Synergistically Anti-metastatic Effect of 5-Flourouracil on Colorectal Cancer Cells via Calcium-mediated Focal Adhesion Kinase Proteolysis
- Authors
- Park, Minhee; Sundaramoorthy, Pasupathi; Sim, Jae Jun; Jeong, Keun-Yeong; Kim, Hwan Mook
- Issue Date
- Jan-2017
- Publisher
- INT INST ANTICANCER RESEARCH
- Keywords
- Colorectal cancer; metastasis; 5-FU; lactate calcium salt; focal adhesion kinase; epithelial-mesenchymal transition; combination treatment
- Citation
- ANTICANCER RESEARCH, v.37, no.1, pp.103 - 114
- Journal Title
- ANTICANCER RESEARCH
- Volume
- 37
- Number
- 1
- Start Page
- 103
- End Page
- 114
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/6516
- DOI
- 10.21873/anticanres.11295
- ISSN
- 0250-7005
- Abstract
- Aim: To investigate the possibility of enhancing an anti-metastatic effect of 5-fluorouracil (5-FU) on colorectal cancer (CRC) cells by combining it with continuous calcium supplementation. Materials and Methods: Optimal doses of 5-FU with/without lactate salt (CaLa) were determined via clonogenicity and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide assays using human CRC cells cultured on normal or low-attachment plates. Invasion and migration assays confirmed the enhanced anti-metastatic effect of combining 5-FU and CaLa. Western blot analysis for elements of the focal adhesion kinase (FAK) signaling cascade and epithelial-mesenchymal transition (EMT) markers was used to investigate the underlying mechanism. Results: 5-FU (2.5 mu M) had no antitumor activity against unanchored CRC cells, while it significantly suppressed anchorage-dependent cell proliferation. In contrast, treatment with CaLa (2.5 mM), alone and in combination with 5-FU, exerted antitumor activity against both anchored and unanchored CRC cells via calcium-mediated FAK proteolysis and inhibition of EMT markers, such as vimentin and SNAIL. Conclusion: Calcium supplementation represents a method of enhancing the potency of existing antitumor agents such as 5-FU, augmenting their clinical effectiveness.
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