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Wogonin derivative V8 enhances bortezomib efficacy in gastric carcinoma by disrupting lysosome-mediated drug resistance.

World journal of gastroenterology 2026 Vol.32(8) p. 113299

Li SC, Shao SZ, Zhang YH, Zhou Y, Shang WT, Gao Y, He QB, Guo QL, Guo CY, Zhang XB

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[BACKGROUND] Bortezomib (BTZ) is ineffective in gastric carcinoma (GC) due to lysosome-mediated resistance.

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BibTeX ↓ RIS ↓
APA Li SC, Shao SZ, et al. (2026). Wogonin derivative V8 enhances bortezomib efficacy in gastric carcinoma by disrupting lysosome-mediated drug resistance.. World journal of gastroenterology, 32(8), 113299. https://doi.org/10.3748/wjg.v32.i8.113299
MLA Li SC, et al.. "Wogonin derivative V8 enhances bortezomib efficacy in gastric carcinoma by disrupting lysosome-mediated drug resistance.." World journal of gastroenterology, vol. 32, no. 8, 2026, pp. 113299.
PMID 41809875

Abstract

[BACKGROUND] Bortezomib (BTZ) is ineffective in gastric carcinoma (GC) due to lysosome-mediated resistance. Wogonin derivative V8 targets lysosomes.

[AIM] To address the limited efficacy of BTZ in GC and explore whether wogonin derivative V8 enhances anti-GC effects by overcoming lysosome-mediated resistance.

[METHODS] experiments used four human GC cell lines (MGC-803, BGC-823, AGS, and HGC-27) to assess cell viability (cell counting kit-8), lysosomal function (LysoSensor staining), autophagy (western blotting for light chain 3/p62), and drug synergy [combination index (CI)]. Liquid chromatography/mass spectrometry measured intracellular BTZ concentration. Transcription factor EB (TFEB), a master regulator of lysosomal and autophagy genes, was investigated using small interfering RNA silencing and plasmid overexpression. efficacy/safety was tested in MGC-803 xenograft nude mice, and patient-derived tumor organoids (PDOs) validated clinical relevance.

[RESULTS] BTZ was trapped in GC cell lysosomes, reducing its proteasome accessibility and inducing resistance; lysosome number correlated positively with the half-maximal inhibitory concentration of BTZ. V8 induced lysosomal damage/deacidification, increasing intracellular BTZ availability. V8 + BTZ synergistically inhibited GC cell growth (CI < 1), upregulated proteotoxic stress markers (, immunoglobulin heavy chain binding protein) and apoptotic mediators (cleaved caspase-3). TFEB knockdown enhanced V8 + BTZ cytotoxicity, whereas its overexpression reduced cell death, indicating a protective role of TFEB in gastric cancer cells. In xenografts, V8 + BTZ significantly reduced tumor volume/weight ( < 0.01) without organ toxicity. PDOs showed enhanced sensitivity to V8 + BTZ monotherapy.

[CONCLUSION] Lysosomes mediate BTZ resistance in GC; V8 overcomes this by disrupting lysosomes, enabling BTZ to target proteasomes. V8 + BTZ is a safe, effective strategy against GC.

MeSH Terms

Humans; Stomach Neoplasms; Animals; Drug Resistance, Neoplasm; Lysosomes; Bortezomib; Cell Line, Tumor; Xenograft Model Antitumor Assays; Mice; Autophagy; Basic Helix-Loop-Helix Leucine Zipper Transcription Factors; Flavanones; Mice, Nude; Antineoplastic Combined Chemotherapy Protocols; Drug Synergism; Cell Survival; Apoptosis

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