LAUREN PEASE
ACADEMY OF NOTRE DAME
GRADE 10
1
2
3
Xeloda (capecitabine) - orally administered chemotherapy drug
Used to treat metastatic breast and colorectal cancers
It is a prodrug
The active form of Xeloda is 5-Fluorouracil (5-FU) which is also a prodrug
For Xeloda to convert to its active form, three enzymes must be present:
carboxylesterase,
cytidine deaminase
thymidine phosphorylase
4
The conversion from Xeloda to 5-FU is a three step process
The final enzymatic reaction in which 5'-deoxy-5'-fluorouridine is converted to 5-FU by thymidine phosphorylase, is highly active in tumor tissue
5-FU is then converted to fluorodeoxyuridine monophosphate, fluorodeoxyuridine triphosphate, and fluorouridine triphosphate for incorporation into RNA and DNA
All steps must take place for the yeast to metabolize the drug which would result in inhibition of growth
5
6
Colony of Saccharomyces cerevisiae
Colony of Candida albicans
Colony of Candida glabrata
Colony of Candida krusei
Colony of Candida guilliermondii
Colony of Candida lusitaniae
Colony of Tricherosporon asahii.
Petri dishes
Microdilution assay plate
Gloves
Goggles
Sharpie
Lab coat
1 Xeloda (capecitabine) capsule 500 mg
5-Fluouracil 1.68 microliters
Spectrophotometer
Incubator at 35 ℃ .
Pipettes
Bunsen Burner
Vortex
RPMI-1640 28 mL
34 microliters of Dimenthol Sulfoxide
34 microliters of sterilized water
Camera (to take pictures)
Paper (to print assay results)
Weighing Paper
7
Prepare the Xeloda stock by transferring one capsule into a test tube.
Light the Bunsen Burner and sterilize a metal spatula.. Then crush the pill into small pieces.
Weigh one small piece of the broken pill using weighing paper.
Measure 34 µLof sterilized water and 34 µL of dimenthol sulfoxide (a universal solvent) into a new test tube, and allow the weighed piece to dissolve.
Seven species of yeast were used in this experiment: Candida albicans,
Candida glabrata, Saccharomyces cerevisiae, Candida krusei, Candida guilliermondii, Candida lusitaniae, and Trichosporon asahii.
8
Prepare the liquid medium of each yeast by adding 1 mL of RPMI-1640 to
7 different glass test tubes and labeling them accordingly.
Transfer a small piece of a yeast colony, and carefully place it into the
RPMI at the bottom of the correctly labeled test tube.
Vortex the tube.
Dilute each liquid medium further by adding 2.5 mL of RPMI to new, plastic, labeled tubes.
Transfer .60 µL of the yeast medium into the new tubes for further dilution.
Transfer 100 µL of each yeast to each well in columns one, two, and three
(wells “A” get 200 µL).
Repeat for each yeast giving three columns for each species.
9
Add 8 µL of Xeloda to well A1. Add .5 µL of Xeloda to well A2. Add .21 microliters of 5-FU to A3. Repeat for each species of yeast.
Create serial dilutions by transferring dilutions from one row to the next.
Leave the last row without any drug for a control and dispose of the last 100
µL.
Put the assay plate into a bag and put it in the incubator which is set at 35 ℃ .
Place waste materials into appropriate biohazard bins.
After 24 hours, a spectrophotometer was used to read each assay.
10
11
The drug and its concentration
Species of yeast
Yeast growth
Wells with no drug
The temperature of the incubator (35˚C)
12
13
14
15
16
17
Hypothesis was partially supported
It was originally hypothesized that if minimum inhibitory concentration assays were taken of Xeloda and 5-Fluorouracil, then both would be able to metabolize the drugs to their active form.
This was rejected because no concentration of Xeloda was able to inhibit yeast growth by 50% or more
It was also hypothesized that if Xeloda and 5-Fluorouracil, were compared, then the
5-Fluorouracil would inhibit more yeast growth than Xeloda.
This was supported because the 5-fluorouracil was able to inhibit yeast growth by over 50% compared to the control whereas the Xeloda had no impact upon the growth of yeast.
The results show that overall, yeast cells cannot effectively represent human tumor cells because they were unable to metabolize the Xeloda, a trait which cancer specific tumor cells have demonstrated.
18
A source of error in this experiment was that although 7 concentrations of drug were tested on each species, one one serial dilution was tested per drug
Also, the assay plates were read within 18-24 hours after they were completed, however it is possible that the 6 hour range could have affected how much growth was read by the spectrophotometer
If this experiment was repeated more trials and more precise reading times would be necessary
These results are valuable to the field of oncology
This data shows that yeast contain some of the same enzymes as tumor cells which is why they were able to convert 5-FU to its active form
Further research could potentially find a species of yeast that contains all 3 enzymes required to convert Xeloda to fluorodeoxyuridine monophosphate, fluorodeoxyuridine triphosphate, and fluorouridine triphosphate
19
5-FU [Fact Sheet]. (n.d.). Retrieved October 20, 2011, from Scott Hamilton website: http://www.chemocare.com/BIO/fu.asp
A.D.A.M. Medical Encyclopedia. (2010). Retrieved from http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002306/
Antimetabolite [Definition]. (2011). Retrieved October 20, 2011, from Encyclopedia Britannica website: http://www.britannica.com/EBchecked/topic/28188/antimetabolite
Antioxidants and Cancer Prevention: Fact Sheet [Fact Sheet]. (2004, July 28). Retrieved October 8, 2011, from NAtional
Cancer Institute at the National Institutes of Health website: http://www.cancer.gov/cancertopics/factsheet/prevention/antioxidants
Blinkhorn, R. J., Adelstein, D., & Spagnuolo, P. J. (1989, February). Abstract. Emergence of a new opportunistic pathogen, Candida
lusitaniae. Abstract retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC267283/
Candidiasis. (2009, December 8). Candidiasis. Retrieved December 29, 2011, from http://www.umm.edu/altmed/articles/candidiasis-000030.htm
Cantón, E., Pemán, J., Sastre, M., Romero, M., & Espinel-Ingroff, A. (2006, June 5). Abstract. Killing Kinetics of Caspofungin,
Micafungin, and Amphotericin B against Candida guilliermondii. Abstract retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1538680/
Capecitabine [Fact Sheet]. (2011, April 19). Retrieved October 8, 2011, from http://www.drugbank.ca/drugs/DB01101
Capecitabine (Xeloda) [Fact Sheet]. (2010, December 1). Retrieved October 8, 2011, from Macmillan Cancer Support website: http://www.macmillan.org.uk/Cancerinformation/Cancertreatment/Treatmenttypes/Chemotherapy/Individualdrugs/Capecit abine.aspx
Clark, R. A., Levine, R., & Snedeker, S. (2005, March 18). The Biology of Breast Cancer [Fact Sheet]. Retrieved October 8, 2011, from Cornell University website: http://envirocancer.cornell.edu/factsheet/general/fs5.biology.cfm
20
Diasio, R. B., & Harris, B. E. (1989, April 16). Clinical pharmacology of 5-fluorouracil. Public Medicine, 16(4). Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/2656050
Doctors Responses. (1999, October 14). Retrieved October 20, 2011, from Medicine Net website: http://www.medicinenet.com/script/main/art.asp?articlekey=10736
Ebright, J. R., Fairfax, M. R., & Vazquez, J. A. (2001, September 1). Abstract. Trichosporon asahii, a non-Candida yeast that
caused fatal septic shock in a patient without cancer or neutropenia. Abstract retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11477533
Fidel, P. L., Jr., Vazquez, J. A., & Sobel, J. D. (1999). Candida glabrata: Review of Epidemiology, Pathogenesis, and Clinical
Disease with Comparison to C. albicans. American Society for Microbiology. Retrieved from http://cmr.asm.org/content/12/1/80.full
Gilard, V., Desmoulin, F., Malet-Martino, M., & Martino, R. (2002). METABOLISM OF CAPECITABINE, AN ORAL
FLUOROURACIL PRODRUG: 19F NMR STUDIES IN ANIMAL MODELS AND HUMAN URINE. Drug Metabolism and
Disposition, 30(11), 1222-1229. Retrieved from http://dmd.aspetjournals.org/content/30/11/1221.full.pdf
Hernday, A. D., Noble, S. M., Mitrovich, Q. M., & Johnson, A. D. (Eds.). (2010). Genetics and Molecular Biology in Candida
Albicans. Retrieved from http://johnsonlab.ucsf.edu/sj/wp-content/uploads/2011/01/sdarticle-149.pdf
Kurtz, J. E., Dufour, P., Bergeat, J. P., & Exinger, F. (2004, September 14). Abstract. Saccharomyces Cerevisiae as a Genetic
Model in Anticancer Therapy. Retrieved from http://www.benthamscience.com/cppm/Sample/cpg3-1/001AF.pdf
Metastatic Cancer [Fact Sheet]. (2011, May 23). Retrieved October 20, 2011, from National Cancer Institute website: http://www.cancer.gov/cancertopics/factsheet/Sites-Types/metastatic
Midgley, R., & Kerr, D. J. (2008, October 21). Capecitabine: have we got the dose right? Nature Clinical Practice Oncology.
Retrieved from http://www.nature.com/nrclinonc/journal/v6/n1/full/ncponc1240.html
21
Nobles, S. M., & Johnson, A. D. (2007). Abstract. Genetics of Candida albicans, a diploid human fungal
pathogen. Abstract retrieved from http://www.ncbi.nlm.nih.gov/pubmed/17614788
Pfaller, M. A., Diekema, D. J., Gibbs, D. L., Newell, V. A., Nagy, E., Dobiasova, S., . . . Barton, R. (2008,
February). Abstract. Candida krusei, a multidrug-resistant opportunistic fungal pathogen: geographic and
temporal trends from the ARTEMIS DISK Antifungal Surveillance Program, 2001 to 2005. Abstract retrieved from http://www.ncbi.nlm.nih.gov/pubmed/18077633
Pines, M. (2008). Yeast Researchers Get a Head Start. Retrieved October 20, 2011, from Howard
Hughes Medical Institute website: http://www.hhmi.org/genesweshare/a110.html
Pray, L. (2008). L. H. Hartwell’s Yeast: A Model Organism for Studying Somatic Mutations and Cancer.
Retrieved October 20, 2011, from Scitable website: http://www.nature.com/scitable/topicpage/l-hhartwell-s-yeast-a-model-808
Raz-Pasteur, A., Ullmann, Y., & Berdicevsky, I. (2011, June 13). Abstract. The Pathogenesis of Candida
Infections in a Human Skin Model: Scanning Electron Microscope Observations. Abstract retrieved from http://www.isrn.com/journals/dermatology/2011/150642/
Roshan, A. S., Janaki, C., & Parveen, B. (2009). Abstract. White Piedra in a Mother and Daughter, 140-
141. Abstract retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2938578/
Sood, S., Pathak, D., & Rishi, S. (2006). Abstract. Urinary tract infection by Trichosporon asahii, 24(4), 294-
296. Abstract retrieved from http://www.ijmm.org/article.asp?issn=0255-
0857;year=2006;volume=24;issue=4;spage=294;epage=296;aulast=Sood
22