RT Journal Article SR Electronic T1 Rho-Associated Protein Kinase (ROCK) Inhibitors Inhibit Survivin Expression and Sensitize Pancreatic Cancer Stem Cells to Gemcitabine JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 6311 OP 6318 VO 36 IS 12 A1 TAKEDA, HIROYUKI A1 OKADA, MASASHI A1 SUZUKI, SHUHEI A1 KURAMOTO, KENTA A1 SAKAKI, HIROTSUGU A1 WATARAI, HIKARU A1 SANOMACHI, TOMOMI A1 SEINO, SHIZUKA A1 YOSHIOKA, TAKASHI A1 KITANAKA, CHIFUMI YR 2016 UL http://ar.iiarjournals.org/content/36/12/6311.abstract AB Background: Targeting pathways regulating survivin expression, which has been implicated in multidrug resistance of cancer cells, is a promising strategy to overcome cancer chemoresistance. To date, the role of rho-associated protein kinases (ROCKs) in survivin expression remains largely unknown. Materials and Methods: The effects of ROCK inhibitors Y-27632 and fasudil on survivin expression and cell viability were determined by immunoblot analysis and dye exclusion, respectively, in PANC-1 CSLC, a cancer stem cell line derived from a serum-cultured, gemcitabine-sensitive pancreatic cancer cell line, PANC-1. Results: siRNA-mediated knockdown of survivin revealed that the gemcitabine resistance of PANC-1 CSLC was dependent on survivin expression. Both Y-27632 and fasudil, reduced survivin expression in PANC-1 CSLC cells and sensitized them to gemcitabine. ROCK inhibition also reduced survivin expression in various other human cancer cell lines. Conclusion: Small molecule inhibitor-mediated targeting of ROCK may be a viable strategy to overcome cancer chemoresistance through down-regulation of survivin.