Anticancer Effects of The Combined Thai Noni Juice

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Anticancer effects of the combined Thai noni juice

ethanolic extracts and 5‐fluorouracil against


cholangiocarcinoma cells in vitro and in vivo
Prompipak et al., 2021

Muh. Ali Khumaini M.B.


6110730013 1
Introduction
Treatment
• Surgical resection (early stage)
- Less likely to be diagnosed.

• Chemoteraphy (advanced stage)


- 5-fluorouracil (5-FU), cisplatin (CIS), and gemcitabine
(GEM) 5.

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Objectives

Thai noni juice cholangiocarcinoma cells


extract

5‐fluorouracil
nude mouse xenograft model 3
Methods

1. Cell culture 2. Thai noni juice extract

Cell line Name Medium Thai noni juice Chiangrai (TNJ-


Cr) and Buasri (TNJ-Bs)
cholangiocarcinoma KKU-100 RPMI-1640
cholangiocarcinoma KKU-213B RPMI-1640
normal human H69 DMEM
cholangiocyte
Extracted with absolute ethanol
(7:3) and the extract freeze dried

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3. Cell viability assay 4. Cell cycle analysis

8 × 103 cells/well 1 × 106 cells cultured for 24 h

Single agent or combination of Single agent or combination


5-FU & TNJ (synergistic) of 5-FU & TNJ (48
h)

24, 48, and 72 h incubation Cells harvested & washed with


cold PBS + 1% glucose and Flow cytometer
fixed in 70% ethanol for 1 h on
2 h incubation with ice
medium+MTT
washed with PBS then incubated Stained through incubation with
in RNase A 30 min Propidium Iodide (45 min)
Added DMSO and measure
absorbance

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5. Apoptosis detection by flow cytometry

1 × 106 cells cultured for 24 h

Single agent or combination


(synergistic) of 5-FU & TNJ (48
h)

Cells harvested & washed with


cold PBS Flow cytometer

Resuspended in Annexin V- Stained with annexin V-FITC


binding buffer and PI (15 min)

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6. Anti‑CCA in nude mice xenograft
model
i.p. administration single agent
Tumor or combination (synergistic) of
5-FU & TNJ (14 days)

Organ anatomy and morphology


+ % tumor inhibition

administered subcutaneously into the right axillary


with KKU-100 cells (2 × 106 cells in 0.1 mL of
serum-free medium mixed with Matrigel)

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Results
1. Antiproliferative effects of
the single agent treatment

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2. Antiproliferative effects of
the combination treatment

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3. Effects on cell cycle distribution

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4. Effects on cell apoptosis induction

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5. Antitumor effect on CCA xenograft mice

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5. Histological examonatio on CCA xenograft mice

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Conclusion
Combination treatments of 5-FU and TNJ-Cr or TNJ-Bs ethanolic extracts
showed the synergistic antitumor effects on the human CCA cell lines, KKU-
100 and KKU-213B. Moreover, the combined treatment of 5-FU and TNJ-Bs
ethanolic extract was not toxic to the non-cancer H69 cells in vitro.
Additionally, TNJ ethanolic extracts enhanced the antitumor growth of 5-FU
on the mouse KKU-100 xenograft model through apoptosis induction.

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