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Artikel ; Online: 5-Aminosalicylic acid inhibits stem cell function in human adenoma-derived cells: implications for chemoprophylaxis in colorectal tumorigenesis.

Dixon, Steven William / Collard, Tracey Jane / Mortensson, Eleanor May Harrisdotter / Legge, Danny Nigel / Chambers, Adam Christian / Greenhough, Alexander / Creed, Tom Julian / Williams, Ann Caroline

British journal of cancer

2021  Band 124, Heft 12, Seite(n) 1959–1969

Abstract: Background: Most colorectal cancers (CRC) arise sporadically from precursor lesions: colonic polyps. Polyp resection prevents progression to CRC. Risk of future polyps is proportional to the number and size of polyps detected at screening, allowing ... ...

Abstract Background: Most colorectal cancers (CRC) arise sporadically from precursor lesions: colonic polyps. Polyp resection prevents progression to CRC. Risk of future polyps is proportional to the number and size of polyps detected at screening, allowing identification of high-risk individuals who may benefit from effective chemoprophylaxis. We aimed to investigate the potential of 5-aminosalicylic acid (5-ASA), a medication used in the treatment of ulcerative colitis, as a possible preventative agent for sporadic CRC.
Methods: Human colorectal adenoma (PC/AA/C1, S/AN/C1 and S/RG/C2), transformed adenoma PC/AA/C1/SB10 and carcinoma cell lines (LS174T and SW620) were treated with 5-ASA. The effect on growth in two- and three-dimensional (3D) culture, β-catenin transcriptional activity and on cancer stemness properties of the cells were investigated.
Results: 5-ASA was shown, in vitro, to inhibit the growth of adenoma cells and suppress β-catenin transcriptional activity. Downregulation of β-catenin was found to repress expression of stem cell marker LGR5 (leucine-rich G protein-coupled receptor-5) and functionally suppress stemness in human adenoma and carcinoma cells using 3D models of tumorigenesis.
Conclusions: 5-ASA can suppress the cancer stem phenotype in adenoma-derived cells. Affordable and well-tolerated, 5-ASA is an outstanding candidate as a chemoprophylactic medication to reduce the risk of colorectal polyps and CRC in those at high risk.
Mesh-Begriff(e) Adenoma/drug therapy ; Adenoma/genetics ; Adenoma/pathology ; Adenoma/prevention & control ; Carcinogenesis/drug effects ; Carcinogenesis/genetics ; Carcinogenesis/pathology ; Carcinoma/genetics ; Carcinoma/pathology ; Carcinoma/prevention & control ; Cell Line, Tumor ; Cell Transformation, Neoplastic/drug effects ; Cell Transformation, Neoplastic/genetics ; Chemoprevention/methods ; Colitis, Ulcerative/drug therapy ; Colitis, Ulcerative/genetics ; Colitis, Ulcerative/pathology ; Colorectal Neoplasms/drug therapy ; Colorectal Neoplasms/genetics ; Colorectal Neoplasms/pathology ; Colorectal Neoplasms/prevention & control ; Gene Expression Regulation, Neoplastic/drug effects ; Humans ; Mesalamine/pharmacology ; Mesalamine/therapeutic use ; Neoplastic Stem Cells/drug effects ; Neoplastic Stem Cells/physiology ; Wnt Signaling Pathway/drug effects ; Wnt Signaling Pathway/genetics
Chemische Substanzen Mesalamine (4Q81I59GXC)
Sprache Englisch
Erscheinungsdatum 2021-03-30
Erscheinungsland England
Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID 80075-2
ISSN 1532-1827 ; 0007-0920
ISSN (online) 1532-1827
ISSN 0007-0920
DOI 10.1038/s41416-021-01354-5
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