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The relationship between intrinsic thymidylate synthase expression and sensitivity to THYMITAQ in human leukaemia and

E J Estlin1, K Balmanno, A H Calvert

  • 1Department of Paediatric Oncology, Sir James Spence Institute of Child Health, Royal Victoria Infirmary, Newcastle upon Tyne, UK.

Insights

Sensitivity to THYMITAQ, a thymidylate synthase (TS) inhibitor, varied in colorectal and leukaemia cell lines. Resistance was not solely linked to TS levels, suggesting other cellular mechanisms influence drug response.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Thymidylate synthase (TS) is a key enzyme in DNA synthesis and a target for antifolate drugs.
  • Understanding the relationship between TS expression and drug sensitivity is crucial for cancer therapy.

Purpose of the Study:

  • To investigate the correlation between thymidylate synthase (TS) expression (activity, protein, mRNA) and sensitivity to THYMITAQ, a non-classical antifolate TS inhibitor.
  • To explore factors contributing to intrinsic resistance to THYMITAQ in colorectal and leukaemia cell lines.

Main Methods:

  • Characterization of TS expression levels (activity, protein, mRNA) in eight human colorectal carcinoma and five human leukaemia cell lines.
  • Assessment of growth inhibition (IC50) upon continuous exposure to THYMITAQ.
  • Statistical analysis to determine correlations between TS parameters and drug sensitivity.

Main Results:

  • A 20-fold variation in THYMITAQ sensitivity was observed in colorectal cell lines, but not correlated with TS activity, protein, or mRNA levels.
  • Leukaemia cell lines showed a twofold range in sensitivity, also not correlating with TS expression.
  • TS activity was linearly related to TS protein levels, but TS mRNA/18S rRNA ratios did not correlate with TS activity or protein, indicating post-transcriptional regulation.

Conclusions:

  • Intrinsic resistance to THYMITAQ in some cell lines was not explained by TS overexpression.
  • Factors beyond TS inhibition, such as DNA repair and apoptotic tolerance, are critical determinants of THYMITAQ sensitivity.

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