Inhibition of de novo pyrimidine synthesis augments Gemcitabine induced growth inhibition in an immunocompetent model of pancreatic cancer

Leflunomide (Lef) is an agent used in autoimmune disorders that interferes with DNA synthesis. pyrimidine synthesis is a mechanism of Gemcitabine (Gem) resistance in pancreatic cancer. This study aims to assess the efficacy and changes in the tumor microenvironment of Lef monotherapy and in combinat...

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Veröffentlicht in:International journal of biological sciences 2021-01, Vol.17 (9), p.2240-2251
Hauptverfasser: Phan, Thuy, Nguyen, Vu H, Buettner, Ralf, Morales, Corey, Yang, Lifeng, Wong, Paul, Tsai, Weiman, Salazar, Marcela d'Alincourt, Gil, Ziv, Diamond, Don J, Rabinowitz, Joshua D, Rosen, Steven, Melstrom, Laleh G
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container_issue 9
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container_title International journal of biological sciences
container_volume 17
creator Phan, Thuy
Nguyen, Vu H
Buettner, Ralf
Morales, Corey
Yang, Lifeng
Wong, Paul
Tsai, Weiman
Salazar, Marcela d'Alincourt
Gil, Ziv
Diamond, Don J
Rabinowitz, Joshua D
Rosen, Steven
Melstrom, Laleh G
description Leflunomide (Lef) is an agent used in autoimmune disorders that interferes with DNA synthesis. pyrimidine synthesis is a mechanism of Gemcitabine (Gem) resistance in pancreatic cancer. This study aims to assess the efficacy and changes in the tumor microenvironment of Lef monotherapy and in combination with Gem, in a syngeneic mouse model of pancreatic cancer. MTS proliferation assays were conducted to assess growth inhibition by Gem (0-20 nM), Lef (0-40 uM) and Gem+Lef in KPC (KrasLSL.G12D/+;p53R172H/+; PdxCretg/+) cells . An heterotopic KPC model was used and cohorts were treated with: PBS (control), Gem (75 mg/kg/q3d), Lef (40 mg/kg/d), or Gem+Lef. At d28 post-treatment, tumor burden, proliferation index (Ki67), and vascularity (CD31) were measured. Changes in the frequency of peripheral and intratumoral immune cell subsets were evaluated via FACS. Liquid chromatography-mass spectrometry was used for metabolomics profiling. Lef inhibits KPC cell growth and synergizes with Gem (P
doi_str_mv 10.7150/ijbs.60473
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This study aims to assess the efficacy and changes in the tumor microenvironment of Lef monotherapy and in combination with Gem, in a syngeneic mouse model of pancreatic cancer. MTS proliferation assays were conducted to assess growth inhibition by Gem (0-20 nM), Lef (0-40 uM) and Gem+Lef in KPC (KrasLSL.G12D/+;p53R172H/+; PdxCretg/+) cells . An heterotopic KPC model was used and cohorts were treated with: PBS (control), Gem (75 mg/kg/q3d), Lef (40 mg/kg/d), or Gem+Lef. At d28 post-treatment, tumor burden, proliferation index (Ki67), and vascularity (CD31) were measured. Changes in the frequency of peripheral and intratumoral immune cell subsets were evaluated via FACS. Liquid chromatography-mass spectrometry was used for metabolomics profiling. Lef inhibits KPC cell growth and synergizes with Gem (P<0.05; Combination Index 0.44 (<1 indicates synergy). , Lef alone and in combination with Gem delays KPC tumor progression (P<0.001). CTLA-4+T cells are also significantly decreased in tumors treated with Lef, Gem or in combination (Gem+Lef) compared to controls (P<0.05). Combination therapy also decreased the Ki67 and vascularity (P<0.01). Leflunomide inhibits pyrimidine synthesis both (p<0.0001) and (p<0.05). In this study, we demonstrated that Gem+Lef inhibits pancreatic cancer growth, decrease T cell exhaustion, vascularity and as proof of principle inhibits pyrimidine synthesis. Further characterization of changes in adaptive immunity are necessary to characterize the mechanism of tumor growth inhibition and facilitate translation to a clinical trial.]]></description><identifier>ISSN: 1449-2288</identifier><identifier>EISSN: 1449-2288</identifier><identifier>DOI: 10.7150/ijbs.60473</identifier><identifier>PMID: 34239352</identifier><language>eng</language><publisher>Australia: Ivyspring International Publisher Pty Ltd</publisher><subject>Adaptive immunity ; Animals ; Antimetabolites, Antineoplastic - pharmacology ; Apoptosis - drug effects ; Autoimmune diseases ; Cancer ; Cancer therapies ; Cell growth ; Cell Line, Tumor ; Cell Proliferation - drug effects ; Chemotherapy ; CTLA-4 protein ; Deoxycytidine - analogs &amp; derivatives ; Deoxycytidine - pharmacology ; Disease ; Disease Models, Animal ; DNA biosynthesis ; Drug dosages ; Drug synergism ; Enzymes ; Female ; Flow cytometry ; Gemcitabine ; Growth inhibition ; Immune system ; Immunocompetence ; In vivo methods and tests ; Ki-67 Antigen - metabolism ; LEF protein ; Leflunomide ; Liquid chromatography ; Lymphocytes ; Lymphocytes T ; Mass spectrometry ; Mass spectroscopy ; Metabolism ; Metabolomics ; Mice ; Mice, Inbred C57BL ; Pancreatic cancer ; Pancreatic Neoplasms - drug therapy ; Pancreatic Neoplasms - metabolism ; Pancreatic Neoplasms - pathology ; Research Paper ; Synthesis ; Tumor microenvironment ; Tumor Microenvironment - drug effects ; Tumors</subject><ispartof>International journal of biological sciences, 2021-01, Vol.17 (9), p.2240-2251</ispartof><rights>The author(s).</rights><rights>2021. 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This study aims to assess the efficacy and changes in the tumor microenvironment of Lef monotherapy and in combination with Gem, in a syngeneic mouse model of pancreatic cancer. MTS proliferation assays were conducted to assess growth inhibition by Gem (0-20 nM), Lef (0-40 uM) and Gem+Lef in KPC (KrasLSL.G12D/+;p53R172H/+; PdxCretg/+) cells . An heterotopic KPC model was used and cohorts were treated with: PBS (control), Gem (75 mg/kg/q3d), Lef (40 mg/kg/d), or Gem+Lef. At d28 post-treatment, tumor burden, proliferation index (Ki67), and vascularity (CD31) were measured. Changes in the frequency of peripheral and intratumoral immune cell subsets were evaluated via FACS. Liquid chromatography-mass spectrometry was used for metabolomics profiling. Lef inhibits KPC cell growth and synergizes with Gem (P<0.05; Combination Index 0.44 (<1 indicates synergy). , Lef alone and in combination with Gem delays KPC tumor progression (P<0.001). CTLA-4+T cells are also significantly decreased in tumors treated with Lef, Gem or in combination (Gem+Lef) compared to controls (P<0.05). Combination therapy also decreased the Ki67 and vascularity (P<0.01). Leflunomide inhibits pyrimidine synthesis both (p<0.0001) and (p<0.05). In this study, we demonstrated that Gem+Lef inhibits pancreatic cancer growth, decrease T cell exhaustion, vascularity and as proof of principle inhibits pyrimidine synthesis. Further characterization of changes in adaptive immunity are necessary to characterize the mechanism of tumor growth inhibition and facilitate translation to a clinical trial.]]></abstract><cop>Australia</cop><pub>Ivyspring International Publisher Pty Ltd</pub><pmid>34239352</pmid><doi>10.7150/ijbs.60473</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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subjects Adaptive immunity
Animals
Antimetabolites, Antineoplastic - pharmacology
Apoptosis - drug effects
Autoimmune diseases
Cancer
Cancer therapies
Cell growth
Cell Line, Tumor
Cell Proliferation - drug effects
Chemotherapy
CTLA-4 protein
Deoxycytidine - analogs & derivatives
Deoxycytidine - pharmacology
Disease
Disease Models, Animal
DNA biosynthesis
Drug dosages
Drug synergism
Enzymes
Female
Flow cytometry
Gemcitabine
Growth inhibition
Immune system
Immunocompetence
In vivo methods and tests
Ki-67 Antigen - metabolism
LEF protein
Leflunomide
Liquid chromatography
Lymphocytes
Lymphocytes T
Mass spectrometry
Mass spectroscopy
Metabolism
Metabolomics
Mice
Mice, Inbred C57BL
Pancreatic cancer
Pancreatic Neoplasms - drug therapy
Pancreatic Neoplasms - metabolism
Pancreatic Neoplasms - pathology
Research Paper
Synthesis
Tumor microenvironment
Tumor Microenvironment - drug effects
Tumors
title Inhibition of de novo pyrimidine synthesis augments Gemcitabine induced growth inhibition in an immunocompetent model of pancreatic cancer
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