RT Journal Article SR Electronic T1 Dependence of Paclitaxel Sensitivity on a Functional Spindle Assembly Checkpoint JF Cancer Research JO Cancer Res FD American Association for Cancer Research SP 2502 OP 2508 DO 10.1158/0008-5472.CAN-03-2013 VO 64 IS 7 A1 Sudo, Tamotsu A1 Nitta, Masayuki A1 Saya, Hideyuki A1 Ueno, Naoto T. YR 2004 UL http://cancerres.aacrjournals.org/content/64/7/2502.abstract AB Paclitaxel stabilizes microtubules, causing mitotic arrest and activating the spindle assembly checkpoint. We determined whether suppression of the checkpoint genes Mad2 and BubR1 affects paclitaxel resistance and whether overexpression of Mad2 protein in checkpoint-defective cells enhances paclitaxel sensitivity. Suppression of Mad2 and BubR1 in paclitaxel-treated cancer cells abolished checkpoint function, resulting in paclitaxel resistance that correlated with suppression of cyclin-dependent kinase-1 activity. In contrast, overexpression of Mad2 in cells with a checkpoint defect attributable to low Mad2 expression restored checkpoint function, resulting in enhanced paclitaxel sensitivity that correlated with enhanced cyclin-dependent kinase-1 activity. However, overexpression of Mad2 failed to enhance paclitaxel sensitivity via checkpoint activation in Mad2-independent checkpoint-defective and -intact cells. Thus, checkpoint function is required for paclitaxel sensitivity. These findings show that any molecules that could interfere with the spindle assembly checkpoint could generate paclitaxel resistance in any patient.