2021
DOI: 10.1002/fsn3.2298
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Antioxidant vitamins promote anticancer effects on low‐concentration methotrexate‐treated glioblastoma cells via enhancing the caspase‐3 death pathway

Abstract: Vitamin C and vitamin E are well‐known antioxidant vitamins, both of which are also applied as adjunct treatments for cancer therapy. Methotrexate (MTX) is a clinical drug that is used widely for rheumatoid arthritis and cancer treatment. Human glioblastoma multiforme (GBM) is an aggressive malignant brain tumor; the mean survival time for GBM patients is <2 years with traditional therapies. Developing and investigating novel treatments are important for clinical GBM therapy. Therefore, the aim of this study w… Show more

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Cited by 10 publications
(5 citation statements)
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References 41 publications
(54 reference statements)
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“… Illustration of the cellular pathways in GBM where vitamin D3 and vitamin E derivatives interact, identified from the systematic literature review of vitamin D3 [ 25 , 26 , 27 , 28 , 29 , 30 ] and vitamin E derivatives [ 31 , 32 , 33 , 34 , 35 ]. (Created with BioRender.com).…”
Section: Resultsmentioning
confidence: 99%
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“… Illustration of the cellular pathways in GBM where vitamin D3 and vitamin E derivatives interact, identified from the systematic literature review of vitamin D3 [ 25 , 26 , 27 , 28 , 29 , 30 ] and vitamin E derivatives [ 31 , 32 , 33 , 34 , 35 ]. (Created with BioRender.com).…”
Section: Resultsmentioning
confidence: 99%
“…However, in the same study, it was shown that, when used independently, γ-Toc increased cell migration, while α-Toc failed to activate the apoptotic pathway in the GBM cells. However, there was a marked increase in cell death and the expression of various apoptotic biomarkers observed in GBM cells exposed to vitamin E and low doses of methotrexate [ 31 ]. In another study, exposure to α-Tocopheryl succinate (TOS), an esterified derivative of α-Toc, induced the chemosensitization of GBM cells to etoposide, triggering a reduction in intracellular glutathione concentration and blockage of multidrug resistance protein 1 (MDP1) [ 35 ].…”
Section: Resultsmentioning
confidence: 99%
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“…Nevertheless, the combination of pharmaceutical ascorbate with radiation and temozolomide has the potential to improve the patient's treatment performance and quality of life [ 141 ]. It has been shown by Yiang et al that methotrexate (MTX), a clinical drug for cancer treatment, alone or in combination with vitamins C and E inhibits the growth of GBM cells [ 142 ]. Vitamin C appears to regulate JAK/STAT, TRAIL, TGF/SMAD, and microRNAs in different cancers according to scattered scientific evidence [ 143 ].…”
Section: Some Other Kinds Of Natural Products or Diets Which Might Be...mentioning
confidence: 99%
“…Various preclinical studies conducted over the past few years have found that high dosages of vitamin C could act as an adjuvant prooxidative agent, primarily in chemotherapy and/or radiotherapy of glioblastoma cells [78,82,84,86]. Vitamin C has been found to enhance the chemotherapeutic effects of methotrexate on glioblastoma cells [87]. According to a case study, a 55-year-old woman with GBM who received both radiotherapy and chemotherapy was given vitamin C infusions (85 g/infusion) 2-3 times/week along with a vitamin C supplement (1 g) before each treatment; this not only improved her quality of life but also halted the progression of her disease [88].…”
Section: Vitamin Cmentioning
confidence: 99%