Hydroxyflutamide enhances cellular sensitivity to 5-fluorouracil by suppressing thymidylate synthase expression in bicalutamide-resistant human prostate cancer cells

We investigated the antitumor effects of combination therapy with anti-androgens and 5-fluorouracil (5-FU), and examined the underlying mechanism of the treatment. Initially, we established the bicalutamide-resistant subline CDX25R from the androgen receptor (AR)-positive human prostate cancer cell...

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Veröffentlicht in:International journal of oncology 2011-03, Vol.38 (3), p.665-676
Hauptverfasser: KAWABATA, Rumi, OIE, Shinji, OKA, Toshinori, TAKAHASHI, Masayuki, KANAYAMA, Hiroomi, ITOH, Kohji
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container_issue 3
container_start_page 665
container_title International journal of oncology
container_volume 38
creator KAWABATA, Rumi
OIE, Shinji
OKA, Toshinori
TAKAHASHI, Masayuki
KANAYAMA, Hiroomi
ITOH, Kohji
description We investigated the antitumor effects of combination therapy with anti-androgens and 5-fluorouracil (5-FU), and examined the underlying mechanism of the treatment. Initially, we established the bicalutamide-resistant subline CDX25R from the androgen receptor (AR)-positive human prostate cancer cell line LNCaP through continuous exposure to bicalutamide. CDX25R cells lost the ability to respond to androgens, but still expressed AR. They showed significant resistance to bicalutamide, but had high sensitivity to hydroxyflutamide (OH-flutamide) compared with LNCaP cells. The CDX25R subline was thus considered to be a suitable model for prostate cancer that has developed resistance to first-line hormonal therapy but shows sensitivity to an alternative approach. Combined treatment with 5-FU and OH-flutamide had a synergistic effect on CDX25R cells. OH-flutamide decreased expression of the transcription factor E2F1, and subsequently of thymidylate synthase (TS), in CDX25R cells but not in AR-negative DU145 cells. This suggested that OH-flutamide enhanced the growth-inhibitory activity of 5-FU in CDX25R cells by reducing TS expression through the AR pathway. Combined therapy with 5-FU and OH-flutamide may, therefore, be appropriate for patients with prostate cancer that has acquired resistance to initial hormone therapy including bicalutamide.
doi_str_mv 10.3892/ijo.2011.909
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Initially, we established the bicalutamide-resistant subline CDX25R from the androgen receptor (AR)-positive human prostate cancer cell line LNCaP through continuous exposure to bicalutamide. CDX25R cells lost the ability to respond to androgens, but still expressed AR. They showed significant resistance to bicalutamide, but had high sensitivity to hydroxyflutamide (OH-flutamide) compared with LNCaP cells. The CDX25R subline was thus considered to be a suitable model for prostate cancer that has developed resistance to first-line hormonal therapy but shows sensitivity to an alternative approach. Combined treatment with 5-FU and OH-flutamide had a synergistic effect on CDX25R cells. OH-flutamide decreased expression of the transcription factor E2F1, and subsequently of thymidylate synthase (TS), in CDX25R cells but not in AR-negative DU145 cells. This suggested that OH-flutamide enhanced the growth-inhibitory activity of 5-FU in CDX25R cells by reducing TS expression through the AR pathway. Combined therapy with 5-FU and OH-flutamide may, therefore, be appropriate for patients with prostate cancer that has acquired resistance to initial hormone therapy including bicalutamide.</description><identifier>ISSN: 1019-6439</identifier><identifier>EISSN: 1791-2423</identifier><identifier>DOI: 10.3892/ijo.2011.909</identifier><identifier>PMID: 21243325</identifier><language>eng</language><publisher>Athens: Editorial Academy of the International Journal of Oncology</publisher><subject>Androgen Antagonists - administration &amp; dosage ; Androgen Antagonists - pharmacology ; Anilides - therapeutic use ; Antimetabolites, Antineoplastic - administration &amp; dosage ; Antimetabolites, Antineoplastic - pharmacology ; Biological and medical sciences ; Carcinoma - drug therapy ; Carcinoma - genetics ; Carcinoma - pathology ; Cell Line, Tumor ; Drug Evaluation, Preclinical ; Drug Resistance, Neoplasm - drug effects ; Drug Resistance, Neoplasm - genetics ; Drug Synergism ; Fluorouracil - administration &amp; dosage ; Fluorouracil - pharmacology ; Flutamide - administration &amp; dosage ; Flutamide - analogs &amp; derivatives ; Flutamide - pharmacology ; Gene Expression Regulation, Enzymologic - drug effects ; Gene Expression Regulation, Neoplastic - drug effects ; Humans ; Male ; Medical sciences ; Models, Biological ; Neoplasms, Hormone-Dependent - drug therapy ; Neoplasms, Hormone-Dependent - genetics ; Nephrology. Urinary tract diseases ; Nitriles - therapeutic use ; Prostatic Neoplasms - drug therapy ; Prostatic Neoplasms - genetics ; Prostatic Neoplasms - pathology ; Thymidylate Synthase - genetics ; Thymidylate Synthase - metabolism ; Tosyl Compounds - therapeutic use ; Tumors ; Tumors of the urinary system ; Urinary tract. 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Initially, we established the bicalutamide-resistant subline CDX25R from the androgen receptor (AR)-positive human prostate cancer cell line LNCaP through continuous exposure to bicalutamide. CDX25R cells lost the ability to respond to androgens, but still expressed AR. They showed significant resistance to bicalutamide, but had high sensitivity to hydroxyflutamide (OH-flutamide) compared with LNCaP cells. The CDX25R subline was thus considered to be a suitable model for prostate cancer that has developed resistance to first-line hormonal therapy but shows sensitivity to an alternative approach. Combined treatment with 5-FU and OH-flutamide had a synergistic effect on CDX25R cells. OH-flutamide decreased expression of the transcription factor E2F1, and subsequently of thymidylate synthase (TS), in CDX25R cells but not in AR-negative DU145 cells. This suggested that OH-flutamide enhanced the growth-inhibitory activity of 5-FU in CDX25R cells by reducing TS expression through the AR pathway. Combined therapy with 5-FU and OH-flutamide may, therefore, be appropriate for patients with prostate cancer that has acquired resistance to initial hormone therapy including bicalutamide.</description><subject>Androgen Antagonists - administration &amp; dosage</subject><subject>Androgen Antagonists - pharmacology</subject><subject>Anilides - therapeutic use</subject><subject>Antimetabolites, Antineoplastic - administration &amp; dosage</subject><subject>Antimetabolites, Antineoplastic - pharmacology</subject><subject>Biological and medical sciences</subject><subject>Carcinoma - drug therapy</subject><subject>Carcinoma - genetics</subject><subject>Carcinoma - pathology</subject><subject>Cell Line, Tumor</subject><subject>Drug Evaluation, Preclinical</subject><subject>Drug Resistance, Neoplasm - drug effects</subject><subject>Drug Resistance, Neoplasm - genetics</subject><subject>Drug Synergism</subject><subject>Fluorouracil - administration &amp; dosage</subject><subject>Fluorouracil - pharmacology</subject><subject>Flutamide - administration &amp; dosage</subject><subject>Flutamide - analogs &amp; derivatives</subject><subject>Flutamide - pharmacology</subject><subject>Gene Expression Regulation, Enzymologic - drug effects</subject><subject>Gene Expression Regulation, Neoplastic - drug effects</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Models, Biological</subject><subject>Neoplasms, Hormone-Dependent - drug therapy</subject><subject>Neoplasms, Hormone-Dependent - genetics</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nitriles - therapeutic use</subject><subject>Prostatic Neoplasms - drug therapy</subject><subject>Prostatic Neoplasms - genetics</subject><subject>Prostatic Neoplasms - pathology</subject><subject>Thymidylate Synthase - genetics</subject><subject>Thymidylate Synthase - metabolism</subject><subject>Tosyl Compounds - therapeutic use</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>Urinary tract. 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Urinary tract diseases</topic><topic>Nitriles - therapeutic use</topic><topic>Prostatic Neoplasms - drug therapy</topic><topic>Prostatic Neoplasms - genetics</topic><topic>Prostatic Neoplasms - pathology</topic><topic>Thymidylate Synthase - genetics</topic><topic>Thymidylate Synthase - metabolism</topic><topic>Tosyl Compounds - therapeutic use</topic><topic>Tumors</topic><topic>Tumors of the urinary system</topic><topic>Urinary tract. 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This suggested that OH-flutamide enhanced the growth-inhibitory activity of 5-FU in CDX25R cells by reducing TS expression through the AR pathway. Combined therapy with 5-FU and OH-flutamide may, therefore, be appropriate for patients with prostate cancer that has acquired resistance to initial hormone therapy including bicalutamide.</abstract><cop>Athens</cop><pub>Editorial Academy of the International Journal of Oncology</pub><pmid>21243325</pmid><doi>10.3892/ijo.2011.909</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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subjects Androgen Antagonists - administration & dosage
Androgen Antagonists - pharmacology
Anilides - therapeutic use
Antimetabolites, Antineoplastic - administration & dosage
Antimetabolites, Antineoplastic - pharmacology
Biological and medical sciences
Carcinoma - drug therapy
Carcinoma - genetics
Carcinoma - pathology
Cell Line, Tumor
Drug Evaluation, Preclinical
Drug Resistance, Neoplasm - drug effects
Drug Resistance, Neoplasm - genetics
Drug Synergism
Fluorouracil - administration & dosage
Fluorouracil - pharmacology
Flutamide - administration & dosage
Flutamide - analogs & derivatives
Flutamide - pharmacology
Gene Expression Regulation, Enzymologic - drug effects
Gene Expression Regulation, Neoplastic - drug effects
Humans
Male
Medical sciences
Models, Biological
Neoplasms, Hormone-Dependent - drug therapy
Neoplasms, Hormone-Dependent - genetics
Nephrology. Urinary tract diseases
Nitriles - therapeutic use
Prostatic Neoplasms - drug therapy
Prostatic Neoplasms - genetics
Prostatic Neoplasms - pathology
Thymidylate Synthase - genetics
Thymidylate Synthase - metabolism
Tosyl Compounds - therapeutic use
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
title Hydroxyflutamide enhances cellular sensitivity to 5-fluorouracil by suppressing thymidylate synthase expression in bicalutamide-resistant human prostate cancer cells
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