RT Journal Article T1 Enhancement of Tumor Cell Death by Combining gef Gene Mediated Therapy and New 1,4-Benzoxazepin-2,6-Dichloropurine Derivatives in Breast Cancer Cells. A1 Ramírez, Alberto A1 Conejo-García, Ana A1 Griñán-Lisón, Carmen A1 López-Cara, Luisa C A1 Jiménez, Gema A1 Campos, Joaquín M A1 Marchal, Juan A A1 Boulaiz, Houria K1 1 K1 4-benzoxazepin-2 K1 6-dichloropurine K1 breast cancer K1 combined therapy K1 gef gene K1 gene therapy AB New treatment modalities are urgently needed to better manage advanced breast cancer. Combination therapies are usually more effective than monotherapy. In this context, the use of cyclic and acyclic O,N-acetals derivative compounds in combination with the suicide gef gene shown a potent anti-tumor activity and represent a new generation of anticancer agents. Here, we evaluate the use of the gef gene to promote and increase the anti-tumor effect of cyclic and acyclic O,N-acetals purine derivatives and elucidate their mechanisms of action. Among all compounds tested, those with a nitro group and a cyclic pattern structures (FC-30b2, FC-29c, and bozepinib) are the most benefited from the gef gene effect. These compounds, in combination with gef gene, were able to abolish tumor cell proliferation with a minimal dose leading to more effective and less toxic chemotherapy. The effect of this combined therapy is triggered by apoptosis induction which can be found deregulated in the later stage of breast cancer. Moreover, the combined therapy leads to an increase of cell post-apoptotic secondary necrosis that is able to promote the immunogenicity of cancer cells leading to a successful treatment. This data suggests that this novel combination therapy represents a promising candidate for breast cancer treatment. SN 1663-9812 YR 2018 FD 2018-07-26 LK http://hdl.handle.net/10668/12818 UL http://hdl.handle.net/10668/12818 LA en DS RISalud RD Apr 12, 2025