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Tumor Discovery                                                                PPAR agonist and cancer



            affecting other pathways related to cell migration, without   of ranpirnase and rosiglitazone appears promising, as
            increasing the expression of the surface proteins of these   illustrated in Figure 2.  The combination of rosiglitazone
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            two receptors. 65                                  and all-trans-retinoic acid lowers the expression of
                                                               COX-2, matrix metallopeptidase 7 (MMP-7), and tissue
            4.2. PPAR agonists for antiproliferative and       inhibitor of metalloproteinase 1, induces cell cycle
            apoptotic effects                                  arrest at the G1 phase and consequently inhibits cell

            Apoptosis, the body’s natural cell death process, is a   proliferation in the human colorectal cancer cell line HCT-
                                                                 69
            key area of focus in anticancer treatment. In cancer, the   15.  In hepatocellular carcinoma (HCC) cells treated
            suppression of the apoptotic pathway often occurs through   with 5-fluorouracil, rosiglitazone activates the PPAR-γ
            the overexpression of antiapoptotic proteins and the   signaling pathway, upregulating PTEN expression and
            underexpression of proapoptotic proteins. These changes   downregulating COX-2 expression to promote cancer
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            can lead to resistance to chemotherapy, a commonly used   cell growth.  Fenofibrate, an agonist of PPAR-α, hinders
            cancer treatment method.  Several PPAR agonists have   cell proliferation and induces apoptosis in Ishikawa
                                 66
            demonstrated antiproliferative and apoptosis-inducing   endometrial carcinoma cells. These effects are magnified
            effects when used in combination with chemotherapeutic   by  retinoic  acid,  an  agonist  of  the  retinoid  X  receptor.
            agents, and the underlying pathways are illustrated in   DNA content analysis indicates that progression through
            Figure  2. Treatment with PPAR-γ through the synthetic   the G1/S phase of the cell cycle is inhibited. Independent
            ligand TGZ and all-trans-retinoic acid significantly   component analysis of gene microarray experiments shows
            inhibited the growth of MCF7 tumors, which was     a reduction in the expression of cyclin D1 (CCND1) and
            correlated with the downregulation of Bcl-2 and resulted   related changes in cell cycle gene expression. 71
            in significant apoptosis and fibrosis in these tumors. 67  A PPAR-γ agonist, TGZ, in combination with cisplatin,
              In certain cancer cell lines, ranpirnase and rosiglitazone   inhibited EHMES-10 cell growth through cell cycle arrest
            work synergistically to reduce cell viability and accelerate   due to the overexpression of p21 waf1/cip1  and apoptosis. This
            cell death. For malignancies with elevated PI3K-dependent   synergism may provide therapeutic benefits for patients
            Fra-1 expression or survivin, the innovative combination   with malignant pleural mesothelioma.  The combination
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            Figure 2. Effect of peroxisome proliferator-activated receptor (PPAR) agonists as an adjuvant on the proliferation and apoptosis of cancer cells. PPAR
            ligand along with paclitaxel, cisplatin, ranpirnase, all-trans-retinoic acid, and 5-fluorouracil exert more effects than cancer therapy alone. The effects of
            PPAR agonists were due to the decreased expression of Bcl2, survivin, PI3K, AKT, MDM2, and p53 and the increased expression of Bax. This finally leads
            to the activation of apoptotic pathways in cancer cells.


            Volume 3 Issue 4 (2024)                         5                                 doi: 10.36922/td.4003
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