Evidence map›Paper›PMID 41686196›Full record

ArticleNaunyn-Schmiedeberg's archives of pharmacology2026

Synergistic anticancer effects of tamoxifen in combination with fisetin and chrysin on breast cancer cells: insights into viability, migration, and apoptosis.

Negar Karami-Dehkordi, Somayeh Reiisi, Mehran Feizi-Dehnayebi

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Article in Naunyn-Schmiedeberg's archives of pharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Negar Karami-DehkordiDepartment of Genetics, Faculty of Basic Sciences, Shahrekord University, Shahrekord, Iran.
Somayeh ReiisiDepartment of Genetics, Faculty of Basic Sciences, Shahrekord University, Shahrekord, Iran. s.reiisi@yahoo.com.
Mehran Feizi-DehnayebiDepartment of Basic Pharmaceutical Sciences, Faculty of Pharmacy, Suleyman Demirel University, Isparta, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer remains one of the leading causes of cancer-related mortality among women worldwide. Tamoxifen (TX) is widely used for the treatment of estrogen receptor-positive (ER⁺) breast cancer; however, the development of drug resistance limits its long-term therapeutic effectiveness. Fisetin (Fis) and chrysin (Chry) are naturally occurring flavonoids that have demonstrated anticancer properties, including inhibition of cell proliferation and migration and induction of apoptosis. In this study, we evaluated the anticancer effects of Fis and Chry, individually and in combination with TX, in ER⁺ MCF-7 and triple-negative MDA-MB-231 breast cancer cell lines. Cells were treated with varying concentrations of Fis or Chry alone or in combination with TX. Cell viability was assessed using the MTT assay, while migratory and clonogenic capacities were evaluated by wound-healing and colony formation assays, respectively. Apoptosis was analyzed by flow cytometry, and the expression of invasion-related genes (MMP2 and MMP9) was quantified using real-time PCR. The results showed that Fis, Chry, and TX individually reduced cell viability, migration, and colony formation in both cell lines. Notably, combination treatments exerted significantly stronger cytotoxic and pro-apoptotic effects compared to single-agent treatments. Combination index (CI) analysis revealed CI values below 1, indicating a synergistic interaction between TX and the flavonoids. Furthermore, co-treatment markedly downregulated MMP2 and MMP9 expression. Collectively, these findings demonstrate that fisetin and chrysin enhance the anticancer efficacy of tamoxifen through synergistic mechanisms in breast cancer cells.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsFlavonoidsTamoxifenApoptosisCell MovementCell SurvivalDose-Response Relationship, DrugDrug SynergismFemaleFlavonolsHumansMatrix Metalloproteinase 2Matrix Metalloproteinase 9MCF-7 CellsMDA-MB-231 CellschrysinfisetinFlavonoidsFlavonolsMatrix Metalloproteinase 2Matrix Metalloproteinase 9MMP2 protein, humanMMP9 protein, humanTamoxifenAnti-cancerBreast cancerChrysinFisetinSynergismTamoxifen

Identifiers

PMID41686196

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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.