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Vol. 62, Issue 2, 210-219, August 2002
Laboratory of Retina and Optic Nerve Research, Departments of
Ophthalmology (G.E.B., C.S., C.J., S.B., M.E.M.K.), Pharmacology
(G.E.B., C.S., L.E., C.J., M.E.M.K.), and Physiology & Biophysics
(G.E.B., G.R., S.B.), Dalhousie University, Halifax, Nova Scotia,
Canada
We show that mitogenic cells expressing T-type Ca2+
channels (T-channels) are more sensitive to the antiproliferative
effects of the drugs pimozide and mibefradil than cells without
significant T-channel expression. The growth of Y79 and WERI-Rb1
retinoblastoma cells, as well as MCF7 breast cancer epithelial cells,
all of which express T-channel current and mRNA for T-channel subunits, is inhibited by pimozide and mibefradil with IC50 values
between 0.6 and 1.5 µM. Proliferation of glioma C6 cells, which show
little T-channel expression, is less sensitive to these drugs
(IC50 = 8 and 5 µM for pimozide and mibefradil,
respectively). Neither drug seems to alter cell cycle or the expression
of cyclins. Although this strong correlation between T-channel
expression and growth inhibition exists, the following results suggest
that the drugs inhibit cell growth via different cytotoxic pathways: 1)
pimozide and mibefradil have additive effects on T-channel current
inhibition, whereas the antiproliferative activity of the drugs
together is synergistic; 2) an increase in the number of apoptotic Y79
and MCF7 cells and a decrease in the mRNA for the antiapoptotic gene Bcl-2 is detected only in pimozide-treated cells,
whereas in mibefradil-treated cells, the toxicity is primarily
necrotic; and 3) growth inhibition by mibefradil is reduced in Y79
cells transfected with T-channel antisense and in differentiated Y79
cells (which have decreased T-channel expression), but growth
inhibition by pimozide is affected to a lesser extent. These results
suggest that pimozide and mibefradil inhibit cell proliferation via
different cytotoxic pathways and that in the case of pimozide, it is
unlikely that this effect is mediated solely by T-channel inhibition.
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