Our previous study demonstrated that
gemcitabine (GEM), S‑1, and a combination of GEM and S‑1 (GS) induced S‑phase arrest and increased the phosphorylation of
checkpoint kinase 1 (Chk1), which is a critical mediator of cell survival under impaired DNA replication, in
pancreatic cancer cell lines. The aim of the present study was to investigate the combined effect of the Chk1 inhibitor
prexasertib and
antitumor drugs (GEM and S‑1) on
pancreatic cancer cell line SUIT‑2. Furthermore, we conducted mechanistic analysis of the combined effect. The MTT assay revealed that a combination of
prexasertib and GS showed a strong effect. Mechanistic analysis of the combined effect showed effective induction of apoptosis. Furthermore, a combination of
prexasertib and GS downregulated the expression of antiapoptotic
protein Bcl‑2. Chk1 knockdown with
small interfering RNA and GS treatment resulted in strong induction of apoptosis. Our results provide evidence to show that the combination of
prexasertib and GS has a strong antitumor effect and effectively induces apoptosis in
pancreatic cancer cells through downregulation of the antiapoptotic
protein Bcl‑2.
Prexasertib could possibly enhance the effects of standard drugs, including GEM, S‑1, and GS, against
pancreatic cancer.