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Abdel-Hamid et al.                                                                                                      Antitumor and chemosesitizing efficacy of Kochia indica on human HCC

           N.V [half maximal inhibitory  concentration  (IC ) for   125 g for 5-7 min. The cell pellet was suspended again
                                                      50
           agent separately] = N .V (in combination)          in the medium and dispense into a 25 cm  culture
                                -
                                                                                                      2
                              -
           N=  IC   for  the  agent,  V  =  volume  of  the  agent   flask. The culture was incubated at 37 °C in a 5% CO 2
                 50
           separately = 1                                     incubator and thereafter, was ready for sub culturing
           N  = the concentration of the agent in the combination,   into working groups.
             -
           V = the volume of the agent in the combination
            -
                                                              Experimental cell groups
           Cell  culture  media,  including  DMEM  and  fetal   HepG  cells were divided into 4 groups described as
                                                                   2
           bovine  serum  (FBS)  were  purchased  from  GIBCO ®   follow: (1) first group contained HepG  cells cultured
                                                                                                2
           (Invitrogen). Penicillin  and streptomycin, the culture   in a media and left without any treatments to serve as
           antibiotics, were purchased  from  (Aldrich-Sigma   a negative control; (2) second group contained HepG
                                                                                                             2
           Company, CA, USA). DMSO, fluorescence dye, Sodium   cells cultured in a media treated with the following
           bicarbonate (NaHCO ), neutral red, 4-(4’-nitrobenzyl)   doses (15.625, 31.2, 62.5, 125, 250 µg/mL) of 5-FU
                              3
           pyridine  (NBP)  and  5-FU  were  also  purchased  from   as a standard chemotherapy for HCC and left to serve
           Sigma-Aldrich. All chemicals and reagents used in the   as a positive control; (3) third group contained HepG
                                                                                                             2
           experiments are of highly purified grades.         cells cultured in a media and treated with the following
                                                              doses (12.5, 25, 50, 100, 200 µg/mL) concentrations
           Hepatoma cell line                                 of Kochia indica ethanol extract alone and left as an
           Hepatoma cell line (HepG ) was obtained from Holding   experimental group; (4) fourth group contained HepG
                                  2
                                                                                                             2
           Company  for  Biological  and  Vaccine  Production,   cells cultured in a media treated with a combination of
           Cairo, Egypt. HepG  was maintained in the cell culture   5-FU and Kochia indica extract in different ratios (1:1,
                             2
           laboratory, Medical Research Institute, Smouha, Alex,   2:1, 1:2, 1:9) and left as an experimental group.
           Egypt.  HepG   is  a perpetual cell line consisting of
                       2
           human liver carcinoma  cells, derived  from the liver   Cell viability determination
           tissue of a 15-year-old  Caucasian male patient who   The  HepG  culture was sub-cultured at 37 °C
                                                                        2
           had a well-differentiated HCC.                     under  a  humidified  environment  containing  5%
                                                              CO incubator.  Cytotoxic  effect  of  the  tested  agents
                                                                 2
           Natural agents                                     on  tumor  cells  was  tested  by  the  neutral  red  (NR)
           Kochia  indica leaf plant was collected  nearby  Tanta   method described by Fotakis and Timbrell. [14]  In brief,
           city,  Al-Gharbiya  Governorate,  Egypt.  The  plant   tumor  cells  were  seeded  in  96-well  plates  (100  μL/
           was authenticated  visually  in taxonomy laboratory   well at a density of 3 × 10  cells/mL) and treated with
                                                                                     5
           at  Botany  Department,  Faculty  of  Science,  Tanta   various concentrations of the used agents for 24 h.
           University,  Egypt. The  collected  plants  were  washed   Then,  cells  were  washed  twice  with  1×  phosphate
           under running tap water and blotted where they were   buffer saline and the supernatant was discarded.
           cut into  small  pieces  and  kept for drying  in  oven  at   A  total  of  100  μL  of  NR  solutions  (50  μg/mL)
           temperature 40 ±  2 ºC for 5 days.  The dried plant   was added to each well and incubated at 37 °C for
           material was ground into powder and stored in air tight   another  hour.  The  NR  dye  was  then  dissolved  in
           container as described by Prayong et al. [12]  The crude   100  μL  of  0.33%  HCl. Absorbance  of  NR  dye  was
           ethanolic extracts were dissolved in DMSO at 20 mg/mL   detected  by  a  dual-wavelength  UV  spectrometer
           as stock solutions which were then diluted with DMEM   (Anthos 2010; Biochrom, UK) at 450 nm wavelenth.
           to desired working concentrations ranging from 10 to   The cytotoxicity was determined against untreated
           250 μg/mL. The final concentration of DMSO in each   cells by the following equation of Machana et al.: [15]
           sample did not exceed 1% v/v, to keep the cytotoxicity   cytotoxicity  (%)  =  [100  ×  (absorbance  of  untreated
           of DMSO at less than 10%.                          group - absorbance of treated group)]/absorbance of
                                                              untreated group. Therefore, the cell viability (%) = 100
           Preparation of HepG  culture media                 - cytotoxicity.
                                 2
           The HepG  culture media was prepared according to
                     2
           Van der Bliek et al. [13]  Briefly, the vial containing HepG    To calculate the IC   values  of the agents under
                                                                                 50
                                                          2
           was placed in a 37 °C water bath until the contents were   investigation,  cytotoxicity (%) was plotted against
           thawed and decontaminated immediately by dipping in   agent’s working concentrations [14]  to give linear equation
           or spraying with 70% ethanol. The vial contents were   from which IC  was calculated. Also, the quantitative
                                                                          50
           transferred to a centrifuge tube containing 9.0 mL of   efficacy  of  the  combination  exposure  between  5-FU
           absolute DMEM. To prepare DMEM growth medium,      and  Kochia indica extract was determined as  a
           FBS  was  added  to  reach  10%  final  concentration.   combination  index (CI)  according to  the following
           Prepared cell culture media were spin at approximately   equation: [16]  CI = (5-FU) in combination/(5-FU) alone +
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