cells in each cell cycle phase.
Notes: Data are expressed as mean ± SD (n = 3); * p < 0.05 vs. Dox alone.
Fig. 5.
Apoptosis analysis of MDA-MB 231 cells after carvacrol and Dox co-treatment for 24 h. Cell apoptosis was stained with Annexin V and PI, and analyzed by flow cytometer. Data presented as mean ± SD (n = 3).
Notes: * p < 0.05, ** p < 0.01 vs. Dox alone.
Fig. 6.
Dose-dependent activation of caspase-3 in carvacrol and Dox co-treated MDA-MB-231 cells. Caspase-3 activity in cells treated with different concentrations of carvacrol combined with Dox for 24 h determined by a Kit.
Note: ** p < 0.01, *** p < 0.001 *** vs. Dox alone; Groups 2-5: 2. Dox 1 μM; 3. Dox 1 μM + CA 100 μM; 4. Dox 1 μM + CA 150 μM; 5. Dox 1 μM + CA 200 μM.
Fig. 7.
Impact of carvacrol combined with Dox treatment on expression levels of cell apoptosis, migration and invasion-related proteins in MDA-MB-231 cells.
Notes: Bcl-2, Bax, MMP-2, and MMP-9 protein expression levels after 48 h exposure were determined by Western blot. GAPDH was used as a loading control; * p < 0.05, ** p < 0.01, *** p < 0.001 vs. Dox alone.