This work aimed to develop a new therapeutic approach to increase the efficacy of
5-fluorouracil (5-FU) in the treatment of advanced or recurrent
colon cancer. 5-FU-loaded biodegradable poly(ε-
caprolactone) nanoparticles (PCL NPs) were combined with the cytotoxic suicide gene E (combined
therapy). The SW480 human
cancer cell line was used to assay the combined therapeutic strategy. This cell line was established from a primary
adenocarcinoma of the colon and is characterized by an intrinsically high resistance to apoptosis that correlates with its resistance to
5-FU.
5-FU was absorbed into the matrix of the PCL NPs during synthesis using the interfacial
polymer disposition method. The antitumor activity of gene E from the phage ϕX174 was tested by generating a stable clone (SW480/12/E). In addition, the localization of E
protein and its activity in mitochondria were analyzed. We found that the incorporation of
5-FU into PCL NPs (which show no cytotoxicity alone), significantly improved the
drug's anticancer activity, reducing the proliferation rate of
colon cancer cells by up to 40-fold when compared with the nonincorporated
drug alone. Furthermore, E gene expression sensitized
colon cancer cells to the cytotoxic action of the 5-FU-based nanomedicine. Our findings demonstrate that despite the inherent resistance of SW480 to apoptosis, E gene activity is mediated by an apoptotic phenomenon that includes modulation of
caspase-9 and
caspase-3 expression and intense mitochondrial damage. Finally, a strongly synergistic antiproliferative effect was observed in
colon cancer cells when E gene expression was combined with the activity of the 5-FU-loaded PCL NPs, thereby indicating the potential therapeutic value of the combined
therapy.