1989
DOI: 10.1038/bjc.1989.65
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Enhanced therapeutic efficacy of 5'deoxy-5-fluorouridine in 5-fluorouracil resistant head and neck tumours in relation to 5-fluorouracil metabolising enzymes

Abstract: Only those tumours with a relatively high activity of OPRT were sensitive to 5'd-FUR. Colon 26, which has a very high rate of pyrimidine nucleoside phosphorylase, showed a relatively high increase in the therapeutic efficacy. It is concluded that a low rate of pyrimidine nucleoside phosphorylase is enough to convert 5'd-FUR to 5-FU; further anabolism of 5-FU catalysed by OPRT may be limiting and explain the differential sensitivity.

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Cited by 35 publications
(17 citation statements)
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References 21 publications
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“…In colon cancer cell lines with naturally occurring TP activity, the contribution as concluded by TPI inhibition is Thymidine phosphorylase and fluoropyrimidine sensitivity M de Bruin et al relatively low. Uptake and other activation pathways such as UP and OPRT (Peters et al, 1989) seem much more important. Thymidine phosphorylase may play a more important role when an additional source for the substrate for the activation reaction dR-1-P is provided.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In colon cancer cell lines with naturally occurring TP activity, the contribution as concluded by TPI inhibition is Thymidine phosphorylase and fluoropyrimidine sensitivity M de Bruin et al relatively low. Uptake and other activation pathways such as UP and OPRT (Peters et al, 1989) seem much more important. Thymidine phosphorylase may play a more important role when an additional source for the substrate for the activation reaction dR-1-P is provided.…”
Section: Discussionmentioning
confidence: 99%
“…Wild-type Colo320 was, despite lacking measurable TP activity, sensitive to 5 0 DFUR, with an IC 50 of 61.7 mM, comparable to WiDR, 90.1 mM. This might indicate that there is another route of 5 0 DFUR activation in Colo320 cells, such as another phosphorylase (Peters et al, 1989). There was no effect of TPI on the IC 50 's for 5 0 DFUR in SW948 and SW1398 cell lines, corresponding with the low and lack of inhibition of phosphorolytic activity by TPI.…”
Section: Fluoropyrimidine Sensitivity In Relation To Tp Levelsmentioning
confidence: 94%
“…If the conversion of 5-FC and 5-FU is efficient, the action by the immune system of the host is masked and the tumor cell killing appears to be mediated by the direct cytotoxic action of the metabolites. In that sense, the endogenous activity of orotate phosphoribosyltransferase in Colon 26 cells is relatively high compared with that of other cells; 8,24 consequently, the UPRT/5-FU system is less efficient in Colon 26 cells. However, when the cytotoxic effect caused by active drug(s) can kill a part of tumors, the immune system of the host, stimulated by successful Ag presentation of putative tumor Ag(s), will effectively attack tumor cells.…”
Section: Discussionmentioning
confidence: 99%
“…7 These enzymes can also mediate the conversion of 5-fluorouracil (5-FU), a widely used chemotherapeutic agent for various solid tumors such as breast and colon tumors, to 5-fluorouridine-5Ј-monophosphate (FUMP). 8 This conversion is one of the requisite pathways to achieve the cytotoxic effect of 5-FU, because FUMP is further metabolized into two major cytotoxic substances, 5-fluoro-2Ј-deoxyuridine-5Ј-monophosphate, which inhibits thymidylate synthase, and 5-fluorouridine-5Ј-triphosphate, which is incorporated into RNA. The UPRT gene that is absent in mammalian cells, when expressed in tumor cells, can be expected to contribute to the enhanced cytotoxic effect of 5-FU in the transduced cells.…”
mentioning
confidence: 99%
“…At present, 1-hexyl carbamoyl-5-fluorouracil (HCFU, carmofur) has been clinically used (7,8). It is said that 5'-deoxy-5-fluorouridine (5'-DFUR, doxi fluridine), a recently developed derivative of 5-FU, is metabolized into 5-FU by pyrimidine nucleoside phosphorylase which shows higher activity in tumors than in normal tissues, re sulting in a high concentration of 5-FU in tumor cells and less side-effects (9)(10)(11). Up till now, development of 5-FU derivatives has focused on enhancing the anticancer potency and lowering the side-effects.…”
mentioning
confidence: 99%