Research Article

Synergistic Cytotoxic Effects of Ganoderma lucidum and Bacillus Calmette Guérin on Premalignant Urothelial HUC-PC Cells and Its Regulation on Proinflammatory Cytokine Secretion

Figure 4

Dose-response curves of (a) BCG and (b) GLe generated by nonlinear regression, in order to define the sinGLe-agent effects as I C 7 0 . On day 6 following drug cessation, and since only selected BCG concentrations were tested, the BCG cytotoxicity showed ranged from 60–73% when compared with the solvent control (i.e., BCG 0 CFU on day 6). In order to minimize the error, I C 7 0 was used for isobologram analysis. Isobolograms (c) were plotted for treatments 3 and 4 with the I C 7 0 determined for BCG and GLe. Concentrations of GLe and BCG were reflected on x- and y-axes, respectively. Area below the additive isobole (the line joining I C 7 0 , B C G and I C 7 0 , 𝐺 𝐿 𝑒 ) indicates synergistic interaction. Combination indices (CI) were calculated as C I = C B C G , 7 0 / I C 7 0 , B C G + C 𝐺 𝐿 𝑒 , 7 0 / I C 7 0 , 𝐺 𝐿 𝑒 according to Zhao et al. [14]. Specifically, C B C G , 7 0 and C 𝐺 𝐿 𝑒 , 7 0 are the concentrations of BCG and GLe used in treatments 3 and 4 to achieve 70% drug effect. I C 7 0 , B C G (fixed as 1 . 2 × 1 0 7  CFU for all experiments) and I C 7 0 , 𝐺 𝐿 𝑒 (19.12 μg/mL in treatment 3; 12.37 μg/mL in treatment 4) are the concentrations for sinGLe agents to achieve the same effect.
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