The availability of oral precursors of 5-Fluorouracil (5-FU) and its favorable results in treating advanced breast cancer have renewed the interest in the molecular mechanisms underlying its cytotoxicity. We have compared the changes in cell cycle and cell death parameters induced by 2 different concentrations of 5-FU (IC50 and IC80) in the breast adenocarcinoma cell line MCF7. G1/S cell cycle arrest was associated with both concentrations, whereas cell death was mainly induced after IC80 5-FU. These changes were correlated with gene expression assessed by cDNA microarray analysis. Main findings included an overexpression of p53 target genes involved in cell cycle and apoptosis (CDKN1A/ p21, TP53INP, TNFRSF6/FAS and BBC3/PUMA), and significant repression of Myc. High dose 5-FU also induced a higher regulation of the mitochondrial death genes APAF1, BAK1 and BCL2, and induction of genes of the ID family. Furthermore, we establish a direct causal relationship between p21, ID1 and ID2 overexpression, increased acetylation of histones H3 and H4 and binding of p53 to their promoters as a result of 5-FU treatment. The relevance of these findings was further studied after interfering p53 expression in MCF7 cells (shp53 cells), showing a lower induction of both, ID1 and ID2 transcripts, after 5-FU when compared with MCF7 shGFP control cells. This molecular characterization of dose-and time-dependent modifications of gene expression after 5-FU treatment should provide a resource for future basic studies addressing the molecular mechanisms of chemotherapy in breast cancer. ' 2006 Wiley-Liss, Inc.Key words: 5-Fluorouracil; cDNA microarrays; p53; E2F1; ID proteins Carcinogenesis is a multistep process involving genetic and epigenetic alterations that drive the progressive transformation of normal cells into malignant types. Deregulated processes involved in tumorigenesis, such as regulation of cell cycle progression, angiogenesis and apoptosis, provide rational targets for novel therapies. For this reason, there is now more emphasis on understanding the mechanisms of carcinogenesis and how these can be exploited when designing new therapeutic agents. 1 Capecitabine is an example of a rationally designed cytotoxic treatment. It is designed to generate 5-Fluorouracil (5-FU) preferentially in tumor cells, by exploiting the higher activity of the activating enzyme thymidine phosphorylase in tumors compared with healthy tissues. Tumor-specific activation has the potential to increase intratumor drug levels to enhance efficacy and minimize toxicity. Proof of this principle is provided by clinical trial results, showing that capecitabine is effective and has a favorable safety profile in the treatment of metastatic breast cancer. 1 Capecitabine active metabolite, 5-FU, is one of the most widely used chemotherapy drugs for the treatment of solid tumors. However, despite its extensive use in clinical practice, only in recent years we have began to understand the molecular basis for 5-FU toxicity on cancer cells. As a pyrimidine ana...