Molecular downstream events and induction of thymidylate synthase in mutant and wild-type p53 colon cancer cell lines after treatment with 5-fluorouracil and the thymidylate synthase inhibitor raltitrexed

Inhibition of the key enzyme in DNA synthesis, thymidylate synthase (TS), b y 5-fluorouracil (5-FU) and the novel antifolate raltitrexed (Tomudex; ZD16 94), induces dTTP depletion, resulting in DNA strand breaks, which can init iate pathways leading to an apoptotic mode of cell death. We studied 5-FU- and ZD1694-induced TS inhibition in relation to the expression of p53, p21, Bcl-2 and Bax in six colon carcinoma cell lines, two with a wild-type (wt) p53 (Lovo, LS174T) and four with a mutant (mt) p53 (WiDr, WiDr/F, HT29 and SW948) phenotype. In untreated cells, a reciprocal correlation between p53 and Bcl-2 was found: in cells with a low wt p53, Bcl-2 expression was pres ent; whilst in cells with mt p53, Bcl-2 expression was not detectable. Expo sure to 5-FU (50 and 100 mu M) and ZD1694 (50 and 100 nM) for 24 and 48 h i nduced p53 and p21 expression in wt p53 cells, but not in mt p53 cells. TS was induced approximately 2-10-fold in all cell lines. TS induction was hig hest after ZD1694 exposure in the mt p53 cells HT29 and WiDr/F (6-10-fold). After 5-FU treatment, TS was present both as the free enzyme and in the te rnary complex; however, predominantly as the ternary complex between TS, Fd UMP and 5,10-methylenetetrahydrofolate. In wt p53 cells, both drugs increas ed Bax expression up to 5-fold, whereas in mt p53 cells, only a very slight induction was found. In wt p53 cells, Bcl-2 expression hardly changed afte r drug treatment. These results indicate a p53-independent induction of TS but a regulatory role of wt p53 in the synthesis of Bax in the colon carcin oma cell lines after TS inhibition. (C) 2000 Elsevier Science Ltd. All righ ts reserved.