RT Journal Article SR Electronic T1 5-Fluorouracil: Identification of Novel Downstream Mediators of Tumour Response JF Anticancer Research JO Anticancer Res FD International Institute of Anticancer Research SP 417 OP 424 VO 24 IS 2A A1 JOHN BOYER A1 PAMELA J. MAXWELL A1 DANIEL B. LONGLEY A1 PATRICK G. JOHNSTON YR 2004 UL http://ar.iiarjournals.org/content/24/2A/417.abstract AB Background: 5-Fluorouracil (5-FU) is routinely used in the treatment of gastrointestinal, breast and head and neck cancers. A major limitation to the use of this drug is acquired or inherent resistance. Materials and Methods: To examine the downstream molecular signals activated in response to 5-FU, we used DNA microarray technology to examine global transcriptional changes in 5-FU-treated MCF-7 breast cancer cells. Results: We identified several novel 5-FU-inducible target genes that have not previously been linked to 5-FU response, including spermine/spermidine acetyl transferase (SSAT) and annexin II. Treatment of MCF-7 cells with the antifolate tomudex (TDX) and the DNA damaging agent oxaliplatin also caused up-regulation of each target gene. Inactivation of wild-type p53 abrogated the 5-FU-mediated induction of SSAT and annexin II. Inducible expression of thymidylate synthase completely abrogated TDX-, but not 5-FU-mediated induction of each gene. Furthermore, basal expression of SSAT and annexin II was elevated in cells resistant to 5-FU. Conclusion: These data demonstrate the potential of microarray analysis to identify novel genes associated with response or resistance to chemotherapeutic agents. Copyright© 2004 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved