Cytosolic 5′-nucleotidase 1A is overexpressed in pancreatic cancer and mediates gemcitabine resistance by reducing intracellular gemcitabine metabolitesResearch in context

Background: Cytosolic 5′-nucleotidase 1A (NT5C1A) dephosphorylates non-cyclic nucleoside monophosphates to produce nucleosides and inorganic phosphates. Here, we investigate NT5C1A expression in pancreatic ductal adenocarcinoma (PDAC) and its impact on gemcitabine metabolism and therapeutic efficacy...

Full description

Bibliographic Details
Main Authors: Melanie S. Patzak, Vijayalakshmi Kari, Shilpa Patil, Feda H. Hamdan, Robert G. Goetze, Marius Brunner, Jochen Gaedcke, Julia Kitz, Duncan I. Jodrell, Frances M. Richards, Christian Pilarsky, Robert Gruetzmann, Petra Rümmele, Thomas Knösel, Elisabeth Hessmann, Volker Ellenrieder, Steven A. Johnsen, Albrecht Neesse
Format: Article
Language:English
Published: Elsevier 2019-02-01
Series:EBioMedicine
Online Access:http://www.sciencedirect.com/science/article/pii/S2352396419300416
_version_ 1830514963488178176
author Melanie S. Patzak
Vijayalakshmi Kari
Shilpa Patil
Feda H. Hamdan
Robert G. Goetze
Marius Brunner
Jochen Gaedcke
Julia Kitz
Duncan I. Jodrell
Frances M. Richards
Christian Pilarsky
Robert Gruetzmann
Petra Rümmele
Thomas Knösel
Elisabeth Hessmann
Volker Ellenrieder
Steven A. Johnsen
Albrecht Neesse
author_facet Melanie S. Patzak
Vijayalakshmi Kari
Shilpa Patil
Feda H. Hamdan
Robert G. Goetze
Marius Brunner
Jochen Gaedcke
Julia Kitz
Duncan I. Jodrell
Frances M. Richards
Christian Pilarsky
Robert Gruetzmann
Petra Rümmele
Thomas Knösel
Elisabeth Hessmann
Volker Ellenrieder
Steven A. Johnsen
Albrecht Neesse
author_sort Melanie S. Patzak
collection DOAJ
description Background: Cytosolic 5′-nucleotidase 1A (NT5C1A) dephosphorylates non-cyclic nucleoside monophosphates to produce nucleosides and inorganic phosphates. Here, we investigate NT5C1A expression in pancreatic ductal adenocarcinoma (PDAC) and its impact on gemcitabine metabolism and therapeutic efficacy. Methods: NT5C1A expression was determined by semiquantitative immunohistochemistry using tissue microarrays. Gemcitabine metabolites and response were assessed in several human and murine PDAC cell lines using crystal violet assays, Western blot, viability assays, and liquid chromatography tandem mass-spectrometry (LC-MS/MS). Findings: NT5C1A was strongly expressed in tumor cells of a large subgroup of resected PDAC patients in two independent patient cohorts (44–56% score 2 and 8–26% score 3, n = 414). In contrast, NT5C1A was expressed at very low levels in the tumor stroma, and neither stromal nor tumoral expression was a prognostic marker for postoperative survival. In vitro, NT5C1A overexpression increased gemcitabine resistance by reducing apoptosis levels and significantly decreased intracellular amounts of cytotoxic dFdCTP in +NT5C1A tumor cells. Co-culture experiments with conditioned media from +NT5C1A PSCs improved gemcitabine efficacy in tumor cells. In vivo, therapeutic efficacy of gemcitabine was significantly decreased and serum levels of the inactive gemcitabine metabolite dFdU significantly increased in mice bearing NT5C1A overexpressing tumors. Interpretation: NT5C1A is robustly expressed in tumor cells of resected PDAC patients. Moreover, NT5C1A mediates gemcitabine resistance by decreasing the amount of intracellular dFdCTP, leading to reduced tumor cell apoptosis and larger pancreatic tumors in mice. Further studies should clarify the role of NT5C1A as novel predictor for gemcitabine treatment response in patients with PDAC. Keywords: Cytosolic 5′-nucleotidase 1A, Chemotherapeutic resistance, Gemcitabine, Pancreatic cancer
first_indexed 2024-12-22T03:14:18Z
format Article
id doaj.art-195147ef850549bba1a4da0c7a0248e9
institution Directory Open Access Journal
issn 2352-3964
language English
last_indexed 2024-12-22T03:14:18Z
publishDate 2019-02-01
publisher Elsevier
record_format Article
series EBioMedicine
spelling doaj.art-195147ef850549bba1a4da0c7a0248e92022-12-21T18:40:52ZengElsevierEBioMedicine2352-39642019-02-0140394405Cytosolic 5′-nucleotidase 1A is overexpressed in pancreatic cancer and mediates gemcitabine resistance by reducing intracellular gemcitabine metabolitesResearch in contextMelanie S. Patzak0Vijayalakshmi Kari1Shilpa Patil2Feda H. Hamdan3Robert G. Goetze4Marius Brunner5Jochen Gaedcke6Julia Kitz7Duncan I. Jodrell8Frances M. Richards9Christian Pilarsky10Robert Gruetzmann11Petra Rümmele12Thomas Knösel13Elisabeth Hessmann14Volker Ellenrieder15Steven A. Johnsen16Albrecht Neesse17University Medical Center Goettingen, Department of Gastroenterology and Gastrointestinal Oncology, Goettingen, GermanyUniversity Medical Center Goettingen, Department of General, Visceral and Pediatric Surgery, Goettingen, GermanyUniversity Medical Center Goettingen, Department of Gastroenterology and Gastrointestinal Oncology, Goettingen, GermanyUniversity Medical Center Goettingen, Department of General, Visceral and Pediatric Surgery, Goettingen, GermanyUniversity Medical Center Goettingen, Department of Gastroenterology and Gastrointestinal Oncology, Goettingen, GermanyUniversity Medical Center Goettingen, Department of Gastroenterology and Gastrointestinal Oncology, Goettingen, GermanyUniversity Medical Center Goettingen, Department of General, Visceral and Pediatric Surgery, Goettingen, GermanyUniversity Medical Center Goettingen, Institute of Pathology, Goettingen, GermanyCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, United KingdomCancer Research UK Cambridge Institute, University of Cambridge, Cambridge, United KingdomUniversity Medical Center Erlangen, Department of Surgery, Erlangen, GermanyUniversity Medical Center Erlangen, Department of Surgery, Erlangen, GermanyUniversity Medical Center Erlangen, Institute of Pathology, Erlangen, GermanyLudwig Maximilian University Munich, Institute of Pathology, Munich, GermanyUniversity Medical Center Goettingen, Department of Gastroenterology and Gastrointestinal Oncology, Goettingen, GermanyUniversity Medical Center Goettingen, Department of Gastroenterology and Gastrointestinal Oncology, Goettingen, GermanyUniversity Medical Center Goettingen, Department of General, Visceral and Pediatric Surgery, Goettingen, GermanyUniversity Medical Center Goettingen, Department of Gastroenterology and Gastrointestinal Oncology, Goettingen, Germany; Corresponding author at: Department of Gastroenterology and Gastrointestinal Oncology, University Medical Center Goettingen, Georg-August-University, Robert-Koch-Str. 40, 37075 Goettingen, Germany.Background: Cytosolic 5′-nucleotidase 1A (NT5C1A) dephosphorylates non-cyclic nucleoside monophosphates to produce nucleosides and inorganic phosphates. Here, we investigate NT5C1A expression in pancreatic ductal adenocarcinoma (PDAC) and its impact on gemcitabine metabolism and therapeutic efficacy. Methods: NT5C1A expression was determined by semiquantitative immunohistochemistry using tissue microarrays. Gemcitabine metabolites and response were assessed in several human and murine PDAC cell lines using crystal violet assays, Western blot, viability assays, and liquid chromatography tandem mass-spectrometry (LC-MS/MS). Findings: NT5C1A was strongly expressed in tumor cells of a large subgroup of resected PDAC patients in two independent patient cohorts (44–56% score 2 and 8–26% score 3, n = 414). In contrast, NT5C1A was expressed at very low levels in the tumor stroma, and neither stromal nor tumoral expression was a prognostic marker for postoperative survival. In vitro, NT5C1A overexpression increased gemcitabine resistance by reducing apoptosis levels and significantly decreased intracellular amounts of cytotoxic dFdCTP in +NT5C1A tumor cells. Co-culture experiments with conditioned media from +NT5C1A PSCs improved gemcitabine efficacy in tumor cells. In vivo, therapeutic efficacy of gemcitabine was significantly decreased and serum levels of the inactive gemcitabine metabolite dFdU significantly increased in mice bearing NT5C1A overexpressing tumors. Interpretation: NT5C1A is robustly expressed in tumor cells of resected PDAC patients. Moreover, NT5C1A mediates gemcitabine resistance by decreasing the amount of intracellular dFdCTP, leading to reduced tumor cell apoptosis and larger pancreatic tumors in mice. Further studies should clarify the role of NT5C1A as novel predictor for gemcitabine treatment response in patients with PDAC. Keywords: Cytosolic 5′-nucleotidase 1A, Chemotherapeutic resistance, Gemcitabine, Pancreatic cancerhttp://www.sciencedirect.com/science/article/pii/S2352396419300416
spellingShingle Melanie S. Patzak
Vijayalakshmi Kari
Shilpa Patil
Feda H. Hamdan
Robert G. Goetze
Marius Brunner
Jochen Gaedcke
Julia Kitz
Duncan I. Jodrell
Frances M. Richards
Christian Pilarsky
Robert Gruetzmann
Petra Rümmele
Thomas Knösel
Elisabeth Hessmann
Volker Ellenrieder
Steven A. Johnsen
Albrecht Neesse
Cytosolic 5′-nucleotidase 1A is overexpressed in pancreatic cancer and mediates gemcitabine resistance by reducing intracellular gemcitabine metabolitesResearch in context
EBioMedicine
title Cytosolic 5′-nucleotidase 1A is overexpressed in pancreatic cancer and mediates gemcitabine resistance by reducing intracellular gemcitabine metabolitesResearch in context
title_full Cytosolic 5′-nucleotidase 1A is overexpressed in pancreatic cancer and mediates gemcitabine resistance by reducing intracellular gemcitabine metabolitesResearch in context
title_fullStr Cytosolic 5′-nucleotidase 1A is overexpressed in pancreatic cancer and mediates gemcitabine resistance by reducing intracellular gemcitabine metabolitesResearch in context
title_full_unstemmed Cytosolic 5′-nucleotidase 1A is overexpressed in pancreatic cancer and mediates gemcitabine resistance by reducing intracellular gemcitabine metabolitesResearch in context
title_short Cytosolic 5′-nucleotidase 1A is overexpressed in pancreatic cancer and mediates gemcitabine resistance by reducing intracellular gemcitabine metabolitesResearch in context
title_sort cytosolic 5 nucleotidase 1a is overexpressed in pancreatic cancer and mediates gemcitabine resistance by reducing intracellular gemcitabine metabolitesresearch in context
url http://www.sciencedirect.com/science/article/pii/S2352396419300416
work_keys_str_mv AT melaniespatzak cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT vijayalakshmikari cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT shilpapatil cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT fedahhamdan cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT robertggoetze cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT mariusbrunner cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT jochengaedcke cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT juliakitz cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT duncanijodrell cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT francesmrichards cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT christianpilarsky cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT robertgruetzmann cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT petrarummele cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT thomasknosel cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT elisabethhessmann cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT volkerellenrieder cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT stevenajohnsen cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext
AT albrechtneesse cytosolic5nucleotidase1aisoverexpressedinpancreaticcancerandmediatesgemcitabineresistancebyreducingintracellulargemcitabinemetabolitesresearchincontext