RT Journal Article T1 The Antitumor Activity of Sodium Selenite Alone and in Combination with Gemcitabine in Pancreatic Cancer: An In Vitro and In Vivo Study A1 Doello, Kevin A1 Mesas, Cristina A1 Quiñonero, Francisco A1 Perazzoli, Gloria A1 Cabeza, Laura A1 Prados, Jose A1 Melguizo, Consolacion A1 Ortiz, Raul K1 Sodium selenite K1 Gemcitabine K1 Pancreatic cancer K1 Cancer stem cells K1 Combined therapy K1 Phospho-p38 protein K1 Selenito de sodio K1 Antineoplásicos K1 Neoplasias pancreáticas K1 Células madre neoplásicas K1 Tratamiento combinado K1 Anticuerpos AB Sodium selenite acts by depleting enzymes that protect against cellular oxidative stress. To determine its effect alone or in combination with gemcitabine (GMZ) in pancreatic cancer, we used PANC-1 and Pan02 cell lines and C57BL mice bearing a Pan02-generated tumor. Our results demonstrated a significant inhibition of pancreatic cancer cell viability with the use of sodium selenite alone and a synergistic effect when associated with GMZ. The molecular mechanisms of the antitumor effect of sodium selenite alone involved apoptosis-inducing factor (AIF) and the expression of phospho-p38 in the combined therapy. In addition, sodium selenite alone and in association with GMZ significantly decreased the migration capacity and colony-forming ability, reduced tumor activity in multicellular tumor spheroids (MTS) and decreased sphere formation of cancer stem cells. In vivo studies demonstrated that combined therapy not only inhibited tumor growth (65%) compared to the untreated group but also relative to sodium selenite or GMZ used as monotherapy (up to 40%), increasing mice survival. These results were supported by the analysis of C57BL/6 albino mice bearing a Pan02-generated tumor, using the IVIS system. In conclusion, our results showed that sodium selenite is a potential agent for the improvement in the treatment of pancreatic cancer and should be considered for future human clinical trials. PB MDPI YR 2021 FD 2021-06-25 LK http://hdl.handle.net/10668/4218 UL http://hdl.handle.net/10668/4218 LA en NO Doello K, Mesas C, Quiñonero F, Perazzoli G, Cabeza L, Prados J, et al. The Antitumor Activity of Sodium Selenite Alone and in Combination with Gemcitabine in Pancreatic Cancer: An In Vitro and In Vivo Study. Cancers. 2021 Jun 25;13(13):3169 NO This work was supported by funds from group CTS-107 (Andalusian Government) and partially by a grant for ISCIII (DTS 17/00081-FEDER). F.Q. acknowledges the FPU2018 grant fromthe Ministerio de Educacion Ciencia y Deporte y Competitividad (Spain). DS RISalud RD Apr 6, 2025