Gastrointestinal toxicities of 5-fluorouracil increase the proportion of regulatory T cells in intestinal tract: advantages of alternate-day S-1 administration

Verfasser / Beitragende:
[Taiki Kajiwara, Koh Miura, Shinobu Ohnuma, Miki Shimada, Toshihiro Komura, Masahide Toshima, Atsushi Kohyama, Katsuyoshi Kudoh, Sho Haneda, Hiroaki Musha, Takeshi Naitoh, Tetsuhiko Shirasaka, Michiaki Unno]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/5(2015-10-01), 913-921
Format:
Artikel (online)
ID: 605491496
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245 0 0 |a Gastrointestinal toxicities of 5-fluorouracil increase the proportion of regulatory T cells in intestinal tract: advantages of alternate-day S-1 administration  |h [Elektronische Daten]  |c [Taiki Kajiwara, Koh Miura, Shinobu Ohnuma, Miki Shimada, Toshihiro Komura, Masahide Toshima, Atsushi Kohyama, Katsuyoshi Kudoh, Sho Haneda, Hiroaki Musha, Takeshi Naitoh, Tetsuhiko Shirasaka, Michiaki Unno] 
520 3 |a Background: 5-Fluorouracil (5-FU), a core anticancer agent for malignancies, induces gastrointestinal (GI) toxicities. Despite recent advances in tumor immunology, it still remains unknown how GI toxicities affect antitumor immunity. S-1 is a tegafur-based oral 5-FU prodrug which has been widely introduced in Japan and other countries. The alternate-day S-1 administration has been proposed to minimize its GI and other toxicities without reducing its anticancer efficacy. Methods: In this study, two S-1 administration regimens were compared in mice to evaluate their impact of GI toxicities on immunity. In the daily group as a standard administration model, S-1 was administered for 14days on and 14days off, and in the alternate-day group as a non-GI toxicity model, S-1 was administered every other day for 28days. As well as physical findings, regulatory T cells, Th1 cells and other cells in murine lymphoid tissues were analyzed with flow cytometry. Results: Only the daily group exhibited body weight loss and GI toxicities. In the daily group, a proportion of regulatory T cells in the intestinal lymphoid tissue were demonstrated to be six-fold higher than in the control without S-1, and the proportion of Th1 cells showed a decreasing trend. However, the alternate-day group exhibited almost no change in T-cell subsets. Conclusion: GI toxicities of 5-FU may have a negative influence on antitumor immunity due to increased proportions of regulatory T cells and decreased proportions of Th1 cells. The alternate-day S-1 administration may be a useful regimen with its minimal influence on T-cell subsets. 
540 |a Japan Society of Clinical Oncology, 2015 
690 7 |a 5-FU  |2 nationallicence 
690 7 |a Gastrointestinal toxicity  |2 nationallicence 
690 7 |a Regulatory T cell  |2 nationallicence 
690 7 |a S-1  |2 nationallicence 
690 7 |a Alternate-day administration  |2 nationallicence 
690 7 |a 5-FU : 5-Fluorouracil  |2 nationallicence 
690 7 |a GI : Gastrointestinal  |2 nationallicence 
690 7 |a FT : Tegafur  |2 nationallicence 
690 7 |a CDHP : 5-Chloro-2,4-dihydroxypyridine  |2 nationallicence 
690 7 |a Oxo : Potassium oxonate  |2 nationallicence 
690 7 |a Tregs : Regulatory T cells  |2 nationallicence 
690 7 |a MLN : Mesenteric lymph node  |2 nationallicence 
690 7 |a GALT : Gut-associated lymphoid tissue  |2 nationallicence 
690 7 |a HPMC : Hydroxypropyl methylcellulose  |2 nationallicence 
690 7 |a PP : Peyer's patch  |2 nationallicence 
690 7 |a LP : Lamina propria  |2 nationallicence 
690 7 |a IE : Intraepithelial  |2 nationallicence 
690 7 |a CTL : Cytotoxic T lymphocyte  |2 nationallicence 
690 7 |a NO : Nitric oxide  |2 nationallicence 
700 1 |a Kajiwara  |D Taiki  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
700 1 |a Miura  |D Koh  |u Department of Surgery, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiote, 981-1293, Natori, Miyagi, Japan  |4 aut 
700 1 |a Ohnuma  |D Shinobu  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
700 1 |a Shimada  |D Miki  |u Pharmaceutical Department, Tottori University Hospital, 683-8504, Yonago, Tottori, Japan  |4 aut 
700 1 |a Komura  |D Toshihiro  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
700 1 |a Toshima  |D Masahide  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
700 1 |a Kohyama  |D Atsushi  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
700 1 |a Kudoh  |D Katsuyoshi  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
700 1 |a Haneda  |D Sho  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
700 1 |a Musha  |D Hiroaki  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
700 1 |a Naitoh  |D Takeshi  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
700 1 |a Shirasaka  |D Tetsuhiko  |u Kitasato Institute for Life Science, Kitasato University, 5-9-1 Shirokane, 108-8641, Minato-ku, Tokyo, Japan  |4 aut 
700 1 |a Unno  |D Michiaki  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/5(2015-10-01), 913-921  |x 1341-9625  |q 20:5<913  |1 2015  |2 20  |o 10147 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kajiwara  |D Taiki  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Miura  |D Koh  |u Department of Surgery, Miyagi Cancer Center, 47-1 Nodayama, Medeshima-Shiote, 981-1293, Natori, Miyagi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ohnuma  |D Shinobu  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shimada  |D Miki  |u Pharmaceutical Department, Tottori University Hospital, 683-8504, Yonago, Tottori, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Komura  |D Toshihiro  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Toshima  |D Masahide  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kohyama  |D Atsushi  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kudoh  |D Katsuyoshi  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Haneda  |D Sho  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Musha  |D Hiroaki  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Naitoh  |D Takeshi  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Shirasaka  |D Tetsuhiko  |u Kitasato Institute for Life Science, Kitasato University, 5-9-1 Shirokane, 108-8641, Minato-ku, Tokyo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Unno  |D Michiaki  |u Department of Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Miyagi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/5(2015-10-01), 913-921  |x 1341-9625  |q 20:5<913  |1 2015  |2 20  |o 10147