The role of DPYD and the effects of DPYD suppressor luteolin combined with 5-FU in pancreatic cancer

IF 2.9 2区 医学 Q2 ONCOLOGY Cancer Medicine Pub Date : 2024-08-19 DOI:10.1002/cam4.70124
Hiroyuki Kato, Motonori Sato, Aya Naiki-Ito, Shingo Inaguma, Makoto Sano, Masayuki Komura, Yuko Nagayasu, Kuang Xiaochen, Akihisa Kato, Yoichi Matsuo, Hideaki Ijichi, Satoru Takahashi
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Abstract

Background

Despite advances in the treatment of cancer, pancreatic ductal adenocarcinoma (PDAC) remains highly lethal due to the lack of effective therapies. Our previous study showed that Luteolin (Lut), a flavonoid, suppressed pancreatocarcinogenesis and reduced the expression of dihydropyrimidine dehydrogenase (DPYD), an enzyme that degrades pyrimidines such as 5-fluorouracil (5-FU), in PDACs. In this study, we investigated the role of DPYD and evaluated the therapeutic potential of combining 5-FU with Lut in PDACs.

Methods and Results

PDAC cells overexpressing DPYD showed increased proliferation, and invasiveness, adding to the resistance to 5-FU. The xenograft tumors of DPYD-overexpressing PDAC cells also exhibit enhanced growth and invasion compared to the control xenograft tumors. RNA-seq analysis of the DPYD-overexpressing PDAC xenograft tumors revealed an upregulation of genes associated with metallopeptidase activity—MMP9 and MEP1A. Furthermore, the overexpression of MEP1A in PDAC was associated with invasion. Next, we investigated the combined effects of Lut, a DPYD suppressor, and 5-FU on DPYD-overexpressing xenograft tumors and PDAC of Pdx1-Cre; LSL-KrasG12D/+; Trp53flox/flox(KPPC) mice. Neither single administration of 5-FU nor Lut showed significant inhibitory effects; however, the combined administration of 5-FU and Lut exhibited a significant tumor-suppressive effect in both the xenograft tumors and KPPC models.

Conclusion

We have elucidated that DPYD expression contributes to proliferation, invasiveness, and 5-FU resistance, in PDACs. The combination therapy of Lut and 5-FU holds the potential for enhanced efficacy against PDACs.

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胰腺癌中 DPYD 的作用以及 DPYD 抑制剂木犀草素与 5-FU 联合治疗的效果。
背景:尽管癌症治疗取得了进展,但由于缺乏有效的疗法,胰腺导管腺癌(PDAC)的致死率仍然很高。我们之前的研究表明,黄酮类化合物木犀草素(Lut)可抑制胰腺癌的发生,并降低二氢嘧啶脱氢酶(DPYD)的表达,DPYD是一种降解5-氟尿嘧啶(5-FU)等嘧啶类化合物的酶。在这项研究中,我们研究了DPYD的作用,并评估了5-FU与路得联合治疗PDACs的潜力:过表达 DPYD 的 PDAC 细胞增殖和侵袭性增强,并增加了对 5-FU 的耐药性。与对照异种移植瘤相比,过表达 DPYD 的 PDAC 细胞的异种移植瘤也表现出更强的生长和侵袭能力。对DPYD过表达的PDAC异种移植瘤进行的RNA-seq分析显示,与金属肽酶活性相关的基因--MMP9和MEP1A上调。此外,MEP1A 在 PDAC 中的过表达与侵袭有关。接下来,我们研究了 DPYD 抑制剂 Lut 和 5-FU 对 Pdx1-Cre; LSL-KrasG12D/+; Trp53flox/flox(KPPC) 小鼠的 DPYD 过表达异种移植瘤和 PDAC 的联合作用。5-FU和Lut的单一给药均未显示出显著的抑制作用;然而,5-FU和Lut的联合给药在异种移植肿瘤和KPPC模型中均显示出显著的肿瘤抑制作用:结论:我们已经阐明,DPYD的表达有助于PDACs的增殖、侵袭性和5-FU耐药性。路路通和 5-FU 的联合疗法有望增强对 PDACs 的疗效。
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来源期刊
Cancer Medicine
Cancer Medicine ONCOLOGY-
CiteScore
5.50
自引率
2.50%
发文量
907
审稿时长
19 weeks
期刊介绍: Cancer Medicine is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research from global biomedical researchers across the cancer sciences. The journal will consider submissions from all oncologic specialties, including, but not limited to, the following areas: Clinical Cancer Research Translational research ∙ clinical trials ∙ chemotherapy ∙ radiation therapy ∙ surgical therapy ∙ clinical observations ∙ clinical guidelines ∙ genetic consultation ∙ ethical considerations Cancer Biology: Molecular biology ∙ cellular biology ∙ molecular genetics ∙ genomics ∙ immunology ∙ epigenetics ∙ metabolic studies ∙ proteomics ∙ cytopathology ∙ carcinogenesis ∙ drug discovery and delivery. Cancer Prevention: Behavioral science ∙ psychosocial studies ∙ screening ∙ nutrition ∙ epidemiology and prevention ∙ community outreach. Bioinformatics: Gene expressions profiles ∙ gene regulation networks ∙ genome bioinformatics ∙ pathwayanalysis ∙ prognostic biomarkers. Cancer Medicine publishes original research articles, systematic reviews, meta-analyses, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented in the paper.
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