INHIBITION BY URIDINE BUT NOT THYMIDINE OF P53-DEPENDENT INTESTINAL APOPTOSIS INITIATED BY 5-FLUOROURACIL - EVIDENCE FOR THE INVOLVEMENT OFRNA PERTURBATION
Dm. Pritchard et al., INHIBITION BY URIDINE BUT NOT THYMIDINE OF P53-DEPENDENT INTESTINAL APOPTOSIS INITIATED BY 5-FLUOROURACIL - EVIDENCE FOR THE INVOLVEMENT OFRNA PERTURBATION, Proceedings of the National Academy of Sciences of the United Statesof America, 94(5), 1997, pp. 1795-1799
The epithelia from the crypts of the intestine are exquisitely sensiti
ve to metabolic perturbation and undergo cell death with the classical
morphology of apoptosis. Administration of 40 mg/kg 5-fluorouracil (5
-FU) to BDF-1 p53+/+ mice resulted in an increase in p53 protein at ce
ll positions in the crypts that were also those subjected to an apopto
tic cell death. In p53-/- mice apoptosis was almost completely absent,
even after 24 hr, 5-FU is a pyrimidine antimetabolite cytotoxin with
multiple mechanisms of action, including inhibition of thymidylate syn
thase (TS), which gives rise to DNA damage, and incorporation into RNA
. The inhibition of TS can be increased by coadministration of folinic
acid and can be abrogated by administration of thymidine. The incorpo
ration of 5-FU into RNA is inhibited by administration of uridine. p53
-Dependent cell death induced by 5-FU was only inhibited by administra
tion of uridine, Uridine had no effect on the apoptosis initiated by 1
Gy of gamma-radiation. Although thymidine abrogated apoptosis induced
by the pure TS inhibitor Tomudex, it had no effect on 5-FU-induced ap
optosis, and coadministration of folinic acid did not increase apoptos
is, The data show that 5-FU-induced cell death of intestinal epithelia
l cells is p53-dependent and suggests that changes in RNA metabolism i
nitiate events culminating in the expression of p53.