Cellular resistance to vinblastine is associated with altered respiratory function.

Human leukaemic T lymphoblasts made resistant to low levels (20-40 ng/ml) of vinblastine have altered respiratory capacity. Cellular oxygen uptake was greater in resistant cells compared with sensitive cells, and vinblastine (40 ng/ml) caused immediate inhibition of oxygen uptake in sensitive cells, but not in resistant cells. Isolated mitochondria reflected the changes observed in the intact cells. Rates of oxidation of cytochrome c, succinate and glutamine were higher in mitochondria from resistant cells and were little affected by challenge with vinblastine, whereas vinblastine at 40 ng/ml was completely inhibitory for sensitive cell mitochondria. Azide inhibited vinblastine efflux from sensitive and resistant cells in both the presence and absence of glucose. Levels of protein, total lipid, free cholesterol and cardiolipin were elevated in vinblastine-resistant lymphoblasts.