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  1. General Info
  2. Effects Info
  3. Reference
Drug Interaction Details
01. General Information
Pair Name Homoharringtonine, Suberoylanilide hydroxamic acid (SAHA)
Phytochemical Name Homoharringtonine (PubChem CID: 285033 )
Anticancer drug Name Suberoylanilide hydroxamic acid (SAHA) (PubChem CID: 5311 )
Structure of
Phytochemical
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Structure of
Anticancer Drug
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2D MOL 3D MOL
02. Combinatorial Therapeutic Effect(s)
Synergistic Effect
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Enhancing Drug Efficacy
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Combination Pair ID: 5
Pair Name Homoharringtonine, Suberoylanilide hydroxamic acid (SAHA)
Disease Info [ICD-11: 2A60.Z] Acute myeloid leukemia Investigative
Biological Phenomena Induction-->Apoptosis
Gene Regulation Down-regulation Expression BID hsa637
Up-regulation Activity CASP3 hsa836
Up-regulation Activity CASP8 hsa841
Up-regulation Activity CASP9 hsa842
Up-regulation Expression CYCS hsa54205
Up-regulation Acetylation H3C14 hsa126961
Up-regulation Acetylation HRH4 hsa59340
Up-regulation Activity PARP1 hsa142
Up-regulation Expression TNFRSF10B hsa8795
Up-regulation Expression TNFSF10 hsa8743
Up-regulation Expression TP53 hsa7157
In Vitro Model Kasumi-1 Childhood acute myeloid leukemia with maturation Homo sapiens (Human) CVCL_0589
THP-1 Childhood acute monocytic leukemia Homo sapiens (Human) CVCL_0006
In Vivo Model 3 to 4-week-old female mice were inoculated subcutaneously with 1×10⁷ THP-1 cells (in 0.1 ml volume) into the hind flanks.
Result The synergistic effect between HHT and SAHA was blocked partially using a specific anti‑TRAIL antibody. The combination therapy was also found to significantly inhibit the growth of leukemia xenografts in vivo with enhanced apoptosis. These results indicate that, by regulating the induction of TRAIL and activation of the TRAIL apoptotic pathway, it is possible to administer HHT at low concentrations in combination with SAHA as an effective therapeutic approach for the treatment of AML.
03. Reference
No. Title Href
1 Homoharringtonine and SAHA synergistically enhance apoptosis in human acute myeloid leukemia cells through upregulation of TRAIL and death receptors. Mol Med Rep. 2013 Jun;7(6):1838-44. doi: 10.3892/mmr.2013.1440. Click
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