PMID- 24323901 OWN - NLM STAT- MEDLINE DCOM- 20141014 LR - 20220409 IS - 1557-3265 (Electronic) IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 20 IP - 4 DP - 2014 Feb 15 TI - Colon cancer cells escape 5FU chemotherapy-induced cell death by entering stemness and quiescence associated with the c-Yes/YAP axis. PG - 837-46 LID - 10.1158/1078-0432.CCR-13-1854 [doi] AB - PURPOSE: Metastasis and drug resistance are the major limitations in the survival and management of patients with cancer. This study aimed to identify the mechanisms underlying HT29 colon cancer cell chemoresistance acquired after sequential exposure to 5-fluorouracil (5FU), a classical anticancer drug for treatment of epithelial solid tumors. We examined its clinical relevance in a cohort of patients with colon cancer with liver metastases after 5FU-based neoadjuvant chemotherapy and surgery. RESULTS: We show that a clonal 5F31 cell population, resistant to 1 mumol/L 5FU, express a typical cancer stem cell-like phenotype and enter into a reversible quiescent G0 state upon reexposure to higher 5FU concentrations. These quiescent cells overexpressed the tyrosine kinase c-Yes that became activated and membrane-associated upon 5FU exposure. This enhanced signaling pathway induced the dissociation of the Yes/YAP (Yes-associated protein) molecular complex and depleted nuclear YAP levels. Consistently, YES1 silencing decreased nuclear YAP accumulation and induced cellular quiescence in 5F31 cells cultured in 5FU-free medium. Importantly, YES1 and YAP transcript levels were higher in liver metastases of patients with colon cancer after 5FU-based neoadjuvant chemotherapy. Moreover, the YES1 and YAP transcript levels positively correlated with colon cancer relapse and shorter patient survival (P < 0.05 and P < 0.025, respectively). CONCLUSIONS: We identified c-Yes and YAP as potential molecular targets to eradicate quiescent cancer cells and dormant micrometastases during 5FU chemotherapy and resistance and as predictive survival markers for colon cancer. CI - (c)2013 AACR FAU - Touil, Yasmine AU - Touil Y AD - Authors' Affiliations: INSERM U837 Team 4 "Molecular and Cellular Targeting of Cancers"; SIRIC ONCOLille; INSERM U837 Team 5 "Mucins, Epithelial Differentiation, and Carcinogenesis" Jean-Pierre Aubert Research Centre, Universite Lille and CHU, Univ Nord de France; Unit of Biostatistics; Department of Digestive Surgery and Transplantation; Department of Medical Oncology, CHU, Univ Nord de France; IBL UMR-8161 CNRS, Universite Lille Nord de France, Institut Pasteur, Lille; IRI USR 3078 CNRS, Villeneuve d'Ascq; INSERM U938, Molecular and Clinical Oncology, Hopital Saint Antoine, Universite Pierre et Marie Curie 6, Paris, France; and The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Igoudjil, Wassila AU - Igoudjil W FAU - Corvaisier, Matthieu AU - Corvaisier M FAU - Dessein, Anne-Frederique AU - Dessein AF FAU - Vandomme, Jerome AU - Vandomme J FAU - Monte, Didier AU - Monte D FAU - Stechly, Laurence AU - Stechly L FAU - Skrypek, Nicolas AU - Skrypek N FAU - Langlois, Carole AU - Langlois C FAU - Grard, Georges AU - Grard G FAU - Millet, Guillaume AU - Millet G FAU - Leteurtre, Emmanuelle AU - Leteurtre E FAU - Dumont, Patrick AU - Dumont P FAU - Truant, Stephanie AU - Truant S FAU - Pruvot, Francois-Rene AU - Pruvot FR FAU - Hebbar, Mohamed AU - Hebbar M FAU - Fan, Fan AU - Fan F FAU - Ellis, Lee M AU - Ellis LM FAU - Formstecher, Pierre AU - Formstecher P FAU - Van Seuningen, Isabelle AU - Van Seuningen I FAU - Gespach, Christian AU - Gespach C FAU - Polakowska, Renata AU - Polakowska R FAU - Huet, Guillemette AU - Huet G LA - eng GR - P30 CA016672/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131209 PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Antimetabolites, Antineoplastic) RN - 0 (Biomarkers, Tumor) RN - 0 (Cell Cycle Proteins) RN - 0 (Nuclear Proteins) RN - 0 (Transcription Factors) RN - 0 (YY1AP1 protein, human) RN - EC 2.7.1.11 (Checkpoint Kinase 2) RN - EC 2.7.10.2 (Proto-Oncogene Proteins c-yes) RN - EC 2.7.10.2 (YES1 protein, human) RN - EC 2.7.11.1 (CHEK2 protein, human) RN - U3P01618RT (Fluorouracil) SB - IM MH - Antimetabolites, Antineoplastic/*pharmacology/therapeutic use MH - Biomarkers, Tumor/metabolism MH - Cell Cycle Checkpoints MH - Cell Cycle Proteins MH - Cell Nucleus/metabolism MH - Cell Proliferation MH - Checkpoint Kinase 2/metabolism MH - Chemotherapy, Adjuvant MH - Colonic Neoplasms/drug therapy/*metabolism/mortality/pathology MH - Disease-Free Survival MH - Drug Resistance, Neoplasm MH - Fluorouracil/*pharmacology/therapeutic use MH - Gene Expression MH - HT29 Cells MH - Humans MH - Kaplan-Meier Estimate MH - Liver Neoplasms/drug therapy/*metabolism/mortality/secondary MH - Neoadjuvant Therapy MH - Neoplasm Micrometastasis/prevention & control MH - Neoplastic Stem Cells/drug effects/metabolism MH - Nuclear Proteins/genetics/*metabolism MH - Proportional Hazards Models MH - Protein Transport MH - Proto-Oncogene Proteins c-yes/genetics/*metabolism MH - Transcription Factors/genetics/*metabolism PMC - PMC4387277 MID - NIHMS671537 COIS- Disclosures: No potential conflicts of interest were disclosed. EDAT- 2013/12/11 06:00 MHDA- 2014/10/15 06:00 PMCR- 2015/04/07 CRDT- 2013/12/11 06:00 PHST- 2013/12/11 06:00 [entrez] PHST- 2013/12/11 06:00 [pubmed] PHST- 2014/10/15 06:00 [medline] PHST- 2015/04/07 00:00 [pmc-release] AID - 1078-0432.CCR-13-1854 [pii] AID - 10.1158/1078-0432.CCR-13-1854 [doi] PST - ppublish SO - Clin Cancer Res. 2014 Feb 15;20(4):837-46. doi: 10.1158/1078-0432.CCR-13-1854. Epub 2013 Dec 9.