杉蟾藤成分复方对肺癌细胞增殖与凋亡的影响及机制研究
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摘要
研究目的:
     本课题根据“癌毒学说”,旨在研究杉蟾藤复方成分对肺癌细胞增殖和凋亡的影响,对凋亡相关蛋白的调控作用以及对肺癌细胞形态学的影响,以初步探讨杉蟾藤复方抗肺癌的有效作用机制。
     研究方法:
     1、采用MTT法分别检测红豆杉单体、蟾皮单体、雷公藤单体对A549细胞及NCI-H1688细胞的抑制增殖作用,比较其抗癌活性。
     2、流式细胞仪检测凋亡,观察红豆杉单体、蟾皮单体、雷公藤单体作用于A549细胞及NCI-H1688细胞24h后对细胞周期的影响。
     3、免疫组化法检测杉蟾藤复方成分对肺癌细胞相关蛋白Bad、Bax、Bcl-2蛋白调控的影响。
     4、透射电镜观察体外对A549细胞及NCI-H1688细胞形态学的影响以及观察是否出现凋亡小体、核染色质固缩、边集等现象。
     5、激光共聚焦显微镜观察杉蟾藤复方成分作用于A549细胞及NCI-H1688细胞的变化。
     研究结果:
     1、药物作用细胞24、48小时后,与空白对照组相比,不同浓度和作用时间的三种单体对A549细胞及NCI-H1688细胞均具有明显生长抑制作用(P<0.05),尤其高剂量组的抑制作用显著(P<0.01),且在同一浓度水平,随着作用时间的延长,三种单体对A549细胞及NCI-H1688细胞的生长抑制作用呈递增态势。
     2、A549细胞和NCI-H1688细胞经过不同剂量的三种单体处理48h后,各剂量组均出现不同程度的凋亡,且细胞的凋亡比例在早、中晚期均呈现出随剂量增高而增长的态势。各剂量组细胞的总凋亡率与正常对照组比较,差异均有统计学意义(P<0.05)。
     3、免疫组化显示抑凋亡Bcl-2蛋白表达减弱,总Bax蛋白/Bcl-2蛋白上升,促凋亡Bad蛋白表达增强;抑凋亡基因Bcl-2mRNA表达下调,总Bax mRNA/Bcl-2mRNA上升,促凋亡Bad mRNA表达上调。
     4、透射电镜观察显示:三种单体作用A549细胞及NCI-H1688细胞48h后发生体积皱缩,细胞膜不完整,核膜消失,核质萎缩、碎裂,个别形成凋亡小体;部分染色质固缩,沿核膜形成数个团块状边集;细胞器肿胀,空泡状明显增多。正常对照组细胞膜表面光滑、完整,可见微绒毛,胞质密度高,无空泡,核内染色质分布均匀、核仁大较完整,居中或边移;线粒体脊断裂或消失。
     5、、激光共聚焦显微镜观察到杉蟾藤复方成分作用与A549细胞和NCI-H1688细胞后,均出现不同程度的磷酯酰丝氨酸外翻,细胞发生早期凋亡现象。
     研究结论:
     1、杉蟾藤复方成分(红豆杉单体、蟾皮单体、雷公藤单体)体外对肺腺癌A549细胞及小细胞肺癌NCI-H1688细胞均具有抑制增殖作用,且抑制率水平具有浓度和时间的依赖性。
     2、杉蟾藤复方成分能够诱导A549细胞和NCI-H1688细胞发生凋亡,并引起细胞发生相应的形态学改变。
     3、杉蟾藤复方成分调控蛋白诱导A549细胞和NCI-H1688细胞发生凋亡的机制也可能与调控Bcl-2家族的Bax、Bcl-2、Bad蛋白以及Bax mRNA、Bcl-2mRNA、Bad mRNA的综合表达有关。
Research purpose:
     To research the effects of compound components of Shanchanteng on the proliferation and apoptosis of Lung cancer cells, the regulation of apoptosis related protein and effects on Lung cancer cell morphology, to investigate the effective molecular mechanism of compound components of Shanchanteng against lung cancer.
     Research methods:
     1.To detected in inhibiting the proliferation of Taxus monomer, toad skin monomers, monomers of Tripterygium wilfordii on A549cells and NCI-H1688cells by using MTT method, to compare their anti-cancer activity.
     2.Apoptosis was detected by flow cytometry, observed the influence of Taxus monomer, toad skin monomers, monomers of Tripterygium wilfordii on A549cells and NCI-H1688cells in cell cycle.
     3.To detect the effect of immunohistochemistry fir toad rattan compound components of lung cancer associated protein Bad, Bax, Bcl-2protein regulation.
     4.Transmission electron microscopy observation on A549cells in vitro and NCI-H1688cell morphology and observe whether apoptotic bodies, nuclear chromatin pyknosis, margination phenomenon.
     5.Laser confocal microscopy was used to observe the changes of compound components of Shanchanteng composition effects on A549cells and NCI-H1688cells.
     Results:
     1.Cell drug24, after48hours, compared with the blank control group, different concentration and duration of the three monomers on A549cells and NCI-H1688cells were inhibited (P<0.05), especially the inhibitory effect of high dose group significantly (P<0.01),and in the same concentration, with the extension of time, three inhibited the growth of A549cells was monomer and NCI-H1688cells increase.
     2.A549cells and NCI-H1688cells after different doses of three monomer48h after treatment, each dose group showed varying degrees of apoptosis, and the percentage of apoptotic cells in the early, middle and late show with the dose increased and growth. The total cell apoptosis rate in each dose group compared with the control group, the difference was statistically significant (P<0.05).
     3.Immunohistochemistry showed that the anti-apoptotic Bcl-2protein expression decreased, increased total Bax protein/Bcl-2protein, apoptosis Bad protein; apoptosis suppressing gene Bcl-2downregulation of mRNA expression, increase in total Bax mRNA/Bcl-2mRNA Bad mRNA expression, apoptosis.
     4.Transmission electron microscope observation showed:three monomers of A549cells and NCI-H1688cells after48h in size Shrinkage, the membrane is not complete, the nuclear membrane disappeared, nuclear atrophy, fragmentation, individual and formation of apoptotic bodies; part of chromatin pyknosis, along the nuclear membrane forms a plurality of crumb edge set; cell swelling, vacuole increased significantly. The cell membrane in the normal rats, complete with smooth surface, microvilli, cytoplasmic density high, no bubble, nuclear chromatin distribution, large nucleolus more complete, center or edge shift; mitochondrial ridge broken or disappeared.
     5.Laser confocal microscopy to compound components of Shanchanteng with A549cells and NCI-H1688cells, there are varying degrees of phosphatidylserine eversion, apoptosis phenomenon.
     Conclusions:
     1. Compound components of Shanchanteng (Taxus monomer, toad skin monomers, monomers of Tripterygium wilfordii) in vitro on lung adenocarcinoma A549cells and small cell lung cancer NCI-H1688cells can inhibit proliferation and suppress the dependence rate, concentration and time of.
     2.Compound components of Shanchanteng can induce A549cell and NCI-H1688cell apoptosis, and induce cell has the corresponding morphological changes.
     3.The mechanism of A549cell and NCI-H1688cell apoptosis induced by Sugi To compound components of regulatory proteins may also be associated with regulation of Bcl-2family Bax, Bcl-2, Bad protein and Bax of mRNA, Bcl-2mRNA, Bad mRNA expression.
引文
[1]Jenal A,Siegel R,Ward E,et al.Cancer statistics,2008 [J].CA Cancer J Clin,2008,58(2):71-96.
    [2]王强修,李钧,朱良明.肺癌诊断与治疗[M].北京:人民军医出版社,2013:12.
    [3]Navada S,Lai P,Schwartz A Qet al.Temporal trends in small cell lung cancer:analysis of the national Surveillance Epidemiology and End-Result database [J].J Cllin Oncol,2006,24(18):384.
    [4]杨瑞森,肺癌手术治疗的进展[J].齐鲁肿瘤杂志,1998,5(3):167-168.
    [5]聂强,贲晓松,张国淳,等.早期非小细胞肺癌的治疗[N].中国医学论坛报,2007.02.08,B04.肿瘤.
    [6]McKenna RJ.Approacher to the minimally invasive treatment of lung cancer[J].CaneerJ,2005,11(1):73-76.
    [7]StewartLA,BurdettS,Tierney JF,et al.Surgery and adjuvant chemotherapy(CT)compared to surgery alone in non-small cell lung caneer(NSCLS):A meta-analysis using individual patient data(11'D)from randomized clinical trials(RCT)[J].J Clin Oneol,2007,25:397.
    [8]Park B J,Flores R M,Rusch V W.Robotic assistance for video-assisted thoracic surgical lobectomy technique and initial results [J].J Thorac Cardiovasc Surg,2006,131:54-59.
    [9]闫婧,于金明,李宝生,等.主动呼吸控制系统在非小细胞肺癌精确放疗中的应用[J].癌症,2006,25(10):1311-1314.
    [10]蒋国樑.我国肺癌放射治疗的现状与展望[J].中国肺癌杂志,2000,3(5):321.
    [11]Anderson H,Hopwood P,Stephens RJ.et al.Gemcitabine plus best supportive care(BSC)vs BSC in inoperable non-small cell lung cancer-a randomized trial with quality of life as the primary outcome.UK NSCLC Gemcitabine Group.Non-Small Cell Lung Cancer[J].Br J Cancer,2000,83(4):447-453.
    [12][No authors listed]Effects of vinorelbine on quality of life and survival of elderly patients with advanced non-small-cell lung cancer. The Elderly Lung Cancer Vinorelbine Italian Study Group[J].J Natl Cancer Inst,1999,91(1):66-72.
    [13]SpiraA,Ettinger DS.Drug therapy:multidisciplinary managementof lung cancer[J].N Engl JMed,2004,350(4):379-392.
    [14]JiangW, ZhangY, ZhaoYH,etal. Immediate versus delayed topo-tecan after first-line therapy in small cell lung cancer[J]. Chin JLungCancer,2010,13(3):211-215.
    [15]刘璟.肺癌治疗的进展[J].医学理论与实践,2011,24(1):25-27.
    [16]HannaN,Bunn PA Jr,Langer C,et al.Randomized phase Ⅲ trial comparing irinotecan/cisplatin with etoposide/cisplatin in patients with previously untreated extensive-stage disease small-cell lung cancer[J].J Clin Oncol,2006,24(13):2038-2041.
    [17]申红丽.小细胞肺癌药物治疗新进展[J].医学综述,2011,17(4):536.
    [18]Lu HY.Chen LL,Cai JF,et al.Advances on Treatment of Small Cell Lung Cancer with Amrubicin[J].Chin J Lung Cancer 2010,13(5)544-549.
    [19]Von Pawel J,Schiller JH,Shepherd FA.et al.Topotecan versus cyclophosphamide,doxorubicin,and vincristine for the treatment of recurrent small-cell lung cancer.J Clin Oncol,1999,17(2)P658-667.
    [20]黄赐汀.非小细胞肺癌治疗现状与未来策略[J].临床荟萃,2004,19(24):1431-1432.
    [21]刘红,张艳华.非小细胞肺癌的药物治疗进展[J].中国药学杂志,2005,40(10):725-729.
    [22]Sheplerd FA,Dancey J,Ramlau R,et al.Prospective randomized tuial of docetaxel versus best supportive care in patients with non-small cell lung cancer previovly treated with platimum based chemotherapy[J].J Clin Oncol,2000,18(10):2095-2103.
    [23]Shepherd FA,Dancey J,Ramlau R,et al.Prospective randomized trial of docetaxel versus best supportive care in patients with non-small-cell lung cancer previously treated with platinum-based chemotherapy[J].J Clin Oncol,2000,18(10):2095-2103.
    [24]Ranson M,Davidson N,Nicolson M,et al.Randomized trial of paclitaxel plus supportive care versus supportive care for patients with advanced non-small-cell lung cancer[J].J Natl Cancer Inst,2000,92(13):1074-1080.
    [25]王红阳,丁劲,冯赞.细胞信号转导与靶向抗肿瘤药物的研发明中国肿瘤生物治疗杂志[J].2007,(14),5:401.
    [26]张子瑾,程刚.分子靶向药物治疗非小细胞肺癌的临床研究进展[J].中国新药杂志,2005,14(10):1141-1145.
    [27]于世英,肺癌分子靶向治疗药物的研究进展[J].医药导报,2006,(25),7:655.
    [28]Chanq A,Paridh P,Thonqprasert S,et al.Gefitinib(IRESSA)in patients of Asian origin with refractory advanced non-small cell lung cancer;Subset Analysis from the ISEL Study[J].J Thorac Oncol,2006,1(8):847.
    [29]Douillard JY,Kim E,Hirsh V,et al.Gefitinib(IRESSA)versus docetaxel in patients with locally advanced or metastatic non-small-cell lung cancer pre-treated with platinum-based chemotherapy:a randomized,open-labbel phase study (INTEREST) [J].J Thoracic Oncol,2007,2(4 Suppl):a305.
    [30]PIRKER R,SZCZESNA A,PAW EL J,et al.FLEX:A randomized,multicenter,phase III study of cetuxim ab in com bination with cis-platin/vinorelbine(CV)versusCV alone in the first-line treatm entofpatients with advanced non-sm allcelllung cancer(NSCLC).2009Am erican Society ofClinicalOncology(ASCO)AnnualM eeting[J].JClin Oncol,26:2008(M ay20 suppl;abstr3).
    [31]Patton JF.Spigel DR,G reco FA,et al.Irinotecan(I),carboplatin(C),and radiotherapy(RT) followed by maintenance bevacizum ab(B) in the treatment of limited-stage small cell lung cancer.update of a phase II trial of the minnie pearl cancer research network[J].J Clin Oncol,2006,24(18):385.
    [32]Miller KD,Wang M,Gralow J,et al.Paclitaxel plus bevacizumab versus paclitaxel alone for metastatic breast cancer[J].N Engl J Med,2007,357:2666-2676.
    [33]Miles D.Chan A,Romieu Qet al.Randomized,double-blind,placebo-controlled,phase HI study of bevacizumab with docetaxel or docetaxel with placebo as first-line therapy for patients with locally recurrent or metastatic breast cancer:AVADO[J].J Clin Oncol,2008,26(suppl):15s.
    [34]Robert NJ,Dieras V,Glaspy J,et al.RIBBON-l:randomized,double-blind placebo-controlled, phase III trial of chemotherapy with or without bevacizumab for first-line treatment of HER-2-negative locally recurrent or metastatic breast cancer[J].J Clin Oncol,2009,27(suppl):15s.
    [35]王金万,孙燕,刘永煜,等.重组人血管内皮抑素联合NP方案治疗晚期NSCLC随机、双盲、对照、多中心Ⅲ期临床研究[J].中国肺癌杂志,2005,8(4):283-290.
    [36]Adiei aa.Molina JR.Mandrekar SJ.et al,Phase I trial of sonafenib in combination with gefitinib in patients with refractory or recurrent non-small cell lung cancer[J].Clin Cancer Res,2007,13(9):2684-2691.
    [37]Adjei AA,Molina JR,HiHllman SL.et al.A front-line window of opportunity phase Ⅱ study of sonafenib in patients with advanced non-small cell lung cancera Norhth Central Cancer Treatment Group study[J].J Clin Oncol,2007,25(18 suppl):7547.
    [38]郑伟,高振华,田欣.培美曲塞联合卡铂治疗老年晚期非小细胞肺癌的临床观察[J].中国老年学杂志,2008,28(5):483-485.
    [39]Zhang GZ,Jian SC.Meng ZT.Pemetreaxed plus eisplatin/carboplatin in previously treated locally advanced or metastatic non-small cell lung cancer patients[J].J Exp Clin Cancer Res.2010,29-38.
    [40]常富业,王永炎.中风病毒邪论[J].北京中医药大学学报,2004,27(1):3-6.
    [41]黄云胜.从癌毒论治肺癌浅析[J].陕西中医,2005,26(10):1077-1078.
    [42]程海波,吴勉华.周仲瑛教授“癌毒”学术思想探析[J].中华中医药杂志,2010,25(6):866.
    [43]凌昌全.“癌毒”是恶性肿瘤之根本[J].中西医结合学报,2008,6(2):111-114.
    [44]程海波,吴勉华.周仲瑛从癌毒辨治恶性肿瘤的经验[J].北京中医药2009,28(11):844.
    [45]周仲瑛.“伏毒”新识[J].世界中医药.2007,2(2):73-75.
    [46]陈四清.周仲瑛教授从癌毒辨治肿瘤经验[J].新中医,2004,36(2):729.
    [47]黄学武,代兴斌.癌毒诊治探讨[J].新中医,2008,40(11):6-7.
    [48]张士舜.热毒湿浊瘀虚与癌症之我见[J].河北中医药学报,2008,23(3):16-17.
    [49]程海波,吴勉华.周仲瑛教授“癌毒”学术思想探析[J].中华中医药杂志,2010,25(6):866.
    [50]郭建辉.周仲瑛教授“癌毒学说”新论[J].湖南中医药大学学报,2010,30(11):6-8.
    [51]Centers for Disease Control and Prevention. Tobacco use among adults-United States,2005[J].MMWR,2006,55(42):1145-1148.
    [52]何立丽.孙桂芝治疗肺癌经验[J].北京中医药,2009,28(4):263-264.
    [53]程海波,吴勉华.周仲瑛教授“癌毒”学术思想探析[J].中华中医药杂志,2010,25(6):868.
    [54]张翀.邱幸凡教授治疗肺癌的经验[J].世界中西医结合杂志,2010,5(10):839-840.
    [55]李澎.王希胜教授运用扶正抗癌法治疗肺癌经验[J].吉林中医药,2009,29(10):879.
    [56]高振华.孙秉严辨治肺癌经验辑要[J].吉林中医药,2009,29(5):379-380.
    [57]胡凯文,左明焕,肖俐,等.王沛治疗肺癌用药经验[J].中国中医基础医学杂志,2010,16(9):783-786.
    [58]张学民,周永明,钱钢,等.中药配合化疗治疗中晚期非小细胞肺癌的临床研究[J].辽宁中医药大学学报,2008,10(5):77-79.
    [59]章迅,叶丽红,彭海燕,治疗肺癌的经验[J].世界中医药,2010,5(4):250-251.
    [60],论癌症从虚毒治疗[J].南京中医药大学学报,2009,(25):408-411.
    [61]孙韬,左明焕,胡凯文.癌毒与恶性肿瘤[J].辽宁中医杂志,2011,38(2):261-263.
    [62]叶丽红,顾勤.周仲瑛教授的肿瘤观[J].中国中医药信息杂志,2002,9(3):63-64.
    [63]王圆.红豆杉多糖的提取、纯化及性质研究[D].杭州:浙江工业大学,2005:17.
    [64]代丽萍.蟾皮化学成分的分离与结构鉴定[J].药学学报,2007,42(8):858-861.
    [65]王婷婷,徐国兴.华蟾素的药理作用研究及临床应用进展[J].国际眼科杂志,2009,7(9):1330-1332.
    [66]董岩,罗濛,姜同英,等.华蟾素注射乳剂的制备及制剂质量的研究[J].沈阳药科大学学报,2009,26(1):6-9.
    [67]Wani MC,Taylor HL,Wall ME,er al.Plant antitumor agents.Ⅵ.The isolation and structure of taxol,a novel antileukemic and antitumor agent from Taxus brevifolia[J].J Am Chem Soc,1971,93(9):2325-2327.
    [68]李作平,史清文.美丽红豆杉化学成分的研究[J].中草药,2000,31(7):490-492.
    [69]官智,王明焱,苏镜娱,等.红豆杉化学成分研究(简报)[J].热带亚热带植物学报,1999,7(3):252-254.
    [70]官智,苏镜娱,曾陇梅,等.红豆杉中的非紫杉烷类化合物[J].热带亚热带植物学报,2000,8(2):182-184.
    [71]梁敬钰,鲍官虎.云南红豆杉根的化学成分研究[J].海峡药学,2000,12(1):47-51.
    [72]毛士龙,陈万生,廖时萱.东北红豆杉茎皮化学成分研究[J].中药材,1999,22(7):346.
    [73]赵丁,秦葵,曹聪梅,等.南方红豆杉和东北红豆杉中的单体化合物对乳腺癌细胞增殖的影响[J].天然产物研究与开发,2007,19(4):635-638.
    [74]张英,邱鹰昆,陈继勇,等.中华大蟾蜍皮的化学成分[J].沈阳药科大学学报,2007,24(8):484.
    [75]代丽萍,高慧敏,王智民,等.蟾皮化学成分的分离与结构鉴定[J].药学学报,2007,42(8):858.
    [76]赵大洲,陈继永,秦勇,等.中华大蟾蜍蟾酥与蟾皮化学成分的比较分析[J].天津药学,2006,18(4):21.
    [77]徐乃玉,顾振纶.中华大蟾蜍皮无机元素初步分析[J].中成药,2003,25(9):748.
    [78]王本祥.现代中药药理与临床[M].天津:天津科技翻译出版社,2004:1727-1730.
    [79]苏永华,尹西才,谢觉民,等.三种蟾毒单体对SMMC-7721和BEL-7402人肝癌细胞生长的抑制作用[J].第二军医大学学报,2003,24(4):393-395.
    [80]黄金凤,康凯夫,陈坚平.P53、MDM2、cylin G在星形细胞瘤中的表达及与肿瘤分化和预后的关系[J].实用医学杂志,2007,23(11):1635-1637.
    [81]王南瑶,李苏宜,赵伟,等.华蟾素联合三氧化二砷抑制鸡胚尿素膜血管生成的实验研究[J].临床肿瘤学杂志,2006,11(7):494-497.
    [82]姜峰,邓旭明,韩小虎,等.蟾酥不同溶剂萃取物对小鼠免疫细胞功能的影响[J].中国药理学与毒理学杂志,2008,22(1):63-68.
    [83]王忠壮,胡晋红.现代中医学[M].上海:第二军医大学出版社,2006:807.
    [84]孙瑛,宁廷禄,张海燕.华蟾素注射液联合化疗治疗非小细胞肺(NSCLC)32例临床观察[J].中国煤炭工业医学杂志,2008,11(1):43.
    [85]Chen Y,zeng D.Schlegel P,et al.PG27.an extract of Tripterygium wilfordii hook f,induces antigen-specific tolerance in bone marrow transplantation in mice[J].Blood,2000,95(2);705-710.
    [86]高小平,李伯刚,周建,等.雷公藤内酯醇体外抗肿瘤作用和诱导细胞凋亡的研究[J].天然产物研究与开发,1999,12(1):18-21.
    [87]Yang SM,Chen JG.Triptolide inhibits the growth and metastasis of solid tumors[J].Mol Cancer Ther,2003,2(1):65-72.
    [88]Wei Wang,Shanmin Yang,Ying Su,et al.Enhanced Antitumor Effect of Combined Triptolide and Ionizing Radiation[J].Clin Cancer Res,2007,13(16):4891-4899.
    [89]Borja-Cacho D,Yokoyama Y,Chugh RK,et al.TRAIL and triptolide:an effective combination that induces apoptosis in pancreatic cancer cells[J].J Gastrointest Surg,2010,14(2):252-260.
    [90]Jiang XH,Wong BC,Lin MC,et al.Functional P53 is required for triptolide induced apoptosis and AP-1 and nuclear factor-kappa B activation in gastric cancer cells [J].Oncogene,2001,20(55):8009-8018
    [91]Lee K Y,Chang W,Qiu D,et al.PG490(Triptolide) cooperates with tumor necrosis factor- α to induce apoptosis in tumor cells[J].J Biol Chem,1999,274(19):13451-13455.
    [92]Takaishi Y,U jita K,Tokuda H,Nishino H,et al.Inhibitory effects of dihydroagarofuran sesquiterpenes on Epstein Barr virus activation[J].Cancer Lett,1992,67(2-3):215.
    [93]Ujita K,Takaishi Y,Tokuda H,et al.Inhibitory effects of trip-togelin A-1 on skin tumor promotion[J].Cancer LETT,1993,68(2-3):129-133.
    [94]吴万垠,柴小姝,刘伟胜.华蟾素联合长春瑞滨对小鼠Lewis肺癌细胞周期的影响[J].中国癌症杂志,2004,14(4):363-365.
    [95]Wani MC,Taylor HL,Wall ME,et al.Plant antitumor agents VI.The isolation and structure of taxol,a novel antileukemic and antitumor agent from Taxus brevifolia[J].J Am Chem Soc,1971,93(9):2325-2327.
    [96]AL-Sarrf M.Treatment of locally advanced head and neck cancer[J].Cancer Control,2002,9(5):387-399.
    [97]陈发文.雷公藤内酯醇体外净化白血病细胞的研究[J].福建医学院学报.1995,12(29):318-320.
    [98]Wang X,Matta R,Shen Qet al.Mechanism of triptolide-induced apoptosis:Effect on caspase activation and Bid cleavage and essentiality of the hydroxyl group of triptolide[J]..J.Mol Med,2006,84(5):405-415.
    [99]Wan CK,Wang C,Cheung HY,et al.Tuiptolide induces Bcl-2 cleavage and mitochondria dependent apoptosis in p53-deficient HL-60 cells[J]..Cancer Lett,2006,241(1):31-41.
    [100]Andreas du Bois Hans-Jcach in Luck.Wemer Meler et al.Carhoplatin plus paclitaxel as first-line chemotherapy in previously untreated advanced ovarian cancer[J].1997,24(11):28-32.
    [101]Mikhailov V, Mikhailova M, Pulkrabek DJ. Bel-2 prevents Baxoligomerization in the mitochondrial outer membrane. J Biol Chem,2001,276(21):18361-18374.
    [102]Wu Y, Xing D, Chen WR. Single cell FRET imaging for determination of pathway of tumor cell apoptosis induced by photofrin- PDT,Cell Cycle,2006,5:729-734.