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Article

Cetuximab promotes SN38 sensitivity via suppression of heat shock protein 27 in colorectal cancer cells with wild-type RAS

  • Authors:
    • Takashi Ishida
    • Yoshiyuki Ishii
    • Masashi Tsuruta
    • Koji Okabayashi
    • Shingo Akimoto
    • Kaoru Koishikawa
    • Hirotoshi Hasegawa
    • Yuko Kitagawa
  • View Affiliations / Copyright

    Affiliations: Department of Surgery, Keio University School of Medicine, Shinanomachi 35, Shinjuku-ku, Tokyo 160-8582, Japan, Department of Surgery, Kitasato University Kitasato Institute Hospital, Shirokane 1-9-5, Minato-ku, Tokyo 108-8642, Japan
  • Pages: 926-932
    |
    Published online on: June 21, 2017
       https://doi.org/10.3892/or.2017.5734
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Abstract

Combination treatment with cetuximab and CPT-11 produces beneficial and synergistic effects in wild-type RAS metastatic colorectal cancer (mCRC) patients. However, the mechanism underlying this synergism is not yet understood. We examined whether cetuximab had a synergistic effect with CPT-11 and its active metabolite, SN38, and examined the molecular mechanism of the synergism between cetuximab and SN38 in CRC cells with various mutational status. We hypothesized that cetuximab promotes sensitivity to SN38 via suppression of heat shock protein 27 (HSP27), a protein involved in multidrug resistance through blocking the Janus kinase (JAK)/signal transducer and activator of transcription (STAT) signaling pathway, which is associated with chemosensitivity. Four human CRC cell lines with different RAS and BRAF mutational status were used. Expression levels of HSP27 protein correlated with SN38 sensitivity in these cell lines (R=0.841, p=0.159). Exposure to cetuximab and various concentration of AG490, an inhibitor of JAK2, STAT3 and HSP27 protein levels, except in the KRAS G12V mutant line, SW620. A synergistic effect of cetuximab in combination with SN38 was observed in RAS and BRAF wild-type cells (here, Caco2), but not in the three other RAS- or BRAF-mutated cell lines. These results indicate that cetuximab may promote sensitivity to SN38 via suppression of HSP27 through blocking the JAK/STAT pathway in Caco2 cells. The mutational status of numerous downstream effectors, such as RAS and BRAF, is important in mono- or combination therapy with cetuximab. In conclusion, cetuximab may promote SN38 sensitivity via suppression of HSP27, through blocking the JAK/STAT signaling pathway, and shows synergistic effects when combined with SN38 in wild-type RAS CRC cells.
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Copy and paste a formatted citation
Spandidos Publications style
Ishida T, Ishii Y, Tsuruta M, Okabayashi K, Akimoto S, Koishikawa K, Hasegawa H and Kitagawa Y: Cetuximab promotes SN38 sensitivity via suppression of heat shock protein 27 in colorectal cancer cells with wild-type RAS. Oncol Rep 38: 926-932, 2017.
APA
Ishida, T., Ishii, Y., Tsuruta, M., Okabayashi, K., Akimoto, S., Koishikawa, K. ... Kitagawa, Y. (2017). Cetuximab promotes SN38 sensitivity via suppression of heat shock protein 27 in colorectal cancer cells with wild-type RAS. Oncology Reports, 38, 926-932. https://doi.org/10.3892/or.2017.5734
MLA
Ishida, T., Ishii, Y., Tsuruta, M., Okabayashi, K., Akimoto, S., Koishikawa, K., Hasegawa, H., Kitagawa, Y."Cetuximab promotes SN38 sensitivity via suppression of heat shock protein 27 in colorectal cancer cells with wild-type RAS". Oncology Reports 38.2 (2017): 926-932.
Chicago
Ishida, T., Ishii, Y., Tsuruta, M., Okabayashi, K., Akimoto, S., Koishikawa, K., Hasegawa, H., Kitagawa, Y."Cetuximab promotes SN38 sensitivity via suppression of heat shock protein 27 in colorectal cancer cells with wild-type RAS". Oncology Reports 38, no. 2 (2017): 926-932. https://doi.org/10.3892/or.2017.5734
Copy and paste a formatted citation
x
Spandidos Publications style
Ishida T, Ishii Y, Tsuruta M, Okabayashi K, Akimoto S, Koishikawa K, Hasegawa H and Kitagawa Y: Cetuximab promotes SN38 sensitivity via suppression of heat shock protein 27 in colorectal cancer cells with wild-type RAS. Oncol Rep 38: 926-932, 2017.
APA
Ishida, T., Ishii, Y., Tsuruta, M., Okabayashi, K., Akimoto, S., Koishikawa, K. ... Kitagawa, Y. (2017). Cetuximab promotes SN38 sensitivity via suppression of heat shock protein 27 in colorectal cancer cells with wild-type RAS. Oncology Reports, 38, 926-932. https://doi.org/10.3892/or.2017.5734
MLA
Ishida, T., Ishii, Y., Tsuruta, M., Okabayashi, K., Akimoto, S., Koishikawa, K., Hasegawa, H., Kitagawa, Y."Cetuximab promotes SN38 sensitivity via suppression of heat shock protein 27 in colorectal cancer cells with wild-type RAS". Oncology Reports 38.2 (2017): 926-932.
Chicago
Ishida, T., Ishii, Y., Tsuruta, M., Okabayashi, K., Akimoto, S., Koishikawa, K., Hasegawa, H., Kitagawa, Y."Cetuximab promotes SN38 sensitivity via suppression of heat shock protein 27 in colorectal cancer cells with wild-type RAS". Oncology Reports 38, no. 2 (2017): 926-932. https://doi.org/10.3892/or.2017.5734
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