PMID- 32415892 OWN - NLM STAT- MEDLINE DCOM- 20200810 LR - 20200810 IS - 1349-7006 (Electronic) IS - 1347-9032 (Print) IS - 1347-9032 (Linking) VI - 111 IP - 7 DP - 2020 Jul TI - Thymidylate synthase inhibitor raltitrexed can induce high levels of DNA damage in MYCN-amplified neuroblastoma cells. PG - 2431-2439 LID - 10.1111/cas.14485 [doi] AB - MYCN gene amplification is consistently associated with poor prognosis in patients with neuroblastoma, a pediatric tumor arising from the sympathetic nervous system. Conventional anticancer drugs, such as alkylating agents and platinum compounds, have been used for the treatment of high-risk patients with MYCN-amplified neuroblastoma, whereas molecule-targeting drugs have not yet been approved. Therefore, the development of a safe and effective therapeutic approach is highly desired. Although thymidylate synthase inhibitors are widely used for colorectal and gastric cancers, their usefulness in neuroblastoma has not been well studied. Here, we investigated the efficacies of approved antifolates, methotrexate, pemetrexed, and raltitrexed (RTX), on MYCN-amplified and nonamplified neuroblastoma cell lines. Cell growth-inhibitory assay revealed that RTX showed a superior inhibitory activity against MYCN-amplified cell lines. We found no significant differences in the protein expression levels of the antifolate transporter or thymidylate synthase, a primary target of RTX, among the cell lines. Because thymidine supplementation could rescue the RTX-induced cell growth suppression, the effect of RTX was mainly due to the reduction in dTTP synthesis. Interestingly, RTX treatments induced single-stranded DNA damage response in MYCN-amplified cells to a greater extent than in the nonamplified cells. We propose that the high DNA replication stress and elevated levels of DNA damage, which are a result of deregulated expression of MYCN target genes, could be the cause of increased sensitivity to RTX. CI - (c) 2020 The Authors. Cancer Science published by John Wiley & Sons Australia, Ltd on behalf of Japanese Cancer Association. FAU - Yamashita, Ken AU - Yamashita K AD - Department of Biochemistry, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Kiyonari, Shinichi AU - Kiyonari S AUID- ORCID: 0000-0002-4456-7186 AD - Department of Biochemistry, Nagoya University Graduate School of Medicine, Nagoya, Japan. AD - Division of Biochemistry, Kitasato University School of Medicine, Sagamihara, Japan. FAU - Tsubota, Shoma AU - Tsubota S AD - Department of Biochemistry, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Kishida, Satoshi AU - Kishida S AD - Department of Biochemistry, Nagoya University Graduate School of Medicine, Nagoya, Japan. FAU - Sakai, Ryuichi AU - Sakai R AD - Division of Biochemistry, Kitasato University School of Medicine, Sagamihara, Japan. FAU - Kadomatsu, Kenji AU - Kadomatsu K AD - Department of Biochemistry, Nagoya University Graduate School of Medicine, Nagoya, Japan. LA - eng GR - JP15K18442/Japan Society for the Promotion of Science/ GR - JP19K07711/Japan Society for the Promotion of Science/ PT - Journal Article DEP - 20200610 PL - England TA - Cancer Sci JT - Cancer science JID - 101168776 RN - 0 (MYCN protein, human) RN - 0 (N-Myc Proto-Oncogene Protein) RN - 0 (Quinazolines) RN - 0 (Thiophenes) RN - EC 2.1.1.45 (Thymidylate Synthase) RN - FCB9EGG971 (raltitrexed) SB - IM MH - Apoptosis/drug effects MH - Cell Line, Tumor MH - Cell Proliferation MH - *DNA Damage MH - Dose-Response Relationship, Drug MH - *Gene Amplification MH - Humans MH - Metabolic Networks and Pathways MH - N-Myc Proto-Oncogene Protein/*genetics MH - Neuroblastoma/*genetics/metabolism MH - Quinazolines/*pharmacology MH - Thiophenes/*pharmacology MH - Thymidylate Synthase/*antagonists & inhibitors PMC - PMC7385364 OTO - NOTNLM OT - MYCN OT - antifolate OT - chemotherapy OT - neuroblastoma OT - raltitrexed COIS- The authors have no conflict of interest. EDAT- 2020/05/18 06:00 MHDA- 2020/08/11 06:00 PMCR- 2020/07/01 CRDT- 2020/05/17 06:00 PHST- 2020/03/05 00:00 [received] PHST- 2020/05/02 00:00 [revised] PHST- 2020/05/11 00:00 [accepted] PHST- 2020/05/18 06:00 [pubmed] PHST- 2020/08/11 06:00 [medline] PHST- 2020/05/17 06:00 [entrez] PHST- 2020/07/01 00:00 [pmc-release] AID - CAS14485 [pii] AID - 10.1111/cas.14485 [doi] PST - ppublish SO - Cancer Sci. 2020 Jul;111(7):2431-2439. doi: 10.1111/cas.14485. Epub 2020 Jun 10.