Delmastro D A, Li J, Vaisman A, Solle M, Chaney S G
Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill 27599, USA.
Cancer Chemother Pharmacol. 1997;39(3):245-53. doi: 10.1007/s002800050568.
DNA damage-inducible genes, such as gadd153, gadd45, p21 and c-jun, have previously been shown to be induced by the chemotherapeutic agent cisplatin. One of these genes, gadd153, has previously been reported to be differentially expressed in cisplatin-resistant cell lines and, therefore, to be a potential prognostic indicator for tumor response to cisplatin-based chemotherapy. It is not currently known whether such damage-inducible genes are turned on by the DNA damage itself (e.g. by the formation of Pt-DNA adducts) or by the downstream biological consequences of that damage. It is also not known whether the increased expression of these DNA-damage-inducible genes is related to immediate protective responses such as DNA repair or to more delayed responses such as cell cycle arrest or apoptosis. These experiments were initiated to characterize more fully the nature of the DNA damage-inducible response to cisplatin treatment and to determine whether any of these genes might be useful prognostic indicators of tumor response to cisplatin chemotherapy.
The dose-response and time-course for the induction of the DNA damage-inducible genes gadd153, gadd45, p21 and c-jun were examined by Northern analysis in the human ovarian carcinoma cell line 2008 and its resistant subclone C13* following treatment with platinum anticancer agents. The extent of gene expression was correlated with cytotoxicity determined by growth inhibition assay, Pt-DNA adducts determined by atomic absorption spectrometry and inhibition of DNA synthesis determined by 3H-thymidine incorporation.
All four genes were induced maximally in both sensitive and resistant cell lines at lethal cisplatin doses (> or = ID90). Induction was maximal between 24 and 48 h following exposure to the drug for all genes except c-jun which was induced by 6 h. At 24 h following cisplatin treatment the overall levels of gadd153 were less in the resistant C13* cell line than in the parental 2008 cell line, while those of gadd45 were greater in C13* than in 2008. Maximal expression of p21 and c-jun was not significantly different in the two cell lines. The dose-response of these genes correlated with the cytotoxicity of cisplatin and the inhibition of DNA synthesis by cisplatin, rather than to the actual levels of Pt-DNA adducts. The more cytotoxic platinum analog, ormaplatin, also induced gadd153 and its induction was also based on cytotoxicity.
These results suggest that the regulation of gadd153 and gadd45 expression occurs thorough separate pathways in the 2008 and C13* cell lines. The DNA damage-inducible gene response for all four damage-inducible genes tested appeared to be more directly correlated with downstream biologic effects of cisplatin damage than with actual Pt-DNA adduct levels. The time-course and dose-response for induction of these genes was more consistent with delayed responses such as apoptosis rather than more immediate responses such as DNA repair. Finally, these results strengthen previous suggestions that the expression of gadd153, and possibly other DNA damage-inducible genes, may be useful indicators of tumor response to cisplatin-based chemotherapy.
DNA损伤诱导基因,如gadd153、gadd45、p21和c-jun,先前已被证明可被化疗药物顺铂诱导。这些基因之一gadd153,先前已报道在顺铂耐药细胞系中差异表达,因此,可能是肿瘤对基于顺铂化疗反应的潜在预后指标。目前尚不清楚此类损伤诱导基因是由DNA损伤本身(如铂-DNA加合物的形成)开启,还是由该损伤的下游生物学后果开启。也不清楚这些DNA损伤诱导基因的表达增加是与如DNA修复等即时保护反应相关,还是与如细胞周期停滞或凋亡等更延迟的反应相关。开展这些实验是为了更全面地描述对顺铂治疗的DNA损伤诱导反应的本质,并确定这些基因中是否有任何一个可能是肿瘤对顺铂化疗反应的有用预后指标。
在用铂类抗癌药物处理后,通过Northern分析检测人卵巢癌细胞系2008及其耐药亚克隆C13*中DNA损伤诱导基因gadd153、gadd45、p21和c-jun的诱导剂量反应和时间进程。基因表达程度与通过生长抑制试验测定的细胞毒性、通过原子吸收光谱法测定的铂-DNA加合物以及通过3H-胸腺嘧啶掺入测定的DNA合成抑制相关。
在致死性顺铂剂量(≥ID90)下,敏感和耐药细胞系中所有四个基因均被最大程度诱导。除c-jun在6小时被诱导外,所有基因在接触药物后24至48小时诱导达到最大。顺铂处理24小时后,耐药的C13细胞系中gadd153的总体水平低于亲本2008细胞系,而C13中gadd45的水平高于2008细胞系。两个细胞系中p21和c-jun的最大表达无显著差异。这些基因的剂量反应与顺铂的细胞毒性和顺铂对DNA合成的抑制相关,而非与铂-DNA加合物的实际水平相关。细胞毒性更强的铂类似物奥马铂也诱导gadd153,其诱导也基于细胞毒性。
这些结果表明,在2008和C13*细胞系中,gadd153和gadd45表达的调节通过不同途径发生。所测试的所有四个损伤诱导基因的DNA损伤诱导基因反应似乎与顺铂损伤的下游生物学效应更直接相关,而非与实际的铂-DNA加合物水平相关。这些基因诱导的时间进程和剂量反应与如凋亡等延迟反应更一致,而非与如DNA修复等即时反应一致。最后,这些结果强化了先前的推测,即gadd153以及可能其他DNA损伤诱导基因的表达可能是肿瘤对基于顺铂化疗反应的有用指标。