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Digital karyotyping identifies thymidylate synthase amplification as a mechanism of resistance to 5-fluorouracil in metastatic colorectal cancer patients

Open access
Wang, Tian-Li, Diaz, Luis A., Romans, Katharine, Bardelli, Alberto, Saha, Saurabh, Galizia, Gennaro, Choti, Michael, Donehower, Ross, Parmigiani, Giovanni, Shih, Ie-Ming, Iacobuzio-Donahue, Christine, Kinzler, Kenneth W., Vogelstein, Bert, Lengauer, Christoph, Velculescu, Victor E.·2004·Proceedings of the National Academy of Sciences

Abstract

Resistance to chemotherapy is a major cause of mortality in advanced cancer patients. In this study, digital karyotyping was used to search for genomic alterations in liver metastases that were clinically resistant to 5-fluorouracil (5-FU). In two of four patients, we identified amplification of an ≈100-kb region on 18p11.32 that was of particular interest because it contained the gene encoding thymidylate synthase (TYMS), a molecular target of 5-FU. Analysis of TYMS by fluorescence in situ hybridization identified TYMS gene amplification in 23% of 31 5-FU-treated cancers, whereas no amplification was observed in metastases of patients that had not been treated with 5-FU. Patients with metastases containing TYMS amplification had a substantially shorter median survival (329 days) than those without amplification (1,021 days, P <0.01). These data suggest that genetic amplification of TYMS is a major mechanism of 5-FU resistance in vivo and have important implications for the management of colorectal cancer patients with recurrent disease.

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Metadata

Authors
Wang, T.-L., Diaz, L. A., Romans, K., Bardelli, A., Saha, S., Galizia, G., Choti, M., Donehower, R., Parmigiani, G., Shih, I.-M., Iacobuzio-Donahue, C., Kinzler, K. W., Vogelstein, B., Lengauer, C., & Velculescu, V. E.
Venue
Proceedings of the National Academy of Sciences
Published
2004-02-17
Volume
101
Issue
9
Pages
3089-3094
ISSN
  • 0027-8424 (ISSN-L)
  • 1091-6490
OpenAlex
W2023389182
Cited by
183
References
2
FWCI
7.64
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Digital karyotyping identifies thymidylate synthase amplification as a mechanism of resistance to 5-fluorouracil in metastatic colorectal cancer patients. https://app.cochat.ai/papers/10.1073/pnas.0308716101
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Wang, T.-L., Diaz, L. A., Romans, K., Bardelli, A., Saha, S., Galizia, G., Choti, M., Donehower, R., Parmigiani, G., Shih, I.-M., Iacobuzio-Donahue, C., Kinzler, K. W., Vogelstein, B., Lengauer, C., & Velculescu, V. E. (2004). Digital karyotyping identifies thymidylate synthase amplification as a mechanism of resistance to 5-fluorouracil in metastatic colorectal cancer patients. Proceedings of the National Academy of Sciences. https://doi.org/10.1073/pnas.0308716101

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.