UCN-01 (7-hydroxystaurosporine) is a newly developed cell cycle inhibitor known to have several modes of action, including inhibition of
cyclin-dependent kinase, induction of p21 and suppression of pRb phosphorylation. In order to test a combination
therapy of
UCN-01 and
5-fluorouracil (5-FU), growth inhibition of CRL 1420 (MIA PaCa-2; undifferentiated
pancreatic carcinoma) by four different treatments was measured using the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium
bromide (MTT) assay. The treatments used were
UCN-01 alone,
5-FU alone,
5-FU followed by
UCN-01 (5-FU/
UCN-01) and
UCN-01 followed by
5-FU (
UCN-01/5-FU). We also assessed changes in
thymidylate synthetase (TS)
mRNA levels, TS activity, and
5-FU incorporation by
RNA (F-
RNA) for each treatment. Although treatment with
UCN-01 alone,
5-FU alone, and 5-FU/
UCN-01 inhibited CRL 1420 growth in a concentration-dependent manner, treatment with
UCN-01/5-FU inhibited the growth of CRL 1420 synergistically at less than 1 microg/ml
drug concentration. The down-regulation of TS
mRNA by
UCN-01 resulted in stable total TS and decreased free TS, and
UCN-01/
5-FU resulted in enhanced
thymidylate synthetase inhibition rate (TSIR) compared to
UCN-01 alone and 5-FU/
UCN-01. This increased TSIR due to
UCN-01 pretreatment was accompanied by elevated F-
RNA concentrations in the
UCN-01/5-FU treatment. The suppression of TS
mRNA and TS activity by
UCN-01 may lead to higher sensitivity of
tumor cells to
5-FU and may explain the synergistic antitumor effect of
UCN-01/5-FU. In conclusion, low concentrations of
UCN-01 (from 0.01 to 1 microg/ml) may be clinically useful, affording low cytotoxicity of
UCN-01, while enhancing the antitumor effect of
5-FU.