Caspase Mediated Synergistic Effect ofBoswellia serrataExtract in Combination with Doxorubicin against Human Hepatocellular Carcinoma
The study investigated the growth-inhibiting and apoptosis mediating effects ofB. serrataextract as monotherapy and combination therapy with DOX against hepatocellular carcinoma cell lines. Boswellic acid rich fraction ofB. serrataextract was prepared. MTT assay on HepG2 and Hep3B cells was carried out usingB. serrataalone and in combination with DOX. Further, caspase-3 activity, TNF-αlevel, and IL-6 level were estimated. Isobolographic analysis was carried out to evaluate the effect of combination therapy. Additionally, protective effect ofB. serrataextract on DOX induced hepatic toxicity was also evaluated in Wistar rats.B. serrataextract inhibited growth of HepG2 (IC50 value of21.21±0.92 μg/mL) as well as HepG2 (IC50 value of18.65±0.71 μg/mL). DOX inhibited growth in HepG2 and Hep3B cells with an IC50 of1.06±0.04 μg/mL and1.92±0.09 μg/mL. Isobolographic analysis showed combination index (CI) of DOX andB. serrataextract of0.53±0.03to0.79±0.02suggesting synergistic behavior against the two cell lines.B. serrataextract also caused dose dependent increase in caspase-3 activity, TNF-αlevel, and IL-6 level which was higher (P<0.001) with DOX (1 μM) andB. serrataextract (20 μg/mL) combination.B. serrataextract also protected Wistar rats against DOX induced hepatic toxicity.