PMID- 19258429 OWN - NLM STAT- MEDLINE DCOM- 20090608 LR - 20220309 IS - 1535-7163 (Print) IS - 1535-7163 (Linking) VI - 8 IP - 3 DP - 2009 Mar TI - Tolfenamic acid enhances pancreatic cancer cell and tumor response to radiation therapy by inhibiting survivin protein expression. PG - 533-42 LID - 10.1158/1535-7163.MCT-08-0405 [doi] AB - Survivin is overexpressed in most human cancers, including pancreatic adenocarcinoma. Expression of survivin is regulated by specificity protein (Sp) proteins and related to resistance to radiation therapy. Tolfenamic acid induces Sp protein degradation in several cancer cell lines. The purpose of this study is to investigate whether tolfenamic acid inhibits survivin expression and sensitizes pancreatic cancer cells/tumor to radiotherapy. Panc1 and L3.6pl cells have been used to study the effect of radiation on survivin expression and to investigate the efficacy of tolfenamic acid in enhancing the response to radiation therapy. In addition, an orthotopic model for human pancreatic cancer has been used to confirm the efficacy of tolfenamic acid to enhance tumor response to radiation in vivo. Pancreatic cancer cell lines express variable levels of survivin mRNA/protein, which correlate with their radiosensitivity. Radiation increased survivin promoter activity and protein expression in Panc1 and L3.6pl cells and tolfenamic acid inhibited both constitutive and radiation-induced survivin protein expression and enhanced the response of pancreatic cancer cells to radiation therapy. In vivo studies show that tolfenamic acid enhanced the radiation-induced apoptosis associated with decreased survivin expression in tumors and this correlates with the enhanced response of these tumors to the radiation. Thus, tolfenamic acid significantly enhances pancreatic cancer cells/tumor response to radiation therapy. The underlying mechanism includes tolfenamic acid-induced degradation of Sp proteins, which in tumor decreases expression of the Sp-dependent antiapoptotic protein survivin. These preclinical data suggest that tolfenamic acid has the potential to increase the response of pancreatic adenocarcinoma to radiation therapy. FAU - Konduri, Santhi AU - Konduri S AD - Cancer Research Institute, M. D. Anderson Cancer Center Orlando, 110 Bonnie Loch Court, Mail Point 47, Orlando, FL 32806, USA. FAU - Colon, Jimmie AU - Colon J FAU - Baker, Cheryl H AU - Baker CH FAU - Safe, Stephen AU - Safe S FAU - Abbruzzese, James L AU - Abbruzzese JL FAU - Abudayyeh, Ala AU - Abudayyeh A FAU - Basha, Md Riyaz AU - Basha MR FAU - Abdelrahim, Maen AU - Abdelrahim M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20090303 PL - United States TA - Mol Cancer Ther JT - Molecular cancer therapeutics JID - 101132535 RN - 0 (BIRC5 protein, human) RN - 0 (Inhibitor of Apoptosis Proteins) RN - 0 (Microtubule-Associated Proteins) RN - 0 (Radiation-Sensitizing Agents) RN - 0 (Survivin) RN - 0 (ortho-Aminobenzoates) RN - 3G943U18KM (tolfenamic acid) SB - IM MH - Adenocarcinoma/genetics/pathology/*radiotherapy MH - Animals MH - Apoptosis/drug effects/radiation effects MH - Down-Regulation/drug effects/radiation effects MH - Gene Expression Regulation, Neoplastic/drug effects/radiation effects MH - Humans MH - Inhibitor of Apoptosis Proteins MH - Male MH - Mice MH - Mice, Nude MH - Microtubule-Associated Proteins/*genetics MH - Pancreatic Neoplasms/genetics/pathology/*radiotherapy MH - Promoter Regions, Genetic/drug effects MH - Radiation Tolerance/*drug effects MH - Radiation-Sensitizing Agents/pharmacology/therapeutic use MH - Survivin MH - Tumor Cells, Cultured MH - Xenograft Model Antitumor Assays MH - ortho-Aminobenzoates/*pharmacology/therapeutic use EDAT- 2009/03/05 09:00 MHDA- 2009/06/09 09:00 CRDT- 2009/03/05 09:00 PHST- 2009/03/05 09:00 [entrez] PHST- 2009/03/05 09:00 [pubmed] PHST- 2009/06/09 09:00 [medline] AID - 1535-7163.MCT-08-0405 [pii] AID - 10.1158/1535-7163.MCT-08-0405 [doi] PST - ppublish SO - Mol Cancer Ther. 2009 Mar;8(3):533-42. doi: 10.1158/1535-7163.MCT-08-0405. Epub 2009 Mar 3.