1,139
Views
32
CrossRef citations to date
0
Altmetric
Clinical Study

dCK expression correlates with 5-fluorouracil efficacy and HuR cytoplasmic expression in pancreatic cancer

A dual-institutional follow-up with the RTOG 9704 trial

, , , , , , , , , , , , , , , & show all
Pages 688-698 | Received 24 Feb 2014, Accepted 03 Mar 2014, Published online: 11 Mar 2014

Figures & data

Figure 1. Survival of patients enrolled in RTOG 9704 stratified by dCK expression level. Disease-free and overall survival for all evaluable patients (A and B), patients on the gemcitabine arm (C and D) and patients on the 5-FU arm (E and F).

Figure 1. Survival of patients enrolled in RTOG 9704 stratified by dCK expression level. Disease-free and overall survival for all evaluable patients (A and B), patients on the gemcitabine arm (C and D) and patients on the 5-FU arm (E and F).

Table 1. Hazard ratios for OS and DFS based upon dCK expression (high vs. low [reference level]) patients treated with gemcitabine or 5-FU

Figure 2. Inhibition of dCK in pancreatic cancer cells impairs 5-FU efficacy. MiaPaCa2 cells. (A) RT-qPCR validation of dCK silencing using siRNA oligos. (B) Improved cell survival after 5-FU treatment in cells with decreased dCK expression.

Figure 2. Inhibition of dCK in pancreatic cancer cells impairs 5-FU efficacy. MiaPaCa2 cells. (A) RT-qPCR validation of dCK silencing using siRNA oligos. (B) Improved cell survival after 5-FU treatment in cells with decreased dCK expression.

Table 2. Association between dCK status and HuR levels

Figure 3. Gemcitabine prior to radiation (XRT) is more efficacious than gemcitabine (GEM) alone or XRT prior to GEM due to differential modulation of HuR and dCK proteins. (A) Anchorage-independent colony formation assays were performed for quantification of colonies formation in MiaPaCa2 cells treated with gemcitabine (1 uM) alone or with gemcitabine preceded or followed by radiation (2 Gy). (B) PicoGreen cell survival assay on cells treated with radiation or with gemcitabine preceded or followed by radiation. (C) PicoGreen cell survival assay after HuR silencing with siRNA oligos. (D) RT-qPCR validation of HuR siRNA treatment in MiaPaCa2 cells. (E) Western blot for dCK, HuR, and α-tubulin (loading control) on lysates obtained from cells treated with gemcitabine alone, radiation alone, gemcitabine prior to radiation and radiation prior to gemcitabine.

Figure 3. Gemcitabine prior to radiation (XRT) is more efficacious than gemcitabine (GEM) alone or XRT prior to GEM due to differential modulation of HuR and dCK proteins. (A) Anchorage-independent colony formation assays were performed for quantification of colonies formation in MiaPaCa2 cells treated with gemcitabine (1 uM) alone or with gemcitabine preceded or followed by radiation (2 Gy). (B) PicoGreen cell survival assay on cells treated with radiation or with gemcitabine preceded or followed by radiation. (C) PicoGreen cell survival assay after HuR silencing with siRNA oligos. (D) RT-qPCR validation of HuR siRNA treatment in MiaPaCa2 cells. (E) Western blot for dCK, HuR, and α-tubulin (loading control) on lysates obtained from cells treated with gemcitabine alone, radiation alone, gemcitabine prior to radiation and radiation prior to gemcitabine.

Table 3. Prior studies of predictive markers of 5-fluoruracil and gemcitabine efficacy from randomized adjuvant trials

Supplemental material

Additional material

Download Zip (459.8 KB)

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.