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. 2024 Jan 22;29(2):540. doi: 10.3390/molecules29020540

Table 3.

Combination strategies for synergetic enhancement between SIN and other drugs.

Combined Drugs Cell Type or Model In Vitro (Effective Concentrations or IC50 Values) Mechanism of Action In Vivo Year Ref.
Dose (mg/kg) Therapeutic Effect
Aclarubicin HL-60 (15.2–60.7 Nm of SIN) ↑: Caspases-3/-9.
↓: PGE, PGE2, COX-2, and NF-κ.
NR 2011 [52]
5-FU MKN-28, SGC-709, BGC-823 and HGC-27 (20–80 µM of SIN for these four cell lines) ↑: Transfer of cytochrome c from mitochondria to cytoplasm, caspase-3/-9.
↓: TS mRNA levels.
10 mg/kg ↓: Tumor volume and weight in combination group. 2013 [53]
5-FU HepG2 (3.9 mM of SIN combined with 44.92 mM of 5-FU) ↓: Cell activity. NR 2021 [54]
Adriamycin Caco-2 and MDR-Caco-2 (500 mM of SIN for both cell lines) ↓: PGE2, P-gp/MDR1, COX-2, and NF-κB. NR 2014 [56]
Cisplatin A549 (50 μM of SIN combined with 3372.5 mM of Cisplatin) ↑: miR-200a-3p.
↓: Glutamine metabolism.
NR 2022 [57]
Tacrolimus and mycophenolic
acid
PBMC (10–1000 μM of SIN) ↓: Thymidine incorporation, interleukin-2 synthesis, and T lymphocyte cell cycle progression. NR 1999 [58]
MTX RA-FLS (303.6 μM of SIN) ↑: OPG and ratio of OPG/RANKL.
↓: RANKL, OPN, IL-6, IL-17, MMP-1, and MMP-3/-13.
120 mg/kg ↓: Synovial inflammation and joint injury. 2014 [59]

NR: None reported. ↓: Decrease or inhibition. ↑: Increase or induction. If IC50 values were reported, we displayed them in the second column. If IC50 values were not reported, we only displayed effective concentrations in the second column.