Raltitrexed increases radiation sensitivity of esophageal squamous carcinoma cells

Abstract Background Radiation therapy remains an important therapeutic modality, especially for those patients who are not candidates for radical resection. Many strategies have been developed to increase the radiosensitivity of esophageal cancer, with some success. Methods This study was conducted...

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Main Authors: Wen-Xiu Ding, Shu Liu, Jian-Xin Ma, Juan Pu, Hai-Jing Wang, Shu Zhang, Xin-chen Sun
Format: Article
Language:English
Published: BMC 2019-02-01
Series:Cancer Cell International
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12935-019-0752-y
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author Wen-Xiu Ding
Shu Liu
Jian-Xin Ma
Juan Pu
Hai-Jing Wang
Shu Zhang
Xin-chen Sun
author_facet Wen-Xiu Ding
Shu Liu
Jian-Xin Ma
Juan Pu
Hai-Jing Wang
Shu Zhang
Xin-chen Sun
author_sort Wen-Xiu Ding
collection DOAJ
description Abstract Background Radiation therapy remains an important therapeutic modality, especially for those patients who are not candidates for radical resection. Many strategies have been developed to increase the radiosensitivity of esophageal cancer, with some success. Methods This study was conducted to determine whether raltitrexed can enhance radiosensitivity of esophageal squamous cell carcinoma (ESCC). ESCC cell lines 24 h were incubated with raltitrexed or DMSO with or without subsequent irradiation. Cell Counting Kit assay-8 assay and clonogenic survival assay were used to measure the cell proliferation and radiosensitization, respectively. Flow cytometry was utilized to examine cell apoptosis and cell cycle distribution in different groups. Immunofluorescence analysis was performed to detect deoxyribonucleic acid (DNA) double-strand breaks. In addition, the expression levels of proteins that are involved in radiation induced signal transduction including Bax, Cyclin B1, Cdc2/pCdc2, and Cdc25C/pCdc25C were examined by western blot analysis. Results The results indicated that raltitrexed enhanced radiosensitivity of ESCC cells with increased DNA double-strand breaks, the G2/M arrest, and the apoptosis of ESCC cells induced by radiation. The sensitization enhancement ratio of 1.23–2.10 was detected for ESCC cells with raltitrexed treatment in TE-13 cell line. In vitro, raltitrexed also increased the therapeutic effect of radiation in nude mice. Conclusion Raltitrexed increases the radiosensitivity of ESCC. This antimetabolite drug is promising for future clinical trials with concurrent radiation in esophageal cancer.
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spelling doaj.art-c5ee49140aab441db902f6e88ad6d3bf2022-12-21T23:54:59ZengBMCCancer Cell International1475-28672019-02-0119111210.1186/s12935-019-0752-yRaltitrexed increases radiation sensitivity of esophageal squamous carcinoma cellsWen-Xiu Ding0Shu Liu1Jian-Xin Ma2Juan Pu3Hai-Jing Wang4Shu Zhang5Xin-chen Sun6Department of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical UniversityDepartment of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical UniversityDepartment of Radiation Oncology, Lianyungang Oriental HospitalDepartment of Radiation Oncology, Lianshui Peoples’ HospitalDepartment of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical UniversityDepartment of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical UniversityDepartment of Radiation Oncology, The First Affiliated Hospital of Nanjing Medical UniversityAbstract Background Radiation therapy remains an important therapeutic modality, especially for those patients who are not candidates for radical resection. Many strategies have been developed to increase the radiosensitivity of esophageal cancer, with some success. Methods This study was conducted to determine whether raltitrexed can enhance radiosensitivity of esophageal squamous cell carcinoma (ESCC). ESCC cell lines 24 h were incubated with raltitrexed or DMSO with or without subsequent irradiation. Cell Counting Kit assay-8 assay and clonogenic survival assay were used to measure the cell proliferation and radiosensitization, respectively. Flow cytometry was utilized to examine cell apoptosis and cell cycle distribution in different groups. Immunofluorescence analysis was performed to detect deoxyribonucleic acid (DNA) double-strand breaks. In addition, the expression levels of proteins that are involved in radiation induced signal transduction including Bax, Cyclin B1, Cdc2/pCdc2, and Cdc25C/pCdc25C were examined by western blot analysis. Results The results indicated that raltitrexed enhanced radiosensitivity of ESCC cells with increased DNA double-strand breaks, the G2/M arrest, and the apoptosis of ESCC cells induced by radiation. The sensitization enhancement ratio of 1.23–2.10 was detected for ESCC cells with raltitrexed treatment in TE-13 cell line. In vitro, raltitrexed also increased the therapeutic effect of radiation in nude mice. Conclusion Raltitrexed increases the radiosensitivity of ESCC. This antimetabolite drug is promising for future clinical trials with concurrent radiation in esophageal cancer.http://link.springer.com/article/10.1186/s12935-019-0752-yRaltitrexedEsophageal cancerRadiosensitizationCell cycle arrestCell apoptosis
spellingShingle Wen-Xiu Ding
Shu Liu
Jian-Xin Ma
Juan Pu
Hai-Jing Wang
Shu Zhang
Xin-chen Sun
Raltitrexed increases radiation sensitivity of esophageal squamous carcinoma cells
Cancer Cell International
Raltitrexed
Esophageal cancer
Radiosensitization
Cell cycle arrest
Cell apoptosis
title Raltitrexed increases radiation sensitivity of esophageal squamous carcinoma cells
title_full Raltitrexed increases radiation sensitivity of esophageal squamous carcinoma cells
title_fullStr Raltitrexed increases radiation sensitivity of esophageal squamous carcinoma cells
title_full_unstemmed Raltitrexed increases radiation sensitivity of esophageal squamous carcinoma cells
title_short Raltitrexed increases radiation sensitivity of esophageal squamous carcinoma cells
title_sort raltitrexed increases radiation sensitivity of esophageal squamous carcinoma cells
topic Raltitrexed
Esophageal cancer
Radiosensitization
Cell cycle arrest
Cell apoptosis
url http://link.springer.com/article/10.1186/s12935-019-0752-y
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