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Drug Res (Stuttg)
DOI: 10.1055/a-2637-1672
Original Article

Synergistic Induction of Apoptosis and Cell Cycle Arrest against Breast Cancer Cells by Combined Kaempferol and Paclitaxel

Toofan Aghazadeh
1   Department of Biochemistry, N.T.C., Islamic Azad University, Tehran, Iran
,
Fatemeh Ramezani 
2   Department of Clinical Biochemistry & Laboratory Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
,
Nuredin Bakhtiari
1   Department of Biochemistry, N.T.C., Islamic Azad University, Tehran, Iran
,
Isa Abdi Rad
3   Cellular & Molecular Research Center, Cellular & Molecular Medicine Institute, Urmia University of Medical Sciences, Urmia, Iran
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Abstract

Background

The study investigates the potential of combining Kaempferol (KAE) and Paclitaxel (PAC) to enhance anti-cancer effects and induce apoptosis in MDA-MB-468 triple-negative breast cancer cells and human normal foreskin fibroblast cells.

Methods

For this porpose, the cells were treated with PAC, KAE, and their combination for 24, 48, and 72 hours. Cytotoxicity was assessed via MTT assay, and synergy was evaluated using Combination Index analysis. Apoptosis was quantified via Annexin V/PI staining and DAPI staining. Flow cytometry analyzed cell cycle arrest, while qPCR assessed apoptotic gene expression.

Results

The combination of KAE and PAC exhibited a synergistic anti-proliferative effect, significantly reducing MDA-MB-468 cell viability compared to monotherapies. Annexin V/PI staining revealed an increased apoptotic rate (73%) in co-treated cells, with enhanced chromatin condensation and nuclear fragmentation observed via DAPI staining. Flow cytometry indicated a marked increase in SubG1 phase cells, confirming apoptosis induction. Gene expression analysis demonstrated upregulation of pro-apoptotic BAD and downregulation of anti-apoptotic Bcl-2 and Mcl-1, highlighting the activation of apoptosis pathways.

Conclusion

The combination of PAC and KAE enhances cytotoxicity, promotes apoptosis, and alters key apoptotic gene expressions in MDA-MB-468 cells while sparing normal fibroblast cells. These findings suggest a promising therapeutic strategy for triple-negative breast cancer.

Keywords

kaempferol - paclitaxel - combination therapy - apoptosis - cell cycle arrest


Publication History

Received: 14 December 2024

Accepted: 13 June 2025

Article published online:
14 July 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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