PMID- 23619566 OWN - NLM STAT- MEDLINE DCOM- 20140117 LR - 20130522 IS - 1791-2431 (Electronic) IS - 1021-335X (Linking) VI - 30 IP - 1 DP - 2013 Jul TI - NK4 regulates 5-fluorouracil sensitivity in cholangiocarcinoma cells by modulating the intrinsic apoptosis pathway. PG - 448-54 LID - 10.3892/or.2013.2427 [doi] AB - The aim of the present study was to investigate the role of NK4, an antagonist for hepatocyte growth factor (HGF) and the Met receptor, in regulating the response of cholangiocarcinoma (CCA) cells to 5-fluorouracil (5-FU). We established the CCA cell line, HuCC-T1, to produce abundant NK4 (Hu-NK4). Cell proliferation, cell cycle distribution, apoptosis, 5-FU metabolism and intracellular signaling were examined. There were no significant differences in the mRNA levels of thymidylate synthase, thymidine phosphorylase and dihydropyrimidine dehydrogenase between the mock-transfected control Hu-Em cells and Hu-NK4 cells, suggesting that NK4 expression does not alter 5-FU metabolism. Moreover, cell cycle analysis showed that 5-FU treatment caused a decrease in the proportion of cells in the G2/M phase while NK4 gene expression had little effect on the cell cycle distribution. However, 5-FU-induced apoptosis was significantly increased in the Hu-NK4 cells when compared to that in the Hu-Em cells. Further investigation revealed that NK4 gene expression enhanced 5-FU-induced caspase-3 and caspase-9 activation, and that the apoptosis of cells was associated with modulation of expression of the Bcl-2 family members. Furthermore, western blot analysis revealed that both NK4 and 5-FU were inhibitors for HGF-induced phosphorylation of Met, but they may be independent factors. Collectively, these results suggest that following 5-FU treatment in CCA cell lines, NK4 was involved in apoptosis induction through the intrinsic mitochondrial pathway. This indicates that NK4 may be an important mediator of 5-FU-induced cell death. Moreover, downregulation of NK4 in response to 5-FU may represent an intrinsic mechanism of resistance to this anticancer drug. FAU - Ge, Xianxiu AU - Ge X AD - Institute of Digestive Endoscopy and Medical Center for Digestive Diseases, Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210011, P.R. China. FAU - Wang, Youli AU - Wang Y FAU - Li, Quanpeng AU - Li Q FAU - Yu, Hong AU - Yu H FAU - Ji, Guozhong AU - Ji G FAU - Miao, Lin AU - Miao L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130425 PL - Greece TA - Oncol Rep JT - Oncology reports JID - 9422756 RN - 0 (Antimetabolites, Antineoplastic) RN - 0 (HGF protein, human) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (RNA, Messenger) RN - 67256-21-7 (Hepatocyte Growth Factor) RN - EC 1.3.1.2 (Dihydrouracil Dehydrogenase (NADP)) RN - EC 2.1.1.45 (Thymidylate Synthase) RN - EC 2.4.2.4 (Thymidine Phosphorylase) RN - EC 2.7.10.1 (MET protein, human) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-met) RN - EC 3.4.22.- (Caspase 3) RN - EC 3.4.22.- (Caspase 9) RN - U3P01618RT (Fluorouracil) SB - IM MH - Antimetabolites, Antineoplastic/*pharmacology MH - Apoptosis MH - Bile Duct Neoplasms/*metabolism MH - Bile Ducts, Intrahepatic/metabolism MH - Caspase 3/metabolism MH - Caspase 9/metabolism MH - Cell Cycle MH - Cell Line, Tumor MH - Cell Proliferation MH - Cholangiocarcinoma/*metabolism MH - Dihydrouracil Dehydrogenase (NADP)/genetics MH - Drug Resistance, Neoplasm MH - Enzyme Activation MH - Fluorouracil/metabolism/*pharmacology MH - Hepatocyte Growth Factor/*metabolism MH - Humans MH - Phosphorylation MH - Proto-Oncogene Proteins c-bcl-2/biosynthesis MH - Proto-Oncogene Proteins c-met/metabolism MH - RNA, Messenger/biosynthesis MH - Thymidine Phosphorylase/genetics MH - Thymidylate Synthase/genetics EDAT- 2013/04/27 06:00 MHDA- 2014/01/18 06:00 CRDT- 2013/04/27 06:00 PHST- 2013/01/31 00:00 [received] PHST- 2013/03/04 00:00 [accepted] PHST- 2013/04/27 06:00 [entrez] PHST- 2013/04/27 06:00 [pubmed] PHST- 2014/01/18 06:00 [medline] AID - 10.3892/or.2013.2427 [doi] PST - ppublish SO - Oncol Rep. 2013 Jul;30(1):448-54. doi: 10.3892/or.2013.2427. Epub 2013 Apr 25.