PUBLICATION

Cysteinyl leukotriene receptor 1 promotes 5-fluorouracil resistance and resistance-derived stemness in colon cancer cells

Authors
Satapathy, S.R., Sjölander, A.
ID
ZDB-PUB-200601-13
Date
2020
Source
Cancer letters   488: 50-62 (Journal)
Registered Authors
Keywords
5-FU, Colon cancer, CysLT(1)R, Drug resistance, Stemness, Zebrafish
MeSH Terms
  • Acetates/pharmacology
  • Animals
  • Antineoplastic Agents/pharmacology*
  • Cell Line, Tumor
  • Colonic Neoplasms/pathology*
  • Cyclopropanes/pharmacology
  • Drug Resistance, Neoplasm/drug effects
  • Drug Resistance, Neoplasm/physiology*
  • Fluorouracil/pharmacology
  • Humans
  • Leukotriene Antagonists/pharmacology
  • Neoplastic Stem Cells/drug effects
  • Quinolines/pharmacology
  • Receptors, Leukotriene/metabolism*
  • Sulfides/pharmacology
  • Xenograft Model Antitumor Assays
  • Zebrafish
PubMed
32474153 Full text @ Cancer Lett.
Abstract
Colon cancer is a therapy-resistant cancer with a low 5-year survival frequency. The drug 5-fluorouracil (5-FU) has been used as a first-line therapy in metastatic colon cancer in combination with leucovorin or oxaliplatin with a >40% resistance rate. High CysLT1R expression in tumors is associated with poor survival of colon cancer patients. We sought to examine the role of CysLT1R in 5-FU resistance and established 5-FU-resistant (5-FU-R) colon cancer cells. These 5-FU-R-cells expressed increased levels of CysLT1R and showed increased survival and migration compared to nonresistant cells. Increases in thymidylate synthase and active β-catenin were also observed in the 5-FU-R-cells. LTD4/CysLT1R signaling was further increased and abolished after CYSLTR1 CRISPR-Cas9-knockdown and reduced in CysLT1R-doxycycline-knockdown experiments and CysLT1R-antagonist montelukast/5-FU-treated cells. Montelukast and 5-FU resulted in synergistic effects by reducing HT-29 cell and 5-FU-R-HT-29 cell migration and zebrafish xenograft metastasis. An increase in the stem cell markers in 5-FU-R-cells and 5-FU-R-cell-derivedcolonospheres and in CysLT1R-Dox-knockdown cells increased colonosphere formation and stem cell markers after 5-FU treatment. IL-4-mediated stemness in both HT-29-colonospheres and 5-FU-R-cell-colonospheres was abolished by montelukast or montelukast + 5-FU-treated cells. Targeting CysLT1R signaling by montelukast might reverse drug resistance and decrease resistance-derived stemness in colon cancer patients.
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