“…Although several intracellular pathways such as the modification of nuclear factor-kB, Bcl-2, phosphatidylinositol-3 kinase, cyclins and c-myc have been reported to be responsible for the mechanisms underlying the action of triptolide (Lee et al, 1999;Chang et al, 2001;Jiang et al, 2001;Fidler et al, 2003;Yang et al, 2003;Miyata et al, 2005;Yinjun et al, 2005;Carter et al, 2006;Wan et al, 2006), our results showed that the attenuation of p53-dependent p21 induction was a key mechanism to enhance CDDP-induced cytotoxicity. Several recent studies have demonstrated that p53-dependent p21 induction inhibits the apoptotic response, and p21 attenuation may make genotoxic chemotherapeutic agents more effective by subverting the normal repair process or, more directly, by promoting the apoptotic process through inhibition of p21 interaction with apoptosis signal-regulating kinase 1, which is upstream of JNK (Asada et al, 1999;Gartel and Tyner, 2002;Weiss, 2003).…”