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Cited by 336

The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.

5-FU promotes stemness of colorectal cancer via p53-mediated WNT/β-catenin pathway activation

Open access
Cho, Yong-Hee, Ro, Eun Ji, Yoon, Jeong-Su, Mizutani, Tomohiro, Kang, Dong-Woo, Park, Jong-Chan, Il Kim, Tae, Clevers, Hans, Choi, Kang-Yell·2020·Nature Communications

Abstract

5-Fluorouracil (5-FU) remains the first-line treatment for colorectal cancer (CRC). Although 5-FU initially de-bulks the tumor mass, recurrence after chemotherapy is the barrier to effective clinical outcomes for CRC patients. Here, we demonstrate that p53 promotes WNT3 transcription, leading to activation of the WNT/β-catenin pathway in ApcMin/+/Lgr5EGFP mice, CRC patient-derived tumor organoids (PDTOs) and patient-derived tumor cells (PDCs). Through this regulation, 5-FU induces activation and enrichment of cancer stem cells (CSCs) in the residual tumors, contributing to recurrence after treatment. Combinatorial treatment of a WNT inhibitor and 5-FU effectively suppresses the CSCs and reduces tumor regrowth after discontinuation of treatment. These findings indicate p53 as a critical mediator of 5-FU-induced CSC activation via the WNT/β-catenin signaling pathway and highlight the significance of combinatorial treatment of WNT inhibitor and 5-FU as a compelling therapeutic strategy to improve the poor outcomes of current 5-FU-based therapies for CRC patients.

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Metadata

Authors
Cho, Y.-H., Ro, E. J., Yoon, J.-S., Mizutani, T., Kang, D.-W., Park, J.-C., Il Kim, T., Clevers, H., & Choi, K.-Y.
Venue
Nature Communications
Published
2020-10-21
Volume
11
Issue
1
Pages
5321-5321
ISSN
2041-1723 (ISSN-L)
OpenAlex
W3094321390
Cited by
336
References
43
FWCI
12.17
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: 5-FU promotes stemness of colorectal cancer via p53-mediated WNT/β-catenin pathway activation. https://app.cochat.ai/papers/10.1038/s41467-020-19173-2
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Cho, Y.-H., Ro, E. J., Yoon, J.-S., Mizutani, T., Kang, D.-W., Park, J.-C., Il Kim, T., Clevers, H., & Choi, K.-Y. (2020). 5-FU promotes stemness of colorectal cancer via p53-mediated WNT/β-catenin pathway activation. Nature Communications. https://doi.org/10.1038/s41467-020-19173-2

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