Sensitization of Gastric Cancer Cells to Irinotecan by p53 Activation

  • Zhang Shun
    Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital Department of Gastroenterology Surgery, Shanghai East Hospital (East Hospital Affiliated to Tongji University)
  • Kohira Yoshinori
    Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital
  • Orita Hajime
    Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital
  • Ishimine Momoko
    Department of Biochemistry, Juntendo University Graduate School of Medicine
  • Kobayashi Toshiyuki
    Department of Molecular Pathogenesis, Juntendo University Graduate School of Medicine
  • Mae Buendia Chua Sharlyn
    Human Genetics Laboratory, National Institute of Genetics
  • Nakaoka Hirofumi
    Human Genetics Laboratory, National Institute of Genetics
  • Inoue Ituro
    Human Genetics Laboratory, National Institute of Genetics
  • Hino Okio
    Department of Molecular Pathogenesis, Juntendo University Graduate School of Medicine
  • Yokomizo Takehiko
    Department of Biochemistry, Juntendo University Graduate School of Medicine
  • Fukunaga Tetsu
    Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital
  • Lee-Okada Hyeon-Cheol
    Department of Biochemistry, Juntendo University Graduate School of Medicine

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<p>Irinotecan (camptothecin-11 [CPT-11]) is a topoisomerase I inhibitor that has been used in the treatment of a wide spectrum of cancers including gastric cancer. Recent reports suggest that the expression of CES2, a serine hydrolase that converts irinotecan to its active compound SN-38, is regulated by the tumor-suppressor p53. In this study, we investigated whether irinotecan acted synergistically with a p53 activator nutlin-3a in human gastric cancer cells. Nutlin-3a treatment enhanced the expression of CES2 in gastric cancer cell lines with wild-type p53. However, this effect was not observed in cells with non-functional p53. Irinotecan showed synergistic antitumor effects in combination with nutlin-3a in gastric cancer cells with wild-type p53, whereas the survival of cells with non-functional p53 was not significantly affected by the presence of nutlin-3a. These results provide evidence that p53 activation can enhance the antitumor effect of irinotecan or other anticancer prodrugs activated by CES2 in gastric cancer cells through upregulation of CES2 expression.</p>

収録刊行物

  • BPB Reports

    BPB Reports 2 (6), 130-133, 2019

    公益社団法人 日本薬学会

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