Our results are still preliminary, and further investigations are

Our results are still preliminary, and further investigations are required to understand the mechanisms of the increased or decreased drug sensitivity in the radio-resistant cell line. As a next step, in vivo experiments Autophagy activator inhibitor would be necessary to confirm the relevance for radio-chemotherapy of cancer. A detailed understanding of the mechanisms of radiation-induced chemosensitivity may prove very helpful for choosing the sequence of radiotherapy and chemotherapy in esophageal cancer. Conclusion Our study demonstrated a significant association between the cellular radio-resistance

and the sensitivity of chemotherapeutic drugs in esophageal carcinoma cells. This result implied that doxorubicin, 5-fluorouracil, paclitaxel or etoposide will provide a more marked therapeutic effect for radio-resistant esophageal cancer. It will be important to confirm these findings and to

take them into account in the development of new treatment sequence for ESCC. Acknowledgements We thank Minglei Guo for revising the manuscript. This work was supported by grants from the National Science Foundation of China (selleck inhibitor 30570547 and 30801066). References 1. Law S, Wong J: The current management of esophageal cancer. Adv Surg 2007, 41: 93–119.CrossRefPubMed 2. Parkin DM, Bray F, Ferlay J, Pisani P: Global cancer statistics, 2002. CA Cancer J Clin 2005, 55 (2) : 74–108.CrossRefPubMed 3. Seitz JF, Dahan L, Jacob J, Artru P, Maingon P, Bedenne L, Triboulet JP: Esophagus cancer. Gastroenterol Clin Biol 2006, 30 (Spec No 2) : 2S5–2S15.PubMed

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