# Synergistic therapeutic impact of dichloroacetate nanoparticles and doxorubicin in modulating pyruvate dehydrogenase kinase in breast carcinoma model

**Authors:** Maha M. Salem, Amira T. Khattab, Doha M. Beltagy, Mai M. El-Keiy

PMC · DOI: 10.1038/s41598-025-34562-7 · 2026-01-23

## TL;DR

This study explores combining dichloroacetate nanoparticles and doxorubicin to target cancer metabolism and reduce tumor growth in breast cancer.

## Contribution

The novel use of dichloroacetate nanoparticles in combination with doxorubicin to modulate PDK enzymes in breast carcinoma is presented.

## Key findings

- Dox/DCA-PNPs treatment reduced tumor profile and organ damage while suppressing PDK genes.
- Dox/DCA-PNPs induced apoptosis and cell cycle arrest in cancer cells.
- Dox showed stronger binding affinity to PDK enzymes compared to DCA.

## Abstract

Breast cancer is treated with chemotherapies causing severe organ side effects. Increased pyruvate dehydrogenase kinase (PDK) enzymes in cancer cell metabolism lead to tumor resistance. This study examined dichloroacetate nanoparticles (DCA-PNPs)/doxorubicin (Dox) impact on PDK enzymes in Ehrlich ascites carcinoma (EAC) cells. DCA-PNPs were synthesized using poly D, L-lactic-co-glycolide, polyvinyl alcohol, and characterized by encapsulation efficiency, drug-loading capacity, spectroscopy, and microscopy. Molecular docking and ADMET analysis were conducted. Seventy female CD1 mice were divided into 10 groups (n = 7). (Gp1) was normal negative control. Gp2 to Gp4 received DCA (50 mg/kg), DCA-PNPs (50 mg/kg), and Dox (0.2 mg/kg), intraperitoneal (i.p.) injection. Gp5 to Gp10 were inoculated with EAC cells 0.5 × 106 /mouse. GP5 were untreated group, served as a positive control (EAC-untreated mice or EAC-bearing mice group). GP6 to GP10 were treated with Dox, DCA, DCA-PNPs, Dox/DCA, and Dox/DCA-PNPs (i.p.). On day 14, tumor profile, molecular analysis, and hepatorenal alterations were assessed. Results showed DCA-PNPs size was 22.5 ± 1.72 nm, and (ζ) was − 9.5 mV. Dox exhibited strongest binding affinity across PDKs (− 7.7 to − 8.3 kcal/mol), while DCA showed modest affinities (− 3.7 to − 4.0 kcal/mol). Dox/DCA-PNPs treatment decreased tumor profile and hepatorenal alterations with PDKs gene suppression, increased cancer cell apoptosis and cycle arrest at G0/G1 phase (76.1 and 64.8%). Dox/DCA-PNPs demonstrated anti-tumor activity via inhibiting PDK enzyme.

The online version contains supplementary material available at 10.1038/s41598-025-34562-7.

## Linked entities

- **Genes:** Pdk (Pyruvate dehydrogenase kinase) [NCBI Gene 35970]
- **Chemicals:** dichloroacetate (PubChem CID 25975), doxorubicin (PubChem CID 31703)
- **Diseases:** breast cancer (MONDO:0004989)

## Full-text entities

- **Genes:** Pdk1 (pyruvate dehydrogenase kinase, isoenzyme 1) [NCBI Gene 228026] {aka B830012B01, D530020C15Rik}, Gp5 (glycoprotein 5 platelet) [NCBI Gene 14729] {aka GPV}, Pdk3 (pyruvate dehydrogenase kinase, isoenzyme 3) [NCBI Gene 236900] {aka 2610001M10Rik}, Gp9 (glycoprotein 9 platelet) [NCBI Gene 54368] {aka Cd42, GPIX}, Pdk4 (pyruvate dehydrogenase kinase, isoenzyme 4) [NCBI Gene 27273], Gp6 (glycoprotein 6 platelet) [NCBI Gene 243816] {aka 9830166G18Rik, Gm469, Gpvi}, Cyld (CYLD lysine 63 deubiquitinase) [NCBI Gene 74256] {aka 2010013M14Rik, 2900009M21Rik, C130039D01Rik, CDMT, CYLD1, EAC}, PDC (phosducin) [NCBI Gene 5132] {aka MEKA, PHD, PhLOP, PhLP}, Pdk2 (pyruvate dehydrogenase kinase, isoenzyme 2) [NCBI Gene 18604], Gtpbp1 (GTP binding protein 1) [NCBI Gene 14904] {aka GP-1, Gtpbp}, Actb (actin, beta) [NCBI Gene 11461] {aka Actx, E430023M04Rik, beta-actin}, Anxa11os (annexin A11, opposite strand) [NCBI Gene 105245705] {aka Gm9872}, Gp2 (glycoprotein 2 zymogen granule membrane) [NCBI Gene 67133] {aka 2310037I18Rik}, Trp53-ps (transformation related protein 53, pseudogene) [NCBI Gene 22060], Hif1a (hypoxia inducible factor 1, alpha subunit) [NCBI Gene 15251] {aka HIF-1-alpha, HIF1-alpha, HIF1alpha, MOP1, bHLHe78}
- **Diseases:** emesis (MESH:D014839), bladder irritation (MESH:D001745), abdominal distension (MESH:D000007), tubular necrosis (MESH:D007683), carcinogenic (MESH:D011230), mitochondrial dysfunction (MESH:D028361), tissue injury (MESH:D017695), Toxicity (MESH:D064420), mammary adenocarcinoma (MESH:D000230), hepatorenal (MESH:D006530), hepatocyte degeneration (MESH:D009410), ovarian, breast, and gastrointestinal malignancies (MESH:D010051), Cancer (MESH:D009369), organ injury (MESH:D009102), CL (MESH:D002971), injury (MESH:D014947), hepatic and renal damage (MESH:D056486), alopecia (MESH:D000505), organ damage (MESH:D000092124), metastasis (MESH:D009362), EAC (MESH:D002286), cardiac impairment (MESH:D006331), BC (MESH:D001943), renal cortical injury (MESH:D007674), necrosis of renal tubules (MESH:D007673), ILS (MESH:D054082), weight gain (MESH:D015430), inflammatory (MESH:D007249), bone marrow suppression (MESH:D001855), cardiotoxicity (MESH:D066126), necrosis (MESH:D009336), organ toxicity (MESH:D019965)
- **Chemicals:** KBr (MESH:C039004), EE (MESH:D004997), glucose (MESH:D005947), PLGA (MESH:D000077182), pyruvate (MESH:D019289), HCl (MESH:D006851), Baicalein (MESH:C006680), formalin (MESH:D005557), NaOH (MESH:D012972), DCA (MESH:D003999), gold (MESH:D006046), sodium barbiturate (MESH:C032232), PVA (MESH:D011142), xylene (MESH:D014992), DOX (MESH:D004317), lactate (MESH:D019344), paclitaxel (MESH:D017239), Dist (-), Cl (MESH:D002713), sucrose (MESH:D013395), Cu (MESH:D003300), eosin (MESH:D004801), O (MESH:D010100), acetone (MESH:D000096), ethanol (MESH:D000431), PI (MESH:D011419), EDTA Disodium (MESH:D004492), Triton X 100 (MESH:D017830), Phosphate (MESH:D010710), C (MESH:D002244), NaCl (MESH:D012965), H2O (MESH:D014867), trypan blue (MESH:D014343), hydrogen (MESH:D006859), haematoxylin (MESH:D006416), paraffin (MESH:D010232), acetyl-CoA (MESH:D000105), flavonoids (MESH:D005419)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Rattus norvegicus (brown rat, species) [taxon 10116], Homo sapiens (human, species) [taxon 9606]

## Figures

14 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12835023/full.md

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Source: https://tomesphere.com/paper/PMC12835023