Flutamide-Resveratrol Co-Treatment Enhances Apoptotic and Anti-Proliferative Responses in Prostate Cancer Cell Lines
Hosseini S. F., et al. Tissue and Cell, 2025, 94, 102807.
This study explored the application of Flutamide, a nonsteroidal antiandrogen, in combination with resveratrol to enhance therapeutic outcomes in prostate cancer cell models. LNCaP (androgen-sensitive), DU145, and PC3 (androgen-insensitive) cell lines were used to simulate disease progression stages. The MTT assay established IC₅₀ values for both agents. Annexin-V/PI staining quantified apoptosis, while PI staining assessed DNA cell cycle distribution. Apoptosis- and metastasis-related gene expression (BAX, BCL-2, VEGFC, HIF-1α, Snail1, E-Cadherin, KLK3) was quantified by real-time PCR.
Functional assays, including scratch-wound migration, colony formation, Hoechst 33342 nuclear staining, and 3D spheroid formation, demonstrated that the Flutamide-resveratrol combination suppressed migration, reduced proliferation, and promoted apoptosis, even in androgen-refractory lines. Mechanistically, co-treatment significantly upregulated pro-apoptotic BAX and epithelial marker E-Cadherin while downregulating BCL-2, VEGFC, and EMT driver Snail1. KLK3 suppression indicated reduced prostate-specific signaling.