A new non peptidic
farnesyltransferase inhibitor,
RPR-115135, in combination with
5-FU was studied in 10 human
colon cancer cell lines (HCT-116, RKO, DLD-1, Colo-320, LoVo, SW-620, HT-29, HCT-15, Colo-205 and KM-12) carrying several mutations but well characterized for p53 and Ras status. We found that there was a slight tendency (not statistically significant) for the p53 inactivated cells to be less sensitive to
5-FU after 6 days continuous treatment. Simultaneous administration of
RPR-115135 and
5-FU, at subtoxic concentrations, resulted in a synergistic enhancement of
5-FU cytotoxicity in the p53 wildtype cells (HCT-116, RKO, DLD-1, Colo-320, LoVo). In the p53 mutated cells (SW-620, HT-29, HCT-15, Colo-205, KM-12) the effect was very complicated. In HCT-15 the combination resulted in antagonism, in KM-12 in antagonism or in synergy (at different concentrations) and in SW-620, HT-29 and Colo-205 cells in synergy but only when
5-FU was administered at high concentrations. Growth inhibition could be accounted for on the basis of a specific cell cycle arrest phenotype (G2-M arrest), as assayed by flow cytometry, only in the p53 functioning cell lines. The combination
RPR-115135 +
5-FU increases apoptotic events only in these cell lines. In the mutated cell lines no major alterations on cell cycle arrest phenotype and no induction of apoptosis was observed. Although
RPR-115135 can potentiate the effect of
5-FU in cells in which p53 function is disrupted, these data suggest strongly that
RPR-115135 significantly enhances the efficacy of
5-FU only when p53 is functioning.