Figure 1: Histogram showing the suppression of DKC1 mRNA in HT- 29 (A) and HCT116 (B) cells following DKC1 siRNA transfection. The gene expressionof DKC1 was normalized to the reference gene i.e. beta-actin (ACTB). GAPDH was used as the positive control to confirm the specificity of siRNA silencing. Data shown in mean ± SD from three separate experiments.*P<0.01 compared with the untreated cells and RNA Induced Silencing Complex Free (RISC-free) cells.
Full Text
Tammy Ting1 Rahman Jamal1 Roslan Harun1,2 Wan Zurinah Wan Ngah1,3 Norfilza Mohd Mokhtar1,4*
1UKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Jalan Ya’acob Latiff, 56000 Cheras, Kuala Lumpur, Malaysia2Department of Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia
3Department of Biochemistry, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia
4Department of Physiology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, Malaysia
*Corresponding author: Norfilza Mohd Mokhtar, UKM Medical Molecular Biology Institute, Universiti Kebangsaan Malaysia, Jalan Ya’acob Latiff, 56000 Cheras, KL, Malaysia, Tel: 006 03 91718459; Fax:006 003 91717185; E-mail: norfilza@ppukm.ukm.edu.my
Aritcle Type: Research Article
Citation: Ting T, Jamal R, Harun R, Wan Ngah WZ, Mokhtar NM (2015) RNA Interference-Mediated Knockdown on DKC1 Gene in Chemosensitized CRC Cell Lines. Int J Cancer Res Mol Mech 1(2): doi http:// dx.doi.org/10.16966/2381-3318.106
Copyright: © 2015 Ting T. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Publication history:
Background
Dyskerin (DKC1) gene, a tolemerase ribonucleoprotein complex, has been reported to be up-regulated in various sporadic cancers, including colorectal cancer (CRC). This study was performed to investigate its potential as a therapeutic target for CRC.
Materials and Methods
The RNA interference (RNAi) technique was employed to down-regulate DKC1 expression in two human CRC cell lines, HCT116 and HT- 29, and followed by 5-fluorouracil (5-FU) treatment. Functional assays were carried out. The efficacy of RNAi was assessed by quantitative polymerase chain reaction (qPCR) and Western blotting.
Results
RNAi targeting DKC1 reduced mRNA and protein levels significantly after 48 and 72 hours post-transfection respectively with concomitant decrease in cell viability (P<0.05) in both cell lines. HCT116 cells were arrested in G1 phase of the cell cycle. 5-FU treatment following silencing further reduced cell viability and arrested HCT116 cells in G2 phase. RNAi treatment also reduced HCT116 cell migration significantly.
Conclusion
Silencing of DKC1 in combination with 5-FU may represent a good strategy to inhibit the CRC growth.
Colorectal cancer; RNA Interference; 5-Fluorouracil; DKC1 protein; Cell cycle
Dyskerin is a highly conserved protein encoded by the DKC1 gene in eukaryotes [1]. It is present in small nucleolar ribonucleoprotein particles that have been shown to have pleiotropic functions for all basic cellular events such as protein expression, cell growth and cell proliferation [2]. Dyskerin is an integral component of the telomerase ribonucleoprotein complex and is required for the stabilization of the telomerase RNA component, normal telomerase activity and telomere maintenance [3]. It is also essential in rRNA processing and normal ribosome biogenesis by converting the specific uridine residues of ribosomal RNA to pseudouridine [2]. Recently, its role in internal ribosome entry site (IRES)-mediated translation has also been reported [4].
Dyskerin expression is strongly correlated with active cell proliferation [5]. Its expression is up-regulated under experimental conditions that promotes cell growth and proliferation, and through oncogenic stimulation in breast [6] and colon cancers [7]. Recent studies have also identified upregulation of the DKC1 gene in association with hepatocellular carcinoma [8], oral squamous cell carcinoma [5] and prostate cancer [9]. Since up regulation of the DKC1 gene is associated with cell proliferation, the DKC1 gene can be a potential target for cancer therapy
The fluoropyrimidine drug, 5-fluorouracil (5-FU), is widely used in CRC treatment since 1957 [10]. Its mechanism of action includes inhibition of thymidylate synthase, incorporation of its metabolites into RNA and DNA, and induction of cell cycle arrest and apoptosis [11]. However, the overall response rate for 5-FU in colorectal cancer (CRC) patients is low and depends on the DNA mismatch repair status [12]. Therefore, new treatment strategies to improve the efficacy of this drug as an anti-cancer agent are urgently needed.
RNA interference (RNAi) is a process of sequence-specific posttranscriptional gene silencing in a wide range of organisms and is initiated by double-stranded RNA that is homologous in sequence to the targeting gene [13]. To explore the potential of DKC1 as a novel therapeutic target, we applied siRNA targeting DKC1 to reduce its expression, followed by 5-FU treatment in CRC cell lines. The aim of this study is to determine the effects of siRNA and the combination of siRNA with 5-FU treatment on chemosensitivity of tumour cells.
Cell lines
Human adenocarcinoma cell line HT-29 and the HCT116 CRC cell lines used were purchased from American Type Culture Collection, Manassas, VA, USA. The cells were propagated in McCoy’s 5A medium (Invitrogen, Carlsbad, CA, USA) and supplemented with 10% fetal bovine serum (Invitrogen, Carlsbad, CA, USA).
Small interfering RNA (siRNA) transfection
Prior to the transfection, cells were trypsinized and counted. Cells were then diluted in antibiotic-free medium to a plating density of 5 × 104 cells/ mL and 100 µL of cells were plated into each well of a 96-well plate and incubated overnight. Cells were transfected with 50 nM ON-TARGET plus SMART pool siRNA targeting DKC1 (NM_001363) gene using DharmaFECT transfection reagent (Dharmacon, Lafayette, CO, USA) and incubated for two days according to the manufacturer’s protocol. The siRNA targeting GAPDH, a housekeeping gene, was used as the positive control. RNA Induced Silencing Complex Free (RISC-free) siRNA was used as the negative control. The effects of siRNA silencing were then assessed using functional assays.
5-Fluorouracil (5-FU) treatment
5-FU (Sigma-Aldrich, St Louis, MO, USA) was dissolved in 100% dimethylsulfoxide (DMSO) (Sigma-Aldrich, St Louis, MO, USA) and then diluted in the media. Cells were treated with different concentrations (0-200 µM) of 5-FU for 24, 48 and 72 hours. The control cells were the siRNA-treated cells without the drug. The cytotoxic effect of 5-FU was assessed by obtaining the 50% inhibitory concentration (IC50: inhibitory drug concentration that results in 50% cell survival) value. Cell lines treated with siRNA were further incubated with 5-FU in 1/10 of IC50 concentration for subsequent analysis.
Cell viability assay
Cell Titer-Glo Luminescent cell viability assay (Pr omega, Madison, WI, USA) was used to determine cell viability after siRNA transfection and 5-FU treatment of cells. The control wells containing medium but without cells were prepared to obtain a value for background luminescence. 100 µl of reagent was added to 100 µl of medium containing cells in each well for a 96-well opaque-walled plate. The contents were mixed for two minutes on an orbital shaker to induce cell lysis. The plate was incubated at room temperature for 10 minutes to stabilize the luminescent signal which was then measured using the Spectra Max L luminescence microplate reader (Molecular Devices, Sunnyvale, California, US) at the wavelength of 570 nm.
Cell migration and invasion assay
Cell migration was assessed using a QCM™ 24-well colorimetric cell migration assay kit (Millipore, Hamburg, Germany) while the cell invasion was assessed using a QCM 24-well colorimetric collagen cell invasion assay (Millipore, Hamburg, Germany) following manufacturers’ instructions. Briefly, cells (1 × 104 ) in the serum free media were plated in the top chamber while the bottom chamber contained chemoattractant (10% fetal bovine serum) media. After 48 hours of incubation, non-invasive cells were removed with a cotton swab. The cells that have migrated through the membrane and stuck to the lower surface of the membrane were stained and extracted. For quantification, the invading cells were detected on the Varioskan Flash microplate reader (Thermo Scientific, Waltham) at 560 nm. Assays were performed in triplicates.
Cell cycle analysis
The cells were processed using the Cycle TEST PLUS DNA Reagent Kit (BD Biosciences, San Jose, CA, USA) based on manufacturers’ instructions. After 48 hours of treatment, the cell suspension was placed into a 17 × 100-mm tube. The tube was centrifuged, aspirated and the cells were collected, washed, and suspended in 1 mL of the Buffer Solution. The staining procedure for DNA ploidy analysis requires 5.0 × 105 cells. The cell suspensions were centrifuged at 400x g for 5 minutes. All the supernatant were decanted. Then 250 µL of trypsin buffer was added and incubated for 10 minutes followed by adding 200 µL of trypsin inhibitor and RNase buffer and incubated for 10 minutes at room temperature. 200 uL of cold propidium iodide stain solution was added and incubated for 10 minutes on ice in the dark. The samples were filtered through 35-µm cell strainer cap into 12 × 75-mm tube. Flow cytometric determination of DNA content was performed using the FACS Aria II (BD Biosciences, San Jose, CA, USA). Data were analyzed using Mod fit Cell Cycle Analysis Software (Verity House Software, Topsham, ME, USA).
Validation of the siRNA knockdown
Efficiency of silencing of the DKC1 gene was checked at mRNA level by qPCR using a Rotor-Gene RG-6000 Real-Time Thermal Cycler (Corbett Research, Sydney, Australia) utilizing the Solaris Human qPCR Gene Expression Assay (Thermo Scientific, Waltham) following manufacturer’s protocols. The sequence for the forward and reverse primers for DKC1 was 5′-GGACTATATCAGGACAGGTTTC-3′ and 5′-GAAGTATCCGTCGAATCCAG-3′ respectively. The probe sequence for this gene was TTCCCATGAGGTGGTAGCC. Expression of the siRNA-targeted gene was normalized to beta-actin (ACTB). In all transfection experiments, ∆CT expression was normalized to untreated samples [14].
To ensure RNAi efficacy at the protein level, Western blot was performed 72 hours post-transfection. Cell lysates were harvested using RIPA buffer containing 25 mM Tris-HCl (pH 7.6), 150 mM NaCl, 1% NP-40, 1% sodium deoxycholate, 0.1% SD Sand the complete protease inhibitor cocktail (Thermo Scientific). Lysates containing the equivalent of 30 μg protein were used and Western blot analysis was done following conventional protocols. In brief, the proteins were separated on 12% gels using the sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) and then transferred to PVDF membrane. Antibodies and dilutions used included anti-DKC1 (1:100 dilution, Santa Cruz Biotechnology, Santa Cruz, CA, USA), and anti-beta-actin (1:200 dilution, Santa Cruz Biotechnology, Santa Cruz, CA, USA). After being washed extensively, the membrane was incubated with horseradish peroxidase-conjugated mouse anti-rabbit (1: 5000 dilutions, Santa Cruz Biotechnology, Santa Cruz, CA, USA) antibodies for one hour at room temperature and developed with Super Signal West Pico Chemiluminescent Substrate (Pierce/Thermo Fisher Scientific Rockford, IL) according to the manufacturer’s protocol. The Kodak Bio Max Light Film (Care stream Health, Woodbridge, CT) was used to expose the membrane for chemiluminescent band detection.
Statistical analysis
Statistical analysis was done using two-tailed Student’s t test comparing mean values of treated and untreated samples using Microsoft Excel 2007 (Microsoft, Redmond, WA, and the results were considered significant for P value <0.05.
RNAi against DKC1 downregulates RNA and protein expression
There was no significant difference in the mRNA level of targeted genes in cells that were transfected with RISC-free siRNA or transfection reagent only. After 48 hours post-transfection, knockdown of DKC1 gene showed a significant reduction in mRNA levels compared with untreated cells where the % knockdown (KD) of DKC1 was 88.6% in HT-29 cells and 77.3% in HCT116 cells (n=6 each, P<0.05) (Figure 1A and Figure1B).`
The reduction in DKC1 protein was confirmed by Western blot in both cell lines (n=3 each, Figure 2).
Silencing of DKC1 increased 5-FU sensitivity of HCT116 cells
The cytotoxic effect of 5-FU was assessed by obtaining the 50% inhibitory concentration (IC50). The IC50 for HCT116 cells, which were incubated for 48 hours with 5-FU, was 100 µM (n=6 each, Figure 3A) while the IC50 for HT-29 cells, which were incubated for 72 hours with 5-FU, was 200 µM (n=6 each, Figure 3B). To determine the effect of RNAi and 5-FU sensitivity on HCT116 cell proliferation, cells were transfected with DKC1 siRNA and subjected to 10 µM 5-FU treatment. Knockdown of DKC1 showed a decrease in cell viability after 48 hours (n=6 each, P<0.05) compared to untreated cells. Further decrease in cell viability was observed when these cells were treated with 5-FU (n=6 each, P<0.05; Figure 4A).
A similar decrease in cell viability was observed with DKC1 knockdown in HT-29 cells after 48 hours (n=6 each, P<0.05). However, 5-FU treatment following RNAi did not cause significant reduction in HT-29 cell viability (n =6 each, Figure 4B).
Silencing of DKC1 reduced cell migration
Cell migration was reduced 55.9 ± 10% (P<0.05) in HCT116 cells following RNAi targeting DKC1, as compared to control cells (n=6 each, Figure 5) while RNAi targeting DKC1 had no effect on HT-29 cells after 48 hours of transfection (n=6 each, Figure 5). Knockdown of DKC1 gene also showed no significant difference in cell invasion in both cell lines (n=6 each, data not shown).
Silencing of DKC1 arrested the HCT116 cells in the G1 phase of cell cycle
For HCT116 cells, knockdown of DKC1 increased the percentage of cells in G1 phase (66 ± 3.4%) (P<0.05) when compared to control cells (57.2 ± 3.3%) after 48 hours post-transfection (n=6 each, Figure 6A). 5-FU treatment following silencing of DKC1 arrested HCT116 cells in G2 phase (48.3 ± 1.7 %) when compared to control cells (32.7 ± 4.7 %) (n=6 each, Figure 6B) whereas HT-29 cells were unaffected by either knockdown or further treatment with 5-FU (n=6 each, data not shown).
The siRNA technology has been applied to develop new treatments for cancer. For this study we hypothesized that the use of RNAi against DKC1 gene together with 5-FU could reduce the dose of chemotherapeutic drugs used known for their debilitating side effects. We successfully demonstrated the effectiveness of using the siRNA technology to suppress the function of specific molecular targets and investigate the downstream effects in vitro.
Figure 2: Western blot analyses of DKC1 protein expression in HT-29 and HCT116 cells. Equal amount of total proteins was used for lane (1) Untransfected cells and lane (2) siRNA against DKC1, as demonstrated by the same blot probed with antibodies against DKC1 and ACTB (beta actin) as the control.
Figure 3: Line graph showing the growth inhibition by 5-fluorouracil (5-FU) in HCT116 (A) and HT-29 (B) cells. The cells were treated with 0, 6.25, 12.5, 25, 50, 100 and 200 µM 5-FU for 24, 48 and 72 h and its viability was determined using a Cell Titer-Glo Luminescent assay. The cytotoxic effect of 5-FU was assessed using IC50. The concentration of the drug that causes the 50% cell survival for HCT116 cells was 100 µM while the IC50 for HT-29 cells, which were incubated for 72 hours with 5-FU, was 200 µM. The data presented as the mean of three separate experiments, each performed in triplicate; bars, SD.
Figure 4: Histogram showing the growth inhibition by combining siRNA and 5-FU treatment in (A) HCT116 and (B) HT-29 cells. The cells were transfected with DKC1 siRNA for 48 h, with or without the addition of 5-FU and the viability was determined using a Cell TiterGlo Luminescent assay. Cells transfected with RISC-free siRNA were served as negative controls. Significant suppression of cell viability after 48 h was observed after knockdown of DKC1 gene followed by 5-FU treatment as compared to the untreated cells. Columns are presented as the mean of three separate experiments, each performed in triplicate; bars, SD. *P<0.05 compared with control cells.
Figure 5: Histogram showing the effect of DKC1 siRNA on cell migration of HCT116 and HT-29 cells. Cell migration was significantly reduced (P<0.05) in HCT116 cells following RNAi targeting DKC1, as compared to control cells while RNAi targeting DKC1 had no effect on HT-29 cells after 48 hours of transfection. Columns are presented as the mean of three separate experiments, each performed in triplicate; bars, SD. *P<0.05 compared with control cells.
Figure 6: Histogram showing the effect of DKC1 siRNA on HCT116 cell cycle in the absence (A) or presence (B) of 5-FU. Cells were transfected with siRNA for 48 hand then cultured with or without the addition of 5-FU. (A) Knockdown of DKC1 significantly increased the percentage of HCT116 cells in G1 phase (P<0.05) when compared to control cells after 48 hours post-transfection. (B) 5-FU treatment following silencing of DKC1 arrested HCT116 cells in G2 phase when compared to the control. Columns are presented as the means of three separate experiments, each performed in triplicate; bars, SD. *P<0.05 compared with control cells.
The potential of DKC1 as a therapeutic target was shown and the knockdown of DKC1 suppressed HCT116 and HT-29 cell viability 48 hours post-transfection. The results obtained concurred with that of a previous study which reported that the expression of DKC1 correlated with the rate of cell proliferation [5].The critical function of DKC in colon cancer cells is more likely to rely in protein biosynthesis which mainly affects the cell viability and proliferation [5]. Our study showed a reduced percentage of cell migration in the HCT116 cells following the silencing of DKC1 gene. However, suppression of DKC1 did not cause any significant effect on cell migration in the HT-29 cell line.
The different effects observed is probably due to the cell lines having different mutations. For HT-29, there is a G -> A mutation in codon 273 of the p53 gene resulting in an Arg -> His substitution while HCT116 cell presented a wild type cell line [15]. TP53 is a tumor suppresor gene which maintains the genome integrity and induces apoptosis in cells damaged beyond repair [16]. HT-29 cells also harbored mutation in BRAF gene while HCT116 cells harbored mutation in KRAS gene. These two genes are proto-oncogenes in the RAS–RAF–mitogen-activated protein kinase pathway relaying pro-proliferative signaling [15]. Besides, HCT116 cells are derived from a poorly differentiated primary colon cancer with microsatellite instability that makes them prone to accumulate mutations throughout the genome [17]. In contrast, HT-29 cells are derived from a moderately differentiated colon cancer which has a microsatellite stable characteristic [17]. The different of the genetic features may confer different sensitivity responses to chemotherapeutic drugs such as 5-FU.
Our study showed that silencing of DKC1 by RNAi resulted in enhanced chemosensitivity in HCT116 cells by further reduction in cell viability. 5-FU has been used clinically for over 30 years and is known to exert its effect on proliferating cells by interfering with DNA synthesis [11]. Furthermore, 5-FU induced cell cycle arrest [18,19].
We also demonstrated that 5-FU treatment with or without DKC1 silencing resulted in HCT116 cells accumulating in G2 and S phases respectively. For the HT-29 cells, RNAi targeting DKC1 with 5-FU treatment as well as the negative control induced a marked increase in the relative cell numbers in the S phase of the cell cycle. These findings are consistent with a previous study which showed that 5-FU is an S phaseactive chemotherapeutic agent, with no activity when cells are in G0 or G1 [20]. 5-FU treatment causes DNA damage, specifically double-strand (and single-strand) breaks during the S phase due to the misincorporation of FdUTP into DNA [21]. However, damage to DNA can occur in all phases of the cell cycle in proliferating cells, and the repair mechanisms involved vary in the different phases of the cell cycle [22]. Inhibition of DNA synthesis by 5-FU is manifested in the S phase and incorporation of 5-FU into RNA occurs in the G1 phase [23]. Based on a previous report, the DNA- or RNA-directed cytotoxicity by 5-FU resulted in the disappearance of the early S phase cells or accumulation of the G1/S phase cells in human colon cancer cells [23,24].We showed that there was no significant difference in the cell cycle arrest between cells treated with RNAi and 5-FU treatment compared to cells treated with 5-FU treatment alone. This suggests that 5-FU treatment alone is capable of inducing remarkable changes in the cell cycle regulation in CRC cells.
In conclusion, silencing of DKC1 has potential to be used in combination with 5-FU to further decrease the viability of HCT116 cells and HT29 cells.
This research was supported by Higher Institution Centre of Excellence (HiCoE) Grant, Ministry of Higher Education, Malaysia.
- Heiss NS, Knight SW, Vulliamy TJ, Klauck SM, Wiemann S, et al. (1998) X-linked dyskeratosis congenita is caused by mutations in a highly conserved gene with putative nucleolar functions. Nat Genet 19: 32-38. [Ref.]
- Montanaro L (2010) Dyskerin and cancer: more than telomerase. The defect in mRNA translation helps in explaining how a proliferative defect leads to cancer. J Pathol 222: 345-349. [Ref.]
- Mochizuki Y, He J, Kulkarni S, Bessler M, Mason PJ (2004) Mouse dyskerin mutations affect accumulation of telomerase RNA and small nucleolar RNA, telomerase activity, and ribosomal RNA processing. Proc Natl Acad Sci USA 101: 10756-10761. [Ref.]
- Rocchi L, Pacilli A, Sethi R, Penzo M, Schneider RJ, et al. (2013) Dyskerin depletion increases VEGF mRNA internal ribosome entry site-mediated translation. Nucleic Acids Res 41: 8308-8318. [Ref.]
- Alawi F, Lin P, Ziober B, Patel R (2011) Correlation of dyskerin expression with active proliferation independent of telomerase. Head Neck 33: 1041-1051. [Ref.]
- Montanaro L, Calienni M, Ceccarelli C, Santini D, Taffurelli M, et al. (2008) Relationship between dyskerin expression and telomerase activity in human breast cancer. Cell Oncol 30: 483-490. [Ref.]
- Witkowska A, Gumprecht J, Glogowska-Ligus J, Wystrychowski G, Owczarek A, et al. (2010) Expression profile of significant immortalization genes in colon cancer. Int J Mol Med 25: 321-329. [Ref.]
- Liu B, Zhang J, Huang C, Liu H (2012) Dyskerin overexpression in human hepatocellular carcinoma is associated with advanced clinical stage and poor patient prognosis. PLoS One 7: e43147. [Ref.]
- Sieron P, Hader C, Hatina J, Engers R, Wlazlinski A, et al. (2009) DKC1 overexpression associated with prostate cancer progression. Br J Cancer 101: 1410-1416. [Ref.]
- Mariadason JM, Tebbutt NC (2011) Biomarkers of 5-FU response in colon cancer. Cancer Biol Ther 11: 771-772. [Ref.]
- Chua W, Kho PS, Moore MM, Charles KA, Clarke SJ (2011) Clinical, laboratory and molecular factors predicting chemotherapy efficacy and toxicity in colorectal cancer. Crit Rev Oncol Hematol 79: 224-250. [Ref.]
- Jover R, Zapater P, Castells A, Llor X, Andreu M, et al. (2009) The efficacy of adjuvant chemotherapy with 5-fluorouracil in colorectal cancer depends on the mismatch repair status. Eur J Cancer 45: 365- 373. [Ref.]
- Grosshans H, Filipowicz W (2008) Molecular biology: the expanding world of small RNAs. Nature 451: 414-416. [Ref.]
- Livak KJ, Schmittgen TD (2001) Analysis of relative gene expression data using real-time quantitative PCR and the 2 (-Delta Delta C(T)) Method. Methods 25: 402-408. [Ref.]
- Ahmed D, Eide PW, Eilertsen IA, Danielsen SA, Eknaes M, et al. (2013) Epigenetic and genetic features of 24 colon cancer cell lines. Oncogenesis 2: e71. [Ref.]
- Toledo F, Wahl GM (2006) Regulating the p53 pathway: in vitro hypotheses, in vivo veritas. Nat Rev Cancer 6: 909-923. [Ref.]
- Duldulao MP, Lee W, Le M, Chen Z, Li W, et al. (2012) Gene expression variations in microsatellite stable and unstable colon cancer cells. J Surg Res 174: 1-6. [Ref.]
- Longley DB, Harkin DP, Johnston PG (2003) 5-fluorouracil: mechanisms of action and clinical strategies. Nat Rev Cancer 3: 330- 338.
- Filgueiras Mde C, Morrot A, Soares PM, Costa ML, Mermelstein C (2013) Effects of 5-fluorouracil in nuclear and cellular morphology, proliferation, cell cycle, apoptosis, cytoskeletal and caveolar distribution in primary cultures of smooth muscle cells. PLoS One 8: e63177. [Ref.]
- De Angelis PM, Svendsrud DH, Kravik KL, Stokke T (2006) Cellular response to 5-fluorouracil (5-FU) in 5-FU-resistant colon cancer cell lines during treatment and recovery. Mol Cancer 5: 20. [Ref.]
- Wilson PM, Fazzone W, LaBonte MJ, Deng J, Neamati N, et al. (2008) Novel opportunities for thymidylate metabolism as a therapeutic target. Mol Cancer Ther 7: 3029-3037.
- Kastan MB, Bartek J (2004) Cell-cycle checkpoints and cancer. Nature 432: 316-323. [Ref.]
- Mojardin L, Botet J, Quintales L, Moreno S, Salas M (2013) New insights into the RNA-based mechanism of action of the anticancer drug 5’-fluorouracil in eukaryotic cells. PLoS One 8: e78172. [Ref.]
- Guo X, Goessl E, Jin G, Collie-Duguid ES, Cassidy J, et al. (2008) Cell cycle perturbation and acquired 5-fluorouracil chemoresistance. Anticancer Res 28: 9-14. [Ref.]
Download Provisional pdf here
SCI FORSCHEN JOURNALS
All Sci Forschen Journals are Open Access