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Combination of SNX-2112 with 5-FU exhibits antagonistic effect in esophageal cancer cells.
[esophageal squamous cell carcinoma]
The
low
efficacy
of
single
-drug
chemotherapy
forms
the
basis
for
combination
therapy
in
esophageal
squamous
cell
carcinoma
.
SNX-
2112
,
a
selective
heat
shock
protein
90
(
Hsp
90
)
inhibitor
,
was
recently
reported
as
being
effective
in
combination
with
cisplatin
and
paclitaxel
.
In
this
study
,
we
investigated
the
effect
of
SNX-
2112
in
combination
with
5
-
fluorouracil
(
5
-
FU
)
,
another
first
-line
anticancer
drug
,
in
esophageal
cancer
.
Unexpectedly
,
tetrazolium
assay
revealed
that
the
combination
of
SNX-
2112
with
5
-
FU
exhibited
antagonistic
effect
.
Flow
cytometry
revealed
that
the
SNX-
2112
and
5
-
FU
combination
greatly
decreased
the
number
of
G
2
/
M
cells
compared
to
SNX-
2112
-
only
treatment
in
Eca‑
109
cells
.
This
effect
might
be
related
to
the
altered
mRNA
level
of
cyclin-related
genes
including
cyclin
Â
D
1
,
Chk
2
and
Cdk
4
.
Further
,
5
-
FU
attenuated
SNX-
2112
-
induced
apoptosis
by
decreasing
poly
(
ADP-ribose
)
polymerase
(
PARP
)
cleavage
and
inactivating
caspase-
3
,
-
8
and
-
9
.
Additionally
,
5
-
FU
suppressed
the
SNX-
2112
-
induced
decrease
of
mitochondrial
membrane
potential
.
Moreover
,
5
-
FU
partly
recovered
Hsp
90
client
proteins
,
including
Akt
,
p
-
Akt
,
inhibitor
of
κB
kinase
(
IKK
)
α
,
extracellular
signal-regulated
kinase
(
ERK
)
1
/
2
,
and
glycogen
synthase
kinase
(
GSK
)
-
3
β
,
which
SNX-
2112
had
downregulated
.
Taken
together
,
this
is
the
first
report
that
the
combination
of
SNX-
2112
with
5
-
FU
exhibited
antagonistic
effect
in
esophageal
cancer
cells
by
affecting
growth
inhibition
,
cell
cycle
,
apoptosis
,
and
Hsp
90
client
proteins
,
suggesting
that
care
is
required
in
the
clinical
application
of
combined
SNX-
2112
and
5
-
FU
.
Diseases
Validation
Diseases presenting
"cancer"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
alpha-thalassemia
benign recurrent intrahepatic cholestasis
cadasil
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital adrenal hyperplasia
congenital diaphragmatic hernia
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
familial mediterranean fever
gm1 gangliosidosis
heparin-induced thrombocytopenia
hereditary cerebral hemorrhage with amyloidosis
hirschsprung disease
hodgkin lymphoma, classical
inclusion body myositis
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
proteus syndrome
pyomyositis
pyruvate dehydrogenase deficiency
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
This symptom has already been validated