Gemcitabine diphosphate choline is a major metabolite linked to the Kennedy pathway in pancreatic cancer models in vivo

Background: The modest benefits of gemcitabine (dFdC) therapy in patients with pancreatic ductal adenocarcinoma (PDAC) are well documented, with drug delivery and metabolic lability cited as important contributing factors. We have used a mouse model of PDAC: KRAS G12D ; p53 R172H ; pdx-Cre (KPC) tha...

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Veröffentlicht in:British journal of cancer 2014-07, Vol.111 (2), p.318-325
Hauptverfasser: Bapiro, T E, Frese, K K, Courtin, A, Bramhall, J L, Madhu, B, Cook, N, Neesse, A, Griffiths, J R, Tuveson, D A, Jodrell, D I, Richards, F M
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container_end_page 325
container_issue 2
container_start_page 318
container_title British journal of cancer
container_volume 111
creator Bapiro, T E
Frese, K K
Courtin, A
Bramhall, J L
Madhu, B
Cook, N
Neesse, A
Griffiths, J R
Tuveson, D A
Jodrell, D I
Richards, F M
description Background: The modest benefits of gemcitabine (dFdC) therapy in patients with pancreatic ductal adenocarcinoma (PDAC) are well documented, with drug delivery and metabolic lability cited as important contributing factors. We have used a mouse model of PDAC: KRAS G12D ; p53 R172H ; pdx-Cre (KPC) that recapitulates the human disease to study dFdC intra-tumoural metabolism. Methods: LC-MS/MS and NMR were used to measure drug and physiological analytes. Cytotoxicity was assessed by the Sulphorhodamine B assay. Results: In KPC tumour tissue, we identified a new, Kennedy pathway-linked dFdC metabolite (gemcitabine diphosphate choline (GdPC)) present at equimolar amounts to its precursor, the accepted active metabolite gemcitabine triphosphate (dFdCTP). Utilising additional subcutaneous PDAC tumour models, we demonstrated an inverse correlation between GdPC/dFdCTP ratios and cytidine triphosphate (CTP). In tumour homogenates in vitro , CTP inhibited GdPC formation from dFdCTP, indicating competition between CTP and dFdCTP for CTP:phosphocholine cytidylyltransferase (CCT). As the structure of GdPC precludes entry into cells, potential cytotoxicity was assessed by stimulating CCT activity using linoleate in KPC cells in vitro , leading to increased GdPC concentration and synergistic growth inhibition after dFdC addition. Conclusions: GdPC is an important element of the intra-tumoural dFdC metabolic pathway in vivo .
doi_str_mv 10.1038/bjc.2014.288
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As the structure of GdPC precludes entry into cells, potential cytotoxicity was assessed by stimulating CCT activity using linoleate in KPC cells in vitro , leading to increased GdPC concentration and synergistic growth inhibition after dFdC addition. 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Liver. Pancreas. Abdomen ; Gemcitabine ; Humans ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Medical sciences ; Mice ; Mice, Inbred BALB C ; Mice, Nude ; Molecular Medicine ; Multiple tumors. Solid tumors. 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We have used a mouse model of PDAC: KRAS G12D ; p53 R172H ; pdx-Cre (KPC) that recapitulates the human disease to study dFdC intra-tumoural metabolism. Methods: LC-MS/MS and NMR were used to measure drug and physiological analytes. Cytotoxicity was assessed by the Sulphorhodamine B assay. Results: In KPC tumour tissue, we identified a new, Kennedy pathway-linked dFdC metabolite (gemcitabine diphosphate choline (GdPC)) present at equimolar amounts to its precursor, the accepted active metabolite gemcitabine triphosphate (dFdCTP). Utilising additional subcutaneous PDAC tumour models, we demonstrated an inverse correlation between GdPC/dFdCTP ratios and cytidine triphosphate (CTP). In tumour homogenates in vitro , CTP inhibited GdPC formation from dFdCTP, indicating competition between CTP and dFdCTP for CTP:phosphocholine cytidylyltransferase (CCT). As the structure of GdPC precludes entry into cells, potential cytotoxicity was assessed by stimulating CCT activity using linoleate in KPC cells in vitro , leading to increased GdPC concentration and synergistic growth inhibition after dFdC addition. 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As the structure of GdPC precludes entry into cells, potential cytotoxicity was assessed by stimulating CCT activity using linoleate in KPC cells in vitro , leading to increased GdPC concentration and synergistic growth inhibition after dFdC addition. Conclusions: GdPC is an important element of the intra-tumoural dFdC metabolic pathway in vivo .</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>24874484</pmid><doi>10.1038/bjc.2014.288</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects 631/154/436
631/67/1504/1713
631/67/2327
Animals
Antimetabolites, Antineoplastic - pharmacokinetics
Antimetabolites, Antineoplastic - pharmacology
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Cancer Research
Carcinoma, Pancreatic Ductal - drug therapy
Carcinoma, Pancreatic Ductal - metabolism
Choline - metabolism
Deoxycytidine - analogs & derivatives
Deoxycytidine - metabolism
Deoxycytidine - pharmacokinetics
Deoxycytidine - pharmacology
Diphosphates - metabolism
Drug Resistance
Epidemiology
Female
Gastroenterology. Liver. Pancreas. Abdomen
Gemcitabine
Humans
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Medical sciences
Mice
Mice, Inbred BALB C
Mice, Nude
Molecular Medicine
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Oncology
Pancreatic cancer
Pancreatic Neoplasms - drug therapy
Pancreatic Neoplasms - metabolism
Translational Therapeutics
Tumor Cells, Cultured
Tumors
title Gemcitabine diphosphate choline is a major metabolite linked to the Kennedy pathway in pancreatic cancer models in vivo
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