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A Therapeutic Strategy for Chemotherapy-Resistant Gastric Cancer via Destabilization of Both ?-Catenin and RAS.


ABSTRACT: : Treatment of advanced gastric cancer patients with current standard chemotherapeutic agents frequently results in resistance, leading to poor overall survival. However, there has been no success in developing strategies to overcome it. We showed the expression levels of both ?-catenin and RAS were significantly increased and correlated in tissues of 756 gastric cancer (GC) patients and tissues of primary- and acquired-resistance patient-derived xenograft tumors treated with 5-fluorouracil and oxaliplatin modulated with leucovorin (FOLFOX). On the basis of our previous studies, where small molecules to suppress colorectal cancer (CRC) via degrading both ?-catenin and RAS were developed, we tested the effectiveness of KYA1797K, a representative compound functioning by binding axin, in the growth of GC cells. The efficacy test of the drugs using gastric tumor organoids of Apc1638N mice showed that the CD44 and ALDH1A3 cancer stem cell markers were induced by FOLFOX, but not by KYA1797K. KYA1797K also efficiently suppressed tumors generated by re-engrafting the FOLFOX-resistant patient-derived xenograft (PDX) tumors, which also showed resistance to paclitaxel. Overall, the small-molecule approach degrading both ?-catenin and RAS has potential as a therapeutic strategy for treating GC patients resistant to current standard chemotherapies.

SUBMITTER: Ryu WJ 

PROVIDER: S-EPMC6521309 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature

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A Therapeutic Strategy for Chemotherapy-Resistant Gastric Cancer via Destabilization of Both β-Catenin and RAS.

Ryu Won-Ji WJ   Lee Jae Eun JE   Cho Yong-Hee YH   Lee Gunho G   Seo Mi-Kyoung MK   Lee Sang-Kyu SK   Hwang Jeong-Ha JH   Min Do Sik DS   Noh Sung Hoon SH   Paik Soonmyung S   Kim Sangwoo S   Cheong Jae-Ho JH   Choi Kang-Yell KY  

Cancers 20190408 4


<b>:</b> Treatment of advanced gastric cancer patients with current standard chemotherapeutic agents frequently results in resistance, leading to poor overall survival. However, there has been no success in developing strategies to overcome it. We showed the expression levels of both β-catenin and <i>RAS</i> were significantly increased and correlated in tissues of 756 gastric cancer (GC) patients and tissues of primary- and acquired-resistance patient-derived xenograft tumors treated with 5-flu  ...[more]

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