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Insights into gemcitabine resistance and the potential for therapeutic monitoring.


ABSTRACT: INTRODUCTION:Gemcitabine is an important component of pancreatic cancer clinical management. Unfortunately, acquired gemcitabine resistance is widespread and there are limitations to predicting and monitoring therapeutic outcomes. OBJECTIVE:To investigate the potential of metabolomics to differentiate pancreatic cancer cells that develops resistance or respond to gemcitabine treatment. RESULTS:We applied 1D 1H and 2D 1H-13C HSQC NMR methods to profile the metabolic signature of pancreatic cancer cells. 13C6-glucose labeling identified 30 key metabolites uniquely altered between wild-type and gemcitabine-resistant cells upon gemcitabine treatment. Gemcitabine resistance was observed to reprogram glucose metabolism and to enhance the pyrimidine synthesis pathway. Myo-inositol, taurine, glycerophosphocholine and creatinine phosphate exhibited a "binary switch" in response to gemcitabine treatment and acquired resistance. CONCLUSION:Metabolic differences between naïve and resistant pancreatic cancer cells and, accordingly, their unique responses to gemcitabine treatment were revealed, which may be useful in the clinical setting for monitoring a patient's therapeutic response.

SUBMITTER: Gebregiworgis T 

PROVIDER: S-EPMC6620022 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature

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Insights into gemcitabine resistance and the potential for therapeutic monitoring.

Gebregiworgis Teklab T   Bhinderwala Fatema F   Purohit Vinee V   Chaika Nina V NV   Singh Pankaj K PK   Powers Robert R  

Metabolomics : Official journal of the Metabolomic Society 20181127 12


<h4>Introduction</h4>Gemcitabine is an important component of pancreatic cancer clinical management. Unfortunately, acquired gemcitabine resistance is widespread and there are limitations to predicting and monitoring therapeutic outcomes.<h4>Objective</h4>To investigate the potential of metabolomics to differentiate pancreatic cancer cells that develops resistance or respond to gemcitabine treatment.<h4>Results</h4>We applied 1D <sup>1</sup>H and 2D <sup>1</sup>H-<sup>13</sup>C HSQC NMR methods  ...[more]

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