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Vol. 57, Issue 2, 296-307, February 2000

Selection of Human Leukemic CEM Cells for Resistance to the DNA Topoisomerase II Catalytic Inhibitor ICRF-187 Results in Increased Levels of Topoisomerase IIalpha and Altered G2/M Checkpoint and Apoptotic Responses

Susan E. Morgan, Rhonda S. Cadena, Susana C. Raimondi, and William T. Beck

Department of Molecular Genetics, University of Illinois at Chicago, Chicago, Illinois (S.E.M., R.S.C., W.T.B.); and Department of Pathology and Laboratory Medicine, St. Jude Children's Research Hospital, Memphis, Tennessee (S.C.R.).

ICRF-187 is a bisdioxopiperazine anticancer drug that inhibits the catalytic activity of DNA topoisomerase (topo) II without stabilizing DNA-topoII cleavable complexes. To better understand the mechanisms of action of and resistance to topoII catalytic inhibitors, human leukemic CEM cells were selected for resistance to ICRF-187. The clones CEM/ICRF-8 and CEM/ICRF-18 are approximately 40- and 69-fold resistant to ICRF-187, and 12- and 67-fold cross-resistant to ICRF-193, respectively, but are sensitive to other topoII catalytic inhibitors (merbarone and aclarubicin), as well as collaterally sensitive to the DNA-topoII complex-stabilizing drug etoposide (VP-16). Both the number of VP-16- induced DNA-topoII complexes formed and the amount of in vitro topoII catalytic activity are enhanced in the drug-resistant cells. The ICRF-187-resistant clones contain ~5-fold increase in topoIIalpha protein levels and ~2.2-fold increase in topoIIalpha mRNA levels. Furthermore, CEM/ICRF-8 expresses ~3.5-fold increase in topoIIalpha promoter activity, suggesting that up-regulation of topoIIalpha in this clone occurs at the transcriptional level. Treatment of the drug-resistant or -sensitive cells with equitoxic doses of merbarone or teniposide results in a G2/M arrest. In marked contrast, when treated with equitoxic ICRF-187 doses, the drug-resistant clones exhibit either a transient arrest or completely lack the G2/M checkpoint compared with the drug-sensitive cells. This aberrant cell cycle profile is associated with a 48-h delay in drug-induced apoptotic cell death, as revealed by fluorescent-end labeling of DNA and poly (ADP-ribose) polymerase cleavage. In summary, resistance to ICRF-187 in CEM cells is associated with increased levels of catalytically active topoIIalpha and altered G2/M checkpoint and apoptotic responses.


Copyright © 2000 by The American Society for Pharmacology and Experimental Therapeutics



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