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Uricase sensitizes hepatocellular carcinoma cells to 5-fluorouracil through uricase-uric acid-UMP synthase axis.

Abstract
Conventional chemotherapy plays a key role in hepatocellular carcinoma (HCC) treatment, however, with intrinsic or acquired chemoresistance being a major constraint. Here, we aimed to identify potential target to reverse such chemoresistance. In the present study, we found significant difference in uridine monophosphate synthetase (UMPS) expression between 5-FU resistant and sensitive HCC cell lines and the overexpression or downregulation of UMPS impacted 5-FU response in HCC cells. We further found that inhibition of UMPS activity with uric acid at concentration present in human plasma decreased the 5-FU sensitivity of HCC cells, while reduction of uric acid levels with uricase improved the 5-FU sensitivity of HCC cells as well as colorectal cancer cells. In vivo studies also suggested that modulation of uric acid levels did affect 5-FU sensitivity of tumors. These data indicated that UMPS was correlated with the 5-FU resistance in HCC cells and uricase sensitized cancer cells to 5-FU through uricase-uric acid-UMP synthase axis, which provided a potential strategy to improve the efficacy of 5-FU-based chemotherapy for human cancers.
AuthorsSaihong Yu, Zhuduo Li, Linglan Tu, Yiyi Pu, Dongmei Yan, Xiaoju Wang, Xiaoliang Zheng, Jie Yu
JournalJournal of physiology and biochemistry (J Physiol Biochem) Vol. 78 Issue 3 Pg. 679-687 (Aug 2022) ISSN: 1877-8755 [Electronic] Spain
PMID35674867 (Publication Type: Journal Article)
Copyright© 2022. The Author(s) under exclusive licence to University of Navarra.
Chemical References
  • Multienzyme Complexes
  • Uric Acid
  • uridine 5'-monophosphate synthase
  • Urate Oxidase
  • Orotate Phosphoribosyltransferase
  • Orotidine-5'-Phosphate Decarboxylase
  • Fluorouracil
Topics
  • Carcinoma, Hepatocellular (metabolism)
  • Cell Line, Tumor
  • Drug Resistance, Neoplasm
  • Fluorouracil (pharmacology, therapeutic use)
  • Humans
  • Liver Neoplasms (metabolism)
  • Multienzyme Complexes
  • Orotate Phosphoribosyltransferase
  • Orotidine-5'-Phosphate Decarboxylase
  • Urate Oxidase (therapeutic use)
  • Uric Acid

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