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Abstract
Gemcitabine is a fluoropyrimidine analogue that is used as a mainstay of chemotherapy treatment for pancreatic and ovarian cancers, amongst others. Despite its widespread use, gemcitabine achieves responses in less than 10% of patients with metastatic pancreatic cancer and has a very limited impact on overall survival due to intrinsic and acquired resistance. NUC-1031 (Acelarin), a phosphoramidate transformation of gemcitabine, was the first anti-cancer ProTide to enter the clinic. We find it displays important in vitro cytotoxicity differences to gemcitabine, and a genome-wide CRISPR/Cas9 genetic screening approach identified only the pyrimidine metabolism pathway as modifying cancer cell sensitivity to NUC-1031. Low deoxycytidine kinase expression in tumour biopsies from patients treated with gemcitabine, assessed by immunostaining and image analysis, correlates with a poor prognosis, but there is no such correlation in tumour biopsies from a Phase I cohort treated with NUC-1031.
| Original language | English |
|---|---|
| Article number | 7643 |
| Number of pages | 13 |
| Journal | Scientific Reports |
| Volume | 9 |
| DOIs | |
| Publication status | Published - 21 May 2019 |
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- Gemcitabine
- Pancreatic cancer
- CRISPR–Cas9
- Genome-wide screen
- Resistance
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Dive into the research topics of 'Genome-scale CRISPR/Cas9 screen determines factors modulating sensitivity to ProTide NUC-1031'. Together they form a unique fingerprint.Projects
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Profiles
Student theses
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Exploration of the pharmacodynamic profile of Acelarin, a novel ProTide drug, in an in vitro model of ovarian cancer
Bre, J. L. (Author), Harrison, D. J. (Supervisor), 28 Jun 2019Student thesis: Doctoral Thesis (PhD)
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