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

                                                              Table 2: Effect of upgrading concentrations of 5-FU on
                                                              the HepG 2  cultured cell toxicity and viability (n = 9)
                                                              5-FU          Cytotoxicity Cell viability  P value t value
             Absorbance (450 nm)                              Control        31.34058  68.65942  < 0.626  0.569
                                                                                                 (t-test) (t-test)
                                                              concentrations
                                                                               (%)
                                                                                         (%)
                                                                                0
                                                                                         100
                                                              15.625 µg/mL
                                                                                                 < 0.891
                                                                                       65.57971
                                                                             34.42029
                                                              31.25 µg/mL
                                                                                                        0.1549
                                                                                                 < 0.2339 0.1686
                                                                             35.86957
                                                                                       64.13043
                                                              62.5 µg/mL
                                                                             41.48551
                                                              125 µg/mL
                                                              250 µg/mL
                                                                             51.08696
                                                                                       48.91304
                                                                                                 < 0.0001 17.8
                                                              P value (ANOVA)   < 0.0001  58.51449  < 0.0031 18.72
                                                              F value (ANOVA)     78.11
                                                              5-FU: 5-fluorouracil; ANOVA: analysis of variance
                           5-FU consentration (µg/mL)
                                                              Table 3: Effect of combination therapy of 5-FU and
           Figure 5: The absorbance values of HepG 2  cultured cells exposed   Kochia indica extract on the HepG 2  cultured cells
           to 5-fluorouracil (5-FU) various concentrations. Data are expressed   toxicity and viability (n = 9)
           as means ± SD (n = 9, **P ≤ 0.01, ***P ≤ 0.001, vs. non-treated
           control group                                      Combination ratio Cytotoxicity  Viability P value t value
                                                              5-FU:Kochia (v:v)  (%)       (%)   (t-test)  (t-test)
                                                              Control             0       100
                                                              A ratio of 1:1      42      58    < 0.0005   1.587
             Cell viability (%)                               A ratio of 1:2       < 0.0001  48  < 0.9319 18.647
                                                                                          46.8
                                                                                                < 0.0018   2.321
                                                              A ratio of 2:1
                                                                                  53.2
                                                                                  52
                                                                                                < 0.736
                                                                                                        15.265
                                                              A ratio of 9:1
                                                                                  57
                                                                                          43
                                                              P value (ANOVA)
                                                                                      67.08
                                                              F value (ANOVA)
                                                              5-FU: 5-fluorouracil; ANOVA: analysis of variance
                         5-FU consentration (µg/mL)           234.342 µg/mL of 5-FU.
           Figure 6: The linear indirectrelationship between cell viability
           percent of HepG 2  cultured cells against upgrading concentrations   Combination effect of 5-FU and Kochia indica
           of 5-fluorouracil (5-FU), value of IC 50  that gives 50% viability was   extract on HepG  cells
           obtained as 234.342 µg/mL                                           2
                                                              Data  shown  on  Figure  7  shows means of  the
                                                              absorbance values of HepG  cells exposed to various
                                                                                       2
                                                              combination ratios of 5-FU and Kochia indica extract.
                                                              It was observed that the obtained absorbance in the
                                                              experimental  groups was reduced  compared  to the
                                                              control group. Statistical analysis revealed that means
                                                              of treatments in ratio of 2:1 was more significant than
                                                              1:1, compared to the control.
                                                              Results in Table 3 show the combined effect of both
                                                              5-FU (250 µg/mL) and Kochia indica extract (100 µg/mL)
                                                              on  the  cell  toxicity  and  viability  of  HepG  cultured
                                                                                                     2
                                                              cells. After the exposure of HepG  to the combination
                                                                                            2
                                                              therapy,  data obtained were determined as mean
                  Control          1:1              2:1             1:2             9:1  values of the absorbance. Based on the absorbance,
                        Combination ratio (5-Fu:Kochia)       the percentage of cytotoxicity was increased while
           Figure 7: The absorbance values of HepG 2  cultured cells exposed
           to combination ratios of 5-fluorouracil (5-FU) and Kochia indica   the percentage of the cell viability was decreased by
           extract various concentrations. Data are expressed as means ± SD   increasing the combination ratios. The most effective
           (n = 9), **P ≤ 0.01, ***P ≤ 0.001, vs. non-treated control group  ratio was found to be (1:2, 5-FU/Kochia) of both agents
                                                              and this ratio led to cytotoxicity of 52% and cell viability
           between the percentages of the HepG  cell viability and   of 48% on HepG  cultured cells.
                                                                             2
                                            2
           upgrading  concentrations  of  5-FU.  This  relationship
           gives rise to a linear equation: y = (-0.081x + 69.02)   By the application of CI equation on the ratio of 1:2, CI
           (R   =  0.992)  from  which  IC  be calculated as   can be calculated as: CI = 83.33/250 + 66.66/100 = 0.33
             2
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