Kern M A, Helmbach H, Artuc M, Karmann D, Jurgovsky K, Schadendorf D
Klinische Kooperationseinheit für Dermato-Onkologie des DKFZ am Klinikum der medizinischen Fakultät Mannheim, Universität Heidelberg, Germany.
Anticancer Res. 1997 Nov-Dec;17(6D):4359-70.
Melanoma cells often display a multidrug-resistant phenotype, but the mechanisms involved are largely unknown. In order to establish a reproducable model system for studying the exact mechanisms conferring chemoresistance, we selected drug-resistant sublines in vitro derived from one parental human melanoma (MeWo) cell line. Four commonly used chemotherapeutic drugs (vindesine, etoposide, fotemustine, cisplatin) with different modes of action were choosen and stable sublines exhibiting four different levels of resistance against each drug were selected by continuous exposure over two years. Analysis of the drug-resistant sublines regarding their pharmacological characteristics and cross-resistance pattern revealed an up to 26-fold increased relative resistance against the alkylating agent fotemustine (MeWoFOTE) and an up to 35.7-fold increased relative resistance against topoisomerase-II-inhibiting etoposide (MeWoETO). Cisplatin selection (MeWoCIS) resulted in a 6-fold higher resistance compared to parental MeWo cells, whereas vindesine exposure (MeWoVIND) increased relative resistance up to 10.2-fold. Sublines selected separately for resistance to the DNA-damaging agents fotemustine, cisplatin and etoposide demonstrated strong cross-resistance. In comparison to the parental cell line drug-resistant sublines showed altered expression patterns of proto-oncogenes. Levels of p53 mRNA decreased with increasing resistance to vindesine, etoposide and fotemustine. Expression of bcl-2 family members (bax, bcl-x) was modulated by fotemustine, etoposide and cisplatin. In addition the expression of members of the fos (c-fos) and jun (c-jun, jun-D) gene family encoding transcription factors of the AP-1 complex was altered in all drug-resistant sublines. The pattern of expression varied with the inducing stimulus and this was paralleled by changes in the transactivation potential of AP-1. Our results reinforce the central role of AP-l in drug resistance probably through its participation in a programmed cellular stress response.
黑色素瘤细胞通常表现出多药耐药表型,但其中涉及的机制大多未知。为了建立一个可重复的模型系统来研究赋予化学抗性的确切机制,我们在体外从一个亲本人类黑色素瘤(MeWo)细胞系中选择了耐药亚系。选择了四种具有不同作用模式的常用化疗药物(长春地辛、依托泊苷、福莫司汀、顺铂),通过两年的持续暴露,筛选出对每种药物表现出四种不同耐药水平的稳定亚系。对耐药亚系的药理学特性和交叉耐药模式进行分析发现,对烷化剂福莫司汀(MeWoFOTE)的相对耐药性增加了26倍,对拓扑异构酶-II抑制剂依托泊苷(MeWoETO)的相对耐药性增加了35.7倍。顺铂筛选(MeWoCIS)导致与亲本MeWo细胞相比耐药性高6倍,而长春地辛暴露(MeWoVIND)使相对耐药性增加到10.2倍。分别选择对DNA损伤剂福莫司汀、顺铂和依托泊苷耐药的亚系表现出强烈的交叉耐药性。与亲本细胞系相比,耐药亚系原癌基因的表达模式发生了改变。随着对长春地辛、依托泊苷和福莫司汀耐药性的增加,p53 mRNA水平下降。bcl-2家族成员(bax、bcl-x)的表达受福莫司汀、依托泊苷和顺铂的调节。此外,编码AP-1复合物转录因子的fos(c-fos)和jun(c-jun、jun-D)基因家族成员的表达在所有耐药亚系中均发生改变。表达模式随诱导刺激而变化,这与AP-1的反式激活潜能的变化平行。我们的结果强化了AP- l在耐药性中的核心作用,可能是通过其参与程序性细胞应激反应实现的。