RT Journal Article SR Electronic T1 Sensitization of rhTRAIL-resistant Triple-negative Breast Carcinoma Through Silibinin Co-Treatment JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 6593 OP 6599 VO 37 IS 12 A1 JASMINE M. MANOUCHEHRI A1 MICHAEL KALAFATIS YR 2017 UL http://ar.iiarjournals.org/content/37/12/6593.abstract AB Background/Aim: Triple-negative breast cancer (TNBC) is the most fatal form of breast cancer due to the shortcomings of therapies. However, recombinant human tumor necrosis factor-related apoptosis-inducing ligand (rhTRAIL) is a promising anticancer therapeutic that possesses the capability to promote the induction of apoptosis in cancer cells, but some TNBCs are resistant to rhTRAIL's pro-apoptotic effects. Therefore, a combinatorial treatment approach with silibinin and rhTRAIL was considered in order to sensitize rhTRAIL-resistant TNBCs. Materials and Methods: The co-treatment of rhTRAIL and silibinin's impact on apoptosis induction in rhTRAIL-resistant TNBC BT-20 and HCC1937 cells was inspected via application of Annexin V/PI assays and western blot analysis. Results: Silibinin possessed the ability to sensitize the examined rhTRAIL-resistant TNBC cells to rhTRAIL-induced apoptosis through the up-regulation of death receptors 4 and 5 and the down-regulation of survivin transcriptionally. Conclusion: Silibinin is a good sensitizing agent for rhTRAIL-resistant TNBCs.