In vivo effects of chemotherapy on oncogenic pathways in colorectal cancer.


Journal

Cancer science
ISSN: 1349-7006
Titre abrégé: Cancer Sci
Pays: England
ID NLM: 101168776

Informations de publication

Date de publication:
Aug 2019
Historique:
received: 18 03 2019
revised: 06 05 2019
accepted: 20 05 2019
pubmed: 24 5 2019
medline: 14 8 2019
entrez: 24 5 2019
Statut: ppublish

Résumé

Patients with advanced colorectal cancer often are treated with systemic cytotoxic therapy using fluorouracil (5-FU), oxaliplatin, irinotecan, and FOLFOX or FOLFIRI combination protocols. Additionally, signaling pathways that are active in colorectal cancer can be therapeutically targeted. Herein, we examined whether chemotherapy impacts on WNT, MAPK and NOTCH signaling pathways in xenograft models of colon cancer. Furthermore, we tested whether combining chemotherapy with MAPK and NOTCH inhibition has superior therapeutic effects. We show that colon cancer cells with high WNT, MAPK and NOTCH activity are variably affected but generally persist in xenograft tumors under different chemotherapeutic regimens, indicating limited effects of cytotoxic therapy on oncogenic signaling pathways. Although these results provided a rationale to additionally target pathway activity, we found no significant increase in therapy response when combining MAPK and NOTCH inhibition with fluorouracil chemotherapy. We attribute this finding to a decrease in tumor cell proliferation upon MAPK and NOTCH inhibition, resulting in reduced effectiveness of cytotoxic treatment. Therapeutic benefits of combining chemotherapy with targeting of oncogenic signaling pathways must therefore be critically evaluated for patients with colorectal cancer.

Identifiants

pubmed: 31119819
doi: 10.1111/cas.14077
pmc: PMC6676136
doi:

Substances chimiques

Organoplatinum Compounds 0
Leucovorin Q573I9DVLP
Fluorouracil U3P01618RT

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2529-2539

Subventions

Organisme : Rudolf Bartling Stiftung
Organisme : Deutsche Krebshilfe
ID : 111669

Informations de copyright

© 2019 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association.

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Auteurs

Christoph Spartalis (C)

Institute of Pathology, Ludwig-Maximilians-Universität Munich, Munich, Germany.

Eva Marina Schmidt (EM)

Institute of Pathology, Ludwig-Maximilians-Universität Munich, Munich, Germany.

Manal Elmasry (M)

Institute of Pathology, Ludwig-Maximilians-Universität Munich, Munich, Germany.

Gerald Bastian Schulz (GB)

Department of Urology, Ludwig-Maximilians-Universität Munich, Munich, Germany.

Thomas Kirchner (T)

Institute of Pathology, Ludwig-Maximilians-Universität Munich, Munich, Germany.
German Cancer Consortium (DKTK), Heidelberg, Germany.
German Cancer Research Center (DKFZ), Heidelberg, Germany.

David Horst (D)

Institute of Pathology, Ludwig-Maximilians-Universität Munich, Munich, Germany.
German Cancer Consortium (DKTK), Heidelberg, Germany.
German Cancer Research Center (DKFZ), Heidelberg, Germany.
Institute of Pathology, Charité - Universitätsmedizin Berlin, Berlin, Germany.

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Classifications MeSH