Evidence map›Paper›PMID 39708267›Full record

ArticleInvestigational new drugs2025

5-Fluorouracil-methotrexate conjugate enhances the efficacy of 5-fluorouracil in colorectal cancer therapy.

Siyuan Zhao, Tiansi Wang, Kourong Shi, Ting Li, Qiuzhen Zhu, Yuan Li, Beiwei Xin, Xin Wu, Wei Fan

Abstract read
PubMed Publisher
In one paragraph

Article in Investigational new drugs, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Siyuan Zhao *Department of Pharmacy, Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No 358, Datong Road, Gaoqiao, Pudong New Area, 200137, Shanghai, China.
Tiansi Wang *Fujian University of Traditional Chinese Medicine, Fuzhou, 350122, Fujian, China.
Kourong Shi *Department of Pharmacy, Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No 358, Datong Road, Gaoqiao, Pudong New Area, 200137, Shanghai, China.
Ting LiDepartment of Pharmacy, Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No 358, Datong Road, Gaoqiao, Pudong New Area, 200137, Shanghai, China.
Qiuzhen ZhuDepartment of Pharmacy, Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No 358, Datong Road, Gaoqiao, Pudong New Area, 200137, Shanghai, China.
Yuan LiDepartment of Pharmacy, Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No 358, Datong Road, Gaoqiao, Pudong New Area, 200137, Shanghai, China.
Beiwei XinDepartment of Pharmacy, Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No 358, Datong Road, Gaoqiao, Pudong New Area, 200137, Shanghai, China.
Xin WuFujian University of Traditional Chinese Medicine, Fuzhou, 350122, Fujian, China. wuxin007@126.com.
Wei FanDepartment of Pharmacy, Seventh People's Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, No 358, Datong Road, Gaoqiao, Pudong New Area, 200137, Shanghai, China. xuehaizifw@126.com.

Funding

Key Discipline Construction Project of Shanghai Pudong New Area PWZxk2022-07Medical and Health Project of People's Livelihood Research of Shanghai Pudong New Area PKJ2023-Y01Shanghai Oriental Talent Youth Project CYON2023017Talents Training Program of the Seventh People's Hospital, Shanghai University of Traditional Chinese Medicine BDX2022-01
6 · The paper itself

Abstract

To extend the short half-life of fluorouracil (Fu), enhance its tumor targeting, improve efficacy, and reduce side effects, providing a new approach for colorectal cancer treatment. Fluorouracil was hydroxylated and conjugated with methotrexate to form a 5-fluorouracil-methotrexate conjugate (MF). This was complexed with sulfobutyl ether-β-cyclodextrin (MF-SEBCD) using a stirring method to create an injectable formulation. In vitro studies assessed the conversion of MF-SEBCD in plasma and its antitumor activity. In vivo studies examined antitumor activity, preliminary safety, pharmacokinetics, and tissue distribution. MF was synthesized with a 25% yield and purity above 95%. The water solubility of MF increased by 92-fold with MF-SEBCD preparation. In vitro, MF-SEBCD effectively converted into Fu in plasma and showed strong antitumor activity, with IC50 values of 0.51, 1.29, and 1.26 µM for MC38, HT29, and 4T1 cells, respectively. In vivo, MF-SEBCD achieved a tumor inhibition rate of 57.08%. Pharmacokinetic studies showed that MF-SEBCD extended Fu's half-life to 47 min, nearly double that of Fu injection. Tissue distribution analysis confirmed improved tumor targeting. MF-SEBCD effectively prolongs Fu's half-life, enhances tumor targeting, increases antitumor efficacy, and reduces side effects, offering a promising approach for colorectal cancer treatment.

Indexed as

Antimetabolites, AntineoplasticAntineoplastic AgentsColorectal NeoplasmsFluorouracilMethotrexateAnimalsbeta-CyclodextrinsCell Line, TumorFemaleHalf-LifeHT29 CellsHumansMaleMiceMice, Inbred BALB CTissue DistributionAntimetabolites, AntineoplasticAntineoplastic Agentsbeta-CyclodextrinsFluorouracilMethotrexateSBE4-beta-cyclodextrin5-FluorouracilCyclodextrinDrug conjugateMethotrexate

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.