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Tumor Discovery                                                      HHT inhibits pancreatic cancer progress




                         A                                   C












                         B                                   D















                         E                                                 F












            Figure  6. Toxicity evaluation and therapeutic effects of HHT on pancreatic cancer  in  vivo. (A) Body weight of healthy mice received intravenous
            administration of HHT at four dosages including 0.5 mg/kg, 1.0 mg/kg, 2.0 mg/kg, and 4.0 mg/kg (once per day for 4 days) (n = 3). (B) Numbers of
            surviving mice after receiving the treatment described in panel A. (C) Tumor volume growth curve for each group. The tumor-loading mice were given
            a 2-week treatment. Each week, HHT at 0.5 mg/kg and 1.0 mg/kg were administered once per day for five consecutive days, followed by a 2-day break.
            (D) Body weight change curve for the three groups. (E) Representative tumor images from each group after 2 weeks of HHT treatment. On the day 16, all
            tumors were collected and analyzed. (F) Tumor weights of mice in each group (n = 7). Note: *P < 0.05, ***P < 0.001.
            Abbreviations: HHT: Homoharringtonine; g: Gram.

            3.5. HHT alleviated immunosuppressive status       4. Discussion
            within the TME
                                                               PDAC is a highly invasive and deadly malignant tumor.
                                                                                                            23
            To  further  assess  whether  HHT  affected  the  TME,  the   Although  current  standard-of-care  treatments  such  as
            viability of RAW264.7 macrophages was examined using   FOLFIRINOX (a combination of 5-fluorouracil, leucovorin,
            the CCK-8 assay. It was shown that HHT treatment led   irinotecan, and oxaliplatin) and gemcitabine with
            to a dose-dependent reduction in macrophage viability   nanoparticle  albumin-bound  paclitaxel  (nab-paclitaxel)
            (Figure 8A), with an IC50 of 52.33 nM. Immunofluorescence   have achieved great progress in PDAC therapy,  clinical
                                                                                                      4
            staining indicated that the number of macrophages was   outcomes remain unsatisfactory. Therefore, it is of great
            reduced by the HHT treatment. In the control group,   significance to develop more effective chemotherapeutic
            a large amount of F4/80-positive macrophages (green   drugs and understand their underlying mechanisms.
            fluorescence) were distributed and surrounded the ductal
            carcinoma structures. However, treatment with 1.0 mg/kg   Previous studies have reported the inhibitory effects of
            HHT significantly decreased the number of macrophages   HHT on the proliferation of certain pancreatic cancer cell
            in the tumor tissues (Figure 8B).                  lines, focusing primarily on signaling pathway activation



            Volume 4 Issue 1 (2025)                        107                                doi: 10.36922/td.7825
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