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Updated: Apr 28, 2026

Studying Cell Cycle-regulated Gene Expression by Two Complementary Cell Synchronization Protocols
Published on: June 6, 2017
Cell-cycle distribution and Thymidilate Synthatase (TS) expression correlate with 5-FU resistance in head and neck
Kei Ijichi1, Makoto Adachi2, Tetsuya Ogawa3
1Department of Otolaryngology-Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan ijichi@med.nagoya-cu.ac.jp.
Background:
Acquired chemoresistance to 5-fluorouracil (5-FU) remains one of the obstacles for the success of 5-FU-based cancer chemotherapy, and some molecular mechanisms of acquired 5-FU resistance are still unknown. The main action of 5-FU is the suppression of DNA replication by inhibiting Thymidylate Synthase (TS).
Materials And Methods:
We analyzed 5-FU resistance mechanisms using the head and neck squamous cell carcinoma cell lines, UM-SCC-23, and two different resistant cell lines, UM-SCC-23/WR and UM-SCC-23/MR, which were procured from UM-SCC-23 cells. To acquire resistance, the two cells underwent repeated treatment of 5-FU with different durations and frequency. We determined differences in the cell-cycle distribution and the expression of TS proteins in the three cell lines. Moreover, cell-cycle distribution in cells which acquired resistance after 5-FU treatment, was compared to that of parental cells, using flow cytometric analysis.
Results:
There was a remarkable increase in TS protein expression levels in UM-SCC-23/WR following 5-FU treatment. S-phase cells of UM-SCC-23 and UM-SCC-23/WR cells were immediately increased after treatment with 5-FU, whereas UM-SCC-23/MR were accumulated to the S-phase slightly later.
Conclusion:
The cell-cycle perturbation or elevation of TS protein expression may be involved in acquired 5-FU resistance and identifies 5-FU resistance mechanisms in the two different 5-FU treatment regimens.
Insights
Acquired resistance to 5-fluorouracil (5-FU) chemotherapy in head and neck cancer involves increased Thymidylate Synthase (TS) expression and cell-cycle changes. These mechanisms offer insights into overcoming 5-FU chemoresistance.
Area of Science:
- Oncology
- Cancer Chemotherapy
- Molecular Biology
Background:
- Acquired chemoresistance to 5-fluorouracil (5-FU) is a significant challenge in cancer treatment.
- The precise molecular mechanisms underlying acquired 5-FU resistance are not fully understood.
- 5-FU primarily functions by inhibiting Thymidylate Synthase (TS), a key enzyme in DNA replication.
Purpose of the Study:
- To investigate the mechanisms of acquired 5-FU resistance in head and neck squamous cell carcinoma.
- To compare the cellular responses of parental and 5-FU-resistant cell lines to 5-FU treatment.
Main Methods:
- Utilized head and neck squamous cell carcinoma cell lines (UM-SCC-23) and derived 5-FU-resistant variants (UM-SCC-23/WR, UM-SCC-23/MR).
- Analyzed differences in cell-cycle distribution and Thymidylate Synthase (TS) protein expression.
- Employed flow cytometric analysis to compare cell-cycle profiles of resistant and parental cells post-5-FU treatment.
Main Results:
- UM-SCC-23/WR cells exhibited a significant increase in TS protein expression after 5-FU treatment.
- Both parental (UM-SCC-23) and resistant (UM-SCC-23/WR) cells showed an immediate increase in S-phase following 5-FU exposure.
- The UM-SCC-23/MR resistant cell line displayed a delayed accumulation in S-phase after 5-FU treatment.
Conclusions:
- Cell-cycle perturbation and elevated TS protein expression are implicated in acquired 5-FU resistance.
- These findings elucidate specific 5-FU resistance mechanisms related to different treatment regimens.
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