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The interaction of thymidylate synthase expression with p53-regulated signaling pathways in tumor cells

Daniel B Longley1, Tariq Latif, John Boyer

  • 1Cancer Research Centre, Queen's University Belfast, Belfast, Northern Ireland.

Seminars in Oncology
|June 13, 2003
PubMed

Insights

Inducible thymidylate synthase (TS) expression increases resistance to tomudex (TDX) chemotherapy by altering p53 pathway responses. This finding is crucial for understanding antifolate drug efficacy in cancer treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Thymidylate synthase (TS) is a key target for 5-fluorouracil (5-FU) and tomudex (TDX) chemotherapy.
  • Understanding drug resistance mechanisms is vital for improving cancer therapy outcomes.

Purpose of the Study:

  • To investigate the impact of inducible TS expression on chemosensitivity.
  • To elucidate the role of TS in mediating resistance to 5-FU and TDX.

Main Methods:

  • Development of a breast cancer cell line (MCF-7) with inducible TS expression (M7TS90).
  • Assessment of chemosensitivity to various chemotherapeutic agents (5-FU, TDX, cisplatin, oxaliplatin, irinotecan, paclitaxel).
  • Analysis of p53 pathway gene expression (p53, p21, Fas, Bak, Bcl-2) in response to drug treatment and TS induction.

Main Results:

  • Inducible TS expression caused a moderate increase in 5-FU resistance and a significant increase in TDX resistance.
  • TS induction did not affect sensitivity to platinum-based drugs or paclitaxel.
  • TS induction abrogated p53, p21, Fas, and Bak induction by TDX, but not 5-FU, and reversed Bcl-2 downregulation by TDX.

Conclusions:

  • Inducible TS expression confers resistance to TDX by modulating p53-dependent apoptosis pathways.
  • TS-mediated resistance mechanisms differ between 5-FU and TDX.
  • These findings highlight the complex role of TS in chemotherapy response and resistance.

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