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Updated: Jun 6, 2025

Through the Looking Glass: Time-lapse Microscopy and Longitudinal Tracking of Single Cells to Study Anti-cancer Therapeutics
Published on: May 14, 2016
Enhanced anticancer effect of thymidylate synthase dimer disrupters by promoting intracellular accumulation
Gaetano Marverti1, Maria Gaetana Moschella2,3, Alice Belardo1
1Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Introduction:
Thymidylate synthase (TS) plays a crucial role in cellular growth, proliferation, DNA synthesis, and repair, thus gaining attention for targeted therapies in cancer. TS overexpression and the altered pharmacokinetics of anti-TS drugs are among the most prominent causes of cellular resistance. Decreased drug influx and/or efficient efflux result in reduced drug access to the intracellular targets.
Results:
In this study, we have evaluated and demonstrated the increased cytotoxic efficacy of novel TS dimer disrupters (Ddis) in the presence of specific inhibitors of drug efflux protein pumps in ovarian and colon cancer cells, suggesting that these compounds are substrates of the cellular drug extruders. A second strategy adopted to favor intracellular accumulation was to employ, as a drug delivery system, a molecular tool able to help less lipophilic compounds to cross the cell membrane. The Ddis were delivered through the SAINT-Protein transfection agent. The observed cell-killing effects agreed with the reduction of TS protein level and cell cycle perturbation.
Conclusion:
Overall, this preclinical study suggests that the innovative TS dimer disrupters can be optimized by increasing their intracellular accumulation by both inhibiting their outflow and/or enhancing cellular uptake.
Insights
Novel thymidylate synthase (TS) dimer disrupters show enhanced cancer cell killing when drug efflux is inhibited or cellular uptake is improved. This strategy overcomes resistance to TS-targeted cancer therapies.
Area of Science:
- Biochemistry
- Molecular Biology
- Cancer Research
Background:
- Thymidylate synthase (TS) is vital for DNA synthesis and a target for cancer therapy.
- Drug resistance, due to efflux or reduced influx, limits the efficacy of anti-TS drugs.
- Understanding TS function and resistance mechanisms is key for developing effective cancer treatments.
Purpose of the Study:
- To evaluate the cytotoxic efficacy of novel TS dimer disrupters (Ddis).
- To investigate strategies for enhancing intracellular accumulation of Ddis to overcome drug resistance.
- To assess the impact of Ddis on TS protein levels and cell cycle progression.
Main Methods:
- Tested novel TS dimer disrupters (Ddis) in ovarian and colon cancer cells.
- Utilized inhibitors of drug efflux pumps to block compound extrusion.
- Employed the SAINT-Protein transfection agent for enhanced cellular uptake of Ddis.
- Measured TS protein levels and cell cycle perturbation.
Main Results:
- Ddis demonstrated increased cytotoxic efficacy when combined with drug efflux inhibitors.
- Ddis were identified as substrates for cellular drug extruders.
- SAINT-Protein mediated delivery enhanced intracellular accumulation and cell-killing effects.
- Observed reduction in TS protein levels and cell cycle perturbation correlated with Ddis efficacy.
Conclusions:
- Novel TS dimer disrupters show promise as targeted cancer therapeutics.
- Strategies to increase intracellular accumulation, such as inhibiting efflux or enhancing uptake, are crucial for optimizing Ddis efficacy.
- This approach offers a potential method to overcome resistance in TS-targeted cancer therapy.
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