Desensitization and sensitization of cells to fluoropyrimidines with different antisenses directed against

J Ju1, S E Kane, H J Lenz

  • 1USC/Norris Comprehensive Cancer Center, University of Southern California, Los Angeles 90033, USA.

Insights

Antisense oligodeoxyribonucleotides (ODNs) targeting thymidylate synthase (TS) can decrease TS expression in cancer cells. This approach enhances sensitivity to fluoropyrimidine chemotherapy, offering a potential strategy for improved cancer treatment.

Area of Science:

  • Molecular Biology
  • Cancer Research
  • Antisense Technology

Background:

  • Fluoropyrimidines are a class of chemotherapy drugs whose efficacy is largely dependent on inhibiting thymidylate synthase (TS).
  • Understanding mechanisms to modulate TS expression is crucial for enhancing the effectiveness of fluoropyrimidine-based cancer therapies.

Purpose of the Study:

  • To investigate the potential of using antisense oligodeoxyribonucleotides (ODNs) to decrease thymidylate synthase (TS) expression.
  • To determine if reducing TS expression can increase the chemosensitivity of human cancer cells to fluoropyrimidines.

Main Methods:

  • Antisense ODNs targeting the AUG translational initiation site of TS mRNA were designed and tested in vitro.
  • Human colon cancer HT-29 cells and human nasopharyngeal cancer KB31 cells were treated with antisense ODNs or transfected with a plasmid expressing antisense TS RNA.
  • TS catalytic activity, protein levels, and sensitivity to 5-fluoro-2'-deoxyuridine (FdUrd) were assessed.

Main Results:

  • Antisense ODNs inhibited TS mRNA translation in a cell-free system.
  • Short-term treatment of HT-29 cells decreased TS activity, but long-term treatment paradoxically increased TS levels and reduced FdUrd sensitivity.
  • Transfection of KB31 cells with a TS antisense construct significantly decreased TS expression and activity, leading to an 8-fold enhancement in FdUrd sensitivity.
  • No changes in sensitivity to cisplatin or Adriamycin were observed.

Conclusions:

  • Antisense RNA targeting thymidylate synthase (TS) can effectively down-regulate TS expression in human cancer cells.
  • Reducing TS expression via antisense technology can significantly enhance the sensitivity of cancer cells to fluoropyrimidine drugs.
  • This strategy holds promise for improving the efficacy of fluoropyrimidine-based cancer chemotherapy.

Related Concept Videos

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...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase01:11

Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase

Genetic polymorphisms in drug targets have emerged as critical determinants of interindividual variability in drug response and toxicity. Pharmacogenomic investigations increasingly focus on identifying these variations to personalize and optimize therapeutic interventions. A drug target may be a receptor, enzyme, or signaling protein involved in pharmacologic responses or disease-related pathways. While early pharmacogenetic studies focused primarily on drug metabolism, current research...
Spontaneous and Induced Mutations01:30

Spontaneous and Induced Mutations

Spontaneous mutations arise infrequently during DNA replication due to errors in the process. A key factor behind these errors is tautomeric shifts in nitrogenous bases, where bases transition from keto to enol forms or amino to imino forms. This shift can alter base-pairing rules, leading to mutations. Additionally, reactive oxygen species (ROS) arising from aerobic metabolism can damage DNA, resulting in depurination (loss of a purine base) or depyrimidination (loss of a pyrimidine base).
Inhibitors of Bacterial DNA Synthesis01:28

Inhibitors of Bacterial DNA Synthesis

Bacterial pathogens depend on precise and efficient DNA replication to sustain infection. Two type II topoisomerases—DNA gyrase and topoisomerase IV—are critical to this process, as they resolve DNA supercoiling and unlink chromosomes during replication. Fluoroquinolones, synthetic derivatives of quinolones, exploit this mechanism by stabilizing the transient DNA–enzyme cleavage complex, preventing strand religation, and causing lethal double-strand breaks. These antibiotics are selectively...