Nicoletti M I, Valoti G, Giannakakou P, Zhan Z, Kim J H, Lucchini V, Landoni F, Mayo J G, Giavazzi R, Fojo T
Department of Oncology, Mario Negri Institute for Pharmacological Research, 24125 Bergamo, Italy.
Clin Cancer Res. 2001 Sep;7(9):2912-22.
Paclitaxel resistance has been associated with overexpression of P-glycoprotein and alterations involving tubulin. To investigate the clinical relevance of these in vitro resistance mechanisms, we established 12 human ovarian carcinoma xenografts, using samples from patients before the start of therapy or after paclitaxel treatment. These xenografts showed a wide range of sensitivity to paclitaxel, and in 4 of them, very low levels of multidrug resistance-1 expression were detected. Using quantitative PCR and human specific primers, the expression of five beta-tubulin isotypes was determined. HM40 was the predominant, accounting for 84.7-98.7% of all tubulin; expression of the other four isotypes (Hbeta9, Hbeta4, H5beta, and Hbeta2) was also detected but at lower levels. No correlation could be demonstrated between isotype expression and paclitaxel sensitivity in these 12 xenografts. A similar pattern of beta-tubulin isotype expression was observed in a subset of cell lines from the National Cancer Institute-Anticancer Drug Screen. In these cell lines, however, a significant correlation between increased expression of Hbeta4 isotype and resistance to paclitaxel was found. Taken together, these results suggest that altered expression of specific beta-tubulin isotypes may not play a significant role in paclitaxel sensitivity in vivo and argue against a possible significance in a clinical setting.
紫杉醇耐药性与P-糖蛋白的过表达以及涉及微管蛋白的改变有关。为了研究这些体外耐药机制的临床相关性,我们使用治疗开始前或紫杉醇治疗后的患者样本建立了12个人卵巢癌异种移植模型。这些异种移植模型对紫杉醇表现出广泛的敏感性,其中4个检测到极低水平的多药耐药-1表达。使用定量PCR和人特异性引物,测定了五种β-微管蛋白亚型的表达。HM40是主要亚型,占所有微管蛋白的84.7-98.7%;其他四种亚型(Hbeta9、Hbeta4、H5beta和Hbeta2)也有表达,但水平较低。在这12个异种移植模型中,亚型表达与紫杉醇敏感性之间未显示出相关性。在美国国立癌症研究所抗癌药物筛选的一部分细胞系中观察到了类似的β-微管蛋白亚型表达模式。然而,在这些细胞系中,发现Hbeta4亚型表达增加与对紫杉醇的耐药性之间存在显著相关性。综上所述,这些结果表明特定β-微管蛋白亚型的表达改变可能在体内紫杉醇敏感性中不发挥重要作用,并且反对其在临床环境中的可能意义。