Evidence map›Paper›PMID 40785690›Full record

ArticleJournal of biochemical and molecular toxicology2025

Esomeprazole Potentiates the Cytotoxic Effects of Cisplatin in Gastric Carcinoma Cells.

Ziad Joha, Oğuzhan Kalkan, Fatih Yulak, Mustafa Ergül, Mustafa Asım Gedikli

Abstract read
In one paragraph

Article in Journal of biochemical and molecular toxicology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ziad JohaDepartment of Pharmacology, Faculty of Pharmacy, Sivas Cumhuriyet University, Sivas, Turkey.ORCID https://orcid.org/0000-0001-8520-3760
Oğuzhan KalkanDepartment of Emergency, Pursaklar State Hospital, Ankara, Turkey.ORCID https://orcid.org/0009-0008-1433-7778
Fatih YulakDepartment of Physiology, School of Medicine, Sivas Cumhuriyet University, Sivas, Turkey.ORCID https://orcid.org/0000-0003-3708-6752
Mustafa ErgülDepartment of Biochemistry, Sivas Cumhuriyet University School of Pharmacy, Sivas, Turkey.
Mustafa Asım GedikliDepartment of Internal Medicine, School of Medicine, Sivas Cumhuriyet University, Sivas, Turkey.ORCID https://orcid.org/0000-0002-3494-7935

Funding

The authors extend their sincere gratitude to the Sivas Cumhuriyet University, School of Medicine, CUTFAM Research Center, Sivas, Turkey, for the provision of essential facilities that enabled the execution of this study.
6 · The paper itself

Abstract

Proton pump inhibitors (PPIs), including esomeprazole, impact the acidic tumor microenvironment, potentially influencing cancer cell behavior. By examining the combined effects of esomeprazole and cisplatin on SNU-1 gastric carcinoma cells, this study sought to elucidate the mechanisms through which esomeprazole enhances cisplatin's cytotoxicity, potentially allowing for effective treatment with reduced cisplatin dosages. SNU-1 cells were treated with varying doses of esomeprazole and cisplatin, alone and in combination. Cell viability was assessed using the XTT assay. Oxidative stress (TAS/TOS), apoptosis (Annexin V, cleaved PARP), mitochondrial membrane potential, and DNA damage (8-oxo-dG, γH2AX, ATM) were evaluated using flow cytometry and ELISA. Statistical significance was determined by ANOVA. Esomeprazole alone showed no significant effect on SNU-1 cell viability, oxidative stress (TAS/TOS), apoptosis, mitochondrial membrane potential, or DNA damage. Cisplatin, however, significantly reduced cell viability (IC50 = 3.024 µg/mL), increased oxidative stress (decreased TAS, increased TOS), diminished apoptosis (increased Annexin V binding and cleaved PARP levels), disrupted mitochondrial membrane potential, and caused significant DNA damage (increased H2AX and ATM phosphorylation, and elevated 8-oxo-dG) (p < 0.001). Notably, the combination of esomeprazole and cisplatin synergistically enhanced cisplatin's effects. The combination resulted in a significantly greater reduction in cell viability (CI < 1), a further increase in oxidative stress, a higher level of apoptosis, amplified mitochondrial depolarization, and potentiated DNA damage compared to cisplatin alone (p < 0.001). Esomeprazole potentiates cisplatin-induced cytotoxicity in SNU-1 gastric cancer cells by enhancing oxidative stress, apoptosis, mitochondrial dysfunction, and DNA damage. This suggests a potential therapeutic strategy to improve cisplatin efficacy and overcome resistance in gastric cancer.

Indexed as

Antineoplastic AgentsCisplatinEsomeprazoleStomach NeoplasmsApoptosisCell Line, TumorCell SurvivalDNA DamageDrug SynergismHumansMembrane Potential, MitochondrialOxidative StressAntineoplastic AgentsCisplatinEsomeprazoleapoptosiscisplatincombinationDNA damageesomeprazolemitochondrial membrane potential

Identifiers

PMID40785690
PMCPMC12337079

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.