TS-1 is an oral
anticancer agent containing two biochemical modulators for
5-fluorouracil (5-FU) and
tegafur (FT), a metabolically activated
prodrug of
5-FU.
TS-1 has been recognized as an effective anticancer
drug using standard
therapies for patients with advanced
pancreatic cancer along with
gemcitabine. However, a high level of inherent and acquired
tumor resistance to
TS-1 induces difficulty in the treatment. To identify
proteins linked to the TS-1-resistance of
pancreatic cancer, we profiled
protein expression levels in samples of TS-1-resistant and -sensitive
pancreatic cancer cell lines by using two-dimensional gel electrophoresis (2-DE) and liquid chromatography-tandem mass spectrometry (LC-MS/MS). The cytotoxicity of a 5-FU/5-chloro-2,4-dihydroxypyridine (CDHP) combination towards
pancreatic cancer cell lines was evaluated by MTS assay. Panc-1, BxPC-3, MiaPaCa-2 and PK59 showed high sensitivity to the 5-FU/CDHP combination (TS-1-sensitive), whereas PK45p and KLM-1 were much less sensitive (TS-1-resistant). Proteomic analysis showed that eleven spots, including
T-complex protein 1 subunit beta,
ribonuclease inhibitor,
elongation factor 1-delta, peroxiredoxin-2 and
superoxide dismutase (Cu-Zn), appeared to be down-regulated, and 29 spots, including
hypoxia up-regulated
protein 1,
lamin-A/C,
endoplasmin,
fascin and
annexin A1, appeared to be up-regulated in TS-1-resistant cells compared with -sensitive cells. These results suggest that the identified
proteins showing different expression between TS-1-sensitive and -resistant
pancreatic cancer cells possibly relate to TS-1-sensitivity. These findings could be useful to overcome the TS-1-resistance of
pancreatic cancer cells.