Abstract:To explore the mechanism of melittin promoting 5-FU sensitivity of skin squamous cell carcinoma A431 cell line (5-fluorouracil) through mitochondrial apoptosis pathway. MethodsThe median inhibitory concentration (IC50) of melittin on A431 cell line was screened and used for subsequent intervention. A431 cells were randomly divided into control group (no intervention), melittin group (0.5 μmol/L melittin), 5-FU group (0.25 μmol/L 5-FU) and combined group (0.5 μmol/L melittin +0.25 μmol/L 5-FU). The cell viability of A431 cells in each group was detected at 24,48 and 72 hours, and the percentage of cell cycle and apoptosis rate of cells, the protein expressions of mitochondrial apoptotic protein (SMAC), cleaved Caspase-3, Cyt C and pro-apoptotic protein (Bax) at 72 hours were detected. The tumor growth inhibition rate of different groups of cells was observed by nude mice bearing tumor experiments. ResultsCompared with the control group, the cell viability in the melittin group, 5-FU group and combined group decreased at different time points (P<0.05). Compared with melittin group and 5-FU group, the cell viability in the combined group decreased at different time points (P<0.05). Compared with the control group, the apoptosis rate of cells in the melittin group, 5-FU group and combined group, the cell proportion of G0/G1 phase combined group, the expression of Smac, cleared-caspase-3, cytochrome c and Bax protein increased (P<0.05). Compared with the melittin group and 5-FU group, the apoptosis rate, G0/G1 phase cell ratio, SMAC, cleaved Caspase-3, Cyt C and Bax protein expression in the combined group increased (P<0.05). Compared with the control group, the percentage of cells in S phase, G2/M phase melittin group, 5-FU group and combined group decreased (P<0.05). Compared with the melittin group and 5-FU group, the proportion of cells in S phase and G2/M phase combined group decreased (P<0.05).Compared with the melittin group and 5-FU group, the tumor growth inhibition rate increased on the 30th day of tumor growth (P<0.05). ConclusionsMelittin can enhance the sensitivity of human skin squamous cell carcinoma cell line A431 to 5-FU. The combination of melittin and 5-FU can effectively block the cell cycle of A431 in G0/G1 phase, promote cell apoptosis and inhibit cell proliferation. The mechanism may be related to the activation of mitochondrial apoptosis pathway.