Pharmacological effects of the simultaneous and sequential combinations of trifluridine/tipiracil (TAS-102) and 5-fluorouracil in fluoropyrimidine-sensitive colon cancer cells.


Journal

Investigational new drugs
ISSN: 1573-0646
Titre abrégé: Invest New Drugs
Pays: United States
ID NLM: 8309330

Informations de publication

Date de publication:
02 2020
Historique:
received: 24 04 2019
accepted: 28 05 2019
pubmed: 4 6 2019
medline: 6 10 2020
entrez: 3 6 2019
Statut: ppublish

Résumé

The aim of this study was to investigate possible synergistic effects in vitro of trifluridine/tipiracil (TAS-102) and 5-fluoruracil (5-FU) on fluoropyrimidine-sensitive colon cancer cell lines of different mutational status in order to build a rational basis for the future use of this combination therapy in adjuvant settings or as a first-line treatment for metastatic disease. Proliferation assays were performed on HT-29 (B-raf mutated), SW-620 (ras mutated), and Caco-2 (wild type) colon cancer cell lines exposed to 120-h treatments of 5-FU, TAS-102 and their different combination schedules (simultaneous, sequential and reverse) at equimolar and non-equimolar ratios. The synergistic, additive and antagonistic effects of 5-FU and TAS-102 were determined by the combination index (CI) and dose reduction index (DRI). Our preclinical in vitro results may suggest an apparently counterintuitive but strongly synergistic combination of 5-FU and TAS-102 in fluoropyrimidine-sensitive colon cancer cells allowing a marked theoretical reduction in the administered doses of both drugs. In particular, this association seems to be highly effective in wild-type colon cancer cells, both in sequential and simultaneous schedules. Together, these data may build a rational basis for the future use of TAS-102 combined with 5-FU in adjuvant settings, or as a first-line treatment for metastatic disease.

Identifiants

pubmed: 31154566
doi: 10.1007/s10637-019-00804-5
pii: 10.1007/s10637-019-00804-5
doi:

Substances chimiques

Drug Combinations 0
Pyrrolidines 0
tipiracil NGO10K751P
Thymine QR26YLT7LT
Trifluridine RMW9V5RW38
Fluorouracil U3P01618RT

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

92-98

Références

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Auteurs

Paola Orlandi (P)

Dipartimento di Medicina Clinica e Sperimentale, Università di Pisa, Via Savi 10, I-56126, Pisa, Italy.
Unità di Farmacologia, Università di Pisa, Via Roma, 55, I-56126, Pisa, Italy.

Daniela Gentile (D)

Dipartimento di Medicina Clinica e Sperimentale, Università di Pisa, Via Savi 10, I-56126, Pisa, Italy.
Unità di Farmacologia, Università di Pisa, Via Roma, 55, I-56126, Pisa, Italy.

Marta Banchi (M)

Dipartimento di Medicina Clinica e Sperimentale, Università di Pisa, Via Savi 10, I-56126, Pisa, Italy.
Unità di Farmacologia, Università di Pisa, Via Roma, 55, I-56126, Pisa, Italy.

Federico Cucchiara (F)

Dipartimento di Medicina Clinica e Sperimentale, Università di Pisa, Via Savi 10, I-56126, Pisa, Italy.
Unità di Farmacologia, Università di Pisa, Via Roma, 55, I-56126, Pisa, Italy.

Teresa Di Desidero (T)

Dipartimento di Medicina Clinica e Sperimentale, Università di Pisa, Via Savi 10, I-56126, Pisa, Italy.
Unità di Farmacologia, Università di Pisa, Via Roma, 55, I-56126, Pisa, Italy.

Chiara Cremolini (C)

Dipartimento di Ricerca Traslazionale e delle Nuove Tecnologie in Medicina e Chirurgia, Università di Pisa, Via Savi 10, I-56126, Pisa, Italy.

Roberto Moretto (R)

Dipartimento di Ricerca Traslazionale e delle Nuove Tecnologie in Medicina e Chirurgia, Università di Pisa, Via Savi 10, I-56126, Pisa, Italy.

Alfredo Falcone (A)

Dipartimento di Ricerca Traslazionale e delle Nuove Tecnologie in Medicina e Chirurgia, Università di Pisa, Via Savi 10, I-56126, Pisa, Italy.

Guido Bocci (G)

Dipartimento di Medicina Clinica e Sperimentale, Università di Pisa, Via Savi 10, I-56126, Pisa, Italy. guido.bocci@med.unipi.it.
Unità di Farmacologia, Università di Pisa, Via Roma, 55, I-56126, Pisa, Italy. guido.bocci@med.unipi.it.

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