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Vol. 57, Issue 2, 296-307, February 2000
and Altered G2/M Checkpoint
and Apoptotic Responses
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
topoII
protein levels and ~2.2-fold increase in topoII
mRNA
levels. Furthermore, CEM/ICRF-8 expresses ~3.5-fold increase in
topoII
promoter activity, suggesting that up-regulation of topoII
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 topoII
and altered G2/M checkpoint and apoptotic responses.
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