Triple-negative breast cancer (TNBC) poses a significant therapeutic challenge due to its intrinsic resistance to traditional hormonal and targeted therapies. Radio-resistant TNBC is one of the most serious problems in improving the outcomes of treatm...
Triple-negative breast cancer (TNBC) poses a significant therapeutic challenge due to its intrinsic resistance to traditional hormonal and targeted therapies. Radio-resistant TNBC is one of the most serious problems in improving the outcomes of treatment. To our knowledge, the anticancer activity induced by co-treatment of ortho-topolin riboside (oTR) and protocatechualdehyde (PA) in radio-resistant TNBC cells has not been investigated. The present study aimed to investigate the potential anticancer effect of oTR and PA in in vitro and in vivo radio-resistant MDA-MB-231 (MDA-MB-231/RR) cell models. Transcriptomic, proteomic and metabolomic analyses were employed to identify major altered molecular pathways and tumor growth inhibition. The co-treatment of oTR and PA synergistically reduced the cell viability of MDA-MB-231/RR cells compared to single oTR or PA treatment. Identified major altered pathways were ‘β- alanine metabolism’, ‘hypoxia-inducible factor 1 (HIF-1) signaling’, ‘FoxO signaling’, and the ‘mitogen-activated protein kinase (MAPK) signaling’. In xenograft mouse models, a significant reduction in tumor volume was observed in both single treatment (oTR or PA alone) and co-treatment (low dose and high dose) groups with no significant alterations in body weight and liver morphology. The findings of this study demonstrate the potential of oTR and PA co-treatment as a promising therapeutic strategy for the treatment of radio-resistant TNBC.