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Experimental Therapeutics, Preclinical Pharmacology |
Departments of Bioimmunotherapy [N. J. D., M. P.], Clinical Investigation [Z. H. S.], and Thoracic and Head and Neck Medical Oncology [Y-H. L., R. P-S.], University of Texas M.D. Anderson Cancer Center, Houston, Texas 77030
Cell
cycle regulators and signal transduction pathways can influence
apoptotic sensitivity of tumor cells, and we previously described an
association between EGFr overexpression, reduced DNA repair activity,
and increased apoptotic sensitivity of ME-180 cervical carcinoma cells
toward cis-diammedichloroplatinum (cDDP; K. Nishikawa,
et al., Cancer Res., 52: 47584765, 1992). In the
present study, the characteristics of ME-180 cells selected for high or
low apoptotic sensitivity to cDDP (or camptothecin) were examined and
compared to determine whether signal transduction components and cell
cycle regulation were distinct in these isogenic drug response variant
populations. As ME-180 cells progressed from high to low cDDP
sensitivity [IC50
80 ng/ml in cDDP sensitive (PT-S) to
2000 ng/ml in cDDP-resistant (Pt-R) cells], there was a significant
decrease in EGFr expression that paralleled the relative reduction in
cDDP apoptotic responsiveness (
30-fold). cDDP-resistant cells had
the slowest rate of growth and more effectively reduced DNA adduct
levels following cDDP exposure than parental cells. Cellular levels of
the cell cycle inhibitor p21WAF1 inversely correlated with cDDP
responsiveness with high levels of p21WAF1 expressed in drug-resistant
Pt-R cells in the absence of elevated p53. cDDP stimulated a 2-fold
increase in p53 levels in both drug-sensitive and drug-resistant cells
but caused a delayed reduction in p21WAF1 levels, suggesting
p53-independent regulation of p21WAF1 in ME-180 cells. Activation of
EGFr in Pt-R cells stimulated cell cycle progression (2-fold), reduced
p21WAF1 levels (>2-fold), and increased sensitivity to cDDP (3-fold),
suggesting that receptor signaling enhanced the efficacy of cDDP to
induce cell death by relieving cell cycle restriction. These results
demonstrate that the transition of ME-180 cells from a drug-sensitive
to drug-resistant phenotype correlates with reciprocal changes in EGFr
and p21WAF1 expression and provides additional evidence that the
pathways controlled by these proteins may contribute to some forms of
drug resistance.
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