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Laboratory of Drug Discovery Research and Development, Developmental Therapeutics Program, Division of Cancer Treatment, Diagnosis, and Centers, National Cancer Institute, Frederick Cancer Research and Development Center, Frederick, Maryland 21702 (R.J.K., E.H.), Medicine Branch, Division of Clinical Sciences, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892 (P.G.), Division of Biomedical Marine Research, Harbor Branch Oceanographic Institution, Fort Pierce, Florida 34946 (S.P.G., R.E.L.), and Department of Environmental and Occupational Health and Department of Pharmaceutical Sciences, University of Pittsburgh Cancer Institute, University of Pittsburgh, Pittsburgh, Pennsylvania 15238 (B.W.D.)
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Summary |
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The lactone-bearing polyhydroxylated alkatetraene (+)-discodermolide,
which was isolated from the sponge Discodermia
dissoluta, induces the polymerization of purified tubulin with
and without microtubule-associated proteins or GTP, and the polymers
formed are stable to cold and calcium. These effects are similar to
those of paclitaxel (Taxol), but discodermolide is more potent. We
confirmed that these properties represent hypernucleation phenomena; we obtained lower tubulin critical concentrations and shorter polymers with discodermolide than paclitaxel under a variety of reaction conditions. Furthermore, we demonstrated that discodermolide is a
competitive inhibitor with [3H]paclitaxel in binding to
tubulin polymer, with an apparent
Ki value of 0.4 µM. Multidrug-resistant human colon and ovarian
carcinoma cells overexpressing P-glycoprotein, which are 900- and
2800-fold resistant to paclitaxel, respectively, relative to the
parental lines, retained significant sensitivity to discodermolide (25- and 89-fold more resistant relative to the parental lines). Ovarian carcinoma cells that are 20-30-fold more resistant to paclitaxel than
the parental line on the basis of expression of altered
-tubulin polypeptides retained nearly complete sensitivity to discodermolide. The effects of discodermolide on the reorganization of the microtubules of Potorous tridactylis kidney epithelial cells were
examined at different times. Intracellular microtubules were
reorganized into bundles in interphase cells much more rapidly after
discodermolide treatment compared with paclitaxel treatment. A variety
of spindle aberrations were observed after treatment with both drugs.
The proportions of the different types of aberration were different for
the two drugs and changed with the length of drug treatment.
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Introduction |
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Recently, an ever-increasing number of potently cytotoxic natural products that interact with tubulin have been isolated (see Ref. 1 for a review). Cells treated with these compounds arrest in the mitotic phase of the cell cycle. At medium-to-higher drug concentrations, this occurs because the microtubule spindle fails to form, whereas, at lower concentrations, these agents seem to interfere with spindle microtubule dynamics (2), apparently prolonging metaphase. Most of these antimitotic agents also cause the disappearance of intracellular microtubules. Such compounds invariably inhibit the assembly of microtubule protein or purified tubulin, often at concentrations substantially below the tubulin concentration in the reaction mixture.
A few antimitotic drugs, however, cause massive reorganization of intracellular microtubules and promote biochemical assembly reactions of both microtubule protein and purified tubulin. For more than 15 years, paclitaxel and structurally related taxoids were the only compounds known to have this mechanism of action (3). Recently, two additional drug classes have been shown to act by a similar mechanism. A computer-assisted search for novel compounds with structural analogy to colchicine site inhibitors suggested that the marine natural product (+)-discodermolide (4, 5), which was isolated from the sponge Discodermia dissoluta, could be an antimitotic agent (6), and initial studies with the compound had demonstrated potent antiproliferative activity (low nanomolar IC50 values), with cell cycle arrest at G2/M (7). However, the treatment of breast carcinoma cells with nanomolar concentrations of discodermolide resulted in spectacular microtubule bundle formation, even more extensive than that observed with micromolar concentrations of paclitaxel. Studies with purified tubulin confirmed that discodermolide was significantly more potent than paclitaxel in inducing polymerization under a variety of reaction conditions (8). The activity of epothilones A and B, isolated from the soil bacterium Sorangium cellulosum, was discovered through a screen of almost 8000 natural product extracts for compounds that would polymerize microtubule protein, and the purified compounds, like paclitaxel, caused extensive rearrangement of microtubules in cells (9). The structures of discodermolide and the epothilones are compared with that of paclitaxel in Fig. 1.
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The diverse, seemingly unrelated, structures of these molecules raised the question of whether they bind to the same or different sites on tubulin. Radiolabeled taxoids seem to bind with high affinity only to polymerized forms of tubulin, and inhibitors of assembly usually simultaneously prevent paclitaxel-driven polymerization and binding of taxoid to tubulin (10-12). The epothilones (9, 13) and discodermolide (14, 15) were shown to inhibit the binding of [3H]paclitaxel to tubulin polymers. Recently, we reported that epothilones A and B displayed kinetic inhibitory patterns observed with competitive inhibitors (13), indicating they bind to the paclitaxel site on polymer. A similar kinetic characterization of discodermolide binding was one of the goals of the current study, as was further characterization of the potent activity of discodermolide in nucleating microtubule assembly (8).
Paclitaxel and its semisynthetic analog docetaxel (Taxotere) have
become increasingly important in the treatment of neoplastic diseases
(16, 17), and it is to be hoped that discodermolide and the epothilones
will have similar value. Paclitaxel is a substrate for P-glycoprotein,
whose overexpression can be responsible for the MDR phenomenon.
Epothilones A and B do not seem to bind to P-glycoprotein; a number of
MDR cell lines that have lost their sensitivity to paclitaxel retain
nearly complete sensitivity to both epothilones (9, 13, 18, 19). In
addition, we found that the paclitaxel-resistant ovarian carcinoma cell
lines 1A9PTX10 and 1A9PTX22, which express altered
-tubulins1 (20), retained
full sensitivity to epothilone B, whereas only 1A9PTX22 cells retained
full sensitivity to epothilone A (13, 19). We evaluated the activity of
discodermolide in two MDR carcinoma cell lines and in the
paclitaxel-resistant 1A9PTX10 and 1A9PTX22 ovarian carcinoma lines.
Further, microtubule bundles appear more rapidly in cells treated with
discodermolide than in cells treated with paclitaxel. This complements
the earlier observation that bundles appear after treatment of cells
with significantly lower concentrations of discodermolide than of
paclitaxel (8).
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Experimental Procedures |
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Materials.
Discodermolide was isolated from D. dissoluta as previously described (21). Paclitaxel and
[3H]paclitaxel (19-23 mCi/mmol) were
generously provided by the Drug Synthesis and Chemistry Branch,
National Cancer Institute (Rockville, MD). Drugs were dissolved in
dimethylsulfoxide, and control samples contained solvent equivalent to
that in drug-treated cultures or reaction mixtures. Electrophoretically
homogenous tubulin and heat-treated MAPs were prepared from bovine
brain (22). Tubulin was freed from unbound nucleotide by gel filtration chromatography and reconcentrated as previously described (23). For the
polymerization studies, 1.0 M glutamate (used to stabilize the tubulin; can replace MAPs in inducing tubulin assembly) was removed
through dialysis against 0.1 M MES, pH 6.9. The tubulin was
centrifuged to remove aggregated protein and stored in liquid nitrogen
in 0.2-ml aliquots. PtK2 cells were from American
Type Culture Collection (Rockville, MD). The ovarian carcinoma line 1A9, a clone of line A2780 (24), was used to generate
paclitaxel-resistant lines by incubating the cells with increasing
concentrations of paclitaxel in the presence of verapamil (20). The
ovarian MDR line A2780AD was also derived from line A2780 (25). The
colon carcinoma line SW620 and its subline SW620AD-300, which
overexpresses P-glycoprotein, have been previously described (26).
Culture media and FCS were from GIBCO BRL (Gaithersburg, MD), Permanox and glass slides were from Nunc (Naperville, CT), and murine monoclonal anti-
-tubulin antibody and GTP were from Sigma Chemical (St. Louis,
MO). GTP and ddGTP (from Pharmacia, Piscataway, NJ) were repurified by
anion exchange chromatography on DEAE-cellulose. Texas Red-conjugated
goat-antimouse IgG and ProLong antifade fluorescent mounting medium
were from Molecular Probes (Eugene, OR). Epothilones A and B were
generously provided by Merck Research Laboratories (Rahway, NJ).
Inhibition of human colon and human ovarian carcinoma cell growth. Cells were continuously incubated in RPMI medium containing 10% FCS, 12 µg/ml gentamicin sulfate, and 2 mM glutamine. The medium for the paclitaxel-resistant ovarian cells also contained 5 µg/ml verapamil (to inhibit expression of P-glycoprotein) and 15 ng/ml paclitaxel. Before drug treatment, the paclitaxel-resistant ovarian cells were removed from paclitaxel containing medium for 5-7 days. Drug effects were determined in 96-well microtiter plates, with cells fixed and stained for protein (27).
Indirect immunofluorescence.
Confluent monolayers of
PtK2 cells, grown on 25-cm2
plates, were suspended by incubation with 7 ml/plate of 0.05% trypsin
and 0.53 mM EDTA in Hanks' balanced salt solution.
Suspended cells were diluted 1:40 with minimal essential medium
containing 1 mM sodium pyruvate, 0.1 mM
nonessential amino acids, 10% FCS, 2 mM glutamine, and 10 µg/ml gentamicin sulfate and allowed to attach and grow for 24 hr at
37° in a humid 5% CO2 atmosphere on sterile, eight-well Permanox or glass cell-culture slides (300 µl/well, 103 cells/well). Medium was removed, and attached
cells were incubated in supplemented minimal essential medium
containing 10 µM concentration of drug at 37°. After
various incubation times, medium was removed, and cells were rinsed
with 37° PBS. Attached cells were fixed in
20° methanol for 10 min, rinsed three times with PBS, and incubated in PBS containing 0.1%
Triton X-100 and 10% FCS for 30 min at room temperature to block
nonspecific antibody binding sites. The blocking buffer was removed,
and the cells were incubated for 1 hr at 37° with antibody to
-tubulin (200 µl/well, 1:200 dilution blocking buffer). Cells were
washed three times with PBS and incubated for 45 min with Texas
Red-conjugated goat anti-mouse IgG (150 µl/well, 1:50 dilution in
PBS). After removal of the secondary antibody by two washes with PBS,
diaminopropidium iodide (2 µg/ml) dissolved in PBS was added to stain
DNA. Slides were wet-mounted in ProLong according to the
manufacturer's procedures. Images were obtained with a Nikon
Optiphot-2 epifluorescence microscope. Photographs were taken directly
from the stage with Kodak TRI-X PAN 400 or Kodak T-MAX 100 black-and-white film.
Inhibition of [3H]paclitaxel binding to polymer. For all binding studies, tubulin polymer was preformed in the absence of drugs for 30 min at 37° in reaction mixtures containing 2 µM tubulin, 20 µM ddGTP, and 0.75 M monosodium glutamate (2 M stock solution adjusted to pH 6.6 with HCl). This condition induced nearly complete assembly of tubulin into polymer (data not presented; see Refs. 28-30). Mixtures of discodermolide with [3H]paclitaxel in varying concentrations were added to preformed polymer and incubated for 30 min at 37°. Bound [3H]paclitaxel was separated from free paclitaxel by centrifugation of the reaction mixtures at 14,000 rpm in an Eppendorf microfuge for 20 min at room temperature; >90% of added protein sedimented under these conditions, even in the absence of drug. Protein and radiolabel in both supernatants and pellets (dissolved in 0.1 M NaOH overnight and neutralized with 0.1 M HCl) were quantified according to the procedure of Lowry and liquid scintillation counting, respectively. Data from three independent experiments were combined for data analysis.
Tubulin assembly. Polymerization was followed turbidimetrically at 350 nm in Gilford (Oberlin, OH) model 250 spectrophotometers equipped with electronic temperature controllers. Base-line values were established with the reaction mixtures containing all components except drug held at 0° by the temperature controller. Drug (or an equivalent amount of dimethylsulfoxide) was added and mixed into the reaction mixture as quickly as possible, and the reaction was followed sequentially for ~10 min each at 0°, 10°, and 25° and for 20 min at 37°.
Electron microscopy. During polymerization reactions, 10-µl aliquots were removed at various times and placed onto 200-mesh carbon-coated, Formavar-treated copper grids. Samples were stained with several drops of 0.5% uranyl acetate and examined with a Zeiss model 10CA electron microscope.
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Results |
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Competitive binding of discodermolide and paclitaxel to microtubules. We showed that discodermolide and paclitaxel caused Burkitt lymphoma cells to accumulate in mitotic arrest and led to rearrangement of the microtubule network of breast carcinoma cells. Both agents caused hypernucleation of tubulin polymerization in reactions with reduced requirements for GTP, MAPs, and higher incubation temperatures, and the polymers formed had increased stability to cold and calcium (8). These properties had been often described for paclitaxel (3, 12, 23, 31-34). Finally, discodermolide, like taxoids and the epothilones, inhibited the binding of [3H]paclitaxel to tubulin polymer (14). In most respects, however, discodermolide seemed to be significantly more potent than paclitaxel, with more extensive reactions occurring at lower temperatures and drug concentrations (8), and discodermolide was particularly potent in inhibiting the binding of [3H]paclitaxel to tubulin polymer (14). Hung et al. (15), using synthetic discodermolide, reported similar observations and also noted that paclitaxel only weakly inhibited the binding of [3H]discodermolide to polymer.
The disparate structures of discodermolide and paclitaxel caused us to undertake studies to gain more specific information about their binding sites. Success in these experiments required that virtually all tubulin in the reactions be driven into polymer before the addition of [3H]paclitaxel and inhibiting drugs. We accomplished this by using ddGTP to induce tubulin assembly (28-30). In the kinetic experiments summarized in Fig. 2, we demonstrated that discodermolide apparently is a competitive inhibitor of the binding of [3H]paclitaxel to the polymer. (A similar finding, as a control experiment, was made with docetaxel, generously provided by Dr. D. G. I. Kingston.) Fig. 2A presents our binding data in the Hanes format, in which a competitive inhibitor generates a family of parallel curves at different inhibitor concentrations (35). Dixon analysis (35) of these data yielded an apparent Ki value of 0.4 µM for discodermolide (Fig. 2B); the value obtained for docetaxel was 0.3 µM.
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Discodermolide nucleates microtubule assembly more potently than paclitaxel. Although many of the effects of paclitaxel on microtubule assembly (polymerization at low temperatures and without GTP and/or MAPs) probably are manifestations of the ability of paclitaxel to hypernucleate tubulin assembly, this property is directly demonstrated by the more extensive polymerization, shorter microtubules, and lower tubulin critical concentration observed with the drug. With paclitaxel analogs, we found excellent correlation of enhanced assembly effects with relative tubulin critical concentrations (23); we have now also found that among paclitaxel, docetaxel, and 2-debenzoyl-2-meta-azidobenzoylpaclitaxel, relative microtubule lengths decrease as taxoid potency increases. Paclitaxel is the least active among the three compounds and yields the longest microtubules, whereas 2-debenzoyl-2-meta-azidobenzoylpaclitaxel is the most active and yields the shortest microtubules.2 Similarly, epothilone A had activity in inducing tubulin assembly and effects on tubulin critical concentration and microtubule lengths comparable to results obtained with paclitaxel, whereas epothilone B was distinctly more active (13).
In our initial studies with discodermolide (8), we found that its potency in inducing microtubule assembly reactions was significantly greater than that of paclitaxel. We have now determined the tubulin critical concentrations with discodermolide at 37° under a variety of reaction conditions in comparison with paclitaxel (Table 1). The experimental data were analyzed by linear regression to generate the values shown in Table 1. The turbidity values obtained below 1 µM tubulin were too low to be reliable (versus instrument noise). Several repetitions of experiments with 1 µM tubulin that yielded higher turbidity readings compared with reaction mixtures without drug convinced us that the critical concentrations for paclitaxel with MAPs plus GTP and for discodermolide with MAPs plus GTP, with MAPs only, and with GTP only were truly <1 µM.
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Effects of discodermolide and paclitaxel on cultured human
carcinoma cells.
Table 3 summarizes
the inhibitory effects of discodermolide and paclitaxel on the growth
of several human tumor cell lines; these include two MDR lines to
evaluate discodermolide as a potential substrate of P-glycoprotein and
two lines resistant to paclitaxel as a consequence of genetic
alterations in a
-tubulin gene (20).
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-tubulin gene
products were >20-fold resistant to paclitaxel relative to the
parental line. Both lines retained nearly complete sensitivity to
discodermolide. As a consequence, these cells were significantly more
sensitive to discodermolide than to paclitaxel.
Indirect immunofluorescence studies. Kangaroo rat PtK2 cells were used to compare the effects of discodermolide with those of paclitaxel on intracellular microtubules (Figs. 4 and 5). IC50 values for this line, which were determined by counting both adherent and detached cells, were 250 and 120 nM for discodermolide and paclitaxel, respectively. To minimize concentration effects, cells were studied after treatment with 10 µM concentration of drug. We wanted to determine whether there was a difference in the time at which microtubule bundles appeared in drug-treated cells and to compare the appearance of microtubules in mitotic cells after treatment with the two drugs. Cells were examined after drug treatment for 2, 6, 12, 24, and 48 hr.
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Discussion |
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Interaction of discodermolide with tubulin. The tubulin-based experiments were undertaken to determine whether the strong binding of discodermolide to tubulin polymers (8, 14, 15) occurred at the same site as paclitaxel binding and to confirm the hypothesis that the potent induction of tubulin assembly observed with discodermolide compared with paclitaxel represented superior activity in hypernucleating polymerization reactions.
With discodermolide, we obtained a competitive pattern of inhibition of binding of [3H]paclitaxel to tubulin polymer (Fig. 2), and a similar pattern was obtained with the taxoid docetaxel. Classically, such results are interpreted as indicating that "substrate" (paclitaxel) and "inhibitor" (discodermolide) bind in the same site, but overlapping sites and/or allosteric effects cannot be readily eliminated as possible alternative explanations. The apparent Ki values obtained for discodermolide (0.4 µM) and docetaxel (0.3 µM) were essentially identical, even though discodermolide is the more potent compound in inducing tubulin assembly. Both tubulin critical concentrations and polymer lengths were lower with discodermolide than with paclitaxel under every reaction condition examined in which reliable quantitative measurements could be made (Tables 1 and 2). Thus, with discodermolide, as with taxoids and the epothilones, polymer length data and tubulin critical concentrations support the concept that the reduced requirements for MAPs and GTP result from the ability of this broad class of drugs to hypernucleate tubulin assembly. The four systems we studied seem to have the following potency order for supporting nucleation: MAPs plus GTP > MAPs only > GTP only > no MAPs/no GTP. The most reliable quantitative comparison between paclitaxel and discodermolide was probably the 7-fold-lower critical concentration obtained with discodermolide in the absence of both MAPs and GTP. This was in excellent agreement with another assay we performed to obtain a quantitative measure of the relative potency of the two drugs, in which we found that 3.2 µM discodermolide and 23 µM paclitaxel induced 50% tubulin assembly in 0.4 M glutamate without GTP (8), also a ~7-fold difference. The two measures together perhaps indicate the relative affinities of the two drugs for tubulin. Because no polymer exists in either 0.1 M MES or 0.4 M glutamate without GTP or MAPs, these relative affinities may apply to the
,
-heterodimer rather
than to polymerized forms of tubulin, but transient polymeric forms
that bind the drugs and are in turn stabilized by them cannot be
excluded as an alternate explanation.
In summary, the biochemical analysis is most consistent with the two
drugs acting by a similar mechanism of action, with discodermolide having a higher affinity than paclitaxel for tubulin (probably 5-10-fold greater).
Effects of discodermolide on cellular microtubule morphology. Previous work with breast carcinoma cells showed that discodermolide more potently induced microtubule bundle formation than did paclitaxel (8). Despite nearly equivalent IC50 values of the two drugs in the cell lines studied, bundle formation observed with 10 nM discodermolide required 1 µM paclitaxel. Few mitotic cells were observed in the breast carcinoma cultures, but both interphase and mitotic Swiss 3T3 cells were reported to have multiple bundles of microtubules after discodermolide treatment (15). In our study with PtK2 cells (Fig. 4), we found that microtubule bundling occurred much more rapidly with discodermolide than with paclitaxel treatment, but that after 12 hr, the appearance of interphase cells treated with the two drugs was identical. We also observed that mitotic PtK2 cells (no nucleus; condensed chromosomes) differed dramatically in appearance from interphase cells (with nuclei) after treatment with the two drugs. A variety of microtubule patterns was observed in the mitotic cells, and their distribution changed as a function of incubation time in the presence of drug (Table 4, Fig. 5). Precise proportions of different aberrant spindles differed with the two drugs and changed over time, but we could detect no discodermolide- or paclitaxel-specific spindle variant.
The enhanced bundling observed with discodermolide compared with paclitaxel is readily understood in terms of the apparent increased affinity of discodermolide for tubulin relative to paclitaxel. The differences in the proportions of mitotic aberrations seen with the two drugs and, indeed, the changing distribution of these aberrations as a function of time are not readily explained by the biochemical properties we examined. However, it seems probable that paclitaxel and discodermolide will differ either quantitatively or qualitatively in their effects on microtubule dynamics, and dynamic effects may be more important in mitotic cells than in interphase cells (36, 37). We should also note that the differing mitotic aberrations may also ultimately derive from relative affinities for tubulin. Epothilone B has a higher affinity for tubulin than epothilone A on the basis of apparent Ki values for inhibition of paclitaxel binding to polymer and its more potent enhancement of nucleation. After epothilone B treatment, PtK2 cells had large numbers of spiral spindles, whereas after epothilone A treatment, aster spindles were more prevalent (13). Thus, comparable distributions of mitotic aberrations were observed with the more potent agents (discodermolide and epothilone B), on the one hand, and with the less potent agents (paclitaxel and epothilone A), on the other. In support of this idea, the morphological effects of these four agents on the PtK2 cells was more closely related to their apparent affinities for tubulin (discodermolide > epothilone B > epothilone A ~ paclitaxel) than on their effects on growth of the cell line [epothilone A ~ epothilone B > paclitaxel > discodermolide (40, 44, 120, and 250 nM IC50 values, respectively)].Effects of discodermolide on the growth of
paclitaxel-resistant human cancer cell lines.
The most notable
differences observed between discodermolide and paclitaxel occurred
with the paclitaxel-resistant human carcinoma cells (Table 3). We
evaluated two MDR lines strongly resistant to paclitaxel (the colon
line expresses a lower level of P-glycoprotein than the ovarian line,
accounting for its greater sensitivity to paclitaxel) and two lines
with moderate resistance on the basis of expression of two different
altered
-tubulin polypeptides.
I-tubulin isotypes. The changes occur in the
primary sequence of the polypeptide chain at positions 270 for 1A9PTX10 (phenylalanine to valine) and 364 for 1A9PTX22 (alanine to threonine) (20). The two cell lines show a 25-30-fold increased resistance to
paclitaxel, and both lines retain nearly complete sensitivity to
discodermolide. Because the alterations in
-tubulin associated with
decreased sensitivity to paclitaxel probably derive from a decreased
affinity of paclitaxel for tubulin or tubulin polymers (20), the
affinity of the altered tubulin for discodermolide is probably little
changed. This finding differs from the relative resistance obtained
with epothilone derivatives; for of six compounds examined thus far in
both cell lines (19, 20), only epothilone B was fully active.
Epothilone A, an epothilone B analog that had effects on tubulin
polymerization equivalent to those of epothilone B, and three
additional derivatives retained nearly full activity in the 1A9PTX22
line (resistance factors of 1.6-3.0) but were relatively inactive in
the 1A9PTX10 line (resistance factors of 8.6-17). These observations
may indicate subtle differences in the amino acid residues that form
the drug binding site with each class of drug, and, specifically, that
discodermolide interacts minimally with both Phe270 and Ala364.
The higher affinity of discodermolide for tubulin, the differences in
its effects from paclitaxel on cultured cells, and its probable greater
aqueous solubility (8) all argue for its careful evaluation as an
anticancer drug. The recent synthesis of discodermolide (38) increases
the feasibility of such an evaluation.
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Footnotes |
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Received March 3, 1997; Accepted June 23, 1997
1
Both paclitaxel-resistant lines bear mutations
in the M40 gene and express large amounts of its product, the
I-tubulin isotype. In 1A9PTX10 the mutation is at
residue 270 (phenylalanine to valine; TTT to GTT) and in 1A9PTX22 at
residue 364 (alanine to threonine; GCA to ACA).
2 R. J. Kowalski and E. Hamel, unpublished observations.
Send reprint requests to: Dr. Ernest Hamel, NIH, Building 37, Rm. 5C25, 37 Convent Drive, MSC 4255, Bethesda, MD 20892-4255.
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Abbreviations |
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MDR, multidrug resistant (resistance); MAP, microtubule-associated protein; MES, 2-(N-morpholino)ethanesulfonic acid; FCS, fetal calf serum; PBS, phosphate-buffered saline; PtK2, Potorous tridactylis kidney epithelial.
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