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Combinative effects of β-elemene and propranolol on the proliferation, migration, and angiogenesis of hemangioma.


ABSTRACT: Hemangioma (HA) is one of the most common benign vascular tumors among children. Propranolol is used as the first-line treatment for hemangioma and is a non-selective blocker of the β-adrenergic receptor. β-elemene is a compound extracted from Rhizoma zedoariae and has been approved for the treatment of tumors in clinical practice. However, the combinatorial effects of β-elemene and propranolol in the treatment of HA remains unclear. This study explored the combinative effects and mechanisms of β-elemene and propranolol using hemangioma-derived endothelial cells (HemECs). Cytotoxic assays showed that the combinatorial treatment of β-elemene and propranolol did not increase the cytotoxic effects of HemECs. Furthermore, functional analysis showed that the combinatorial treatment with β-elemene and propranolol significantly inhibited the proliferation, migration, and tube formation of the HemECs compared to the single treatment regimens. Mechanistic analysis showed that combinative treatment with β-elemene and propranolol synergistically down-regulated the hypoxia-inducible factor-1 alpha/vascular endothelial growth factor-A (HIF-1-α/VEGFA) signaling pathway. Additionally, in a xenograft tumor model, angiogenesis in the combinatorial treatment group was significantly lower than in the control, propranolol, and β-elemene treatment alone groups. Our results suggest that β-elemene combined with propranolol can significantly inhibit the proliferation, migration, and tube formation of HemECs via synergistically down-regulating the HIF-1-α/VEGFA signaling pathway without increasing any cytotoxic side effects.

SUBMITTER: Wang Z 

PROVIDER: S-EPMC10349565 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature

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Combinative effects of <i>β</i>-elemene and propranolol on the proliferation, migration, and angiogenesis of hemangioma.

Wang Zhenyu Z   Chen Yinxian Y   Yang Lin L   Yao Dunbiao D   Shen Yang Y  

PeerJ 20230712


Hemangioma (HA) is one of the most common benign vascular tumors among children. Propranolol is used as the first-line treatment for hemangioma and is a non-selective blocker of the <i>β</i>-adrenergic receptor. <i>β</i>-elemene is a compound extracted from Rhizoma zedoariae and has been approved for the treatment of tumors in clinical practice. However, the combinatorial effects of <i>β</i>-elemene and propranolol in the treatment of HA remains unclear. This study explored the combinative effec  ...[more]

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