ERas enhances resistance to CPT-11 in gastric cancer

Eiji Kubota1, Hiromi Kataoka, Mamoru Tanaka

  • 1Department of Gastroenterology and Metabolism, Nagoya City University, Graduate School of Medical Sciences. 1 Kawasumi, Mizuho, Nagoya 467-8601, Japan.

Anticancer Research
|October 4, 2011
PubMed
Abstract

Insights

Embryonic stem cell-expressed Ras (ERas) promotes chemoresistance in gastric cancer. Targeting the phosphatidylinositol-3 kinase-protein kinase B-mammalian target of rapamycin pathway and nuclear factor-kappa B can overcome this resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Embryonic stem cell-expressed Ras (ERas) is present in human gastric cancer.
  • ERas expression is linked to gastric cancer's tumorigenicity.

Purpose of the Study:

  • To investigate the role of ERas in chemoresistance in human gastric cancer.
  • To explore the mechanisms underlying ERas-mediated chemoresistance.

Main Methods:

  • Assessed cytotoxicity of CPT-11 and mammalian target of rapamycin (mTOR) inhibitors on ERas-overexpressing gastric cancer cells.
  • Investigated ERas-induced chemoresistance mechanisms using electrophoretic mobility shift assay and PCR array.

Main Results:

  • ERas-overexpressing cells showed significant resistance to CPT-11.
  • Rapamycin treatment was cytotoxic to ERas-overexpressing cells.
  • ERas enhanced nuclear factor (NF)-κB activity and upregulated multidrug efflux transporter genes like ABCG2.

Conclusions:

  • ERas induces chemoresistance to CPT-11 through activation of the phosphatidylinositol-3 kinase-protein kinase B-mTOR pathway and NF-κB.
  • This activation leads to the upregulation of ABCG2, contributing to chemoresistance.

Related Concept Videos

Gastritis II: Pathophysiology01:26

Gastritis II: Pathophysiology

The pathophysiology of gastritis begins with the colonization of the stomach lining by Helicobacter pylori (H. pylori). This bacterium spreads mainly via the oral-oral route through saliva or shared utensils, and can also be transmitted in overcrowded or unhygienic environments through contaminated water, despite its brief survival outside the body.ColonizationOnce ingested, H. pylori enters the stomach and begins colonization by navigating through the mucus layer lining the stomach wall. It...
Peptic Ulcer Disease II: Pathophysiology01:24

Peptic Ulcer Disease II: Pathophysiology

Peptic ulcer disease develops when protective mechanisms of the gastrointestinal mucosa are overwhelmed by harmful factors, leading to localized erosions in the stomach or proximal duodenum. The main causes are Helicobacter pylori infection and chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs).Helicobacter pylori–Induced InjuryBacterial Adaptation and Colonization:H. pylori is a spiral, Gram-negative bacterium adapted to the acidic stomach. and transmitted through oral-oral or...
Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy01:16

Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy

Helicobacter pylori, a resilient gram-negative bacterium, can thrive in the stomach's harsh, acidic environment. Infection with H. pylori leads to a cascade of events within the stomach lining. One of the critical disruptions caused by this bacterium is the interference with somatostatin production, a hormone responsible for regulating acid secretion. This interference tips the balance, escalating acid secretion and diminishing bicarbonate levels. This imbalance compromises the defensive...
Peptic Ulcer Disease IV: Management01:26

Peptic Ulcer Disease IV: Management

Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...