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[Cancer Research 59, 5938-5946, December 1, 1999]
© 1999 American Association for Cancer Research

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[Cancer Research 59, 5938-5946, December 1, 1999]
© 1999 American Association for Cancer Research


Experimental Therapeutics

Camptothecin Resistance

Role of the ATP-binding Cassette (ABC), Mitoxantrone-resistance Half-Transporter (MXR), and Potential for Glucuronidation in MXR-expressing Cells

Mariafiorella Brangi, Thomas Litman, Marco Ciotti, Kenryu Nishiyama, Glenda Kohlhagen, Chris Takimoto, Robert Robey, Yves Pommier, Tito Fojo and Susan E. Bates1

Medicine Branch [M. B., T. L., K. N., C. T., R. R., T. F., S. E. B] and Laboratory of Molecular Pharmacology, Developmental Therapeutics Program [G. K., Y. P.], Division of Cancer Treatment, National Cancer Institute, NIH, Bethesda, Maryland 20892; Heritable Disorders Branch, National Institute of Child Health and Human Development, NIH, Bethesda, Maryland 20892 [M. C.]

The mitoxantrone resistance (MXR) gene encodes a recently characterized ATP-binding cassette half-transporter that confers multidrug resistance. We studied resistance to the camptothecins in two sublines expressing high levels of MXR: S1-M1-80 cells derived from parental S1 colon cancer cells and MCF-7 AdVp3000 isolated from parental MCF-7 breast cancer cells. Both cell lines were 400- to 1000-fold more resistant to topotecan, 9-amino-20(S)-camptothecin, and the active metabolite of irinotecan, 7-ethyl-10-hydroxycamptothecin (SN-38), than their parental cell lines. The cell lines demonstrated much less resistance to camptothecin and to several camptothecin analogues. Reduced accumulation and energy-dependent efflux of topotecan was demonstrated by confocal microscopy. A significant reduction in cleavable complexes in the resistant cells could be observed after SN-38 treatment but not after camptothecin treatment. In addition to topotecan and SN-38, MXR-overexpressing cells are highly resistant to mitoxantrone and epirubicin. Because these compounds are susceptible to glucuronidation, we examined UDP-glucuronosyltransferase (UGT) activity in parental and resistant cells by TLC. Glucuronides were found at equal levels in both parental and resistant colon cancer cell lines for epirubicin and to a lesser extent for SN-38 and mitoxantrone. Low levels of glucuronidation could also be detected in the resistant breast cancer cells. These results were confirmed by analysis of the UGT1A family mRNAs. We thus conclude that colon and breast cancer cells have a capacity for glucuronidation that could contribute to intrinsic drug resistance in colon cancer cells and may be acquired in breast cancer cells. The lack of selection for higher levels of UGT capacity in the colon cells suggests that high levels of expression of MXR alone are sufficient to confer resistance to the camptothecins.




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