PMID- 24452447 OWN - NLM STAT- MEDLINE DCOM- 20141126 LR - 20211203 IS - 1791-2423 (Electronic) IS - 1019-6439 (Linking) VI - 44 IP - 4 DP - 2014 Apr TI - Overexpression of fibronectin confers cell adhesion-mediated drug resistance (CAM-DR) against 5-FU in oral squamous cell carcinoma cells. PG - 1376-84 LID - 10.3892/ijo.2014.2265 [doi] AB - The tumor-associated microenvironment has been shown to protect tumor cells from treatment, and the extracellular matrix (ECM) is known to affect drug resistance as a key regulator of the tumor microenvironment. However, little is known about cell adhesion-mediated drug resistance (CAM-DR) due to cell-ECM contact in patients with oral squamous cell carcinoma (OSCC). In the present study, we evaluated the ECM molecule fibronectin (FN) using DNA microarray data obtained from parental and 5-FU-resistant OSCC cell lines. We investigated the effects of cell adhesion to FN on 5-FU resistance in OSCC cells and examined the activation of FN receptor beta1 integrin-mediated survival regulators such as ILK, Akt and NF-kappaB. In addition, we investigated whether FNIII14, a 22-mer peptide derived from FN that potently prevents beta1 integrin-mediated adhesion to FN, could overcome CAM-DR against 5-FU in OSCC cells and examined the activation of survival regulators and apoptosis-related molecules. Consequently, we obtained the following results. FN was extracellularly overexpressed in the 5-FU-resistant cells compared with that observed in the 5-FU-sensitive cells. Cell adhesion to FN enhanced 5-FU resistance and activated integrin-mediated ILK/Akt/NF-kappaB survival signaling in the 5-FU-resistant OSCC cells. Furthermore, the inhibition of cell adhesion to FN by FNIII14 enhanced chemosensitivity to 5-FU and apoptosis by suppressing ILK/Akt/NF-kappaB signaling in the 5-FU-resistant cells. These novel findings demonstrate that FN is a potentially useful biomarker and therapeutic target for improving the treatment of OSCC, particularly in the setting of 5-FU resistance. FAU - Nakagawa, Yoshihiro AU - Nakagawa Y AD - Department of Oral and Maxillofacial Surgery, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto 860-8556, Japan. FAU - Nakayama, Hideki AU - Nakayama H AD - Department of Oral and Maxillofacial Surgery, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto 860-8556, Japan. FAU - Nagata, Masashi AU - Nagata M AD - Department of Oral and Maxillofacial Surgery, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto 860-8556, Japan. FAU - Yoshida, Ryoji AU - Yoshida R AD - Department of Oral and Maxillofacial Surgery, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto 860-8556, Japan. FAU - Kawahara, Kenta AU - Kawahara K AD - Department of Oral and Maxillofacial Surgery, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto 860-8556, Japan. FAU - Hirosue, Akiyuki AU - Hirosue A AD - Department of Oral and Maxillofacial Surgery, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto 860-8556, Japan. FAU - Tanaka, Takuya AU - Tanaka T AD - Department of Oral and Maxillofacial Surgery, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto 860-8556, Japan. FAU - Yuno, Akira AU - Yuno A AD - Department of Oral and Maxillofacial Surgery, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto 860-8556, Japan. FAU - Matsuoka, Yuichiro AU - Matsuoka Y AD - Department of Oral and Maxillofacial Surgery, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto 860-8556, Japan. FAU - Kojima, Taku AU - Kojima T AD - Department of Oral and Maxillofacial Surgery, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto 860-8556, Japan. FAU - Yoshitake, Yoshihiro AU - Yoshitake Y AD - Department of Oral and Maxillofacial Surgery, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto 860-8556, Japan. FAU - Hiraki, Akimitsu AU - Hiraki A AD - Department of Oral and Maxillofacial Surgery, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto 860-8556, Japan. FAU - Shinohara, Masanori AU - Shinohara M AD - Department of Oral and Maxillofacial Surgery, Faculty of Life Sciences, Kumamoto University, Chuo-ku, Kumamoto 860-8556, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140121 PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (Antimetabolites, Antineoplastic) RN - 0 (Biomarkers, Tumor) RN - 0 (Fibronectins) RN - 0 (Integrin beta1) RN - 0 (NF-kappa B) RN - EC 2.7.1.- (integrin-linked kinase) RN - EC 2.7.11.1 (Protein Serine-Threonine Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - U3P01618RT (Fluorouracil) SB - IM MH - Antimetabolites, Antineoplastic/pharmacology MH - Apoptosis/physiology MH - Biomarkers, Tumor MH - Carcinoma, Squamous Cell/drug therapy MH - Cell Adhesion/drug effects/*genetics MH - Cell Line, Tumor MH - Drug Resistance, Neoplasm/*genetics MH - Extracellular Matrix/drug effects MH - Fibronectins/biosynthesis/*genetics MH - Fluorouracil/*pharmacology MH - Humans MH - Integrin beta1/metabolism MH - Mouth Neoplasms/*drug therapy MH - NF-kappa B/metabolism MH - Protein Serine-Threonine Kinases/metabolism MH - Proto-Oncogene Proteins c-akt/metabolism MH - Signal Transduction MH - Tumor Microenvironment EDAT- 2014/01/24 06:00 MHDA- 2014/12/15 06:00 CRDT- 2014/01/24 06:00 PHST- 2013/11/01 00:00 [received] PHST- 2014/01/11 00:00 [accepted] PHST- 2014/01/24 06:00 [entrez] PHST- 2014/01/24 06:00 [pubmed] PHST- 2014/12/15 06:00 [medline] AID - 10.3892/ijo.2014.2265 [doi] PST - ppublish SO - Int J Oncol. 2014 Apr;44(4):1376-84. doi: 10.3892/ijo.2014.2265. Epub 2014 Jan 21.