Abstract
Purpose
We recently showed an increase in tumour uptake of 2-[11C]thymidine in patients with gastrointestinal malignancies after thymidylate synthase (TS) inhibition. To understand the phenomenon in more detail, we investigated whether TS inhibition by different TS inhibitors leads to a dose- and time-dependent change in the uptake of radiolabelled thymidine, and whether radiotracer uptake is related to changes in cell viability resulting from treatment.
Methods
RIF-1 and HT29 cells were treated with the TS inhibitors 5-fluorouracil (5-FU) and AG337 (nolatrexed dihydrochloride), as well as cisplatin as control. The cell viability and net accumulation of [3H]thymidine after a 1-h pulse was determined at different times after drug treatment.
Results
In both cell lines, [3H]thymidine uptake increased after a 2-h treatment with 5-FU, in a dose- and time-dependent manner. [3H]thymidine uptake decreased at 24 and 48 h post treatment. AG337 also produced a similar effect. In contrast to the TS inhibitors, cisplatin decreased [3H]thymidine uptake in RIF-1 and HT29 cells at all time points. Cell viability was compromised only after 24 h.
Conclusion
Using two types of TS inhibitor, we have shown an increase in [3H]thymidine uptake, in a dose-dependent manner, a few hours after TS inhibition when the cell viability was not compromised. This effect was not seen with a non-TS inhibitor. These findings suggest that 2-[11C]thymidine positron emission tomography can be used to study TS inhibition in vivo at early time points when cell viability is not compromised and may therefore be helpful in the development of new TS inhibitors and in differentiating between patients with tumours sensitive to TS inhibitors and those unlikely to respond.
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References
Spears CP, Shahinian AH, Moran RG, Heidelberger C, Corbett TH. In vivo kinetics of thymidylate synthase inhibition of 5-fluorouracil-sensitive and -resistant murine colon adenocarcinomas. Cancer Res 1982;42:450–456
Wells P, Aboagye E, Gunn RN, Osman S, Boddy AV, Taylor GA, et al. 2-[11C]thymidine positron emission tomography as an indicator of thymidylate synthase inhibition in patients treated with AG337. J Natl Cancer Inst 2003;95(9):675–682
Curtin NJ, Harris AL, Aherne GW. Mechanism of cell death following thymidylate synthase inhibition: 2’-deoxyuridine-5’-triphosphate accumulation, DNA damage, and growth inhibition following exposure to CB3717 and dipyridamole. Cancer Res 1991;51:2346–2352
Jackman AL, Calvert AH. Folate-based thymidylate synthase inhibitors as anticancer drugs. Ann Oncol 1995;6:871–881
Ford HE, Mitchell F, Cunningham D, Farrugia DC, Hill ME, Rees C, et al. Patterns of elevation of plasma 2’-deoxyuridine, a surrogate marker of thymidylate synthase (TS) inhibition, after administration of two different schedules of 5-Fluorouracil and the specific TS inhibitors raltitrexed (Tomudex) and ZD9331. Clin Cancer Res 2002;8:103–109
Peters GJ, Van der Wilt CL, Can Groeningen CJ, Smid K, Meijer S, Pinedo HM. Thymidylate synthase inhibition after administration of fluorouracil with or without leucovorin in colon cancer patients: implications for treatment with fluorouracil. J Clin Oncol 1994;12:2035–2042
Kelloff GJ, Hoffman JM, Johnson B, Scher HI, Siegel BA, Cheng EY, et al. Progress and promise of FDG-PET imaging for cancer patient management and oncologic drug development. Clin Cancer Res 2005;11(8):2785–27808
Weber G, Nagai M, Natsumeda Y, Ichikawa S, Nakamura H, Eble JN, et al. Regulation of de novo and salvage pathways in chemotherapy. Adv Enzyme Regul 1991;31:45–67
Kinsella AR, Smith D, Pickard M. Resistance to chemotherapeutic antimetabolites: a function of salvage pathway involvement and cellular response to DNA damage. Br J Cancer 1997;75:935–945
Romain S, Spyratos F, Descotes F, Daver A, Rostaing-Puissant B, Bougnoux P, et al. Prognostic of DNA-synthesising enzyme activities (thymidine kinase and thymidylate synthase) in 908 T1–T2, N0–N1, M0 breast cancers: a retrospective multicancer study. Int J Cancer 2000;87:860–868
Kamoshida S, Matsuoka H, Shiogama K, Matsuyama A, Shimomura R, Inada K, et al. Immunohistochemical analysis of thymidylate synthase, p16INK4a , cyclin-dependent kinase 4 and cyclin D1 in colorectal cancers receiving preoperative chemotherapy: significance of p16INK4a-mediated cellular arrest as an indicator of chemosensitivity to 5-fluorouracil. Pathol Int 2004;54:564–575
Jackman AL, Kimbell R, Aherne GW, Brunton L, Jansen G, Stephens TC, et al. Cellular pharmacology and in vivo activity of a new anticancer agent ZD9331: a water soluble non polyglutamatable, quinazoline-based inhibitor of thymidylate synthase. Clin Cancer Res 1997;3:911–921
Jones TR, Calvert AH, Jackman AL, Brown SJ, Jones M, Harrap KR. A potent antitumour quinazoline inhibitor of thymidylate synthase: synthesis, biological properties and therapeutic results in mice. Eur J Cancer 1981;17:11–19
Shih C, Chen VJ, Gossett LS, Gates SB, MacKellar WC, Habeck LL, et al. LY231514, a pyrrolo[2,3-d]pyrimidine-based antifolates that inhibits multiple folate requiring enzymes. Cancer Res 1997;57:1116–1123
Webber S, Bartlett CA, Boritzki TJ, Hillard JA, Howland EF, Johnston AL, et al. AG337, a novel lipophylic thymidylate synthase inhibitor: in vitro and in vivo preclinical studies. Cancer Chemother Pharmacol 1996;37:509–517
Jackman AL, Taylor GA, Calvert AH, Harrap KR. Modulation of antimetabolites effects. Effects of thymidine on the efficacy of the quinazoline-based thymidylate synthase inhibitor, CB3717. Biochem Pharmacol 1984;33:3269–3275
Jackman AL, Taylor GA, Gibson W, Kimbell R, Brown M, Calvert AH, Judson IR, Hughes LR. ICI D1694, a quinazoline antifolate thymidylate synthase inhibitor that is a potent inhibitor of L1210 tumour cell growth in vitro and in vivo: a new agent for clinical study. Cancer Res 1991;51:5579–5586
Webber SE, Bleckman TM, Attard J, Deal JG, Kathardekar V, Welsh KM. Design of thymidylate synthase inhibitors using protein crystal structures: the synthesis and biological evaluation of a novel class of 5-substituted quinazolinones. J Med Chem 1993;36:733–746
Pil PM, Lippard SJ. Specific binding of chromosomal protein HMG1 to DNA damaged by the anticancer drug cisplatin. Science 1992;256:234–237
Cory AH, Owen TC, Barltrop JA, Cory JG. Use of an aqueous soluble tetrazolium/formazan assay for cell growth assays in culture. Cancer Commun 1991;3(7):207–212
Yamauchi T, Keating MJ, Plunkett W. UCN-01 (7-hydroxystaurosporine) inhibits DNA repair and increases cytotoxicity in normal lymphocytes and chronic lymphocytic leukemia lymphocytes. Mol Cancer Therap 2002;1:287–294
Seitz U, Wagner M, Neumaier B, Wawra E, Glatting G, Leder G, et al. Evaluation of pyrimidine metabolising enzymes and in vitro uptake of 3'-[18F]fluoro-3'-deoxythymidine ([18F]FLT) in pancreatic cancer cell lines. Eur J Nucl Med Mol Imaging 2002;29:1174–1181
Dittmann H, Dohmen BM, Kehlbach R, Bartusek G, Pritzkow M, Sarbia M, Bares R. Early changes in [18F]FLT uptake after chemotherapy: an experimental study. Eur J Nucl Med Mol Imaging 2002;29(11):1462–1469
Webber S, Bartlett CA, Boritzki TJ, Hilliard JA, Howland EF, Johnston AL, et al. AG337, a novel lipophilic thymidylate synthase inhibitor: in vitro and in vivo preclinical studies. Cancer Chemother Pharmacol 1996;37:509–517
Peters GJ, van der Wilt CL, van Triest B, Codacci-Pisanelli G, Johnston PG, van Groeningen CJ, et al. Thymidylate synthase and drug resistance. Eur J Cancer 1995;31A(7–8):1299–1305
Pinedo HM, Peters GF. Fluorouracil: biochemistry and pharmacology. J Clin Oncol 1988;6(10):1653–1664
Aboagye EO, Price PM, Jones T. In vivo pharmacokinetics and pharmacodynamics using positron emission tomography, PET. Drug Discov Today 2001;6:293–302
Aboagye EO. PET imaging of small animals in anticancer drug development. Mol Imaging Biol 2005;7:53–58
Kenny LM, Aboagye EO, Price PM. PET imaging of cell proliferation in oncology. Clin Oncol 2004;16:1176–1185
Acknowledgements
We thank Dr. Alan V. Boddy, Northern Institute for Cancer Research, University of Newcastle, Newcastle, UK and Agouron Pharmaceuticals, San Diego, CA, USA, for the supply of AG337.
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Yau, K., Price, P., Pillai, R.G. et al. Elevation of radiolabelled thymidine uptake in RIF-1 fibrosarcoma and HT29 colon adenocarcinoma cells after treatment with thymidylate synthase inhibitors. Eur J Nucl Med Mol Imaging 33, 981–987 (2006). https://doi.org/10.1007/s00259-005-0060-8
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DOI: https://doi.org/10.1007/s00259-005-0060-8